Using Sweden as an example, we propose the hypothesis that local candidate lists rest on a different rationale compared to national party lists, more specifically a rationality that has developed as a result of an altered relationship between the local and national levels and is expressed in terms of localism. The emergence of new local lists is most likely an effect of the challenges to the welfare state posed in the past 40 years. However, although local lists are essentially a recent phenomenon, our examples suggest that their existence can also be explained in terms of historical patterns of dissent from and resistance to state intervention at the local level.
Persons with mental health problems and substance abuse often have complex needs requiring many kinds of help concurrently. In Sweden, an attempt has been made to counterbalance the effects of fragmentation by means of legislation on collaboration, requiring on the individual level the use of Coordinated Individual Plans (Sw. Samordnad Individuell Plan, SIP). The aim of the study is to explore collaboration as it is indicated in SIP and other case documentation with focus on how SIP is motivated, and what kind and degree of collaboration is indicated by the documentation. 12 individual case files have been studied in six local authorities and the results have been analyzed in relation to a regional collaboration agreement and local collaboration agreements. The results show unclear motivation for SIP and that SIP is primarily used for documentation of short-term planning. Use of SIP and participation in SIP appears also to be uneven. The authors characterize SIP as an unsystematic form of interagency meeting, with documentation indicating a relatively low to moderate level of collaboration. The authors question whether SIP is an optimal form for collaboration and suggest that more distinct models such as case management or multidisciplinary teams could be more effective.
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