Research related to the implementation of California's Mental Health Services Act (MHSA) Full-Service Partnerships has focused on outcomes, cost effectiveness and more recently system transformation. Despite Workforce Training and Education being a key component of the MHSA, there is little understanding about the practice reasoning of personal service coordinators as they engage in their day-to-day practices. This study used participant-observation, document review and narratively focused post practitioner-client visit observation and intensive interviews to explore the practice reasoning of personal service coordinators working in three adult full-service partnerships operated by a single agency. The interviews focused on what the practitioners were paying attention to, thinking about and what influenced their decisions about the actions they took. Data was analyzed through a thematic analysis informed by phenomenological and hermeneutical perspectives. Findings showed that practitioners drew on situated knowledge emergent in their day to day experiences with clients, as well as the agency's stages of recovery informed guiding principles and philosophy to guide their actions. Dilemmas emergent in the practitioners reasoning frames were also identified.
|Commitee:||Brekke, John, Jackson, Jeanne, Lawlor, Mary|
|School:||University of Southern California|
|School Location:||United States -- California|
|Source:||DAI-B 74/03(E), Dissertation Abstracts International|
|Keywords:||Full-service partnership, Personal service coordinators, Practice reasoning, Public mental health|
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