U. Markstrom, R. Lindqvist and M. Sandlund
European Journal of Social Work, vol.12, 2009, p. 495-508
This article aims to analyse how national policy guidelines concerning case management were translated into local practices in mental health service delivery in rural areas of Sweden. A sample of 15 case management teams was studied. Results showed that rural case managers designed their work methods themselves, entailing several deviations from nation policy guidelines. Case management boards had little control over the activities of case managers, who consequently developed into welfare entrepreneurs. As a result of local negotiation and adaptation, case management in rural Sweden differed from what was envisaged in national policy guidelines.