Elderly migration and its implications for service provision in rural communities: an Ontario perspective

Following a discussion of the role of migration in the aging of rural populations and of consequent implications for service provision in rural communities, a case study featuring demographic and service use data for Grey County, Ontario, is presented. Cohort Survival Analysis of census data for the period 1971–1986 indicates a consistent net in-migration of elderly into the county and a complex but predictable pattern of elderly relocation from townships to villages and towns within Grey. The demographic analysis is complemented and extended by the examination of survey data on the residential history and service use of a sample of elderly residents drawn from two communities in Grey County. The survey results provide valuable clues for the interpretation of the demographic analysis and reveal residential history to be a potentially important pre-condition of dependence on formal services intended for the maintenance of elderly persons in the community. The paper concludes with a discussion of the need for local analysis of migration impacts and of the relationship between such impacts and longstanding problems of rural service provision.     

The integration of child care services in Scotland

This paper describes the development of integrated child care services in Scotland with a particular focus on the role of residential child care provision. It discusses changes in Social Work Department policies and the impact this has had on their relationship with the Children's Hearings system. Recent research shows the pattern of use of residential and foster care in three Social Work Departments and issues in the development of residential services are identified. Three particular examples of service integration are described: residential outreach work; a centre for young people under an integrated management; and multi-agency youth strategies. Social work and education services in Scotland are in the process of radical change. In the context of the integration of child care services, the paper discusses the impact of local government reorganisation and changes in child care legislation.     

Access to and exclusion from housing over time: Refugees' experiences in rural areas

Taking the example of recognized refugees in rural Germany, and following the housing pathways approach, the paper addresses the complex interplay of individual and family-related residential preferences over time as well as structural factors regarding access to housing and associated settlement and integration. Results are from a long-term empirical study that encompassed both refugees’ and local actors’ views. Mechanisms and practices of exclusion that prevent refugees from accessing appropriate private housing are related to the negotiation of residential preferences about where and how to live, as well as to structural aspects such as the pattern of local housing markets, accessibility of infrastructures or the unwillingness of landlords to let to refugees. The paper concludes to highlight the role of place in housing trajectories and the significance of social resources within refugees' practices and local intermediaries' strategies to overcome exclusion and provision of access to rural housing.     

Employment services for persons with serious mental illness in northeastern Ontario: The case for partnerships

Objective: To better understand why employment success is low, a case study was conducted to examine the influence of place on access to employment for persons with serious mental illness (SMI) residing in two northeastern Ontario communities (Rebeiro, in progress). Methods: Community-based participatory research methods were used to engage persons who experience SMI, decision-makers and providers in the research. Forty-six interviews were conducted, complemented by primary and secondary quantitative data sources.Results: While most consumers consider employment to be a key element of their recovery, employment rates for persons with SMI remain limited in northeastern Ontario, Canada. The findings of this case study reveal the importance of collaborative partnerships to fostering better employment outcomes in northeastern Ontario. Conclusion: The challenges of collaboration due to rural and northern tensions, as well as various jurisdictional and funding tensions existing at the level of community support the case for partnerships in the provision of employment services in northern and rural places.     

Programming for Immigrant Women in Canada: Is Entrepreneurship Neglected?

This study examines the demand and supply dynamics of entrepreneurship support services for new immigrant women in the Toronto Census Metropolitan Area (CMA), Ontario, Canada. Empirical evidence presented in this study reveals significant unmet needs for entrepreneurship support services. Major reasons for the inability of settlement agencies to meet the entrepreneurship needs of new immigrants include prioritization of other support services and lack of funding. The study identifies unfamiliarity with the Canadian environment, discrimination, business regulations that are difficult to satisfy, and unlikely tendencies of the immigrants to ask for support as some of the key challenges to entrepreneurship among immigrant women. However, these challenges may be ameliorated with enhanced entrepreneurship and language training, information awareness campaigns and more funding, among other factors. The findings have practical implications for accountable governments and non‐governmental organizations as they design and/or redesign immigration and settlement policies to facilitate integration of new immigrants.     

Rural Runaways: Rurality and its Implications for Services to Children and Young People Who Run Away

This article debates options for service provision to young rural runaways in the UK. Using data drawn from two national surveys and follow‐on qualitative studies, the authors trace urban myths of rurality and their effects on runaway provision. The authors review models of rural refuge, systemic advocacy and mobile services for rural runaways. Evidence suggests that both young runaways’ services and young runaways themselves are particularly at risk of stigmatisation in the rural context. The authors suggest that in this context of high visibility in a rural area, add‐on services to generic provision may offer a solution.     

Rural Social Service Disparities and Creative Social Work Solutions for Rural Families Across the Life Span

The provision of social services in rural areas has historically presented a challenge for social workers. Rural social service disparities are presented in relation to key challenges surrounding the provision of social work services in the rural United States. Barriers that define rurality and hinder the provision of social work to rural families, a multicultural examination of rural community strengths and resiliency, and creative solutions for rural social work delivery are discussed. A case study utilizing collaborative partnerships between rural churches, schools, and community leaders to combat rural homelessness and streamline service delivery for rural families across the life cycle is presented.     

Evaluation of planning and management approaches for limiting residential encroachment impacts within forest edges: A Southern Ontario case study

Studies increasingly document degradation and loss of publicly owned urban forest area following adjacent development due to residential encroachment. Little is known about prevailing approaches for limiting these impacts. Taking Southern Ontario as a case study, long interviews were conducted among Ontario planners, landscape architects, forest managers and bylaw officials within six Ontario municipalities to determine prevailing goals, tools, and strategies for addressing residential encroachment. Few municipalities had explicit goals, and none had objectives for addressing encroachment. Bylaws were the primary tools for addressing existing encroachments, but field studies indicated infrequent enforcement. Boundary-focused structures, such as fences, were the primary means of preventing encroachment; however, they were applied to a minority of forests with adjacent housing. None of the municipalities had a strategy for implementing their tools to protect targeted ecological, social or economic services provided by urban forests. Recommendations for improved approaches for managing residential encroachment impacts within forest edges are provided.     

Residential Location and Proximity to Children Among Impaired Elderly Parents1

Abstract The availability of adult children as potential caregivers is particularly critical to the rural elderly because of the dearth of health and human services in rural areas. This paper analyzes proximity to adult children among a large sample of older persons with some degree of functional impairment, employing four residence categories and two indicators of proximity: coresidence with a child, and residence within a half-hour's travel time. Results show that older residents of large cities are most likely to live with children and that large-city and farm residents are more likely than small-city or rural nonfarm residents to live near children. Implications regarding the potential for family caregiving for the impaired elderly are discussed.     

Culturally Competent Substance Abuse Treatment for Asian/Pacific Islander Women

Summary

In response to the urgent need for substance abuse treatment among pregnant and postpartum Asian/Pacific Islander (A/PI) women, heath care and social service providers in a rural community of Hawaii established a culturally based, women-centered residential treatment program. The program was designed to address barriers that often prevent A/PI women from engaging and completing treatment. Treatment included Hawaiian healing practices or deep cultural therapy, provision for newborns to live with their mothers, infant health-care services, parent education, and infant-mother bonding guided by kupu-na (elders) of the community.

Analysis of twenty-one in-depth interviews revealed factors that A/ PI women participants found vital to their treatment process: having their children with them in a non-punitive, mutually respectful treatment milieu; working with consistent, competent residential staff and culturally-sensitive interdisciplinary professionals; and involvement in a range of substance abuse interventions, including cultural healing practices.

Findings underscore the importance of learning about and affirming women's lived-experiences and cultural contexts in the development of culturally competent practice models, interventions, research procedures, and policies that focus on the complex needs of chemically dependent pregnant and parenting women (Brindis & Theidon, 1997).     

On the margin? Residential child care in Scotland and Finland

Situated on the margins of Europe, Scotland and Finland are small countries which share similar demographic and economic profiles. In many European countries, residential child care can also be considered to be ‘on the margin’ of child care provision; there is ambivalence about residential care and a view that it should be used as a last resort. This paper examines systems and practices of residential care in Scotland and Finland, locating these in the context of wider child welfare policy in both countries. The underpinning principles of child welfare provision in both countries are similar—based on children's rights and primarily family-focused. In both countries there are also similar concerns about the fragmentation of child care provision and the cost of residential services. However, there are also important differences relating to child welfare provision and the use of residential care. In Finland, overall numbers of children in residential care are much greater than in Scotland; the age profile of these children and young people is very different; and the two countries vary markedly in the use of secure accommodation and custody. This comparative analysis suggests new ways of understanding the similarities and difference in the use of residential care in the two countries. It highlights the continuing challenge to develop residential care as a positive and integral part of a continuum of care services.     

What do Potential Residents Need to Know about Assisted Living Facility Type? The Trade-off between Autonomy and Help with More Complex Needs

The current study surveyed 74 assisted living facilities to examine the effect of facility type on resident autonomy and the willingness of providers to admit residents requiring complex services. Facility types included adult family homes, residential care facilities, and traditional assisted living facilities. Adult family homes were more willing to admit residents with higher care needs. By contrast, assisted living facilities’ policies did not support the provision of intensive services, but their policies promoted higher resident autonomy, suggesting that consumers may have to choose between autonomy and help with complex needs when exploring assisted living for long-term care.     

The restructuring of local government in rural regions: A rural development perspective

Rural development is a multidimensional phenomenon. The political dimension, relating as it does to power, resources, accountability, priorities and choice, is a pivotal aspect of rural development. Local government is often the centrepiece of rural political systems. Interventions to reconfigure local government are therefore quintessentially rural development initiatives. They serve to supplement, neutralize or detract from other development initiatives. One way to critically examine local government restructuring policies and programmes is to determine the extent to which they accord with commonly held principles of rural development, both in terms of outcomes and process. This research critically examines a particular public policy intervention in rural Ontario, Canada. Through the application of rural development principles and criteria, it concludes that the process was antithetical to rural development, and in terms of outcomes, of dubious value. It poses several questions and challenges for rural development theory, including governance, and practice.     

Rehabilitation outlooks for rural Louisiana: educational developments,economic trends,and global perspectives

The objective of this article is to examine current medical, economic, and social trends affecting the provision of rehabilitation services for rural citizens with disabilities. While the population of interest is citizens of Louisiana, the concepts are applicable across all geographic boundaries. The article is a review of clinical practice, job placement alternatives, economic trends, and assessment of process applications. It is concluded numerous steps may be taken to enhance the availability and quality of services provided for rural citizens with disabilities: greater statistical inquiry into rural disability trends, increased incorporation of the Internet into all aspects of rural economic and educational developments, further development of distance learning, promotion of sensitivities towards rural cultures, and continued recruitment of rural allied and vocational rehabilitation professionals.     

Changing ruralities, changing landscapes: exploring social recomposition using a multi-scale approach

Changes in agricultural practices have led to declines in the farming population and significant changes within the landscape. Paradoxically, many rural areas are recording significant demographic growth. Given the extent of rural areas experiencing these changes, little attention has been devoted to the relationship between rural migration processes and landscape developments. Therefore, the various rural dynamics resulting from these phenomena merit closer investigation. Moreover, we should explore these complex processes at scales where they are most evident. Through the multi-scale research approach used in this study, these processes are investigated in their regional, local, and domestic contexts.As shown by regional typological outlines, the great diversity of the rural areas indicates an increasing dissociation between the agricultural and socio-demographic trajectories. From our local-scale study, changes in lot occupation revealed new residential settlement patterns induced by an influx of in-migrants. Specific landscape characteristics seem to be a determining force shaping these population flows. At the same time, these population movements have dissimilar influences on evolving landscape dynamics. With the exception of isolated agricultural abandonment trajectories, migrant relocation does not seem to affect specific local-scale land use development. However, it is significantly associated with individual domestic practices. These practices are indicative of the migrant's identity in the rural landscape; further, they suggest specific values for the landscape's qualitative dimensions. These emerging urban and non-farming interests in rural landscapes challenge planning policies to guide the landscape's evolution for the benefit of its “producers” and “consumers”.     

The role of the voluntary sector in the provision of rural services — the case of transport

The voluntary sector has become more fully involved in service provision in rural areas over the last 10 years and this paper attempts to assess its impact with respect to one particular group of services, namely transport. The importance of the initiatives which have taken place is outlined in a statement of recent policy changes, including the radical provisions in the 1985 Transport Act, and through a national review of the three principal kinds of voluntary transport services in rural areas — social car schemes, dial-a-ride and community buses. This review is followed by an in-depth analysis of the extent of the voluntary sector involvement in transport provision in Norfolk and Suffolk. Extensive tables are presented and the characteristics of the schemes outlined together with an assessment of the essential ingredients for success or failure.The conclusion reached is that the scope and scale of voluntary sector initiatives in rural areas is small, and they form no alternative to a more general and systematic provision of transport services. Further, voluntary sector activities may even increase the inequalities in service provision. Suggestions are made as to how the scattered developments could be brought together and developed through the parish councils, parish transport groups and the rural transport broker.     

Children with epilepsy who have special needs

SUMMARY. About five percent of children with epilepsy are severely or multiply handicapped. Many of these probably did not go to school before the 1970 Education Act, although epilepsy had been a named category for special education from the earliest provision. This paper describes two studies of the characteristics of children attending the residential special schools for epilepsy in England and Wales before the 1981 Education Act, and discusses the provision of local services for severely handicapped children with epilepsy as a consequence of the Act and the possible continuing role for residential schools for this group.     

Coordinating health, extended care, and community support services: reforming aged care in Australia

Under pressure to maximize the cost-effectiveness of programs, efforts to improve coordination have become increasingly central to the development of the broader health and welfare service delivery system in Australia in the past few years. This article reviews recent experience in two related fields: (1) the coordination of different community care services for older people and people with disabilities, funded by the Home and Community Care program; and (2) the attempt to enhance links between community and residential care services, hospitals, and other health care providers. Why coordination has emerged as such an important issue in the field of community care and, increasingly, across the entire system of what the Australian government now terms health and family services is discussed. A number of measures that have been introduced or are proposed to improve a coordination of services are briefly reviewed. These range from individualistic approaches based on information and referral, through schemes involving gatekeeping, case management and brokerage of services, to models involving the reconfiguration of organizational structures, linkages, and finances. These measures are not mutually exclusive and are increasingly likely to be applied in more complex mixed models of service coordination. It is argued that coordination at the level of direct-service provision is difficult if government policies that direct services lack coordination.