Co-production in community mental health services: blurred boundaries or a game of pretend?

Sociology of Health & Illness
Sine Kirkegaard, Ditte Andersen

Abstract

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 me...Continue Reading

References

Sep 23, 2003·Sociology of Health & Illness·J Q TritterPat Turton
Feb 27, 2008·Sociology of Health & Illness·Pamela Fisher
Feb 18, 2009·Sociology of Health & Illness·Annemarie Jutel
Jan 22, 2011·The International Journal of Social Psychiatry·A ToporL Davidson
Apr 2, 2011·Social Science & Medicine·Alison Pilnick, Robert Dingwall

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Citations

Mar 19, 2019·International Journal of Integrated Care·Ludo GlimmerveenSierk Ybema
Sep 14, 2020·Advances in Health Sciences Education : Theory and Practice·Sacha AgrawalSophie Soklaridis
Mar 20, 2021·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Camilla AudiaSamuel Agyei-Mensah
Aug 9, 2021·Social Science & Medicine·Crystal Adams, Mica Curtin-Bowen

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