Abstract
In the following, we examine how and why service provision changes. We argue that the role of service providers as a result of the Norwegian Action Plan for Mental Health has evolved to be characte...
Highlights
We explore how policy instruments shape the role of the service providers and the choices they make
When the Norwegian government presented its Action Plan for strengthening mental health services in a parliamentary white paper in the late 1990s, one of the reasons was that people with mental health problems were meeting too many barriers in seeking help (White Paper No 25, 1996–1997)
The focus of this article is local services to clients with dual diagnosis, which are mainly provided by nurses and social workers
Summary
When the Norwegian government presented its Action Plan for strengthening mental health services in a parliamentary white paper in the late 1990s, one of the reasons was that people with mental health problems were meeting too many barriers in seeking help (White Paper No 25, 1996–1997). Norway’s system of health and social care is organized into two tiers: the state and local authorities. The comprehensive municipal health and social services include housing, financial support, medical treatment, substance abuse counselling and activity-based services. The focus of this article is local services to clients with dual diagnosis (concurrent substance abuse and mental health problems), which are mainly provided by nurses and social workers. More than half of these had further education in mental health or substance abuse work (Ose & Kaspersen, 2017). In Norway, addiction treatment was defined as social services until 2004, but since they have formed part of the health services and are included in the health legislation. In the current national education guideline, services to the target group are still described as a central part of social work (Rammeplan for 3-årig sosionomutdanning 2005)
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