Une action publique "à deux faces":
politiques publiques procédurales et régulation bureaucratique

Les projets thérapeutiques, instruments d’action publique destinés à expérimenter les conditions de travail en réseaux de soins de santé mentale, associent l'implication et la responsabilisation des acteurs de terrain à une régulation stricte, de type bureaucratique. Read more ...


The organization of mental healthcare in laboratory: life and death of an assessment tool

Under reconstruction for about the last thirty years, mental health in Belgium started in the second half of the years 2000 a new reconversion phase. Aiming at de-institutionalizing the existing institutions by promoting network practices, the upcoming reform had to be preceded by an ambitious experimentation phase to test the new care model. This experimental policy, which was often called « therapeutic projects in mental health», was actually made of two large aspects. On the one hand,... Read more ...


Transversal dialog: a “hybrid expertise –generating system”
torn between knowledge production and power conflicts

Transversal dialog is a “hybrid expertise –generating system”: this instrument is especially designed in a way that public authorities and mental healthcare providers get a hybrid expertise (made up of empirical and scientific knowledge) about care networks and circuits. In this paper, we describe the whole system of the transversal dialog, before of explaining the conflicts resulting from the meeting between different types of knowledge producers (field actors, users, scientific experts and... Read more ...


Le champ de la santé mentale en Belgique à l’épreuve de la concertation:
de l’innovation politique à la politique de l’innovation

Ce texte propose un résumé du rapport de recherche Knowledge&Policy que nous avons consacré à la "concertation transversale" (dispositif d'évaluation d'une expérimentation politique réalisée en Belgique afin de tester les conditions de travail en réseaux de soins de santé mentale). Nous y présentons brièvement les choix théoriques liés à K&P ainsi que les principales caractéristiques de la concertation transversale. Nous y décrivons ensuite le processus par lequel les acteurs de terrain se sont... Read more ...


The WHO in Belgium: cross-level networking

Since the eighties, the Belgian mental health sector has faced several reforms. Still dominated by the hospital facilities, as the principal device for the treatment of mental diseases, this sector has initiated a long process of reform towards the development of a system of collaborative interprofessional networks aimed at the resocialization of the chronic patients. Since the beginning of the century, the World Health Organization (WHO) has become more and more active on the issue of... Read more ...


The way Europe relates to bureaucracy and post-bureaucracy is complex, because Europe itself is diverse and comprises different spaces where tensions between bureaucracy and postbureaucracy play out in various ways. This new context challenges both research and policymaking, requiring much greater reflection on the nature of knowledge and its mobilization in policy. These problems were the central concern of the European project KNOWandPOL.


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