Geographies of Home-based Service Interactions at the Margins of Welfare in Finland and Sweden (2017–2022)

Researcher in charge: Professor Kirsi Juhila

Research group: Kirsi Günther, Christopher Hall, Cecilia Hansen Löfstrand, Suvi Holmberg, Doris Lydahl, Jenni Mäki, Suvi Raitakari, Johanna Ranta, Jenni-Mari Räsänen, Sirpa Saario and Jenna Syrjälä.

Research period and funding: 20172022, Academy of Finland

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 similarities in the deinstitutionalisation processes, but also the slight difference in the speed of home turn, create a good basis to analyse and compare home-based service interactions in Finland and Sweden.

We set 4 intertwined objectives for the research project: 1) to examine how constructions of place matter in home-based services targeted at people with complex needs at the margins of welfare, 2) to scrutinise how workers and clients orient to place verbally and non-verbally in service interactions, 3) to analyse how tensions between public vs private, support vs surveillance and inclusion vs exclusion are present in service interactions in home-spaces, and 4) to compare similarities and differences of home-based service interactions in different service settings, and both in Finland and Sweden.

The study combines concepts from two research approaches; ethnomethodology and human geography (especially post-asylum geographies and geographies of care in home-spaces). Connecting human geography to ethnomethodology provides tools to make the material world visible, to show how place is very much part of social relations. The data will be gathered in mental health floating support services, in supported housing services and in home-based substance abuse services. The data will contain detailed field notes based on mobile (‘shadowing’) ethnography and recordings on interactions between workers and clients during the course of home visits. The study produces knowledge that has a clear societal relevance: what kinds of impacts the policy shift leading to physical changes of service places (from institutions and offices to homes) has on micro level service interactions and eventually on the everyday lives of service users.

Publications:

Günther Kirsi (2021) “Body Work” in Home-Based Substance Abuse Care. Social Inclusion 9(3), 256–264.

Günther Kirsi & Ranta Johanna (2019) Mielenterveys- ja päihdekuntoutujan palvelusiirtymät. Asumisyksikön työntekijöiden neuvottelut asiakkaiden muuttuvista palvelutarpeista [Service transitions of people with mental health and substance use problems: housing support workers negotiating clients’ changing service needs]. In Aini Pehkonen, Taru Kekoni & Katja Kuusisto (eds.) Oikeus päihdehuoltoon [Right for substance use services]. Tampere: Vastapaino, 219–252. 

Haahtela Riikka & Juhila Kirsi (2016) Arjen valinnat ja neuvot kotikuntoutuksen kohtaamisissa [Everyday Choices and Advice-giving in the Encounters of Home Rehabilitation]. In Kirsi Juhila & Teppo Kröger (eds.) Siirtymät ja valinnat asumispoluilla [Transitions and Choices in Housing Pathways]. Jyväskylä: SoPhi, 192214.

Hall Christopher & Raitakari Suvi & Juhila Kirsi (2021) Deinstitutionalisation and ‘Home Turn’ Policies: Promoting or Hampering Social Inclusion? Social Inclusion 9(3), 179–189.

Hansen Löfstrand Cecilia & Juhila Kirsi (2021) Transforming Worker–Client Identities: From Shelters to Housing First. Social Inclusion 9(3), 214–222.

Holmberg Suvi & Ranta Johanna (2021) Koti katkaisuhoidon tilana [Home as a space for detoxification]. Janus 29(1), 54–70.

Holmberg Suvi & Räsänen Jenni-Mari (2021) From Home to Community: Reflecting Emotions Related to Mobility. Social Inclusion 9(3), 245–255.

Juhila Kirsi (2018) Aika, paikka ja sosiaalityö [Time, place and social work]. Tampere: Vastapaino.

Juhila Kirsi & Dall Tanja & Hall Christopher & Koprowska Juliet (eds.) (2021) Interprofessional Collaboration and Service User Participation: Analysing Meetings in Social Welfare. Bristol: Policy Press.

Juhila Kirsi & Günther Kirsi (2020) Too Much, Too Little, the Wrong or the Right Kind? Negotiating Homes’ Material Stuff in the Context of Substance Abuse and Mental Health Home Visiting. Home Cultures 17(2), 7391.

Juhila Kirsi & Hall Christopher & Raitakari Suvi (2016) Interaction During Mental Health Floating Support Home Visits: Managing Host-Guest and Professional-Client Identities in Home-spaces. Social and Cultural Geography 17(1), 101–119.

Juhila Kirsi & Hansen Löfstrand Cecilia (2022) Subjectification, Advice Giving and Resistance in Mental Health Home Visit Interactions.  In Cecilia Hansen Löfstrand & Kerstin Jacobsson (eds.) Transforming Subjectivities: Studies in Human Malleability in Contemporary Times. London: Routledge, 88–105.

Juhila Kirsi & Hansen Löfstrand Cecilia & Raitakari Suvi (2020) Devoted work without limits? Activities and premises of home visit work at the margins of community care. International Journal of Care and Caring. Published online 16 Nov 2020. DOI: 10.1332/239788220X16032965398106

Juhila Kirsi & Hansen Löfstrand Cecilia & Ranta Johanna (eds.) (2021) Home- and Community-Based Work at the Margins of Welfare: Balancing between Disciplinary, Participatory and Caring Approaches. Social Inclusion 9(3), thematic issue.

Juhila Kirsi & Hansen Löfstrand Cecilia & Ranta Johanna (2021) Thematic issue editorial: Home- and Community-Based Work at the Margins of Welfare: Balancing between Disciplinary, Participatory and Caring Approaches. Social Inclusion 9(3), 175–178.

Juhila Kirsi & Holmberg Suvi & Lydahl Doris & Hall Christopher (2020) Observing and Commenting on Clients’ Home Environments in Mobile Support Home Visit Interactions: Institutional Gaze, Normalization and Face-work. Housing, Theory and Society. Published online 30 Oct 2020. DOI: 10.1080/14036096.2020.1838944

Juhila Kirsi & Morriss Lisa & Raitakari Suvi (2021) Negotiating epistemic rights to knowledge concerning service users’ recent histories in mental health meetings. In Kirsi Juhila, Tanja Dall, Christopher Hall & Juliet Koprowska (eds.) Interprofessional Collaboration and Service User Participation: Analysing Meetings in Social Welfare. Bristol: Policy Press, 171-195.

Juhila Kirsi & Raitakari Suvi & Caswell Dorte & Dall Tanja & Wilinska Monika (2021) From a collaborative and integrated welfare polocy to fronline practices. In Kirsi Juhila, Tanja Dall, Christopher Hall & Juliet Koprowska (eds.) Interprofessional Collaboration and Service User Participation: Analysing Meetings in Social Welfare. Bristol: Policy Press, 9-31.

Juhila Kirsi & Ranta Johanna & Raitakari Suvi & Banks Sarah (2021) Relational autonomy and service choices in social worker-client conversations in an outpatient clinic for people using drugs. British Journal of Social Work 15(1), 170–186. 

Kuusisto Katja & Ranta Johanna (2020) Psykososiaalisen päihdetyön asema Suomessa 1900-luvulta nykypäivään [The position of psychosocial work in Finland from the 20th century to the present]. In Johanna Moilanen, Johanna Annola & Mirja Satka (eds.) Sosiaalityön käänteet. Jyväskylä: SoPhi, 112140.

Lydahl Doris (2021) “Write that!” – On ethnography and care at the margins of a welfare society. Blog text. Society for Social Studies of Science.

Lydahl Doris & Hansen Löfstrand Cecilia (2020) Doing good: autonomy in the margins of welfare. Sociology of Health & Illness. Published online 01 March 2020. DOI: 10.1111/1467-9566.13069

Lydahl Doris & Holmberg Suvi & Günther Kirsi & Ranta Johanna (2021) Doing data together: Affective relations and mobile ethnography in home visits. Qualitative Research 21(4), 515–530. https://doi.org/10.1177/1468794120917913

Raitakari Suvi (2017) Using Expressions of Past, Present and Future Homelessness Pathways as a Linguistic Resource in Meeting Interaction in a Low-Threshold Outpatient Clinic. Housing, Theory and Society. Published online 21 November 2017.

Raitakari Suvi (2019) Explaining homelessness as a movement using metaphors in European academic writings of homelessness. Housing Studies. Published online 10 November 2019.  DOI: 10.1080/02673037.2019.1680813

Raitakari Suvi & Haahtela Riikka & Juhila Kirsi (2016) Tackling Community Integration in Mental Health Home Visit Integration in Finland. Health and Social Care in the Community 24(5), e5362.

Raitakari Suvi & Holmberg Suvi & Juhila Kirsi & Räsänen Jenni-Mari (2018) Constructing the Elements of the “Recovery in” Model through Positive Assessments during Mental Health Home Visits. International Journal of Environmental Research and Public Health. Published online 09 July 2018.

Raitakari Suvi & Ranta Johanna & Saario Sirpa (2021) Alignment and service user participation in low-threshold meetings with people using drugs. In Kirsi Juhila, Tanja Dall, Christopher Hall & Juliet Koprowska (eds.) Interprofessional Collaboration and Service User Participation: Analysing Meetings in Social Welfare. Bristol: Policy Press, 115-140.

Ranta Johanna (2019) Huumehoitoa koskevat neuvot ja valinnat matalan kynnyksen palvelun asiakkaiden ja työntekijöiden vuorovaikutuksessa [Advices and choices regarding drug addiction treatment in low-threshold service client-worker interaction]. In Aini Pehkonen, Taru Kekoni & Katja Kuusisto (eds.) Oikeus päihdehuoltoon [Right for substance use services]. Tampere: Vastapaino, 253–287.

Ranta Johanna (2020) Huumeista riippuvaisen toimijuus vahvistuu matalan kynnyksen palveluissa [The agency of a drug-addicted person is strengthened in low-threshold services]. Yhteiskuntapolitiikka 85(5–6), 592–595.

Ranta Johanna (2020) Reducing harms through interactions: Workers orienting to unpredictable frames in a low-threshold project for people injecting drugs. International Journal of Drug Policy 82, 102828.

Ranta Johanna (2020) Suhteellinen toimijuus huumeita käyttävien matalan kynnyksen palveluissa: Tutkimus institutionaalisesta vuorovaikutuksesta [Relational agency in low-threshold services for people using drugs: A study of institutional interaction]. Tampere University Dissertations 279. Tampere: Tampere University.

Ranta Johanna (2021) Turvallinen kohtaamispaikka luo luottamusta matalan kynnyksen huumetyössä [A safe meeting place creates trust in low-threshold support work for people using drugs]. Alusta! New Social Research at Tampere University.

Ranta Johanna (2022) Monipaikkainen auttamistyö luo mahdollisuuksia huumeita käyttävien ihmisten tavoittamiselle ja kohtaamiselle [Multi-placed welfare work creates opportunities to reach and encounter people using drugs]. Column 3/2022. Sosiaalityön tutkimuksen seura.

Ranta Johanna & Juhila Kirsi (2019) Kodittomuus on muutakin kuin elämää ilman asuntoa [Homelessness is more than life without a flat]. Alusta! New Social Research at Tampere University.

Ranta Johanna & Juhila Kirsi (2020) Constructing a sense of home in floating support for people using drugs. Qualitative Social Work 19(4), 685–700. Published online 02 May 2019. DOI: 10.1177/1473325019847262

Ranta Johanna & Räsänen Jenni-Mari & Günther Kirsi (eds.) (2018) Sosiaalityön kodit ja kodit sosiaalityössä [Social Work’s Homes and Homes in Social Work]. Tutkiva sosiaalityö 2018 [Researching Social Work 2018]. Helsinki: Talentia and The Finnish Society of Social Work Research.

Ranta Johanna & Räsänen Jenni-Mari & Günther Kirsi & Juhila Kirsi (2018) Lukijalle: Moniulotteinen koti sosiaalityön tutkimuksessa ja käytännöissä [Multidimensional home in social work research and practices]. In Johanna Ranta, Jenni-Mari Räsänen & Kirsi Günther (eds.) Sosiaalityön kodit ja kodit sosiaalityössä [Social Work’s Homes and Homes in Social Work]. Tutkiva sosiaalityö 2018 [Researching Social Work 2018]. Helsinki: Talentia and The Finnish Society of Social Work Research, 36.

Räsänen Jenni-Mari (2019) Toimintakyvyn arviointimenetelmien käytön ja arkityön tasapainottelua kotiin vietävissä palveluissa [Balancing between the Use of Assessment Methods of  Functional Capacity and Everyday Work in Home-based Services]. Janus 27(2), 111126.

Räsänen Jenni-Mari & Raitakari Suvi (2020) Korona, koti ja teknologiat yhteiskunnan marginaaleissa [COVID-19, home and technologies at the margins of society]. Column 10/2020. The Finnish Society of Social Work Research.

Saario Sirpa & Hall Christopher & Lydahl Doris (2021) Engaging with Hard-To-Reach Clients: Towards the Last Resort Response by Welfare Workers. Social Inclusion 9(3), 265–275.

Savolainen Maria (2021) Huumorin käyttö asiakkaan ja ammattilaisen välisessä kotikäyntivuorovaikutuksessa [Humor in client-worker interaction during home visits]. Master’s thesis in social work. Tampere: Tampere University.

Syrjälä Jenna (2022) Asumispalveluihin kuulumisen tunne asunnottomien kerronnassa [Sense of belonging for housing services among people experiencing homelessness]. Janus 30(2), 140–156.

Syrjälä Jenna (2022) Tulevaisuuden asumispolun siirtymät tilapäisessä asumispalvelussa majoittuvien asunnottomien kerronnassa [Future housing pathways in the narration of homeless persons living in temporary accommodation]. Yhteiskuntapolitiikka 87(2), 175–185.