Abstract
Coordination of social interventions for people with dual diagnosis

This study focuses on the phenomenon coordination in social work and more specifically on coordination of social interventions for people with dual diagnosis, which in this case mean people who have a mental disorder and an active abusive of alcohol and/or drugs.
The purpose of this study is to focus on coordination as a method in social work and also to study how coordination can qualify social work. Specifically in relation to ensure a holistic approach to people with a mental disorder and an abuse of alcohol and/or drugs.
Each municipality is according to an agreement between Danske Regioner and Kommunernes Landsforeningen committed to have a Fællesteam. This Fællesteam is responsible for the coordination of treatment of people with dual diagnosis and the members of the represent the social centre, the misuse centre and the psychiatric unit.

Linking coordination and the Fællesteam leads me to the following question for further examination in my study:

How does the Fællesteam work as a coordinated initiative in relation to ensure that the users of the Fællesteam receive a holistic approach?

The study is written in a critical realistic approach and the design and method is strongly inspired of Pawson and Tilleys Realistic Evaluation (1997). Therefore the question of “What works for whom in What circumstances?” is a guideline through the study and it is used to establish a model describing how Context plus Mechanism can generate an Outcome.

The first part of the study is at short review of what we already know about, what works for people with dual diagnosis. The second part of the study is a qualitative study of the Fællesteam using the guidelines for semi-structured interviews from Kvale (1997). The third part of the study is the analysis of empirical data.
The analysis attends the empirical data with inductive reasoning, to find how the informants describe the circumstances for the Fællesteam. Then the empirical data is the object for a deductive reasoning, to find the What and the Who in the question of What works for Whom in what circumstances.
The findings in these analyses is then the object of a retroductive reasoning, to find what causal mechanisms in the intransitive dimension generates the way, that the Fællesteam works for people with dual diagnosis and in what circumstances. This analysis uses theories from Per Revstedt (2001), Janne Seemann (2008), La Cour & Højlund (2008) and Michel Foucault (in Dag Heede, 2002).

The study shows, that economy and a discourse of shortage of financial resources to social work can have influence on how the Fællesteam works. It also shows, that it is not predictable how the influence of the economy impacts the Fællesteam. One scenario is that, the team keeps a low profile (Seemann, 2008) and as such doesn’t require more resources. Another scenario is that the members of the team by motivation and knowledge mobilise enough power to expand the awareness of the team. By doing so they might, paradoxically, form a basis of needs for even more economic resources.