Flinders University of South Australia, Southgate Institute for Health, Society and Equity, Health Sciences Building, Bedford Park 5042, South Australia, Australia.
Soc Sci Med. 2010 Apr;70(7):1026-34. doi: 10.1016/j.socscimed.2009.12.007. Epub 2010 Jan 29.
This paper uses data from a South Australian case study of a period of mental health reform (2000-2005) to answer the question of how different policy networks set agenda and implement policy to ensure that people with psychiatric disabilities have access to appropriate housing. Qualitative methods were used, including interviews (n = 31) and focus groups (n = 8) with non-government organisations (NGOs), consumers and carers and professionals from health, disability and housing sectors, and participant observation with South Australian NGOs (n = 52). These data were supported by a thematic analysis of national and State (i.e. South Australian) policies in mental health and housing sectors. The research indicated that, despite a number of 'inter-sectoral projects' and regional networks, the health and housing sectors were essentially separate policy systems with little integration. It also concluded that the absence of strategic integration across sectors leads to inadequate housing for people with a psychiatric disability. Research participants considered the need for better collaboration secondary to the need for additional housing and support resources and political commitment to such resources. A number of barriers and enablers to policy agenda setting and collaboration were identified. The paper concludes with a discussion of policy and policy processes which will support housing outcomes for people with psychiatric disability.
本文使用南澳大利亚心理健康改革案例研究(2000-2005 年)的数据来回答以下问题:不同政策网络如何设定议程并实施政策,以确保精神残疾人士能够获得适当的住房。采用了定性方法,包括与非政府组织(NGO)、消费者和照顾者以及来自卫生、残疾和住房部门的专业人士进行访谈(n=31)和焦点小组(n=8),以及对南澳大利亚非政府组织(n=52)的参与观察。这些数据得到了对精神卫生和住房部门国家和州(即南澳大利亚)政策的主题分析的支持。研究表明,尽管有一些“跨部门项目”和区域网络,但卫生和住房部门基本上是独立的政策体系,几乎没有整合。它还得出结论,跨部门的战略整合缺失导致精神残疾人士的住房不足。研究参与者认为,除了需要更多的住房和支持资源以及对这些资源的政治承诺之外,更好的协作是次要的。确定了政策议程设置和协作的一些障碍和促成因素。本文最后讨论了支持精神残疾人士住房成果的政策和政策流程。