Research-intervention for the development of organizational competence in a sociosanitary service for adults with disability and their familiy members

Abstract

The paper reports a research-intervention realized within a Complex Operative Unit (COU) of an Italian Local Health Authority realizing services for adult with disability and their family members. After the recognition by the managment and the operators of problems in the relationship with the service users and the absence of shared working criteria, the Local Culture of the COU has been analyzed to develop its organizational competence. Posed as a premise the crysis faced by the sociosanitary services in relation to the collusive failures of both the sanitary and the assistive paradigm, the intervention is reported starting from the committment meetings. Therefore the authors presents the results of the research in which 26 interviews to the sociosanitary personnel have been realized and analyzed with the Emotional Text Analysis. The research shows the crysis of a self-referred organizational model, the difficulty in being client oriented and in defining problems to treat. This crysis seems associated to the medicalization and to the infantilization of the adult with disability, as to the feeling of being obligated to respond to all the requests of the families. In the final part of the paper the authors report the research data restitution and the products of the intervention.