Nonprofit Advocacy Organizations: Their Characteristics and Activities*

Objectives. In this article we examine political advocacy by nonprofit organizations. Relatively little is known about the types of organizations that participate in advocacy, their characteristics, the issues for which they advocate, and the resources they devote to it. This is especially the case for nonprofits that operate at the state or local level. Methods. Using data from a large survey of Indiana nonprofit organizations, we use logistic and multinomial regression to determine which organizational characteristics relate to participation in varying levels of advocacy. Results. We find that the size of the organization, its access to information and communication technology, its charitable status, and, in some cases, the field of activity in which it operates all help predict nonprofit advocacy. The age of the organization, its reliance on government funding (except when substantial), and its proximity to the state's major economic and political center do not generally help differentiate nonprofits that advocate from those that do not. Conclusions. Our findings suggest that most nonprofits are ambivalent about advocacy. Some do no advocacy at all; many participate in some form of it although it does not constitute their primary purpose or mission; and only a small minority devotes considerable resources to it. However, these patterns differ systematically by type of nonprofit.     

The Use of Group Work to Fight Acute External Threats to a Community-Based Organization During Harsh Economic Times

This article addresses the use of group work in a community-based outpatient children's mental health agency to respond to financial threats by county and state government during the economic downturn of 2008–2009. Three specific threats that came within months of one another are discussed: (1) the threat to close down a chemical dependency treatment service for youth, (2) severe funding cuts to an outreach program for immigrant youth and their families, and (3) a state government plan to restructure/reform reimbursement for outpatient mental health services that promises to reduce access to care for underinsured families. Group work was used to organize, educate, and activate staff, board, community, and consumer groups, in large and small groups, to counter the threats and build a culture of advocacy. Lending a vision, empowering advocates, managing polarity, and shaping the advocacy message were essential elements of the advocacy process.     

Liquid advocacy: Social welfare advocacy in neoliberal times

This article examines current inconsistent trends in social welfare advocacy literature. Some studies show evidence of widespread engagement in advocacy by nonprofit organisations, while other studies conversely offer evidence of limited advocacy activities. Another controversial aspect stems from the question whether governmental funding undermines the extent to which nonprofits engage in advocacy. We argue that these findings reflect the contradictory impact of neoliberal governance on social welfare advocacy. The article highlights and discusses three interrelated components of neoliberalism and their impact on current social welfare advocacy: marketisation, precariousness and commodification. Neoliberalism has propelled a model of market-driven civil society that has remade the practice of social welfare advocacy in contradictory ways. With its complex rationales, neoliberalism has simultaneously undermined the ability of nonprofits to engage in advocacy but in a paradoxical way has also created conditions that induce these organisations to practice advocacy. Implications for practice and research on social welfare advocacy are discussed.     

Chapter 17. Rural Mental Health

SUMMARY

Mental health services available in many rural communities are too limited in scope and availability to meet the needs of rural citizens. The future of mental health services for the rural poor will be impacted by state government decisions about Medicaid funding priorities. It is important that rural practitioners, especially those that work in the fields of mental health, health, and aging services, engage in advocacy for better coverage of the rural poor and low-income elderly persons. This chapter discusses issues of advocacy related to improving the provision of mental health services to older rural citizens as an important goal in the larger effort to expand and improve rural mental health service delivery throughout the nation.     

Community development activities in the context of contracting

In Australia, as elsewhere, relations between government and community sector organisations^* have undergone fundamental change over the past decade. Economic rationalism and new manageralism have reshaped funding arrangements, seeing the widespread introduction of contracts with service specifications, performance measures and reporting requirements. Within the literature there is considerable anxiety about the impact contracting may have on the community development activities of community sector organisations. This article draws on the experience of over 500 community sector organisations that provide human services to explore how contractual arrangements have affected some aspects of their community development activities. The research findings suggest that, from the perspectives of organisations, the adverse impacts have been less than anticipated.     

Faith‐Based Social Service Organizations and Government Funding: Data from a National Survey*

Objective. The objective of the research reported in this article is to test four hypotheses concerning government funding among faith‐based social service coalitions: that it is positively related to size and organizational professionalism; positively related to attitudes toward government funding; positively related to social activism; and negatively related to organizational religiosity. Method. Our method is the application of OLS and probit analysis to data from a national survey of 656 such organizations. Results. Using three measures of government funding and 12 predictor variables, results are mixed in their support of the size and professionalization hypothesis and generally support the remaining hypotheses. These findings are replicated when we compare coalitions that had and had not applied for government funding. Conclusions. Our findings emphasize that greater religious expressiveness dissuades coalitions from both seeking and receiving government funding, but higher levels of social activism expedite both.     

The impact of declining resources and purchase of service contracting on private, nonprofit agencies

The increasingly precarious and vulnerable position of the private, nonprofit social service agency in an environment of government contracting and declining funding has been the subject of a number of articles over the past few years. Nonprofit agencies have been characterized as being controlled by powerful government agencies that dictate the terms and conditions of contracts, the types of services to be provided, the methods of delivery, and the price to be paid for services. One would expect to find nonprofits anxious to terminate their relationships with various units of government, and return to a more independent status. That is not happening. If anything, purchase of service contracting (POSC) with nonprofit agencies is increasing. This national study of nonprofit agencies explores the impact of declining funding from all sources (including POSC), and seeks to determine its impact on clients, staff, and organization.     

Canadian Non-Profits in Crisis: The Need for Reform

This paper examines recent changes in the relationship between the Canadian state, at both federal and provincial levels, and those non-profit organizations concerned with social welfare. The 1995 federal budget marked a turning point for Canadian non-profit organizations as the federal transfer payments to the provinces were simultaneously restructured and reduced. This, in turn, meant that provincial funds flowing to non-profit organizations would also be cut, or terminated, and restructured as service contracts continued to replace grants. This followed a review of government funding to non-profit agencies initiated the previous year and came on top of a growing critique of non-profits as unaccountable, unrepresentative, professionalized, "special-interest" groups, who used public funds largely to sustain themselves, and pursued causes that should not be subsidized by government. At the same time non-profit organizations were increasingly expected to provide core social welfare services not only on the basis of "more for less" but also through charging for their services and increased corporate and individual fund-raising. All of these events took place in the context of the election to government, in 1993, of the Liberal Party, that had previously been strongly identified with the advance of a Canadian social agenda but now chose to adopt its conservative predecessor’s deficit reduction strategy through public expenditure cuts. For many Canadian commentators, such events have thrown non-profit organizations into crisis and during the past two years there have been attempts to bring together the diverse interests within the sector and build a stronger sense of identity and voice. However, there is also a strong argument to suggest that the vulnerability of such non-profit organizations has resulted, in part, from their over-dependence on government during the previous twenty-five years and the absence of a strong popular base. This paper explores the changing relationships between the Canadian state and non-profit organizations, and highlights what could be very similar dilemmas for their UK counterparts as government increasingly looks to non-profits to fulfil what has during the postwar period been its service-providing role.     

Managing the tensions between service and advocacy: The case of the AJEEC Social Change Service Organization,Naqab, Israel

The tension between providing services to marginalized groups and organizing them for advocacy to challenge power structures is a fundamental dilemma for Social Change Service Organizations (SCSO). This dilemma exists in many civil society organizations, especially those that work with indigenous communities, such as the Bedouin in Israel, where providing immediate services and advocating for policy change are crucial. Literature shows the tensions that arise from combining service provision and advocacy. However, there are very few studies showing how these organizations manage and overcome these tensions sustainably. The present study is an exploratory case study using the AJEEC (Arab‐Jewish Center for Empowerment, Equality, and Cooperation) in the Naqab as an instrumental single case. It provides an in‐depth understanding of the tensions AJEEC is facing and reveals AJEEC’s unique approach and strategies for managing these tensions effectively and sustainably within the social, political, and cultural contexts. It presents implications for research, policy, and practice.     

Identity and Government Funding in Christian Nonprofits*

Objectives. This article aims to understand if and how the expressed religious identity of Christian nonprofit organizations varies between those receiving and not receiving government funding and whether there is evidence that government funding produces such differences. Methods. I utilize a content analysis of narratives provided on tax forms of 1,900 of the largest national and international Christian nonprofits based in the United States. Results. Christian nonprofits receiving government funding are less likely to express a religious identity and tend to use more inclusive language when doing so. However, receiving government funding does not seem to be the direct cause of changes in expressed religious identity. Conclusions. Differences in expressed religious identity might better be understood as the result of long‐term changes that both alter the organization's identity and makes it more likely to acquire government funding.     

With strings attached: Philanthropic funding and greater inclusiveness

A dominant theme of the philanthropy research literature is conservative funder influence on social movements. In this paper we look at a “reverse” case, focusing on a philanthropic funder using financial clout to move non-profit organizations in a more liberal direction. We interviewed a random sample of 48 executive directors from the 634 non-profit organizations that were funded recently by the Gay & Lesbian Fund for Colorado (GLFC). GLFC required grantees to change personnel policies toward greater inclusiveness and to publicly acknowledge GLFC funding. Directors responded to interview questions on reactions to sponsorship and changes in diversity and inclusivity. Results show retaliation, a serious form of resistance or pushback, was rare and is more common from external sources, especially donors, than internal sources (e.g. staff; p < .05). Because some organizations are diverse prior to grant application, further increases in organizational personnel diversity and constituent outreach are difficult. Therefore, the efficacy of attaching strings to funding was mixed.     

Safeguarding young people through confidential advocacy services

The political agency of children and young people is gaining ascendancy as government agendas prioritize the need to listen to children. Recent guidance on inter-agency working to safeguard and promote the welfare of children and young people takes account of new research, experience, and legislation concerning abuse. In the past, children and young people have been failed by the services designed to help them, and many have been silenced through the lack of a safe space where they will be listened to and taken seriously. The development of advocacy services for children and young people has been actively encouraged by recent legislation, but many existing services tend to remain at the passive end of the advocacy continuum – advocating on behalf of rather than enabling them. This is inevitable as children continue to be marginalized in a powerful adult world. This paper examines the need for advocacy services to have clear policies of confidentiality if they are to be a credible option to young people, when services to safeguard them emphasize the importance of agencies working together and sharing information.     

Links between social environment and health care utilization and costs

The social environment influences health outcomes for older adults and could be an important target for interventions to reduce costly medical care. We sought to understand which elements of the social environment distinguish communities that achieve lower health care utilization and costs from communities that experience higher health care utilization and costs for older adults with complex needs. We used a sequential explanatory mixed methods approach. We classified community performance based on three outcomes: rate of hospitalizations for ambulatory care sensitive conditions, all-cause risk-standardized hospital readmission rates, and Medicare spending per beneficiary. We conducted in-depth interviews with key informants (N = 245) from organizations providing health or social services. Higher performing communities were distinguished by several aspects of social environment, and these features were lacking in lower performing communities: 1) strong informal support networks; 2) partnerships between faith-based organizations and health care and social service organizations; and 3) grassroots organizing and advocacy efforts. Higher performing communities share similar social environmental features that complement the work of health care and social service organizations. Many of the supportive features and programs identified in the higher performing communities were developed locally and with limited governmental funding, providing opportunities for improvement.     

Human Motivation and Professional Practice: of Knights, Knaves and Social Workers

Efforts to improve the efficiency and responsiveness of public services by harnessing the self‐interest of professionals in state agencies have been widely debated in the recent literature on welfare state reform. In the context of social services, one way in which British policy‐makers have sought to effect such changes has been through the “new community care” of the 1990 NHS and Community Care Act. Key to this is the concept of care management, in which the identification of needs and the provision of services are separated, purportedly with a view to improving advocacy, choice and quality for service users. This paper uses data from a wide‐ranging qualitative study of access to social care for older people to examine the success of the policy in these terms, with specific reference to its attempts to harness the rational self‐interest of professionals. While care management removes one potential conflict of interests by separating commissioning and provision, the responsibility of social care professionals to comply with organizational priorities conflicts with their role of advocacy for their clients, a tension rendered all the more problematic by the perceived inadequacy of funding. Moreover, the bureaucracy of the care management process itself further negates the approach's supposedly client‐centred ethos.     

Are polish theatres autonomous? Artistic institutions in a bureaucratic system of culture funding

The culture funding systems based on the arm's length mechanism are generally believed to secure more autonomy of artistic institutions than ‘bureaucratic’ systems which directly involve politicians or public servants in the allocation of public funds. There is a wide range of academic literature that defend this approach. The aim of this paper is to readdress this view and show that it stems from typology-based preconceptions rather than real-life policy-making. To this end, the article analyses relations between public theatres and local funding bodies in Poland, where culture funding system is characterised by a bureaucratic decision-making. Mixed methods were applied using questionnaires and focus groups with public servants and theatre directors. The paper suggests that, although Polish local governments play a dominant role in the arts funding, their intervention in the area of culture has merely administrative nature and, in general, does not entail interference in the artistic activity.     

Australia's Individualised Disability Funding Packages: When Do They Provide Greater Choice and Opportunity?

Australia's new National Disability Insurance Scheme (NDIS) uses individualised funding packages instead of traditional block‐funded disability services to support people with disability. The NDIS works with the person and their family to assess the person's needs and develop a plan that determines their funding allocation. Funding can be used to purchase support from a disability service or from the open market. People can purchase support that suits their cultural and personal preferences. This paper examined whether individual funding packages met their aims in Western Australia, where they had been the primary mechanism of disability support for over 25 years. An exploratory case study was conducted consisting of face‐to‐face, in‐depth interviews with 11 key participants: people with disability, senior government administrators, service provider managers, and a support worker. Complex systems theory was used to review the data and findings showed that individualised funding packages did not automatically result in more choice and greater opportunities. People needed information to make informed decisions; supportive and creative support from social workers and other professionals; and welcoming communities. The findings can inform policies and assist social workers facilitate maximum choice and opportunities for people with disability and their families.     

Learning to love (the state) again? Money,legitimacy and community sector politics

The erosion and dismantling of the post‐war welfare settlement has entailed an expanded role for the community sector, as a complex ‘mixed economy of service provision’ has developed. Critiques from both right and left have undermined the legitimacy of a statist model of welfare; state funding of non‐government community organisations is one aspect of the move away from centralised delivery. Despite their important role in this process, the distinctive perspectives of community sector organisations are rarely considered in broader theoretical and political debates. These organisations face significant dilemmas in struggling to maintain their viability and independence. Analysis of three major arguments for funding shows how organisations challenge the state's legitimacy by insisting on their own independent role but precariously rely on traditional sources of welfare state funding. This analysis draws into question the possibility of satisfactory non‐statist theories of welfare. It also suggests that the community sector might need to reposition itself as part of a broader public system of welfare, rather than in opposition to government, but that this strategy entails obvious risks for organisations' independence.     

Increasing aging and advocacy competency: the intergenerational advocacy pilot project

The Council on Social Work Education's (CSWE) Strengthening Aging and Gerontology Education for Social Work (SAGE-SW) project, funded by the John A. Hartford Foundation partnered with the National Committee to Preserve Social Security and Medicare (NCPSSM) to develop an Intergenerational Policy and Advocacy Project (IAP). This curriculum pilot project, based on a community organization model, was conducted with 13 baccalaureate social work (BSW) and master's social work (MSW) programs across the country and 122 students. The project was one method to pursue CSWE SAGE-SW's efforts to infuse aging content into social work foundation curricula, to support intergenerational teaching, to strengthen social work advocacy skills, and to provide social work students with positive experiences working with older adults. Pilot sites were asked to carry out the project as part of an existing course foundation or field practicum course. Project activities included collaboration with a variety of community agencies, holding issues or "town hall" forums in order to educate community members about critical policy issues affecting older adults; making contacts and establishing relationships with local, state and/or federal legislators; and conducting assessments of the service needs of older adults in the students' communities. Questionnaires, feedback, pre-post evaluations as well as brief accounts of each project are presented. Participants considered the IAP to be a successful project in terms of the objectives of increasing awareness and competency among social work students of aging issues and of promoting intergenerational linkages between older people and social work students.     

Practice Evaluation of Community Initiatives for Social Service Delivery in a Deprived Neighborhood in Scotland

ABSTRACT

Improving social service in local communities is a complex undertaking. Over the past few decades, the performance and sustainability of community initiatives have been questioned, while such factors as a lack of funding, insufficient community involvement, unsatisfactory community service, and lack of awareness of the impact of community initiatives have restricted community development. From a case study of community operations in Scotland, this article provides insights into how social service delivery is organized in the absence of public capital. This study utilized data from semi-structured in-depth interviews with a sample of 76 participants from a deprived area in Scotland, including community management team members (n = 6), local residents (n = 52) and community partners (n = 18). The findings illustrated how participants of all ages, local organizations, policy makers, funders and media came together to create a cohesive and responsive community environment. Residents' needs and funders' demands were identified. Results further revealed that a Community Partnership Mechanism helped strengthen the social service network and create flexible social services. Service benefits included improved resident wellbeing in the context of less government intervention. Future implications include suggestions for government and other stakeholders involved in community reform to focus on service recipient skill building and tracking changes between the indicators and service provision.