The meanings of dual diagnosis policy for services and sufferers Bridget Roberts. Qualitative study of policy and sectoral change since deinstitutionalisation Case study of State of Victoria ‘Dual diagnosis’ discourse and narratives Some context and preliminary reflections. Methods.
Many deinstitutionalisationdepartments, disciplines and visions
Mental health services
Clinical <<->> PDRS
Fed/State/COAG health policy
Primary health Tertiary health
Medicine Nursing Pharmacy Psychiatry OT
Psychology Public health Social Work
Experiential and lay knowledge History Sociology Political science
Human rights, social inclusion, holistic view of health
....It feels divided. AOD and mental health workers are from completely separate worlds – that is how it feels. I think there is a bit of resentment – it’s like an unspoken war – the mental health workers think they are better than the AOD workers and the AOD workers feel a bit invalidated/sidelined by the psychiatrists (Participant)
Russell, S. (2009). Looking Beyond Dual Diagnosis: Young people speak out. beyondblue research report. Melbourne: Research Matters.
Who are the winners and losers from dual diagnosis policy and the convergence of mental health services and alcohol and other drug services?
- Neglect beneath the spin?
Denzin, N., & Lincoln, Y. (Eds.). (2005). The Sage Handbook of Qualitative Research (third edition). Thousand Oaks, London, New Delhi: Sage.
Haraway, D. (2003). Situated knowledges: the science question in feminism and the privilege of partial perspective. In Y. S. Lincoln & N. K. Denzin (Eds.), Turning Points in Qualitative Research: tying knots in a handkerchief (pp. 21-46). Walnut Creek, Lanham, New York, Oxford: Altamira Press.
Kingdon, J.W. (1995). Agendas, alternatives and public policies. New York: Longman.
Patton, M. (1997). Utilization Focused Evaluation (2nd ed.): California, Sage Publications.
Perakyla, A. (2005). Analyzing talk and text. In N. K. Denzin & Y. S. Lincoln (Eds.), The Sage handbook of qualitative research (3rd ed.). Thousand Oaks, London, New Delhi: Sage.
Phillips, N., & Hardy, C. (2002). Discourse analysis: investigating processes of social construction (Vol. 50). Thousand Oaks, CA: Sage.
Walt, G., Shiffman, J., Schneider, H., Murray, S.F., Brugha, R., & Gilson, L. (2008). 'Doing' health policy analysis: methodological and conceptual reflections and challenges. Health Policy & Planning, 23(5), 308-317.
Yin, R.K. (2008). Case study research design and methods (4th ed.). Thousand Oaks; London; New Delhi: Sage.