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  • Deinstitutionalisation and Managerialism in Queensland's Public Psychiatric Institutions: Challenging "Rhetoric" with Empirical Results

    Author(s)
    Doessel, Darrel
    F. G. Williams, Ruth
    Whiteford, H.
    Griffith University Author(s)
    Doessel, Darrel P.
    Year published
    2009
    Metadata
    Show full item record
    Abstract
    This article places the experience of public psychiatric institutions for the long term mentally ill in the context of New Public Management (NPM). This managerialist school of thought has been in widespread ascendancy since the 1970s. Some key characteristics of deinstitutionalisation and NPM are outlined. We then present some historical data about the temporal process of deinstitutionalisation in Queensland's public psychiatric institutions. The time series analysis provided is of a single state since Australia's public health care system is state-based. Although NPM is not a coherent set of principles or doctrines, it is ...
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    This article places the experience of public psychiatric institutions for the long term mentally ill in the context of New Public Management (NPM). This managerialist school of thought has been in widespread ascendancy since the 1970s. Some key characteristics of deinstitutionalisation and NPM are outlined. We then present some historical data about the temporal process of deinstitutionalisation in Queensland's public psychiatric institutions. The time series analysis provided is of a single state since Australia's public health care system is state-based. Although NPM is not a coherent set of principles or doctrines, it is argued that ideology and the reality may be contradicting. Some of NPM's particular emphases are empirically analysed, in particular the view that administration/management expenditures are to be reduced, while emphasising workers 'at the coal face'. The empirical results provide no evidence of a 'parsimonious' approach to management: parsimony occurs only for nursing staff. Relative expenditures on managerial functions have increased.
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    Journal Title
    The Australian Journal of Public Administration
    Volume
    68
    Issue
    4
    Publisher URI
    http://www3.interscience.wiley.com/journal/118512012/home
    DOI
    https://doi.org/10.1111/j.1467-8500.2009.00651.x
    Subject
    Health Care Administration
    Mental Health
    Economics
    Commerce, Management, Tourism and Services
    Studies in Human Society
    Publication URI
    http://hdl.handle.net/10072/30210
    Collection
    • Journal articles

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