Mona Jerndahl Fineide

• Kvakic, Minela; Fineide, Mona Jerndahl & Hansen, Heidi Aarum (2023). If digitalization is the answer–what is the problem? An analysis of policy documents related to the digitalization of Norwegian child welfare services. Nordic Social Work Research. ISSN 2156-857X. doi: 10.1080/2156857X.2023.2277255. Full text in Research Archive Show summary

  In this article, we have analysed policy documents related to the digitalization of the Norwegian child welfare services. The project ‘DigiBarnevern’ is a national initiative intended to develop and improve the digital tools in child welfare services. In our article, we explore which arguments for digitalizing child welfare are used in Norwegian policy documents. The analysis is inspired by Carol Bacchi’s analytical approach of ‘What’s the problem represented to be?’ This approach starts with the premise that policy documents are produced and implemented as answers to specific problems. Our analysis shows how the problems represented are inefficient services, a lack of systematization, arbitrary practices, and the lack of a quality system. Thus, digitalization seems to be the answer to comprehensive problems in child welfare services. By drawing on the literature of street-level bureaucracy and professional discretion, we discuss features of digital systems such as their potential to measure quality and how they can serve as tools to meet the aim of regulating frontline workers` room for discretion. Policy documents are not neutral tools. Instead, they are instruments and carriers of values that affect service provision and ultimately the clients.

• Hansen, Gunnar Vold; Bjørkquist, Catharina & Fineide, Mona Jerndahl (2023). Framtidens välfärd - mellan tjänstestyrning och krisberedskap. In Wolmesjö, Maria & Solli, Rolf (Ed.), Välfärdens paradoxer, spänningar och dilemman. Studentlitteratur AB. ISSN 9789144161006. p. 107–129.
• Kvakic, Minela; Fineide, Mona Jerndahl & Hansen, Heidi Aarum (2021). Navigering med ustø kurs: Om bruk av digitale og sosiale medier i barnevernet. Tidsskriftet Norges Barnevern. ISSN 0800-1014. 98(3), p. 164–180. doi: 10.18261/ISSN1891-1838-2021-03-02.
• Fineide, Mona Jerndahl; Løken, Therese Dwyer & Haug, Erna (2021). Samordning av lokalbaserte tjenester: Når svake formelle samordningsstrukturer kompenseres av uformelle samordningsgrep . In Bjørkquist, Catharina & Ramsdal, Helge Normann (Ed.), Statlig politikk og lokale utfordringer: Organisering av tjenester innen rus og psykisk helse. Cappelen Damm Akademisk. ISSN 978-82-02-73453-4. p. 175–194. doi: 10.23865/noasp.140.ch9.
• Fineide, Mona Jerndahl; Haug, Erna & Bjørkquist, Catharina (2021). Organisational and Professional Integration Between Specialist and Primary Healthcare Services: A Municipal Perspective. . International Journal of Integrated Care (IJIC). ISSN 1568-4156. 21(2). doi: 10.5334/ijic.5606. Show summary

  Introduction: Care transitions between specialist and primary healthcare services for people with concurrent substance abuse and mental health problems are characterised by vulnerability and arbitrariness. Objectives: By studying factors that influence integration in a Norwegian context, this study aims to investigate, from a municipal perspective, why care transitions are still tricky after the introduction of the key Coordination Reform. Methods: This study has an explorative approach based on interviews with managers and front-line professionals in primary care. We applied the conceptual framework of functional and normative integration of the Rainbow Model. Results: The municipal actors emphasise that integration is hampered by limited cooperation with general practitioners in referrals to hospital, challenges of communication and loss of meeting points. They experienced close cooperation with sociomedical polyclinics for substance abuse, while challenges in cooperation with district psychiatric centres indicated an interdependence of functional and normative integration. Questioning hospital discharge of patients to primary care was a recurring theme for the municipal actors. Thus, the governing framework of the Coordination Reform has coexisted with fragmentation in organisational structures and divided professional cultures. Conclusions: The coexistence of the new and the old regimes seems to hamper functional and normative integration in care transitions.

• Andersson, Gunnar; Lynch, Matthew Patrick James; Johansen, Frode Ramstad; Fineide, Mona Jerndahl & Martin, Douglas K. (2020). Exploring perceptions of Lean in the public sector. Public Money & Management. ISSN 0954-0962. doi: 10.1080/09540962.2020.1847454. Full text in Research Archive
• Hansen, Gunnar Vold; Bjørkquist, Catharina; Fineide, Mona Jerndahl; Haug, Erna & Ramsdal, Helge Normann (2019). NAV: Virksomhetsbaserte team – redusert sykefravær? Søkelys på arbeidslivet. ISSN 1504-8004. 36(3), p. 104–119. doi: 10.18261/issn.1504-7989-2019-03-01. Full text in Research Archive
• Fineide, Mona Jerndahl (2019). Prosessorienterte modeller – tre organisatoriske utfordringer. In Bjørkquist, Catharina & Fineide, Mona Jerndahl (Ed.), Organisasjonsperspektiv på samordning av helse- og velferdstjenester . Cappelen Damm Akademisk. ISSN 978-82-02-63183-3. p. 145–167. doi: 10.23865/noasp.66.ch6. Full text in Research Archive
• Fineide, Mona Jerndahl & Ramsdal, Helge (2014). Prosesstenkning - utvikling av standardiserte pasientforløp og behandlingslinjer. In Vabø, Mia & Vabo, Signy Irene (Ed.), Velferdens organisering. Universitetsforlaget. ISSN 9788215023755. p. 108–121.
• Pettersen, Kaare Torgny; Fineide, Mona Jerndahl & Dahl, Ulf Peter (2014). "Being a useful puppet" A study of municipal medication-assisted rehabilitation in Norway. Social Work & Social Sciences Review. ISSN 0953-5225. 17(2), p. 112–125. doi: 10.1921/9503170201. Show summary

  The issue addressed by this study is informed by the experiences of employees in community services in medication-assisted rehabilitation (MAR) in relation to current practices. The study was carried out in a Norwegian municipality with 53,000 inhabitants. An electronic questionnaire with multiple choice answers and options for freetext responses was issued to 11 municipal employees and 13 general practitioners (GPs). The municipal employees perceive the current MAR system as defi cient. The diversity of the patients gives rise to great variation in professional experience. Cooperation and follow-up is to a very great extent dependent on the individual concerned. The respondents also state that the medical aspect of MAR work has become overly predominant, and call for a more systematic approach to improve common professional understanding, division of responsibility and coordination. The material suggests that each general practitioner attends to too few MAR patients to be able to accumulate suffi cient expertise in treatment and care pathways. Current practice, where general practitioners often feel themselves as ‘being useful puppets in the MAR system’, is regarded with relatively high dissatisfaction. Respondents in this Norwegian study assert the need to consider a more centralised form of organisation releasing general practitioners from MAR responsibility. In the analysis, the focus was on how municipal employees and general practitioners interpret MAR. This lead to various refl ections and issues of concern arising out of the materials obtained

• Fineide, Mona Jerndahl (2013). "Gullstandarden" i psykisk helsearbeid. In Skærbæk, Eva & Lillemoen, Lillian (Ed.), Verdi og verdighet: etikk i praksis. Cappelen Damm Akademisk. ISSN 978-82-02-40147-4. p. 121–143.
• Ramsdal, Helge & Fineide, Mona Jerndahl (2011). Les défis de la réforme de la santé mentale. L’expérience de la Norvège (The Challenge of Mental Health Reform – Experiences from Norway). Revue Sociologie Sante. ISSN 0998-0113.

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• Bjørkquist, Catharina & Fineide, Mona Jerndahl (2019). Organisasjonsperspektiv på samordning av helse- og velferdstjenester . Cappelen Damm Akademisk. ISBN 978-82-02-63183-3. 217 p.

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• Fineide, Mona Jerndahl (2023). Implementation of digital tools for coordinated services; barriers and facilitators Part 1: Introduction Part 2: System integration Part 3: Organizational and professional integration Part 4: "Clinical integration .
• Fineide, Mona Jerndahl; Håvold, Ole Kristian Sandnes & Wenstøb, Bengt Morten Maximilian (2023). Does One Size Fit All? - People’s expectations of Future Health and Welfare Services .
• Håvold, Ole Kristian Sandnes; Fineide, Mona Jerndahl & Wenstøb, Bengt Morten Maximilian (2023). Will the welfare state survive the future? How people legitimize the welfare state.
• Bjørkquist, Catharina; Fineide, Mona Jerndahl & Løken, Therese Dwyer (2023). Mange – og varierende veier til kommunale helse- og velferdstjenester.
• Fineide, Mona Jerndahl (2022). Den betydningsfulle koordinatorrollen.
• Fineide, Mona Jerndahl (2022). Teoretiske perspektiver på ledelse, organisering og tverrfaglighet i helsefag.
• Fineide, Mona Jerndahl (2022). Hva med idealet om integrerte tjenester for mennesker med ROP lidelser?
• Fineide, Mona Jerndahl (2022). Ledelse og tverrfaglighet. Koordinering av tjenester til innbyggere i vanskelige livssituasjoner.
• Kvakic, Minela; Hansen, Heidi Aarum & Fineide, Mona Jerndahl (2022). Digitalisation in the Child Welfare Services: Meeting frontline workers need for autonomy and the State`s need for control. Show summary

  Digitization of the public sector in Norway has been on the agenda for many years, but few state-initiated solutions have been introduced in child welfare services compared to other parts of public sector (Breit, 2019; Hansen, Lundberg & Syltevik, 2018). Simultaneously, the expectations of both service users and frontline professionals increase in line with increased use of digital media in society (López Peláez, Pérez García & Aguilar-Tablada Massó, 2018). A recent study demonstrated that frontline professionals in child welfare services were not quietly waiting for state policies to be realized. Instead, they developed private practices (Kvakic, Fineide & Hansen, 2021), see also Cooner, Beddoe, Ferguson and Joy (2020), Byrne, Kirwan and Mc Guckin (2019) and Breyette and Hill (2015). These findings brought us to the question of Which challenges in the child welfare services is digitalisation the answer to? A Digital Government Review of Norway named “Boosting the Digital Transformation of the Public Sector” reported a need for a dedicated and integrated digital government strategy and a clearer and more structured governance framework for digital government, strengthening leadership and defining clearer roles (OECD, 2017). Digitalisation is on the Norwegian state`s agenda, and the child welfare service is no exception. Digitalising child welfare services is said to both improve efficiency, the quality of services and safeguard more equal service provision across child welfare services and municipalities (KS, 2018). But if digitalising the child welfare service is the answer, what is the problem? To answer this question, we study public policy document, and use a political sociological approach and public policy instrumentation as theoretical framework. Public policy instrumentation implies a set of problems posed by the choice and use of instruments that allow government policy to be made material and operational; “bearers of values, fuelled by one interpretation of the social and by precise notions of the mode of the regulation envisaged” (Lascoumes & Le Gales, 2007, p. 4).

• Kvakic, Minela; Fineide, Mona Jerndahl & Hansen, Heidi Aarum (2021). Navigating with unstedy course: -Norwegian Child Welfare Workers Use of Digital and Social Media.
• Fineide, Mona Jerndahl & Haug, Erna (2020). Achieving horizontal and vertical integration in local services - creating sustainable mechanisms?
• Fineide, Mona Jerndahl & Wenstøb, Bengt Morten Maximilian (2020). Fremtidens velferdstjenester - en kikk inn i glasskula?
• Fineide, Mona Jerndahl & Haug, Erna (2019). Competing Institutional Logics; Professionals and management experiences during care transitions between hospital and local services. Show summary

  The focus of this article is to explore the contexts in which persons with dual diagnosis is in need for integrated treatment from specialist health services. Our main research question is how professionals and management in three municipalities interpret patient’s care transitions through specialist health services. By analysing data from focus-group interviews and documents, we identified four main themes related to integrated treatment. Firstly, the arrangements of transitions are formally regulated by law and an agreement between hospital and local services, but to what extent the agreement is known and practised seem to differ. Secondly, the two silos in specialist health services represented by Sociomedical Polyclinics (SMP) and District psychiatric centres (DPS) seem not to be internal coordinated. The patients have to have either substance abuse or mental health issues. Thirdly, the patient’s family doctor has limited space and time for the patients. Fourthly, the professionals and managements face these gaps; consequently, they demonstrate goodwill and creative practise in order to compensate for loss of integrated treatment. However, this is repeatedly not sufficient to meet the patient's needs for integrated treatment and there is a risk for patient’s continuous transitions between local services, GP, DPS and SMP. Across these themes, the competing institutional logics of hospital services DPS and SMP and local services represented by the family doctor and municipal units is especially challenging for receiving the policy goal of integrated treatment for people with dual diagnosis.

• Fineide, Mona Jerndahl; Hansen, Gunnar Vold & Haug, Erna (2019). How does a new working method in the Norwegian Labour and Welfare Organization(NAV) succeed in reducing sick leave rates? . International Journal of Integrated Care (IJIC). ISSN 1568-4156. 19(4), p. 169–170. doi: 10.5334/ijic.s3169.
• Fineide, Mona Jerndahl; Hansen, Gunnar Vold & Haug, Erna (2019). How does a new working method in the Norwegian Labour and Welfare Organization(NAV) succeed in reducing sick leave rates?
• Fineide, Mona Jerndahl & Haug, Erna (2019). Sirkulære prosesser - utfordringer når ulike institusjonelle logikker møtes i behandling av mennesker med dobbeltdiagnoser. . Show summary

  Foreløpige resultater fra en studie som er knyttet til prosjektet «ROPIT – Integrated Services for Patients with Dual Diagnosis» ble presentert.

• Fineide, Mona Jerndahl & Ramsdal, Helge Normann (2018). Går utover pasienter og brukere. Dagsavisen. ISSN 1503-2892.
• Fineide, Mona Jerndahl & Wenstøb, Bengt Morten Maximilian (2018). De vil vite hva du venter av norsk velferd om 20 år . Fredriksstad Blad.
• Fineide, Mona Jerndahl & Wenstøb, Bengt Morten Maximilian (2018). Har vi råd til å finansiere sykehjem og skoler i fremtiden?
• Fineide, Mona Jerndahl (2012). The professions' goodwill and creative involvement? The revitalising of the profession state within the framework of NPM.
• Fineide, Mona Jerndahl (2012). Tverrfaglig samarbeid - suksessfaktorer og fallgruver.
• Ramsdal, Helge & Fineide, Mona Jerndahl (2010). Backstage Decision-Making ? Standardising Work Performances While Coping With Uncertainty. Paper to the International Labour Process Conference, Rutgers University, New jersey, USA March 15th -17th 2010.
• Fineide, Mona Jerndahl (2009). Behandlingslinjer som koordineringsinstrument : tentative analyser. Show summary

  Foredrag for Regionalt Fagmiljø for ADHD, Tourettes syndrom & Narkolepsi, Helse Sør - Øst

• Fineide, Mona Jerndahl (2009). "Streamlined" health care services? : decision-making in a complex environment.
• Fineide, Mona Jerndahl & Ramsdal, Helge (2008). Behandlingslinjer - ny giv for helse- og sosialsektoren?
• Fineide, Mona Jerndahl (2008). Behandlingslinjer som tverrfaglig samordningsmodell.
• Arvesen, Petter; Helgesen, Marit Kristine; Fineide, Mona Jerndahl & Ørmen, Nita (2021). Horisontal og vertikal samordning mellom regionale og kommunale aktører i arbeidet mot barnefattigdom – Kan Velferdspiloten vise vei? . Høgskolen i Østfold.
• Helgesen, Marit Kristine; Fineide, Mona Jerndahl & Ørmen, Nita (2019). Velferdspiloten - samarbeidsløsninger mellom statlig regionalt nivå og kommuner i Østfold. Høgskolen i Østfold. ISSN 978-82-7825-454-7. 2019(2).
• Helgesen, Marit Kristine; Fineide, Mona Jerndahl & Ørmen, Nita (2019). Velferdspiloten - samarbeidsløsninger mellom statlig regionalt nivå og kommuner i Østfold. Høgskolen i Østfold. ISSN 978-82-7825-454-7.
• Ramsdal, Helge Normann; Bjørkquist, Catharina; Fineide, Mona Jerndahl; Haug, Erna & Hansen, Gunnar Vold (2018). Tidlig ute og tett på. Evaluering av virksomhetsorganiserte team som ledd i NAV-Østfolds deltakelse i prosjektet "Ned med sykefraværet - IA ledelse 2.0". Høgskolen i Østfold. ISSN 1503-8939.
• Fineide, Mona Jerndahl (2012). Controlled by knowledge: a study of two clinical pathways in mental healthcare. Karlstad University Press. ISSN 978-91-7063-423-9.
• Ramsdal, Helge; Fineide, Mona Jerndahl & Hansen, Gunnar Vold (2011). National Instruments: Synthesis Report on Mental Health policy. KNOW & POL.
• Ramsdal, Helge & Fineide, Mona Jerndahl (2010). Clinical Pathways as a Regulatory Tool in Mental Health Policies A report on regulations i Health Policies in Norway. October 2010, www.knowandpol.eu. www.knowandpol.eu..
• Hansen, Gunnar Vold & Fineide, Mona Jerndahl (2010). Sammen og koordinert. Høgskolen i Østfold. ISSN 9788278253144.
• Fineide, Mona Jerndahl (2006). Fra struktur til prosess: Prosessperspektivets "innreise" i to norske kommuner. Høgskolen i Østfold.

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