In this article, we conduct an empirical ethics approach to unravel the different perspectives on good care that are present in a community mental health team (CMHT) in Utrecht. With the deinstitutionalisation of mental health care, the importance of a close collaboration between the social and medical domains of care on the level of the local community is put in the foreground. Next to organisational thresholds or incentives, this collaboration is shaped by different notions of what good mental health care should entail. Using the concept of modes of ordering care (Moser 2005), we describe five modes of ordering mental health care that are present in the practice of the CMHT: the medical specialist, the juridical, the community, the relational and the bureaucratic perspective. These different modes of ordering care lead to frictions and misunderstandings, but are mutually enhancing at other times. Unravelling these different modes of ordering care can facilitate collaboration between professionals of different care domains and support a mutual understanding of what needs to be done. More so, the analysis foregrounds that ordering care from a relational approach is important in daily practice, but is in need of stronger legitimation.

中文翻译：

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煎鸡蛋或制定治疗计划？社区心理健康团队中不同护理模式之间的摩擦

在本文中，我们采用实证伦理学方法来阐明乌得勒支社区心理健康团队 (CMHT) 中存在的关于良好护理的不同观点。随着精神卫生保健的去机构化，当地社区层面的社会和医疗保健领域之间密切合​​作的重要性被置于前台。除了组织门槛或激励措施之外，这种合作还受到良好精神卫生保健应该包含的不同概念的影响。使用订购护理模式的概念（Moser 2005），我们描述了 CMHT 实践中存在的五种订购精神卫生保健模式：医学专家、司法、社区、关系和官僚视角。这些不同的订购护理模式会导致摩擦和误解，但在其他时候会相互促进。解开这些不同的护理订购模式可以促进不同护理领域的专业人员之间的合作，并支持对需要做的事情的相互理解。更重要的是，分析表明，从关系方法中订购护理在日常实践中很重要，但需要更强的合法性。