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Title: All vision but no change? : determinants of implementation : the case of Ireland and mental health policy
Author: Johnston, Helen Louise
Awarding Body: Queen's University Belfast
Current Institution: Queen's University Belfast
Date of Award: 2013
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This research was prompted by a concern about implementation based on the premise that in Ireland the policy system has been good at designing policies but has been inconsistent in its ability to implement them, leading to frustrations on the part of policy makers and service users alike. Recourse to the implementation literature identifies a complex array of approaches and variables which are suggested as influencing implementation, causing one researcher to comment that there are too few cases and too many variables. In a search for the main determinants of implementation, this research classifies some of these variables according to the main ideological stable of the implementation researchers as being driven from the 'top down' or 'bottom up' or being 'transformative', in that they are associated with change. A number of variables are present in all these approaches and are classified as 'common' variables. Taking the mental health policy A Vision for Change, which is recognised as being a policy of international standing, developed by an intensive and inclusive process, approved by government and with cross party political support, the content of the reports of an Independent Monitoring Group were analysed and interviews undertaken with people associated with implementation of the policy The results demonstrate that all of the variables identified played a role in the implementation of A Vision for Change but some were more influential than others. Authoritative accountable leadership and identifying the main resistors to change and addressing these were found to be fundamental to successful implementation. Other variables were found to be necessary but not sufficient on their own while others played a more contributory role. This finding has relevance for the implementation of nationally designed policies which are intended to be implemented across the country in an even-handed way.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available