How public management and governance influence rehabilitation praxis

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This abstract is part of the seminar: New directions in the study and practice of rehabilitation – a turn towards sociology.

Professionals working in the field of rehabilitation are embedded in organisational contexts that shape the way services are provided. In Denmark, the public sector has the main responsible for delivering rehabilitation services. Consequently, public management and governance influence organisations and professionals in the field.

This presentation discusses the way public management and governance influence the implementation of an evidence‐based supported employment program known as ‘Individual placement and support’ (IPS). IPS support employment for people with mental illness. In Denmark, IPS has been implemented in cross‐sectoral collaboration between public employment services (PES) and mental health service (MES). IPS specialist were employed by PES and cooperated with MES. The implementation was influenced by management programs dominating the organisations involved.
MES were generally dominated by NPM programs, introduced to increase the cost‐effectiveness of services.
These programs involved the management of time and questions were raised about what kind of IPS activities were ‘time‐saving’ and which were ‘waste‐of‐time’.
PES was dominated by a bureaucratic logic and top‐down management program, initiative by The Danish Agency for Labour Market and Recruitment (STAR). These programs favored the use of internships, wage subsidies, and a ’train‐then‐place’ logic. IPS and the ‘place‐then‐train’ logic was a whole new way of working and was consequently challenged by existing rules, regulations and professionals’ norms.
Bonfils, IS and Bangshaab, J, 2019. Rammer og vilkår for rehabilitering. In Petersen KS, Bonfils IS and
Schrøder I, (red.), Sociologi og rehabilitering. Munksgaard, Danmark.
Bonfils, IS, 2019. Implementering af IPS – individuelt planlagt job med støtte. Københavns
Professionshøjskole. Danmark.
Original languageEnglish
Publication date7 Sep 2021
Number of pages1
Publication statusPublished - 7 Sep 2021
EventRehabilitation International World Congress - Aarhus, Denmark
Duration: 7 Sep 20219 Sep 2021
Conference number: 24th


ConferenceRehabilitation International World Congress
Internet address


  • social work and social conditions
  • health, nutrition and quality of life

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