2021
DOI: 10.1108/k-11-2020-0782
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Escalating complexity and fragmentation of mental health service systems: the role of recovery as a form of moral communication

Abstract: PurposeTheoretical generalisation provides the basis for tackling problems of service complexity, fragmentation and disrupted care pathways.Design/methodology/approachRecent mental health service transformation in Wales, United Kingdom, has been stimulated by a policy programme underpinned by person-centred recovery values. This paper offers analysis informed by the perspectives of Niklas Luhmann and other noted theorists to examine escalating service system complexity related to this transformation. Analysis … Show more

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Cited by 6 publications
(7 citation statements)
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“…As such, a social system emerges via its communication and creates meaning (Luhmann, 1995, p. 60; Weaver, 2021). Meaning is seen as a surplus of references to other possibilities and, referring to Bateson, as a difference that makes a difference.…”
Section: Morality As Embedded In Luhmann's Social Systems Theorymentioning
confidence: 99%
“…As such, a social system emerges via its communication and creates meaning (Luhmann, 1995, p. 60; Weaver, 2021). Meaning is seen as a surplus of references to other possibilities and, referring to Bateson, as a difference that makes a difference.…”
Section: Morality As Embedded In Luhmann's Social Systems Theorymentioning
confidence: 99%
“…Escalating complexity and fragmentation of mental health service systems: the role of recovery as a form of moral communication by Weaver (2021) contributes with an empirical study of the mental health service in Wales. Through this analysis, Weaver shows how the Moral communication and social systems theory word "recovery" not simply designates the return of a patient to the world outside healthcare.…”
Section: Overview Of the Articlesmentioning
confidence: 99%
“…To the individual person, this ecosystem would then appear as a multifunctional decision-making infrastructure rather than an institutional cage without exit option. Though the function systems of modern society do feature an expansionist drift and claim for total inclusion of every individual person (Teubner, 2021;Verschraegen, 2011;Weaver, 2021Weaver, , 2022, the universal organized access to the function systems via procedures such as health treatments or universal suffrage typically remains an option rather than obligation in a liberal society. This lack of an imperative for total inclusion precisely is the difference between a liberal society of organizations and an organized society of any kind.…”
Section: State and Multifunctional Liberalismmentioning
confidence: 99%