‘Disability is not a word we use’: Social workers' professional judgements about support for disabled young people leaving care

Disabled young people leaving care often experience a more complex transition to adulthood than other youths. Still, policy and services can fail to recognize the intersection between a young person's care experiences and disability. Drawing on data from a qualitative interview study with 14 social workers who work with aftercare in the Norwegian child welfare services, we investigate social workers' professional judgements about support for this subgroup of the leaving care population. Our analysis uses the theoretical construct of institutional logics and shows that social workers did not include concepts of disability in their judgements about support for these young people. Instead, the social workers' considerations were guided by three other organizing principles: a ‘medical logic’, an ‘activation logic’ and an ‘aftercare logic’. We discuss these findings in light of critical disability studies and argue for a more nuanced understanding of disability in social work practice with care leavers. Highlighting disability rights and going beyond diagnosis and categorisations of disabled people can challenge a medical model approach to service provision.     

Coalmining and the National Scheme for Disabled Ex-Servicemen after the First World War

After the First World War, disabled British veterans returned home to an uncertain future of work. In addition to voluntary efforts, the government’s response to the national employment crisis – the National Scheme for Disabled Ex-Servicemen (commonly known as the King’s Roll) – was established in 1919 to encourage employers to hire a five per cent quota of disabled ex-servicemen. Historians have recently revisited the scheme, noting that in many cases the process was slow and fraught, with many disabled veterans facing the prospect of unemployment, yet few have paid attention to soldiers’ pre-war working backgrounds and the specific requests of British industries. This article focuses on British coalminers returning from war. What role was there in this national situation for an industry known for its own high rate of accident and injury? Although the King’s Roll made some attempt to find veterans specifically targeted jobs above and below ground according to their impairments, it proved unable to incorporate coalmining. Instead, many disabled ex-servicemen returned to the workplace and utilized their existing identities as miners to navigate the process. With the industry beginning to decline, many faced potential regression in job status, exploitation or unemployment. By shifting to an industry-specific focus, this case study explores the contested nature of work for disabled people after the First World War, and highlights the interrelation and importance of workplace identity for the returning disabled veteran.     

Measuring Support Provisions for People Living With Disabilities in South Asia: An Accessibility Index

ABSTRACT

The terms “empowerment,” “rights,” and “inclusiveness” are now commonly used in public policy, but little emphasis is placed on “accessibility” issues in the integration of disabled people. This article proposes a composite index to measure economic support provisions, such as employment, vocational training, microfinance, and safety nets. The index was tested in a case study (N= 245) of two districts in Pakistan. Results support a “cost/benefit”-based philosophy, rather than the “means–ends” goal, where the disabled poor are viewed as unproductive and risky payers, instead of giving them an opportunity to exercise their potential. Change for the disadvantaged poor can be brought about with the mandatory use of this index in local annual audits. Future research might examine the impact of the index and standardize it for global use.     

Combining Work and Care: Carers' Decision-making in the Context of Competing Policy Pressures

Issues related to paid work and care are of global importance, reflecting the twin pressures of population ageing and efforts to increase labour market participation. Informal carers of sick, disabled or older people can experience tensions between policies aimed at support for care and support for employment. This article discusses a study of carers’ decision‐making around work and care, drawing on evidence from interviews with 80 working‐age carers in England. Carers are not homogeneous; their circumstances and needs differ reflecting age, gender, ethnicity, labour market participation, and the condition and/or needs of the person they support. This diversity is illustrated by contrasting rural and urban carers’ decisions and experiences about work and care. Key factors that impact on carers’ decisions are: current and anticipated financial need; the constraints arising from receipt of carers’ and other means‐tested income maintenance benefits; personal identity; job opportunities and scope for flexibility; social services provision; carers’ own health. Distance, travel times and transport are unique additional challenges for rural carers who (wish to) work. These difficulties are further intensified when they intersect with other factors such as the Carer's Allowance, the local labour market and social services provision. The findings are evaluated in terms of the adequacy of current government policy measures.     

The Tyranny of Fit: Yet another Barrier to Mainstream Employment for Disabled People in Sheltered Employment

Policies that encourage the aspirations of disabled people for mainstream employment might be an effective way to increase their workforce participation rate. This study aims to determine which people in sheltered employment aspire to a job beyond their current sheltered employment job. We asked 64 people with sheltered employment jobs about their workplace and job fit, their intentions to stay in their current job and their future job aspirations. The key finding is that perceptions of fit indirectly and adversely affect aspirations via intention to stay. Participants who felt they fitted planned to keep working at their sheltered workplace, but a stronger intention to stay made it less likely that they could identify an alternative to sheltered employment. These results were not influenced by age or the time spent in sheltered employment. Policy should therefore support people in sheltered employment to develop realistic job aspirations. Helping disabled people to identify opportunities beyond sheltered employment can avoid complacency and free up sheltered job opportunities for other disabled people. But policy changes are required to leverage sheltered employment as a first step for disabled people to develop mainstream job aspirations and facilitate transitioning beyond sheltered employment job options.     

发展型社会政策视角下的残疾人福利研究

残疾人是社会中的弱势群体。对残疾人的关爱程度体现着一个社会的文明和发展程度。在党和国家领导人的高度重视下,我国残疾人事业取得了较大的发展。但仍滞后于社会经济发展水平,主要体现在福利水平仍局限在保障残疾人最低限度生活的经济救济上,而对促进残疾人发展的教育和就业扶持不够。笔者从发展型社会政策视角出发对残疾人问题进行较为深入的探讨,提出要建立关爱残疾人的长效机制,鼓励投资于残疾人教育和职业培训的社会支持模式,以试图为残疾人社会问题的解决提供一个崭新的思路和途径。     

Overcoming barriers: Effects of entering vocational rehabilitation on labour market outcomes

Vocational rehabilitation aims at getting people with health problems or disabilities back into work. In Germany, the Public Employment Service is a central provider of vocational rehabilitation services targeted at unemployed people. Against this background, the study examined the labour market effects of vocational rehabilitation for people registered as unemployed with the Public Employment Service. A comparison of the accepted and the rejected applicants for vocational rehabilitation using inverse probability weighting based on propensity scores provides an insight into its effects. The results suggest that the employment prospects of persons who were accepted in the programme improved modestly after the third‐year following application. A subgroup analysis identified stronger re‐employment effects of acceptance into vocational rehabilitation in eastern Germany as well as for men and older individuals.     

‘Replacement Care’ for Working Carers? A Longitudinal Study in England, 2013–15

In the context of rising need for long‐term care, reconciling unpaid care and carers’ employment is becoming an important social issue. In England, there is increasing policy emphasis on paid services for the person cared for, sometimes known as ‘replacement care’, to support working carers. Previous research has found an association between ‘replacement care’ and carers’ employment. However, more information is needed on potential causal connections between services and carers’ employment. This mixed methods study draws on new longitudinal data to examine service receipt and carers’ employment in England. Data were collected from carers who were employed in the public sector, using self‐completion questionnaires in 2013 and 2015, and qualitative interviews were conducted with a sub‐sample of respondents to the 2015 questionnaire. We find that, where the person cared for did not receive at least one ‘key service’ (home care, personal assistant, day care, meals, short‐term breaks), the carer was subsequently more likely to leave employment because of caring, suggesting that the absence of services contributed to the carer leaving work. In the interviews, carers identified specific ways in which services helped them to remain in employment. We conclude that, if a policy objective is to reduce the number of carers leaving employment because of caring, there needs to be greater access to publicly‐funded services for disabled and older people who are looked after by unpaid carers.     

社会工作服务于高职院校孤残学生培育体系研究

传统的高职教育模式无法有效回应孤残学生成长的特殊需求,社会工作的介入有助于高校教育体系的创新与完善,能够促进孤残学生建立正向情绪、积淀正向能量与适应社会发展。通过优化高职院校环境,推动社工主动作为,发挥孤残学生潜能,能够有效实现社会工作服务于高职院校孤残学生培育体系。     

Advocacy for disabled children and young people: benefits and dilemmas

Recent policy has emphasized the need for advocacy services for children and young people, developments that have gone hand‐in‐hand with greater levels of participation of young people in decision‐making. Advocacy for disabled young people is especially important, as they are a particular vulnerable group and have, traditionally, been even more excluded from decisions about matters affecting their lives. This paper reports the findings, as they relate to disabled young people, from a study that investigated the role of advocacy for looked‐after children and children in need. The paper highlights some of the benefits of advocacy for disabled children, the dilemmas facing advocates between advocating and acting in someone's ‘best interests’, identifying the client and the boundaries between advocacy and social work. It argues that time given to establish a close relationship with a disabled child or young person is crucial if advocacy is to be effective and participation in decisions affecting their lives a reality.     

Facilitating Transformation in Workforce Training: Using Clinical Theory to Understand Psychological Self-Sufficiency

Acknowledging the scarcity of a bottom up social work practice model in facilitating the development of success in workforce development programs, this study explores Psychological self-sufficiency (PSS) as an emerging social work practice theory. Phenomenological studies of low-income jobseekers in employment training along with the empirical validation of measures of the core constructs of PSS – employment hope scale (EHS) and perceived employment barrier scale (PEBS) – and testing of the theoretical model resulted in the emergence of a new theory of PSS. PSS was conceptually defined as a dynamic and internal drive that activates the process of transforming cognitively and affectively perceived barriers into hope driven action – the process that enables individuals to move forward toward goals. Based on the evidence of PSS, a participant-centered group intervention model called transforming impossible into possible (TIP) program was developed. This article delineates the trajectory of PSS theory development by critically reviewing various streams of practice theories influencing the PSS theory. Next, the conditions that necessitated the creation of the TIP program and its core principles underlying the functions of PSS are explained. By depicting the TIP program with direct quotes of clients’ experiences, authors exemplify the successful self-discovery process through enhanced PSS skills as a result of participating in the TIP program.     

高职商科专业实训基地建设的实践与思考-以广州城市职业学院为例

卓有成效地开展实训基地建设是国内外高等职业教育发展的成功经验之一。文章以广州城市职业学院商贸综合实训基地作为广州市高等职业教育实训基地的建设实践为例,从建设成果、特色与创新及经验与体会等方面分析总结高职院校商科类实训基地建设如何立足于服务专业和区域经济发展,打造具有鲜明特色的高职商科类专业实训示范基地。     

Disabling Ideas – Disabling Policies: The Case of Disability Employment Policy in the Newly Established Israeli State

By integrating a social perspective of disability with an ideational approach to social policy, the present study seeks to illuminate the central role of ideas in shaping disability policy. Using employment policy towards civilian disabled people in the newly established Israeli State (1948–65) as a case study, this examination highlights the key role played by the Israeli welfare system in excluding disabled people and structuring the disability category. This case illustrates how the paradigmatic perception of disability, loaded with patronizing attitudes towards the new Mizrachi immigrants, operated both as ‘cognitive locks’ and as a means for gradual yet transformative change. It is argued that this kind of ideational change is best identified and interpreted by assuming that paradigms are relational in nature.     

Living in poverty: a qualitative inquiry of emaciated adolescents and young women coming from low-income families in a Chinese context

Anorexia nervosa (AN) is no longer a disease of the rich in the West. Hitherto, no study has been carried out in the West or in the Chinese context that documents the experiences of poor people suffering from AN. This qualitative study aims to identify the subjective experiences of seven Chinese emaciated adolescents and young women coming from low‐income families, their family difficulties and needs, and resilience in coping. The results of the study have shown that family poverty has significantly triggered the onset of AN for two emaciated adolescents, while factors such as parents’ marital discord and relentless pursuit of thinness have also been reported. Family difficulties experienced included problems in parenting, inadequate financial resources, and insufficient information and access to health and social services. Strong family motivation and filial piety are found to be important cultural assets conducive to recovery. Implications of this study for social work practice are discussed.     

Webs of empire: locating New Zealand's colonial past

This article reports on the views of non-medical interest groups about sterilization and intellectually disabled people in New Zealand. The rationale for undertaking a study in this sensitive area is presented. Notes about survey distribution method are included and participants’ responses outlined. The study found that a majority of participants agreed that intellectually disabled people should make their own decisions about reproductive capacity. Yet a clear tension between an overall endorsement of individual choice and a majority who also considered that sterilization could be warranted in at least some cases emerged from the data. Reasons for sterilization included: the best interests of intellectually disabled people and carers; concerns about sexual health/well-being; lack of sexual control; and concerns about sexual abuse. The extent of agreement with sterilization as a desirable practice for intellectually disabled boys/men was an unexpected finding. The article concludes with questions posed to promote further discussion.     

'Your friends don't understand': Invisibility and unmet need in the lives of 'young carers'

This paper is based on a study of the experiences of people identified as ‘young carers’, commissioned by the National Assembly for Wales as part of a wider review of carers’ needs and services. Following a brief review of some of the previous research in this area, the paper reports key findings of the research, using the words of children and young people as much as possible. It then goes on to explore some of the wider implications of this and other research for the identification and support of ‘young carers’ and their families, and for the understanding of the needs and wishes of children and young people so defined. The paper concludes with an alternative definition of a ‘young carer’ and with some recommendations for professional practice, suggesting that the role of social work is crucial in this area of service.     

Vocational education,self‐employment and burnout among Australian workers

We examine the relationship between vocational education and occupational burnout among workers in different forms of employment. Although the self‐employed enjoy higher levels of job autonomy and work‐related satisfaction, we do not know whether they experience lower rates of occupational burnout, and whether vocational education plays a role in this relationship. This latter consideration is important, given that vocational qualifications often lead to self‐employment and prior research demonstrated that formal training may reduce burnout. However, formal education was previously measured in years of schooling, without considering the distinction between academically‐oriented and vocational courses. Therefore, using data from a 2001 national survey of working Australians, we first establish that the self‐employed are significantly less likely to experience burnout. We then demonstrate that some resilience to burnout can be attributed to the attainment of skilled vocational training, net of employment characteristics which are also very important.     

Once a NEET always a NEET? Experiences of employment and unemployment among youth in a job training programme in Taiwan

Chen Y‐W. Once a NEET always a NEET? Experiences of employment and unemployment among youth in a job training programme in Taiwan Int J Soc Welfare 2011: 20: 33–42 © 2009 The Author(s), Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. Ten previous participants in a job training programme, ages between 15 and 20, were interviewed face‐to‐face to determine why they were not employed, in education or in vocational training (represented by the acronym NEET) at the time, as well as their related experiences. They were also asked about their experiences and opinions regarding the training programme and their ideas about work in general. Results of the study indicate that most of the respondents did not become NEETs by choice; they did so for economic reasons. Most thought the programme was of little practical help to them and did not increase their chances of employment, but that it did give them social and emotional support and helped them feel better about themselves. Many agreed that the monetary allowance offered by the programme was a good incentive for participation. Implications of the findings for social policy and programme development, especially to the socio‐cultural context of Taiwan, are discussed.     

'Mingling together': promoting the social inclusion of disabled children and young people during the school holidays

The promotion of social inclusion of disabled children and their families is currently high on the UK political agenda. Research shows that disabled children and their families are highly disadvantaged, both economically and socially. This paper reports some of the findings of a qualitative study, entitled On Holiday! , which involved analysing the views of 297 people across six local authority research sites in England including 86 disabled children and young people. The study showed that many disabled children and their families experienced high levels of social isolation and exclusion during out-of-school periods and during the school holidays in particular. The paper recounts some of the experiences of disabled young people and their families and ways in which local authorities can promote their social inclusion. We argue that disabled young people and their families can only be truly socially included and empowered when all levels of the local authority (managers, officers and elected members) recognize the rights and entitlements of disabled children and have the political will and commitment to implement them.