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- W4372314016 abstract "Street triage practitioners, consisting of mental health social workers and nurses, act as a conduit between service users and emergency services, and have a significant amount of discretion in determining the care and treatment pathways for individuals experiencing mental health crises. However, this is set against a backdrop of neoliberal reforms that have resulted in an increased focus on risk management, accountability, responsibilisation and managing scarce resources. Based on ethnographic research undertaken in a street triage setting in the UK, this article examines the role of street triage practitioners as ‘street-level bureaucrats’ and explores the impact of neoliberal mental health reforms on street-level practice and how these shape and constrain the use of discretion in a street triage context. Revisiting the relevance of Lipsky through a neoliberal lens, the article identifies how street triage practitioners use their discretion to navigate practice dilemmas in a contemporary mental health landscape." @default.
- W4372314016 created "2023-05-07" @default.
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- W4372314016 date "2023-06-01" @default.
- W4372314016 modified "2023-10-06" @default.
- W4372314016 title "Responding to mental health crisis at a street level: mental health practitioners as street-level bureaucrats" @default.
- W4372314016 doi "https://doi.org/10.1332/qinl4154" @default.
- W4372314016 hasPublicationYear "2023" @default.
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