Negotiating Competing Institutional Logics at the Street Level: An Ethnography of a Community Mental Health Organization

Spitzmueller, Matthew C.

doi:10.1086/686694

Cited by 24 publications

(11 citation statements)

References 46 publications

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“…Beyond the benefits of the substantive representation of user attribute–sharing staff members (e.g., service responsiveness and better outcomes), private organizations might also be interested in gaining symbolic and economic benefits from descriptive representation. Securing and maintaining the legitimacy of their existence and operation are increasingly salient issues as many health and social service organizations become bureaucratized and hire more professionalized staff over lay individuals sharing identities and experiences of service user groups (Marwell, 2007; Spitzmueller, 2016). Thus, in addition to formal and participatory mechanisms incorporating local voices into organizational processes (e.g., advisory community boards), hiring staff members sharing service user group attributes and identities can be an important symbolic means of acquiring such legitimacy (Guo & Musso, 2007).…”

Section: Representative Bureaucracy Theorymentioning

confidence: 99%

Representative Bureaucracy Through Staff With Lived Experience: Peer Coproduction in the Field of Substance Use Disorder Treatment

Park

2020

The American Review of Public Administration

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This study extends the representative bureaucracy literature by theorizing and empirically testing how staff sharing lived experience with service users can serve as user representatives in service provision processes (i.e., the peer coproduction mechanism). Using survey data from a representative sample of substance use disorder treatment clinics in the United States, we explore factors associated with descriptive representation (the presence of staff with firsthand experience of a substance use disorder in both frontline treatment and senior positions) and directors’ perceptions of recovering staff’s potential to serve as user representatives in individual care and organizational decision-making processes. Recovering staff accounted for a third of the field’s workforce, but the majority of the clinics did not employ them in senior staff positions. Regression results suggest that organizational leaders’ recognition of recovering staff’s unique representation capacities may facilitate greater descriptive representation and grant meaningful organizational decision-making authority to recovering staff. Multiple research and practice implications are discussed.

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Section: Representative Bureaucracy Theorymentioning

confidence: 99%

Representative Bureaucracy Through Staff With Lived Experience: Peer Coproduction in the Field of Substance Use Disorder Treatment

Park

2020

The American Review of Public Administration

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“…The actors and their agency are, however, both enabled and constrained by the plurality of institutional logics (Thornton et al, 2012). The way actors negotiate and resolve the different and possibly contradictory logics may imply that actors are not just "carriers" of institutional logics but are also creators who contribute to transformations of institutional practices (Spitzmueller, 2016;Thornton et al, 2012;Thornton & Occasio, 2008). Professional actors are in a position in which their actions must balance the different institutional logics, such as between professional values, user participation, and the values underlying the institutional management system (Banks, 2011).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

The complexity of work expectations of staff in supported housing

Midjo

Redzovic

Carstensen

2020

Social Work in Mental Health

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This article focuses on the work conditions of health care workers in supported housing for people with severe mental health problems. It does so by exploring the workers' experiences of their daily work situations. The article is based on data from a qualitative mental health project within a larger-sized Norwegian municipality. The findings from the study include two main themes and several subthemes that are discussed in light of institutional logic perspectives. One of the main themes is defined as "Time scheduled tasks and the quality of mental health work" with the three subthemes "The wish and need for more time," "Lack of flexibility and changing appointments," and "Managing daily expectations and challenges," The other main theme is defined as "The implementation of skill training activities" with the two subthemes "The normative expectation of and within skill training" and "Managing skill working relationships," The findings highlight how health care staff are placed in complex work situations by having to manage different and partly contradictory expectations based on the organization of the health and welfare system and supported housing, the organization and implementation of their daily work together with the residents, and their own professional values.

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“…In relation to public services, the market logic is associated with the strategies of NPM, such as contracting out services, performance management and evaluation, and a view of service users as 'customers' (Vickers et al, 2017). In many studies of institutional logics, particularly in the case of 'hybrid' organisations, it is therefore this market or commercial logic that most commonly comes into conflict with another competing logic -such as a therapeutic (Spitzmueller, 2016), social welfare (Pache and Santos, 2013), family and regional state (Greenwood et al, 2010) or editorial logic (Thornton, 2002). In terms of narratives, the market logic is associated with ideas of efficiency and profitability, frequently manifested in for-profit organisational structures with hierarchical control.…”

Section: Marketmentioning

confidence: 99%

Co-production and the third sector: A comparative study of England and France

McMullin¹

2018

Preprint

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This thesis explores co-production between citizens and third sector professionals in England and France. I focus on five community regeneration organisations in Sheffield, England, and five in Lyon, France, followed by an analysis of comparator organisations in two further sectors of activity -parents' organisations, and projects to reduce older people's loneliness. The research is based on 57 semi-structured interviews, as well as event observations and documentary analysis. I employ an analytical framework of institutional logics to explore the ways in which the rules, practices and narratives of the case study organisations are specific to their city and national contexts and how these in turn drive and shape co-production practices.The study finds that while the Sheffield organisations are characterised by an assimilation of the state, community and market logics, the Lyon organisations demonstrate a blend of a 'Napoleonic state' logic, and a 'local solidarity' (rather than community) logic. These different combinations of logics illuminate two approaches to co-production. In France, co-production is informed by notions of citizenship, solidarity and participative democracy, leading to a greater focus on citizen involvement in organisational governance and greater influence of rules as an enabler and constraint to co-production. In Sheffield, co-production is seen as a way to improve communities, services and outcomes, and we therefore see more pragmatic attention to co-design and co-delivery activities. This thesis provides an important contribution both to co-production theory as well as to policy and practice, by demonstrating some of the cultural and contextual subjectivity of coproduction, which has been overlooked in previous studies. In addition, employing institutional theory to study co-production enables me to produce evidence of meso and macro level factors that influence co-production behaviour.ii ACKNOWLEDGEMENTS

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Negotiating Competing Institutional Logics at the Street Level: An Ethnography of a Community Mental Health Organization

Cited by 24 publications

References 46 publications

Representative Bureaucracy Through Staff With Lived Experience: Peer Coproduction in the Field of Substance Use Disorder Treatment

Representative Bureaucracy Through Staff With Lived Experience: Peer Coproduction in the Field of Substance Use Disorder Treatment

The complexity of work expectations of staff in supported housing

Co-production and the third sector: A comparative study of England and France

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