Title: The rationalisation process of mental health services: illustration of a conflict field between professional and management rationality

Authors: Claire Bélart

Addresses: University of Lille 1, CLERSE Cité Scientifique, 59 650 Villneveuve d'Ascq, France

Abstract: This article examines the process of institutionalisation of management expertise in the field of public psychiatry through the implementation of a standardised system (RIM-P) which is intended to allow a detailed description of the care activity. The study that we propose is twofold. On one hand, we will attempt to define the conditions in which the system is able to invest the functioning of psychiatric sectors. On the other hand, we propose to consider the forms of collective mobilisation deployed by actors in these organisations in order to deal with the imposition of a new regulatory system.

Keywords: public psychiatry; complex management systems; healthcare management; management expertise; work rationalisation; management tools; public spending; sanitary agencies; hospital; mental health services; care activities; new regulatory systems; resistance to change; public organisations.

DOI: 10.1504/IJPSPM.2013.056073

International Journal of Public Sector Performance Management, 2013 Vol.2 No.2, pp.141 - 155

Available online: 27 Aug 2013 *

Full-text access for editors Access for subscribers Purchase this article Comment on this article