Substitution in statutory and voluntary support for relatives of older people

This study investigates the relationship between statutory and voluntary activity in the field of support to family carers of older people in Sweden. The relationship is considered in regard to substitution theory. A survey was conducted comprising 80 local authorities and 358 voluntary organisations. All the local authorities and about a third of the voluntary organisations arranged support activities. The number of activities varied substantially across the municipalities. However, correlation analysis found no significant relationship between local authority and voluntary activity, even though both sometimes arranged the same kinds of activities. In other words, this study finds no support for substitution theory. On the contrary, it shows that a higher level of voluntary activity is found in municipalities where the local authority cooperates with or supports voluntary organisations.