Kirsi Juhila

Kirsi Juhila
Tampere University | UTA

Doctor of Social Sciences

About

89
Publications
21,736
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1,055
Citations
Citations since 2016
45 Research Items
618 Citations
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Introduction
Fields of expertise: Social work practices in transforming welfare states, face-to-face interaction in social work and in interprofessional talk, home as a place of professional work, marginalisation, homelessness, mental health, ethnomethodology, social constructionism, discourse analysis, membership categorisation analysis. Networks: Margi research group: https://research.tuni.fi/margi/ DANASWAC: https://research.tuni.fi/danaswac/

Publications

Publications (89)
Chapter
Full-text available
This book presents 23 in-depth case studies of successful public policies and programmes in Sweden, Denmark, Finland, Norway and Iceland. Each chapter tells the story of the policy’s origins, aims, design, decision-making and implementation processes, and assesses in which respects—programmatically, process-wise, politically and over time—and to wh...
Article
Full-text available
This book presents 23 in-depth case studies of successful public policies and programmes in Sweden, Denmark, Finland, Norway and Iceland. Each chapter tells the story of the policy’s origins, aims, design, decision-making and implementation processes, and assesses in which respects—programmatically, process-wise, politically and over time—and to wh...
Article
Full-text available
This study focuses on how clients using illicit drugs are supported in managing the boundaries of their homes to avoid the risks that social relationships may have on their daily lives at home. The data consist of 14 client–worker encounters audio‐recorded in 2017 in a Finnish home‐based service for people using drugs. Discursive interaction analys...
Chapter
This book has examined how policy trends that promote interprofessional collaboration and service user participation are implemented (or not) through frontline practices in multi-agency meetings. The challenges faced by service users are seen as complex and interconnected, demanding many kinds of expertise for them to be understood, assessed and re...
Article
At the time of completing this book (June 2020), most of the world is gripped by the coronavirus pandemic, with various regimes of lockdown, quarantine, social distancing, isolation and closure. The multi-agency meetings we have studied in this book are likely to have taken on new forms as the world – and health and social care – come to terms with...
Article
Full-text available
The Housing First (HF) approach to counteracting homelessness, stemming from the USA, is advocated as a blueprint for homelessness policy change in Europe, including the Nordic countries. In contrast to traditional homelessness policies based on shelters as the first step towards ending homelessness, the HF policy discourse regards access to one's...
Article
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By the end of the twentieth century, caring for vulnerable adults in the community had become a pervasive policy trend in the Western world. In this article, this policy is described in two phases: deinstitutionalisation and the 'home turn' that are reflected from the perspective of social inclusion. Deinstitutionalisation has meant large instituti...
Article
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By the end of the 20th century, deinstitutionalisation had become a pervasive trend in the Western world. This thematic issue discusses how successful deinstitutionalisation has been in enabling dignified and safe living with necessary services in local communities. It contributes to an understanding of the history and phases of deinstitutionalisat...
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The concept of addiction has expanded in recent decades to include diverse behaviours in addition to addiction to specific substances. Hence, the understanding of what constitutes normal behaviour and what constitutes addiction has been constantly changing. Substance-abusing clients are typically seen as having additional behavioural addictions, wh...
Chapter
Analysing collaboration and participation in multi-agency meeting interactions This book has examined how policy trends that promote interprofessional collaboration and service user participation are implemented (or not) through frontline practices in multi-agency meetings. The challenges faced by service users are seen as complex and interconnecte...
Chapter
Introduction Face-to-face interactions between professionals and service users are central to mental health services. Participants jointly seek, gather, produce and assess knowledge about concerns, risks and troubles that need to be addressed, for example, mental health, financial and interpersonal issues. Social work and health care are often cond...
Chapter
Introduction During recent decades, Western welfare states have gone through a number of substantial transformations. One such transformation was the turn to active welfare states, based on the neoliberalist ideas of limiting the role of the state in welfare provision and emphasising citizens’ responsibilities instead of rights. Along with this, th...
Chapter
The chapter examines mental health meetings undertaken as part of the Care Programme Approach context in England. It applies the concepts of epistemic status and rights in analysing the ownership of knowledge concerning service users’ recent histories. The analysis demonstrates how both service users and professionals who are close to service users...
Chapter
The chapter discusses collaborative and integrated welfare as a current policy trend and defines the core elements of interprofessional collaboration and service user participation. Interprofessional collaboration and service user participation are conceptualised as relational and interactional activities taking place in boundary spaces and requiri...
Article
This book brings together contributions from a range of social welfare settings, including child welfare, unemployment, mental health and substance abuse treatment, to examine how the ambitions of interprofessional collaboration and service user participation are realised or challenged in multi-agency meetings. It provides empirically grounded anal...
Article
Hyveet ovat niitä yksilön ominaisuuksia, jotka tekevät hänestä hyvän ihmisen ja saavat hänet toimimaan hyvin ja eettisesti. Työntekijän hyveiden ajatellaan olevan vastaavasti niitä työntekijän ominaisuuksia, jotka saavat hänet toimimaan hyvin, oikein ja eettisesti työssään. Hyveitä ovat esimerkiksi oikeudenmukaisuus ja myötätunto. Hyveiden ajatella...
Article
Full-text available
The study contributes to discursive and interactional housing and home studies by analysing home visit conversations with clients who need support with their housing and living in the community. It focuses on the ways in which professionals comment on clients’ home environments. The data, which consist of 20 audio-recorded home visits in Mobile Sup...
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This study asks what is regarded as (in)appropriate material stuff in home spaces, and how it is negotiated between professionals and clients in home visit interactions in three substance abuse and mental health services in Finland. In analysing negotiations between professionals and clients, three interpretational frames theorising its meanings an...
Article
This article focuses on how clients' self-determination is accomplished in social worker-client conversations when discussing choices of clients' future services in a low-threshold outpatient clinic in Finland targeted at people who use drugs. Self-determination is approached from the point of view of relational autonomy, meaning that choices are n...
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Community care provided through home visits is an increasingly common way to respond to adult citizens’ complex needs due to, for example, mental health and substance abuse problems. This study explores the activities and core premises that this work entails. The data contain six focus group interviews with practitioners in five service settings in...
Article
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Among homeless people using drugs, a permanent place to live can be difficult to find. Homelessness or living in traumatic home environments might cause the experiences of displacement, which may weaken the possibility to attach to a new place emotionally and create the personal sense of home without support. In housing support work, it is possible...
Article
This article develops the concept of ‘ethics work’ (Banks [2016]. “Everyday Ethics in Professional Life: Social Work as Ethics Work.” Ethics and Social Welfare 10 (1): 35–52) from a focus on efforts made by professionals, to a domain co-constructed with service users and others. It takes an ethnomethodological approach to examining verbatim interac...
Article
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In this article responsibilisation in social work is studied by analysing two Finnish state-level policy documents (called final report and research report) which concern a current activation initiative called inclusive social security (ISS). It is asked how social workers and clients are constructed as responsible subjects in these documents. Resp...
Article
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The study provides a categorization of the different elements of the “recovery in” model (RIM). The objective is to analyze elements of RIM in positive assessments during home visit interactions. RIM approaches mental illness as a long-term condition that people live with in their daily lives in their communities. The model emphasizes the rights of...
Article
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The high prevalence of homelessness among drug users is testament to the difficulty in solving the problem. This study explores drugs users’ homelessness situations and the ways in which they are addressed at the grassroots level of welfare services. The data were collected from a low-threshold outpatient clinic for people with severe drug problems...
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This article analyses the accomplishment of boundary work performed by professionals engaged in inter-agency collaboration. As a means of building authority within a particular field, boundary work is found to be a common feature of most professional practices. By analysing the talk of Finnish professionals who work in the field of supported housin...
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Mental health work has been transformed by ‘shifting geographies of care’ from institutions to care in communities, in particular by the emergence of support located within home-spaces. This article studies a floating support service targeted at people with mental health problems and contributes to research on post-institution and home care geograp...
Article
Integration – and its synonym inclusion – is emphasised in the western welfare states and in the European Union in particular. Integration is also a central topic in the social sciences and in current mental health and homelessness research and practice. As mental healthcare has shifted from psychiatric hospitals to the community, it has inevitably...
Article
Full-text available
Individuals with severe mental illness have often been perceived by themselves and others as stigmatised and unable to make decisions about their lives. However, perceptions of mental illness and health care have experienced significant changes; as a result, community-, consumer- and recovery-based approaches have been developed. The aim of this ar...
Article
Abstract This article examines care plan meetings between professionals and clients held in a mental health supported housing unit. The article asks what is discussed about the recording of the plan and how it is discussed in the meetings. The study focuses on intertextual institutional interaction. The methodical tools used are genre and the genr...
Article
Full-text available
Across Western welfare regimes, policies emphasize that service users should have more choices regarding their services. This article examines how service choices are presented, responded to and decided in interactions between service users and professionals in mental health transition meetings. Choice is often associated with consumerist user invo...
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This article explores how discourses of time are produced and negotiated in professional client interaction when making mental health rehabilitation plans. The discourse of linear time is dominant in interaction and shared by both participants to create joint future talk. However, the clients might challenge the dominant time talk by using the disc...
Article
Full-text available
The aim of the study is to show how reported client–practitioner conversations function as assessments. The setting of the study is a rehabilitation course targeted at young adults. The data consist of informal backstage meetings among the practitioners, which do not have an officially stated or recognized task of assessment making. However, the st...
Book
With communication and relationships at the core of social work, this book reveals the way it is foremost a practice that becomes reality in dialogue, illuminating some of the profession's key dilemmas. Applied discourse studies illustrate the importance of talk and interaction in the construction of everyday and institutional life. This book provi...
Book
Full-text available
Tekesin (2010–2012) rahoittamassa tutkimushankkeessa ”Asiakaslähtöisyys nuorten aikuisten avohoidollisessa mielenterveyskuntoutuksessa” purettiin auki asiakaslähtöisyyden käsitettä sekä tarkasteltiin asiakaslähtöisyyden toteutumista. Tutkimuskohteena olivat kolmannen sektorin ja julkisen sektorin yhteistyönä toteutetut kolmen kuukauden kuntoutuskur...
Article
Full-text available
Artikkelissa paneudutaan siihen, miten asumispalveluiden kilpailutus organisoi kuntatilaajan, palveluja tuottavien järjestöjen ja niiden asiakkaiden suhteita. Tilaaja-tuottajamallia ja sen toimijoiden välisiä suhteita taustoitetaan uuteen hallintaan ja markkinoistumiseen sekä järjestöjen muuttuneeseen rooliin liittyvillä keskusteluilla. Aineistoina...
Article
Full-text available
Professionals in human service work are at the centre of complicated client cases. The ways client cases are constructed and the problems explained form the basis for professionals' assessments, decisions, actions and interventions. In this article the ways professionals make sense of dual-diagnosis client cases are examined. Applying the concept o...
Article
Full-text available
_ This article focuses on the discourse of consumer choice produced in the Pathways Housing First (PHF) model manual. Relying on Foucauldian discourse analysis, the discourse is examined as embedded in a wider societal discursive formation – an advanced liberal way of governing subjects. The discourse is formed from seven statements organized in re...
Chapter
In diesem Aufsatz geht es um die Frage, wie Professionelle in einer Einrichtung des Betreuten Wohnens in Finnland die Verhaltensweisen ihrer Klient/innen erklären, die sie als Hindernis für deren Wiedereingliederung bzw. Rehabilitierung definieren. Im Zentrum steht die Analyse von alltäglichen Gesprächspraxen in der Einrichtung. Als hinderliche und...
Article
Full-text available
Artikkelissa analysoidaan vakavaa mielen sairautta sairastavien nuorten aikuisten haastattelupuheesta sitä, miten eriarvoisuudet ovat läsnä heidän arjessaan. Artikkeli perustuu kuntoutusjaksoille osallistuneiden 21 psykoosisai-rautta sairastavan nuoren aikuisen haastatteluun. Analyysi tekee näkyväksi yksilölähtöisen ja eriarvoisuuden tulkin-tapojen...
Article
Hjörne E, Juhila K, van Nijnatten C. Negotiating dilemmas in the practices of street-level welfare work Int J Soc Welfare 2010: 19: 303–309 © 2010 The Author(s), Journal compilation © 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. The theme of this mini-symposium is based on the core ideas of two influential books publis...
Article
Full-text available
This paper studies the construction of ethics in interactions between professionals in meetings, in relation to the rationing of resources. The research context is a supported housing unit targeted at clients with mental health and substance abuse problems. The service is provided for a municipality, which expects good progress of the clients. The...
Article
Full-text available
• Summary: The article studies how professionals working in a Finnish supported housing unit explain the behaviour of clients which they define as troublesome in regard to rehabilitation expectations. The clients of the unit suffer from mental health and substance abuse problems. The research data consist of 23 meetings where clients’ progress is d...
Article
Full-text available
The study asks what kinds of interpretative repertoires do social welfare workers use and produce when describing their work, and how is the practitioner–client relationship described in the different repertoires? Social welfare work is approached through a single organization targeted for homeless women. The research data consist of a free-form di...
Article
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The article examines the practices of social welfare work with homeless women. The question asked is, what forms of advocacy can be identified in these practices, especially from the perspective of welfare rights? The research is conducted in a support point open to all homeless women, located in a large Finnish city. The data consist of a diary ke...
Article
Discussions about homelessness can be approached as action that constructs social reality. From this point of view, an important finding in the analysis of interviews with four leading politicians is the number of rhetorical devices the speakers use in factual accounting: to make the state of affairs and events around homelessness appear as obvious...
Article
Full-text available
The article is based on interviews with 17 shelter residents. The culturally dominant way of categorizing both shelters and their residents is negative, producing stigmatized identities. The questions asked are: do the shelter residents make references to the stigmatized identities and, how do they talk back to these identities? The residents often...
Book
English summary: Meanings and interaction : analysing cultural talk on homelessness in different settings. Väitösk. -- Tampereen yliopisto.

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Projects

Projects (2)
Project
During recent decades the Western world has witnessed a turn of professional care and control from institutions to communities, and more recently to home-spaces what we term as 'home turn'. In Finland and in Sweden, where this study is located in, there is a strong trend towards this newest form of community service provision. The study concentrates on 'home turn' at the margins of welfare, namely on the services targeted at adults with complex needs, suffering from poor mental health, substance abuse problems and, occasionally, homelessness. Our special interest is to focus on the turn from a spatial and interactional points of view; how homes and nearby communities as places of service interactions matter. The project in funded by the Academy of Finland 2017-2021. It is done in collaboration with Cecilia Hansen Löfstrand, Suvi Holmberg, Doris Lydahl, Jenni-Mari Räsänen, Kirsi Günther, Suvi Raitakari, Johanna Ranta, Sirpa Saario and Chris Hall.
Project
During recent decades the Western world has witnessed a turn of professional care and control from institutions to communities, and more recently to home-spaces what we term as 'home turn'. In Finland and in Sweden, where this study is located in, there is a strong trend towards this newest form of community service provision. The study concentrates on 'home turn' at the margins of welfare, namely on the services targeted at adults with complex needs, suffering from poor mental health, substance abuse problems and, occasionally, homelessness. Our special interest is to focus on the turn from a spatial and interactional points of view; how homes and nearby communities as places of service interactions matter. The project in funded by the Academy of Finland 2017-2021. It is done in collaboration with Cecilia Hansen Löfstrand, Suvi Holmberg, Jenni-Mari Räsänen, Kirsi Günther, Suvi Raitakari, Johanna Ranta, Sirpa Saario and Chris Hall.