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Abstract In this contribution the development in action research of a participative care practice in youth care is discussed. The study was prompted by the intention of the Flemish government to reform youth care. The initial research‐question was how youth care can be organized in such a way that it (also) represents an added value for the client(s). The aim was to find out to what extent the reorganization of youth care could contribute to a social service that enhances a dignified existence for their clients and contributes to a participative care. Hence, the aim of the research was not just to reorganize youth care, but also to develop a participative care practice. The research findings highlight the tension between a reorganization that takes as its starting point an expert way of thinking, and the realization of participative care in which the clients' perspective is taken as central point of departure. Against the background of this tension, the question to what extent care workers actually have room to realize a participative care practice turned out to be one of the most important issues within the research. Copyright © 2003 John Wiley & Sons, Ltd.
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