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Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-3310-0895
Uppsala University, Sweden.
Uppsala University, Sweden.
Uppsala University, Sweden; Karolinska Institute, Sweden.
2017 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, 431Article in journal (Refereed) Published
Abstract [en]

Background: This study analyzes the process of establishing and developing a cooperative vocational rehabilitation project with special focus on organizational and professional aspects. In the project, officials from the Swedish Social Insurance Agency and the Swedish Public Employment Service worked cooperatively with participants on long-term sick leave, youths with disability benefits, and people receiving social allowances. The officials used Motivational Interviewing (MI) as a method when meeting participants, and were able to offer flexible and tailored case management. The goal was to improve work ability and promote self-sufficiency. Methods: The process evaluation was carried out through continuous data collection throughout the project (2012-2014), resulting in a total of 28 individual interviews and 17 focus groups with officials and managers. The material was categorized through an inductive content analysis, and analyzed using social capital as a theoretical frame. Results: The evaluation points to how issues related to design, organization and management contributed to the project not reaching its goals, e.g. problems with recruitment of participants, the funding structure, and staffing problems on the managerial level. Still, officials reported positive effects of close cooperation, which was perceived as facilitating the case management by fostering a mutual understanding and access to resources and rehabilitation measures from more than one authority. Conclusions: Cooperative work combined with the use of MI and flexible case management seem to promote an increased trust between officials from different authorities and participants, which in the study is conceptualized as bonding and bridging social capital (between officials) and linking social capital (between officials and participants). The organizational problems combined with the relatively large differences in approaches between the project and regular practice obstructed implementation, where the authorities involved did not appear to be ready for implementing methodologies that require organizational restructuring.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD , 2017. Vol. 17, 431
Keyword [en]
Vocational rehabilitation; Cooperation; Employment; Motivational interviewing; Social capital; Sweden
National Category
Social Work
Identifiers
URN: urn:nbn:se:liu:diva-138254DOI: 10.1186/s12889-017-4357-xISI: 000401863200003PubMedID: 28490328OAI: oai:DiVA.org:liu-138254DiVA: diva2:1109126
Note

Funding Agencies|ESF; SSIA; SPES

Available from: 2017-06-13 Created: 2017-06-13 Last updated: 2017-07-03

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Ståhl, Christian
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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf