What's the problem? A problem-based approach to the reform of the Norwegian drug rehabilitation sector

Abstract

This article explores how the scope of solutions to complex problems is determined by the way in which the problem is formulated. We inquire into this by means of a theory-driven case study of the reform in the Norwegian drug rehabilitation sector and the Tyrili facility. We analyze divergent approaches to drug rehabilitation by means of a problem formulation framework, which distinguishes between (1) the value dimensions of given problems, and (2) the phases of problem solving activities. Based on this inquiry, we arrive at a set of propositions, in which we propose that the two approaches differ in their inclusion of various value dimensions. Moreover, we suggest that the reform pursued increased efficiency as a solution to a reductionist formulation of the problem, which challenged Tyrili's opportunity to solve the problem in the multidimensional manner they conceive of it. This is an argument against a one-dimensional maximization of efficiency as a pursuit of quality in social services.

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