Negotiating Competing Institutional Logics at the Street Level

An Ethnography of a Community Mental Health Organization

Bibliographic Data

ID10540969
AuthorsMatthew C Spitzmueller (Syracuse University, corresponding author)
Year2016
Volume90
Issue1
Pages35-82
Publication date2016-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSocial Service Review (JOURNAL)
Journal identifiersISSN: 0037-7961 • E-ISSN: 1537-5404
PublisherUniversity of Chicago Press (PUBLISHER • US)
DOI10.1086/686694
OpenAlexW2344252424
LanguageEN
Citations received13
References cited48

This article brings street-level organizational theory into conversation with the institutional logics perspective. It uses ethnographic methods to investigate how workers in one community mental health organization negotiated the competing therapeutic logic of the clubhouse and managerial logic of fee-for-service reforms, analyzing how their actions shaped the accessibility of services for those most in need. This article examines the organizational products of new managerial reforms and the structures that were most decisive in shaping them. It finds that reforms in financing and governance produced unresolvable contradictions at the street level, restructured workers’ perceptions of problem clients, shifted workers’ conceptions of the work role, and led to service rationing. I conclude by reflecting on what these findings mean for the development of organizational theory and the project of improving the accessibility of community mental health services

Ethnography · Mental health · Negotiation · Political science · Psychiatry · Public relations · Social science · Sociology · Anthropology · Management and Organizational Studies · Mental Health and Patient Involvement · Participatory Visual Research Methods · Psychology

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