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Cross-sectoral frontline delivery of welfare-to-work services for young adults with complex problems in Norway
Social Policy & Administration ( IF 2.6 ) Pub Date : 2022-09-14 , DOI: 10.1111/spol.12860
Frøydis M. Bakken 1 , Kjetil van der Wel 1
Affiliation  

Activation policies have increasingly targeted new and ‘hard-to-serve’ clients with complex needs, often deprived of the labour market experience, health, skills, and competencies that employers look for. The role of the health sector as a partner for welfare services has thus become more important. Cross-sectoral frontline delivery of activation is seen as crucial in succeeding with activation and labour market integration in general and especially for young adults with complex needs. The current study aims at contributing new insights on such cross-sectoral coordination by investigating how various actors within the welfare and health services experience interagency collaboration in the context of activating young welfare clients in the Norwegian Work Assessment Allowance scheme (WAA). Our data consist of 33 interviews with frontline workers in the two sectors in six different municipalities. Our data suggest that cross-sectoral work in Norway directed at young WAA-clients is hampered by a lack of coordination and communication between frontline workers in the two sectors, leading to tension and inefficiency in activating these young clients. We do, however, find that in-house medical advisers in the welfare services have a potential to act as boundary spanners, but that seem to be an underused asset in this regard. We conclude that frontline workers' opportunities for cross-sectoral coordination seem to be constrained by narrow and insufficient spaces for integration and collaboration, possibly due to organisational and administrative barriers.

中文翻译:

为挪威面临复杂问题的年轻人提供跨部门前线工作福利服务

激活政策越来越多地针对具有复杂需求的新客户和“难以服务”的客户,这些客户通常被剥夺了雇主所寻求的劳动力市场经验、健康、技能和能力。因此,卫生部门作为福利服务合作伙伴的作用变得更加重要。跨部门的前线激活被视为成功激活和劳动力市场整合的关键,特别是对于有复杂需求的年轻人。当前的研究旨在通过调查福利和卫生服务中的各个参与者如何在挪威工作评估津贴计划 (WAA) 中激活年轻福利客户的背景下体验机构间合作,从而为这种跨部门协调提供新的见解。我们的数据包括对六个不同城市的两个部门的一线工人进行的 33 次采访。我们的数据表明,在挪威,针对年轻 WAA 客户的跨部门工作受到两个部门一线工作人员之间缺乏协调和沟通的阻碍,导致在激活这些年轻客户方面的压力和效率低下。然而,我们确实发现,福利服务中的内部医疗顾问有可能充当边界扳手,但在这方面,这似乎是一项未被充分利用的资产。我们的结论是,一线员工进行跨部门协调的机会似乎受到整合和协作空间狭窄且不足的限制,这可能是由于组织和行政障碍。我们的数据表明,在挪威,针对年轻 WAA 客户的跨部门工作受到两个部门一线工作人员之间缺乏协调和沟通的阻碍,导致在激活这些年轻客户方面的压力和效率低下。然而,我们确实发现,福利服务中的内部医疗顾问有可能充当边界扳手,但在这方面,这似乎是一项未被充分利用的资产。我们的结论是,一线员工进行跨部门协调的机会似乎受到整合和协作空间狭窄且不足的限制,这可能是由于组织和行政障碍。我们的数据表明,在挪威,针对年轻 WAA 客户的跨部门工作受到两个部门一线工作人员之间缺乏协调和沟通的阻碍,导致在激活这些年轻客户方面的压力和效率低下。然而,我们确实发现,福利服务中的内部医疗顾问有可能充当边界扳手,但在这方面,这似乎是一项未被充分利用的资产。我们的结论是,一线员工进行跨部门协调的机会似乎受到整合和协作空间狭窄且不足的限制,这可能是由于组织和行政障碍。导致在激活这些年轻客户时紧张且效率低下。然而,我们确实发现,福利服务中的内部医疗顾问有可能充当边界扳手,但在这方面,这似乎是一项未被充分利用的资产。我们的结论是,一线员工进行跨部门协调的机会似乎受到整合和协作空间狭窄且不足的限制,这可能是由于组织和行政障碍。导致在激活这些年轻客户时紧张且效率低下。然而,我们确实发现,福利服务中的内部医疗顾问有可能充当边界扳手,但在这方面,这似乎是一项未被充分利用的资产。我们的结论是,一线员工进行跨部门协调的机会似乎受到整合和协作空间狭窄且不足的限制,这可能是由于组织和行政障碍。
更新日期:2022-09-14
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