Basic to the Norwegian welfare state is the principle of universality; every citizen has the right to equal health care and social services. Experiences from a family team in mental health care for children and adolescents exemplify challenges for mental health work in this welfare state. These experiences indicate an ongoing process of dismantling the welfare state, disguised as managerial changes and reorganizations. The argument is put forth that these changes and reorganizations that are claimed to benefit service users actually have negative consequences for many of them. These negative consequences are related to how psychological research on and knowledge of mental health and treatment are combined with organizational principles. The concept of an assemblage is introduced as a manner of describing the dominating relationships in health care between the medical model, the randomized controlled trial and new public management in order to provide responsible health care practices. Rooted in a supposition that how we look upon, describe and understand causation defines our views of science in general, how to produce knowledge, what kind of scientific knowledge is most productive, and how it should be implemented in practice, an alternative assemblage is suggested that better realizes the principle of universality. Here justice is about equal opportunities and equal rights to treatments and sets of practices that fit people as unique individuals. Such an assemblage would bring together diverse models of mental health care, a network of multiple research-based knowledges, and service organizations that include the differences and diversity of the population.

中文翻译：

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精神卫生服务的公正组合——服务多样性的必要性和可能性

挪威福利国家的基础是普遍性原则；每个公民都有权获得平等的医疗保健和社会服务。家庭团队在儿童和青少年精神卫生保健方面的经验证明了这种福利国家精神卫生工作面临的挑战。这些经验表明，福利国家的解体过程一直在进行，伪装成管理变革和重组。提出的论点是，这些声称有益于服务用户的变化和重组实际上对他们中的许多人产生了负面影响。这些负面后果与心理健康和治疗的心理学研究和知识如何与组织原则相结合有关。引入组合的概念是为了描述医疗模式、随机对照试验和新公共管理之间的医疗保健主导关系，以提供负责任的医疗保健实践。基于这样一个假设，即我们如何看待、描述和理解因果关系定义了我们对科学的一般看法、如何产生知识、什么样的科学知识最有生产力，以及它应该如何在实践中实施，建议另一种组合更好地实现普遍性原则。在这里，正义是关于平等机会和平等权利的治疗以及适合作为独特个体的人们的一系列做法。这样的组合将汇集多种精神卫生保健模式、多种基于研究的知识网络、