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Since 1998, there has been several extensive reforms in the mental health field in Norway. The reforms have changed the basic politics and conditions for the development of the field and set out a new framework for the different actors' participation. There are tensions in the development of the field with different strategies focusing on demands for change and better quality in the services. The reforms highlights different aspects of leadership and management through control, power anddoi:10.7557/14.3719 fatcat:vriwivrhdvgvnco7xgid26hmgi