’Så vi kan se rigtig mange gode ting, der er kommet ud af Covid-19’

Nygaard-Christensen, Maj; Pedersen, Siri Mørch; Bjerge, Bagga

doi:10.7146/tfss.v17i33.123595

Cited by 2 publications

(4 citation statements)

References 4 publications

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“…I hope that continues. That us who are around the citizens, I think, have come closer together, and have seen each other differently” (see also Nygaard-Christensen et al , 2020). In a Danish context, such rethinking of administrative practice has not been confined to the area of service provision to PWUD.…”

Section: Resultsmentioning

confidence: 99%

“…Some described how improved communication across vertical structures in the municipal bureaucracy accelerated decision-making processes, as described by an outreach nurse: “Sometimes, if you had to call a social worker or something like that. Things that used to take a month or two weeks […] now, you’ll get a response within an hour” (see also Nygaard-Christensen et al , 2020).…”

Section: Resultsmentioning

confidence: 99%

“…The study of how service users experienced lockdown in two larger Danish cities focused on how restrictions aimed at reducing social contact and reduction in service capacity affected users of low-threshold services such as drop-in centers, homeless shelters and drug consumption rooms (Nygaard-Christensen and Søgaard, 2023; Nygaard-Christensen and Pedersen, 2020). In addition to a focus on service user experiences of lockdown, the project examined professionals’ perspectives on the barriers and opportunities they experienced in relation to offering appropriate care during lockdown (Nygaard-Christensen et al , 2021; Nygaard-Christensen et al , 2020). Ethnographic observations were carried out at drop-in centers and homeless shelters by the first author and a research assistant.…”

Section: Methodsmentioning

confidence: 99%

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Pandemic lockdown as policy window for street-level innovation of health and substitution treatment services for people who use drugs

Nygaard-Christensen

Houborg

2023

DHS

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Purpose This paper aims to examine policy innovation among street-level bureaucrats at low-threshold services to people who use drugs during the COVID-19 pandemic in Denmark. Design/methodology/approach This paper builds on two research projects conducted during the first pandemic lockdown in Denmark. The first is a case study of how COVID-19 impacted on people who use drugs (PWUD) and services for PWUD at the open drug scene in the neighborhood of Vesterbro in Copenhagen. The second is an ethnographic study of how users of services at the intersection of drug use and homelessness were impacted by lockdown. Findings Drawing on Kingdon’s “multiple policy streams” approach, this study shows how lockdown opened a “policy window” for innovating services to people who use drugs. This paper further shows how the pandemic crisis afforded street-level bureaucrats new possibilities for acting as “policy entrepreneurs” in a context where vertical bureaucratic barriers and horizontal cross-sectoral silos temporarily collapsed. Finally, the authors show how this had more lasting effects through the initiation of outreach opioid substitution treatment. Social implications In Denmark, the emergence of a “policy window” for street-level bureaucrats to act as street-level “entrepreneurs” occurred in a context of rapid government response to the pandemic. For crises to act as “policy windows” for innovation depends on strong, preexisting institutional landscapes. Originality/value This paper adds to existing literature on policy innovation during COVID-19 in two ways: methodologically by contributing an ethnographically grounded approach to studying policy innovation and theoretically by examining the conditions that allowed policy innovation to occur.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Pandemic lockdown as policy window for street-level innovation of health and substitution treatment services for people who use drugs

Nygaard-Christensen

Houborg

2023

DHS

View full text Add to dashboard Cite

show abstract

“…The article builds on data from a broader ethnographic examination of how users of homeless shelters, drop-in centers, drug treatment centers and drug consumption rooms coped with the pandemic crisis ( Nygaard-Christensen & Pedersen, 2020 ; Nygaard-Christensen, Pedersen & Thorsen 2020 ; Nygaard-Christensen, Pedersen & Bjerge, 2020 ; Nygaard-Christensen, Houborg & Thylstrup, 2021 ). Data was collected in two Danish cities, where services are located in relative proximity to ‘open drug scenes’, defined as public areas with visible use and sale of illegal drugs, and where access to commercial drug sellers is open to anyone who appears a plausible buyer, with no requirement for prior introduction ( Alpheis, 1996 ; May & Hough, 2004 ).…”

Section: Methodsmentioning

confidence: 99%