Co‐production in community mental health services

blurred boundaries or a game of pretend?

Sine Kirkegaard Nielsen, Ditte Andersen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

The concept of co‐production suggests a collaborative production of public welfare services, across boundaries of participant categories, for example professionals, service users, peer‐workers and volunteers. While co‐production has been embraced in most European countries, the way in which it is translated into everyday practice remains understudied. Drawing on ethnographic data from Danish community mental health services, we attempt to fill this gap by critically investigating how participants interact in an organisational set‐up with blurred boundaries between participant categories. In particular, we clarify under what circumstances the blurred boundaries emerge as believable. Theoretically, we combine Lamont and Molnár's (2002) distinction between symbolic boundaries and social boundaries with Goffman's (1974) microanalysis of “principles of convincingness”. The article presents three findings: (1) co‐production is employed as a symbolic resource for blurring social boundaries; (2) the believability of blurred boundaries is worked up through participants’ access to resources of validation, knowledge and authority; and (3) incongruence between symbolic and social boundaries institutionalises practices where participants merely act ‘as if’ boundaries are blurred. Clarification of the principles of convincingness contributes to a general discussion of how co‐production frames the everyday negotiation of symbolic and social boundaries in public welfare services.
OriginalsprogEngelsk
TidsskriftSociology of Health and Illness
Vol/bind40
Udgave nummer5
Sider (fra-til)828-842
Antal sider15
ISSN0141-9889
DOI
StatusUdgivet - 2018

Emneord

  • Community
  • Goffman
  • Interaction analysis
  • Mental health services
  • User involvement
  • Volunteers

Citer dette

Nielsen, Sine Kirkegaard ; Andersen, Ditte. / Co‐production in community mental health services : blurred boundaries or a game of pretend? . I: Sociology of Health and Illness. 2018 ; Bind 40, Nr. 5. s. 828-842.
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Co‐production in community mental health services : blurred boundaries or a game of pretend? . / Nielsen, Sine Kirkegaard; Andersen, Ditte.

I: Sociology of Health and Illness, Bind 40, Nr. 5, 2018, s. 828-842.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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AB - The concept of co‐production suggests a collaborative production of public welfare services, across boundaries of participant categories, for example professionals, service users, peer‐workers and volunteers. While co‐production has been embraced in most European countries, the way in which it is translated into everyday practice remains understudied. Drawing on ethnographic data from Danish community mental health services, we attempt to fill this gap by critically investigating how participants interact in an organisational set‐up with blurred boundaries between participant categories. In particular, we clarify under what circumstances the blurred boundaries emerge as believable. Theoretically, we combine Lamont and Molnár's (2002) distinction between symbolic boundaries and social boundaries with Goffman's (1974) microanalysis of “principles of convincingness”. The article presents three findings: (1) co‐production is employed as a symbolic resource for blurring social boundaries; (2) the believability of blurred boundaries is worked up through participants’ access to resources of validation, knowledge and authority; and (3) incongruence between symbolic and social boundaries institutionalises practices where participants merely act ‘as if’ boundaries are blurred. Clarification of the principles of convincingness contributes to a general discussion of how co‐production frames the everyday negotiation of symbolic and social boundaries in public welfare services.

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