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New norms new policies: Did the Adelaide Thinkers in Residence scheme encourage new thinking about promoting well-being and Health in All Policies?

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  • Baum, Fran
  • Lawless, Angela
  • MacDougall, Colin
  • Delany, Toni
  • McDermott, Dennis
  • Harris, Elizabeth
  • Williams, Carmel

Abstract

Health systems have long been criticised for focussing on curing rather than preventing disease. This paper examines to what extent the Adelaide Thinkers in Residence (ATiR) scheme contributed to the change in norms whereby promoting well-being and a strategy to achieve this - Health in All Policies (HiAP) - was adopted by the South Australian (SA) State Government from 2007. The data presented in this paper are drawn from a five year (2012–2016) detailed mixed methods case study of the SA HiAP initiative which involved document analysis, interviews and workshops with public servants and political actors. We adapt the framework used by Finnemore and Sikkink (1998) which explains how norm changes can lead to political changes in international affairs. We also use Kingdon's concept of policy entrepreneurs to determine whether these ideas moved to an implementable initiative with the help of both a specific ATiR program on HiAP and the broader TiR scheme which promoted a series of innovations relevant to health. The process involved the ATiR reinforcing the work of local norm entrepreneurs with that of powerful external policy entrepreneurs, adapting the discourse about the value of prevention and promoting well-being so that it fitted with the dominant economic one. The powerful organisational platform of the ATiR, which was under the Department of the Premier and Cabinet and linked to the South Australian Strategic Plan (SASP) was used to advance these ideas. The case study offers important lessons for other jurisdictions on how to shift policy to encourage intersectoral approaches to health.

Suggested Citation

  • Baum, Fran & Lawless, Angela & MacDougall, Colin & Delany, Toni & McDermott, Dennis & Harris, Elizabeth & Williams, Carmel, 2015. "New norms new policies: Did the Adelaide Thinkers in Residence scheme encourage new thinking about promoting well-being and Health in All Policies?," Social Science & Medicine, Elsevier, vol. 147(C), pages 1-9.
    • Handle: RePEc:eee:socmed:v:147:y:2015:i:c:p:1-9
    DOI: 10.1016/j.socscimed.2015.10.031
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    References listed on IDEAS

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    1. Finnemore, Martha & Sikkink, Kathryn, 1998. "International Norm Dynamics and Political Change," International Organization, Cambridge University Press, vol. 52(4), pages 887-917, October.
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    Cited by:

    1. Helen van Eyk & Fran Baum & Toni Delany-Crowe, 2019. "Creating a whole-of-government approach to promoting healthy weight: What can Health in All Policies contribute?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(8), pages 1159-1172, November.
    2. Helen Van Eyk & Elizabeth Harris & Fran Baum & Toni Delany-Crowe & Angela Lawless & Colin MacDougall, 2017. "Health in All Policies in South Australia—Did It Promote and Enact an Equity Perspective?," IJERPH, MDPI, vol. 14(11), pages 1-25, October.

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