A conceptual framework for examining the promise of the NORC program and Village models to promote aging in place

A growing paradigm shift emphasizes efforts to promote aging in place not only by helping aging individuals and families, but also by addressing and engaging communities. This paper explores the idea of developing community supports for aging in place by examining two models that incorporate this approach into practice: Naturally Occurring Retirement Community Supportive Service Programs (NORC programs) and Villages. Drawing on research regarding social–relational aspects of communities and later-life health and well-being, we present an integrative conceptual framework positing three categories of activities and services (civic engagement and empowerment activities; social relationship building activities; services to enhance access to resources)–as well as the initial outcomes and intermediate outcomes–through which the NORC program and Village models potentially achieve their long-term goal of promoting aging in place. Based on this framework, we conclude with directions for future research on community initiatives that support aging in place.     

Social Work within a Community Discourse: Challenges for Teaching

This paper considers the continuing debate about the relationship between social work and community work. We write about our collaboration as educators, one from a social work background and the other from a community work background and discuss the challenge of teaching community work to social work students in a way that is relevant for contemporary practice, and that embraces community work principles and values. Our paper explores Ife's framework of competing discourses of human services and discusses how it has helped us to articulate our thinking and teaching practice in the Irish context. For us, the framework integrates social work and community work within a community discourse that provides a language transcending disciplinary boundaries. This approach represents a means of familiarising students with the community work process and enabling them to take action on issues of social justice. The framework represents four competing models of human service delivery: the managerial, the market, the professional and the community. We discuss how we use this conceptualisation to teach and engage students in a process of critical reflection. The paper discusses methods we use to undertake this process, and the development of our teaching practice over the last two years.     

Independent living and community care: a disempowering framework

The British disability movement has had significant achievements in its struggle for independent living. However, the current community care framework contains many barriers to independent living. This article sets out a conceptual framework for an understanding of independent living and provides an analysis of the barriers posed by the social care system. These range from financial incentives for placing disabled people in residential care, to a failure to address needs relating to employment, parenting and leisure. Disabling attitudes held by social services professionals about 'risk' and 'capacity' are also major barriers. It is clear that, unless the legislative framework is amended to include an entitlement to independent living, disabled people will continue to be denied their full human and civil rights.     

Health care for older persons in Singapore: integrating state and community provisions with individual support

Health care policy in Singapore is similar to that in the United States and the United Kingdom, where a residualist strategy is used to pass health care costs to individuals and their families, the rationale being that this enables the state to concentrate on devolution of care to the community and ensure efficient and affordable service to all Singaporeans. The services include public restructured hospitals and outpatient poly-clinics as well as community services such as community hospitals and hospitals for the chronically ill, nursing homes, day care centers, and home help services. Availability does not translate into optimum usage because current and potential users and their families are not able to match their financial and social resources with the services. Instead, the state acts as the case manager and places parameters on what individuals can access.     

Restructuring Human Services in Canada: commodification of disability

The human service system in Canada has undergone significant changes as a result of the dismantling of provisions that were once in place to ensure access to services by society's more vulnerable citizens. This paper draws on a cross-Canada examination of services to adults with developmental disabilities to report on the response of service providers in this time of turbulence. Qualitative analysis provides insight into the ways in which services have responded to shrinking budgets. Without leadership and lacking a social policy framework from senior levels of governments, the changing face of human services has been accompanied by the arrival of a new market-orientated service provider group that has deepened the commodification of disability. The examination concludes with the introduction of an approach to support which resists the trend toward commodification and re-establishes the social good, allowing the individual with a disability the right to participate more fully in community life alongside other members of society.     

‘The good old days’: In-migration,social control and the decline of the ‘imagined’ community in a north Wales market town

Rural communities across Britain are witnessing local level social, political and economic developments within the broader context of a general contemporary restructuring of the countryside. Changes such as in-migration, a loss of young people in search of employment, a declining agricultural economy and the closure of public services act to question long-standing ideas of the countryside that encompass a lifestyle bound up with community and belonging. It seems then that the traditional community is disappearing in the face of modernity. However, this paper argues that the traditional community was held up as an important reference point in a north Wales market town when faced with social change. As a response to the issue of in-migration local people constructed their version of what can be termed an imagined traditional community. What is clear from the research is that even in a symbolic sense, this imaginary dimension of community was still a powerful determinant in shaping perceptions and motivating actions at the local level.     

“Those people” and troubles talk: Social typing and community construction in senior public housing

Community has developed as an increasingly important research topic in gerontology. As we search for the ever elusive sense of community and social integration among the aged, gerontologists have strangely left aside, for the most part, the interactional formation of community as a phenomenon. How do elders actually achieve this thing in their daily lives? By what interactional mechanisms is it constructed? Using data gathered from an ethnography of a senior public housing complex, I argue that in this particular neighborhood, community is accomplished by residents through “troubles talk.” An important component of this shared talk are social types indigenous to the complex. The act of social typing allows the residents to organize, categorize, and classify each other, providing recognizable and commonly held knowledge of each other, a vital component of community.     

Health Care for Older Persons in Singapore

Abstract

Health care policy in Singapore is similar to that in the United States and the United Kingdom, where a residualist strategy is used to pass health care costs to individuals and their families, the rationale being that this enables the state to concentrate on devolution of care to the community and ensure efficient and affordable service to all Singaporeans. The services include public restructured hospitals and outpatient poly-clinics as well as community services such as community hospitals and hospitals for the chronically ill, nursing homes, day care centers, and home help services. Availability does not translate into optimum usage because current and potential users and their families are not able to match their financial and social resources with the services. Instead, the state acts as the case manager and places parameters on what individuals can access.     

Reviews

The article, drawing on the results of a small research project investigating a cohort of student-practitioners who had studied a course titled ‘Frameworking for Community Development’, considers the implications for teaching within a university setting. The findings of the research discuss such topics as, what a personal practice framework is, the process of creating such a framework by practitioner-learners, and the use of traditions. Within the discussion the article argues for a shift away from using a ‘personal practice framework’, to a ‘subjectively held practice framework’, reflecting an increased awareness that the journey towards constructing a practice framework is itself an active engagement in a community of practice, rather than, or as well as, an intellectual or introspective personal journey. Furthermore, the article proposes that to create an experience of elicitive learning in a community of practice today runs counter to the usual learning style of universities. It requires opportunities to talk, to learn together, and to be with uncertainty and ambivalence, to challenge each other. The article contributes significant new social work thinking in relation to both reflective practice and teaching for community development.     

An exploratory study examining needs,access, and competent social services for the transgender community in Phoenix,Arizona

ABSTRACT

Phoenix is the sixth largest city in the United States, with a vibrant yet underserved lesbian, gay, bisexual, transgender, and queer (LGBTQ) population. Despite an extensive community presence, social service delivery bias persists among members of the LGBTQ community, but more often among transgender individuals. Existing research has examined social services from the perspective of either the client or the practitioner. This exploratory study specifically examines social services in the Phoenix metropolitan area for the transgender community. Data collected from interviews with participants and providers contributed to an assessment of the current level of social services for the transgender community, with a specific emphasis on identifying service gaps and recommendations for culturally competent and comprehensive services.     

Individual and Social Implications of Human Differences

A framework for understanding what all kinds of human differences-ranging from race, sex, and age to religon and political affiliation- have in common is presented. Three sources of difference are identified, and the process by which social and individual meanings are attached to diferences are identified. The framework allows for a general understanding of the dynamics and implications of differences of all kinds-essential in an increasingly pluralistic society. Suggestions for the model's application in clinical practice, policy, and administration are provided.     

Social Rights and Disability: the language of 'rights' in community care policies

Social rights and disability: the language of 'rights' in community care policies. The paper argues that what disabled people mean when they speak of 'rights' is relatively under-developed with regard to health and social services. Furthermore, while a claim of 'rights' is typically presented as a fairer alternative to the needs-based character of welfare policies, how such an approach would change the delivery of health and social care is unclear. The paper draws on a landmark test case in community care to explore the problems of a rights-based approach to social justice for disabled people. It demonstrates the weaknesses of rights, especially the more problematic 'social rights', and urges caution in seeking solutions to social problems through the courts. It ends by suggesting that, given the anecdotal evidence about local authorities' tightening their eligibility criteria in the light of the 'Gloucestershire case', that limits on coverage may be the trade-off for implementing rights.     

Citizenship Social Work: A Community Environmental Scan of Re-enfranchisement Social Work Supports after Felony Conviction

Alexander (2012) argues that the corrections system relegates African American men to permanent second class status. Although social work has advanced the democratic project, African Americans often have had to forge a parallel social assistance system. In a community environmental scan, the authors apply the Citizenship Social Work framework to assess availability of services, supports, and advocacy efforts to address civil, political, social and economic rights for African American men with felony convictions. The authors find that a number of social work services are available, but the majority focus on social and economic rights, rather than civil and political rights, perhaps emphasizing professional service over social justice.     

Influences on the Size and Scope of Networks for Social Service Delivery

Local social service agencies throughout the world have begunencouraging or requiring social service providers to form community-basednetworks for the delivery of publicly funded social services.Little is known, however, about the nature of the resultingnetworks. In this article we develop a model of organizational,programmatic, and community influences on the size and scopeof interorganizational networks for social service delivery.We then apply this theoretical framework to an empirical studyof service delivery networks in the Family Preservation Programin Los Angeles County. Our findings suggest that the availabilityof potential partners in the community, the scope of requiredservices, and the ethnic homogeneity of the client populationare key determinants of network size. We develop the implicationsof the results for theories of partnership formation and formore effective management of network formation processes.     

Creating Happier Children and More Fulfilled Social Workers: Neoliberalism,Privatization and the Reframing of Leftist Critiques in Britain

To differing degrees, governments in Europe, North America, and Australasia have, over recent years, given particular attention to the reform of services for children and families. However, the aim of this article is to focus on Britain and to examine plans to transform social-work services for children and young people who are “looked after,” that is to say, in public care. It is argued that these plans, focused on the introduction of what are termed social work practices, are best grounded and interpreted within an analytical framework that recognizes the centrality of neoliberalism. Furthermore, social workers and others working in related areas of human services provision should take account of how the plan to install social work practices is being discursively constructed and organized. Important here, it is maintained, is how this strategy seeks to deploy selectively leftist critiques of social work that have emerged over the past two decades.     

The idealized cultural identities model on help-seeking and child sexual abuse: a conceptual model for contextualizing perceptions and experiences of South Asian Americans

In this paper, we propose an interdisciplinary framework to study perceptions of child sexual abuse and help-seeking among South Asians living in the United States. We integrate research on social marginality, intersectionality, and cultural psychology to understand how marginalized social experience accentuates South Asian immigrants' desire to construct a positive self-identity. Using model minority ideology as an example of such a construction, we highlight its role in silencing the topic of child sexual abuse within this immigrant community as well as its impact on attitudes towards professional mental health services. We contend that our framework, the idealized cultural identities model on help-seeking and child sexual abuse, provides a unique analytical model for clinicians and researchers to understand how South Asian Americans process, experience, and react to child sexual abuse.     

Family structures and the moral politics of caring

The paper seeks to develop the discussion of informal care in the community stimulated by feminist analyses in social policy of what has been called ‘the moral politics of caring’. In particular the paper enquires into the relationship between family structures and the ‘political styles’ through which families bargain about caring issues. A selection of studies dealing with family structure and decision-making are discussed. The paper closes by making some observations about the potential development of family therapy strategies, particularly by social workers trying to ensure the co-operation and involvement of family members, friends and neighbors in caring responsibilities within the new community care framework.     

Comparing local and national service systems in social care Europe: framework and findings from the STEPS anti-discrimination learning disability project

This paper outlines the methodology and findings of a cross-national comparison of social care services for people with learning disabilities in Europe, developed from the EU funded STEPS anti-discrimination project. The comparative framework developed for the project is profiled and summary findings are organised into thematic dimensions. Wide variations in service organisation were evident, providing particular challenges for those involved in cross-national research or social work practice. Key variation was evident between local and national systems, the varying impact of generic and specialist community care and the degree of individualisation in services, with various structural, funding and policy barriers to integrated social work and ongoing de-institutionalisation evident. Development priorities for inclusive and anti-discriminatory practice included individual funding and planning, self-advocacy and user involvement in quality management.     

A rights-based conceptual framework for the social inclusion of children and young persons with an intellectual disability

There is a basic principle that all children and young persons with intellectual disabilities should be able to enjoy citizenship on an equal basis with others. This includes enjoying personal dignity and exercising choice, control and freedom in social, community and cultural life, in keeping with their individual lifestyle preferences and aspirations. There is a need for a stronger human rights narrative to achieve this. This article identifies a conceptual framework for a rights-based approach to the integration of children and young persons with disabilities. Seven components of such a framework are identified: citizenship and social inclusion; recognition; agency; voice; capabilities; equality; and self-realisation. This framework was developed as part of an Irish case study involving consultation with young persons with intellectual disabilities, their parents or guardians and professional staff delivering support services. The rights of children/young persons with intellectual disabilities are essentially those of children generally. While this principle may be obvious in many respects, its implementation presents significant challenges. The need for a transformative narrative and its components are outlined.