Voluntary work in the Norwegian long-term care sector: complementing or substituting formal services?

ABSTRACT

Across Europe, governments call for increased involvement of volunteers to shoulder some of the welfare burden. Nevertheless, there is little research into what kind of work and how much volunteers currently contribute in the long-term care services and whether this has the potential to substitute formal services. Drawing on findings from a survey of employees in Norwegian nursing homes and home care districts, we examine the nature and volume of voluntary, unpaid work in the long-term care services in Norway. Our data suggest that volunteers to a very limited degree carry out work that has traditionally been considered the formal system’s domain: personal care and practical help. Nearly all the voluntary, unpaid contributions in our data takes place within cultural, social and other activities aimed at promoting mental stimulation and well-being, indicating a classic specialisation of tasks between volunteers and professionals. However, there has been an expansion of the formal care system to include activities aimed at promoting well-being in recent decades. This may indicate that there is a certain level of task sharing between voluntary and formal care. Thus, social workers need to consider voluntary service provision when assessing the needs of clients.     

Formal and Informal Social Organization: Do Geography,Structural Inequality,and Other Forms of Social Organization Matter?

Neighborhood social organization is one way that neighborhoods matter for residents, as well as an intervention opportunity for macro practitioners. Neighborhood social organization encapsulates how neighborhoods differentially organize, both formally and informally. We tested whether neighborhood structural inequality, types of social organization, and spatial clustering were associated with both formal and informal neighborhood social organization. Formal and informal social organization were mutually reinforcing. Formal social organization, measured by organizational participation, predicted informal social organization. In multivariate spatial analysis, organizational participation was also influenced by adjacent neighborhoods. Practitioners should consider how adjacent neighborhoods could affect place-based interventions.     

University Civic Engagement with Community-Based Organizations

Abstract

This article compares and contrasts two case studies of large research universities involved in civic engagement projects with urban nonprofit community-based organizations and neighborhood associations. The article uses a community building framework in which organizational, interorganizational, and community-level features are examined. The study found that each university used a different approach through which to achieve a university-community partnership. A dispersed model favored an entrepreneurial approach for individual faculty and student involvement, while the coordinated model requested faculty and students from different departments to work together toward a community-driven goal. The extent to which these different models of civic engagement delivered what community organizations wanted was based on five factors: (1) the university's geographic proximity to a tar get low-income neighborhood, (2) leadership for institutional social commitment, (3) use of community-based research, (4) funding as a social strategy, and (5) a flexible curriculum. Challenges faced by faculty, students, and practitioners are addressed, and directions for future research are suggested.     

Making Sense of Voluntary Participation: A Theoretical Synthesis*

Abstract This paper examines the influence of community attachment on voluntary citizen participation in rural community improvement projects. We do so by modifying the original systemic model of community attachment (Kasarda and Janowitz 1974) and combining it with tenets of rational choice and social embeddedness theories. The modified model is then extended to consider voluntary participation in community projects by accounting for the influence of community attachment through both a solidarity of interests and a solidarity of sentiments (Bell 1998). Based on survey results of almost 9,000 citizens across 99 small (500–10,000) Iowa communities, findings provide overall support for the expected positive influence of local social ties (weak informal, strong informal, and formal) on the two forms of community attachment which, in turn, positively affect voluntary participation. Attachment in the form of community interests shows a strong direct and indirect effect on voluntary participation, while sentiment's influence is largely indirect. We conclude by considering the relevance of our findings to ongoing discussions of social capital.     

Religious and Secular Voluntary Participation by Immigrants in Canada: How Trust and Social Networks Affect Decision to Participate

Participation in voluntary associations is an important part of an immigrant’s integration into a host country. This study examines factors that predispose an immigrant’s voluntary involvement in religious and secular organizations compared to non-immigrants (“natives”) in Canada, and how immigrants differ from natives in their voluntary participation. The study results indicate that informal social networks, religious attendance, and level of education positively correlate with the propensity of both immigrants and natives to participate and volunteer in religious and secular organizations. Immigrants who have diverse bridging social networks, speak French and/or English at home, and either attend school or are retired are more likely to participate and volunteer for secular organizations. Further, social trust matters to native Canadians in their decision to engage in religious and secular organizations but not to immigrants. Pride and a sense of belonging, marital status, and the number of children increase the likelihood of secular voluntary participation of natives but not of immigrants. These findings extend the current understanding of immigrant integration and have important implications for volunteer recruitment.     

Predisposing,Enabling, and Need Predictors of Community versus Institutional Long-Term Care

Abstract

This research explored characteristics of the elderly that are associated with the use of long-term care services. Using the 1999 National Long Term Care Survey, logistic regression was employed to examine the relationship of race with the use of formal and informal long-term care. This study also examined the relationship of health insurance with the use of formal and informal long-term care. The Andersen Model on health services utilization was used as the theoretical framework. The findings indicated that race was not associated with the use of long-term care but rather with predisposing, enabling, and need variables. Health insurance was found to be associated with the use of long-term care even after controlling for predisposing enabling and need variables.     

The use of mental health care,psychotropic drugs and social services by divorced people: does informal support matter?

This study compares the mental health care, psychotropic drugs and social service use of divorced people (re-partnered or single) with that of married people. This paper questions whether the availability of informal support facilitates or substitutes for formal care seeking. Data from the Divorce in Flanders survey of 2009–2010 are used. Logistic regression analyses are performed separately for women (N = 3450) and men (N = 3020). Greater use of mental health care, psychotropic drugs and social services by single divorced men is explained by their higher need for care, while divorced women (especially single divorced) more frequently contact a general practitioner (GP), a psychiatrist, or a psychologist, regardless of their mental health, socio-economic background and informal support. Women who have support from non-family members are more inclined to use social services and to contact a GP, while support from family members is only positively related to GP consultations. With regard to men, informal support from non-family members positively influences each type of formal care seeking. Our results suggest that non-family members (and only among women, family members as well) can provide help and advice about seeking professional mental health care and social services, but they do not have an influence on psychotropic drug use.     

Race,Neighborhood Poverty,and Participation in Voluntary Associations

This paper examines racial differences in participation in voluntary associations. It extends past research by accounting for the influence of neighborhood poverty on participation. Using unique data from the 1993–94 Los Angeles Survey of Urban Inequality (LASUI), the analysis reveals that neighborhood poverty influences the number of associations to which individuals belong, even when considering differences in personal and other residential characteristics. Moreover, once the negative influence of neighborhood poverty is taken into account, blacks participate in more voluntary associations than do whites and other groups, while Asians participate the least. Evidence supports the ethnic community theory of blacks' greater participation, as blacks living in black communities participate in more organizations, particularly in ones that are political, than blacks who do not.     

Being a service user and a social work academic: balancing expert identities

Abstract

I am a service user and academic working in a university social work department. My hybrid identity allows me to draw on different types of knowledge in all aspects of my work, including: academic, practice and experiential wisdom. Service user involvement is mandated across social work education but the scope and breadth of different kinds of participation is developed in diverse ways across university contexts. This article affirms the value of service user involvement in health and social care education, exploring its positive impact on students. When lecturers share personal experience of using services alongside practice and academic wisdom in the course of teaching, sometimes the value of experiential knowledge is doubted and its influence dismissed. I examine the importance of experiential wisdom in social work education, specifically when it is embedded in an academic role in a university social work department, and consider how it can be respected and valued. The parallel experiences of involving peer support workers in mental health services, who use their knowledge of recovery to mentor other service users, are then briefly examined, together with reflection of the concerns across mental health with professionals sharing their experiential wisdom with the people that they support.     

Neighborhood mechanisms and the spatial dynamics of birth weight

This study addresses two questions about why neighborhood contexts matter for individuals via a multilevel, spatial analysis of birthweight for 101,662 live births within 342 Chicago neighborhoods. First, what are the mechanisms through which neighborhood structural composition is related to health? The results show that mechanisms related to stress and adaptation (violent crime, reciprocal exchange and participation in local voluntary associations) are the most robust neighborhood-level predictors of birth weight. Second, are contextual influences on health limited to the immediate neighborhood or do they extend to a wider geographic context? The results show that contextual effects on birth weight extend to the social environment beyond the immediate neighborhood, even after adjusting for potentially confounding covariates. These findings suggest that the theoretical understanding and empirical estimation of 'neighborhood effects' on health are bolstered by collecting data on more causally proximate social processes and by taking into account spatial interdependencies among neighborhoods.     

Groups or Gatherings? Sources of Political Engagement in 19th Century American Cities

There is broad agreement that citizen participation is critical for successful democracy. Recently, scholars have linked such political participation with the notion of social capital—community-level resources, such as trust, norms, and networks, that foster collective action. Much uncertainty remains regarding the sources of social capital, however. Here we examine two different features of community life that are believed to nurture social capital, and political participation in turn: public venues where relative strangers can meet anonymously, socialize, and share information and opinions (i.e., venues for informal interaction); and venues for organized exchange between familiars, such as voluntary organizations and social clubs. Using quantitative data from America's largest cities at the end of the 19th century, we examine the relationship between both supposed sources of social capital and respective rates of voter participation. We find little support for the role of informal interaction in fostering an active and engaged citizenry. We do, however, find evidence that citizen participation was related to some types of associationalism (or organized exchange). In particular, associations that fostered high levels of mutual interdependence among members seemed the most strongly linked to higher levels of political participation.     

British Statutory Sector Partnerships with the Voluntary Sector

Abstract

The boundaries of the welfare state in Britain have shifted considerably since the early 1980s. In the context of a desire to see an expanded mixed economyof welfare, the voluntary and community sectors have been expected to take on, in partnership with the statutory sector, a more active role in the delivery of a range of welfare services. Governmental speeches and policy initiatives in the UK have reasoned that the voluntary sector is cost-effective, offers “added value” to users and statutory sector purchasers, provides high quality services, is adaptable to changing needs and promotes greater user involvement. This article takes a critical look at some of the claims that are often made for service-providing voluntary organizations in the field of community (social) care.     

Social Capital and Participation in Community Improvement Activities by Elderly Residents in Small Towns and Rural Communities*

Abstract This study critically reviews theoretical concepts and measurements of social capital and tests hypotheses that elaborate how four dimensions of social capital (informal social ties, formal social ties, trust, and norms of collective action) and sense of community are related to participation in community improvement activities for elderly residents in small towns and rural communities. Mail surveys of 2,802 elders in 99 small towns and rural communities in Iowa reveal that many elders are actively involved in their community. Social capital and sense of community are very important in predicting elderly participation in community improvement activities, but they relate differently to elderly community involvement. Formal ties and sense of community have much stronger relationships with community involvement than informal ties and norms of collective action. Generalized trust is not significantly related to elderly community involvement.     

The Perspectives of Older Greek-Australians Toward Changes in the Nature of Family Support: Implications for Family Care Policies

Internationally, public policies encourage “aging in place,” and the majority of older Australians requiring care in the community receive informal care, supplemented by publicly subsidized formal services. The effect of contemporary social changes on informal care in aging migrant communities is poorly understood. This articles explores the perceptions of older Greek-Australians toward changes in the nature of family support. Bicultural and bilingual researchers carried out in-depth interviews (n?=?27) and five focus groups (n?=?63 total participants) with older Greek-Australians in modern Greek. While “cultures of care” remain among Greek-Australian families, the means for a family to assist have shifted, and these compromises are met with considerable powerlessness among older Greek-Australians. Implications for policy include the need to better involve older migrants and their families in decisions about their care needs, potentially involving consumer-directed care models. Service providers may also need to adopt the use of new technologies to communicate with increasingly time-pressured family members.     

The Social Participation of Blacks: A Proposed Synthesis of Two Competing Theories

Discrepant findings have typified the research concerning the social participation of blacks in America. The bulk of the findings would seem to posit three competing theories, one emphasizing low participation levels on the part of blacks, and the later two emphasizing high levels of social participation. These theories are examined and a synthesis of the "isolation" and "compensation" models is proposed. By examining both formal and informal types of social participation on the part of blacks, it is argued that both theories are viable toward explaining variation within black participation levels in particular and toward mediating the discrepant findings as they have been previously offered in general. Some support is found for such a proposed synthesis.     

Open spaces for dialogue promoting mental health as a social work education methodology

ABSTRACT

The authors discuss service user involvement as a key approach regarding training of social workers. In many European Union countries this is a stable practice with a lengthy tradition in research and application. However, in Poland it is almost entirely absent and marginalized. This article presents the results of a participatory action research project conducted at the Institute of Sociology of the Jagiellonian University in Krakow, the objective of which was to identify and critically analyze the key substantive and formal aspects of training of social workers with the participation of individuals with experience of mental illness. This research project adopted an open approach to cognizing reality based on qualitative co-participatory methods. In the conclusion, the authors emphasize that the fundamental criterion for the success of this particular form of training is voluntary and differentiated participation of students—both in the role of people sharing their own experience and as learners—as well as shaping a culture of open dialogue, educational alliances of recognition and recovery, the foundation of which is axiological experience.     

Working "Off the Books": Patterns of Informal Market Participation within New York's East Village

Most research on the informal economy concentrates on how the informal economy operates at the international and regional levels along with the formal economy and the state. This article departs from current research on the informal economy by looking at how the informal economy operates within the lives of its participants. It considers how informal workers use informal work as both an economic and an identity resource. Informal workers create informal careers and informal work environments in accordance with financial and identity goals and needs. The intersection of informal work as an identity resource and as an economic resource creates a typology of informal market participation types. Among a group of self-employed workers in New York City's East Village neighborhood, four patterns of informal market participation emerge: Entrepreneur, Occupier, Avocationalist, and Allowance Seeker.     

Chapter 2. Intervention Continued

SUMMARY

This chapter describes the case management process-a process for assisting individuals and families with multiple service needs-and its use in various fields of practice including mental health, human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS), and services for older adults. It addresses the role of the case manager as the person responsible for ensuring the timely and adequate delivery of suitable community-based services. The integration of formal services with informal care by family and friends as an intervention strategy is also discussed.