What Are Strategies to Advance Policies Supporting Family Caregivers? Promising Approaches From a Statewide Task Force

Family caregivers are the cornerstone of the long-term supports and services infrastructure in the United States, yet they often contend with many challenges related to this role. Public policy has been slow to change, leaving many caregivers vulnerable to health and economic consequences. Using models of policy making, we identify barriers to advancing policies that support family caregivers and overcome policy drift. We draw on discussions from the California Task Force on Family Caregiving as it prepares state policy recommendations. Identified strategies include identification of caregivers in health care and workplace settings to promote political consciousness raising, collecting and reporting on data that frame caregiving as a policy problem, borrowing policies and language from overlapping fields to emulate their policy successes, and presenting supportive caregiver policies as solutions to other policy problems. By presenting specific strategic approaches to advance caregiving policies, we provide tools to address the growing gap between caregiver needs and policy responses.     

The Policy Transfer Model

ABSTRACT

“New” social welfare policies are often actually policies borrowed from other states or nations. This paper reviews the recent theoretical developments in understanding the processes of policy transfer and presents a “policy transfer” model that can be a useful heuristic tool for social workers engaged in policy making. It discusses how the field of social work can benefit from understanding the factors underlying successful and unsuccessful policy transfer, and argues for the inclusion of the study of policy transfer in social welfare policy courses.     

The circle of social reform: the relationship social work—social policy in Addams and Richmond

This article presents some results of a broader purpose of research on the thought and work of Addams and Richmond, particularly about the relationship between social work and social policy. First, we aim to contribute to deeper knowledge on the thought of these two pioneers on this relevant subject for social work nowadays and, particularly, to remove a relative veil of ignorance Richmond's involvement in social reform activities and elaboration on social reform in the context of the public and social policies process. Second, our proposal is to support a revision of the orthodox account on the antagonistic or irreconcilable nature of the two major traditions—social casework (or psychosocial approach) and social reform (or socio-political approach)—founded by two of the most influential figures of social work. Based on secondary and primary sources, the article focuses on the inseparable relationship between social policy and social work, clearly present in the thought and intervention of these seminal authors, and sheds new light on on-going debates and the disputed role of social policy perspectives within professionalised social work and the articulation between direct intervention with individuals, groups and communities and policy practice.     

Public Policies and Father Involvement

SUMMARY

The last two decades have been marked by a series of social and policy developments that are changing both how men see themselves as fathers and how policies conceptualize and encourage their involvement in the lives of children and families. This paper focuses on several areas of intersection between research on fathers and policy. The paper first summarizes the research that led to the current political and social interest in fathers. The paper then describes the Fatherhood Initiative, a set of activities that stemmed from a 1995 memorandum from President Clinton. This Initiative led to coordinated efforts by U.S. Federal Statistical agencies to collect better data about fathers. The paper concludes with a discussion of what we know about the effects on father involvement of policies such as welfare reform, child support, work place policies, responsible fatherhood programs, and other fatherhood interventions. Examples of new programs and initiatives on father involvement are also given.     

Developments in National Policies for Food and Nutrition Security in Brazil

Brazil is on track to achieve many of the Millennium Development Goals, and this is widely credited to bold and innovative government policies backed by new forms of popular participation in social policy. This article examines evaluation evidence on two of the most important recent initiatives in Brazil's policies for food and nutrition security (conditional cash transfers through Bolsa Família and support for family agriculture through the Programa de Aquisição de Alimentos). It also considers advances in older policies (such as the School Meals programme) and the work of the National Council for Food and Nutrition Security, which has culminated in national legislation establishing food and nutrition security as a right.     

Intergenerational Transfers to Adult Children in Europe: Do Social Policies Matter?

Understanding the role of social policies in intergenerational transfers from old to young people is especially important in times of population aging. This paper focuses on the influences of social expenditures and social services on financial support and on practical help from older parents to their adult children based on the first two waves from the Survey of Health, Ageing and Retirement in Europe (SHARE, N = 60,250 dyads from 13 European countries). Multilevel models showed that social policy plays an important role for intergenerational transfer patterns: The more public assistance was provided to citizens, the more likely parents supported their adult children financially and practically, but this support was less intense in terms of money and time given. Thus, the analyses support the specialization hypothesis that posits a division of labor between family and state for downward intergenerational transfers.     

Informing family policies: The uses of social research

Like the topic of family policy itself, research informing family policies is difficult to characterize. This article discusses how ideology and values influence research agendas and then describes three types of studies informing family policies: research defining social issues, evaluation research, and research about the policy-making process. Two case studies illustrate how social research informs family policy: in promoting gender equality in Scandinavia and in reforming child support in the United States. Values of individualism and the sanctity of the family have traditionally focused policy makers' and, hence, researchers' attention on individuals, not families, as the units of analysis. But dramatic shifts in family structure and functioning along with renewed public concern about family disintegration are placing families high on the policy agenda. Both “basic” and “applied” family scholars can contribute to a research agenda examining the factors promoting strong, effective families. She conducts research on gender and the life course, as well as on aging, families, and social policy. She received her Ph.D. in Sociology from the University of Minnesota. Her research interests in stratification, social policy, gender, and the life course include sex segregation in occupations, fertility, and work decisions and family policy.     

The Impact of the Conservative Protestant Movement on Social Policy

This article presents an analysis of the impact of the conservative Protestant movement on social policies of particular interest to the social work profession in the United States. In the light of the success of conservative Christian groups, suggestions for policy praxis are offered to promote progressive social policies.     

Policies supporting participation in leisure activities for children and youth with disabilities in Canada: from policy to play

Children with disabilities are at risk for lower participation in leisure. This study maps and analyzes disability-related leisure policies in Canada. Policy mapping and analysis were performed based on scope, social justice, disability models, and use of evidence. Few policies use scientific evidence, and their scope in supporting participation is often limited to organized sports, transportation, and financial incentives/exemptions. Few policies exist to support leisure promotion for children with disabilities. Action plans, benchmarking, and uptake measurement are rarely identified. Research-based evidence can be used to support socially-just policies to promote participation in leisure. Families should be able to identify mechanisms to guarantee access to their rights. Researchers, service providers, and families can use this framework of policy mapping and analysis to identify gaps where evidence can support policy development, to use these policies where services are needed, and to foster participation of children with disabilities in leisure.     

Caring for Persons with Serious Mental Illness

Abstract

This article places evidenced-based knowledge of practice within the social context of care and proposes five policy objectives and specific policy and program changes to address care needs of people with serious mental illness. In spite of demonstration programs that provide the basis for proposed policy initiatives throughout the United States, treatment provision for this population remains inadequate and their safety and well-being continues to be at risk. The authors suggest that treatment initiatives need to be tied to stable policies protecting the mentally ill from adverse social context changes. The authors conclude that policies are needed that will enhance housing assistance, independent social functioning, personal empowerment, and treatment engagement. In addition, efforts are needed to make better use of inpatient hospital care, to better understand the role of assisted treatment, and to better develop consistent long-term fiscal support for the seriously mentally ill. They offer specific policy recommendations for changes in HUD programs, Medicaid and Medicare funding, and treatment programming that address these needs.     

The importance of discourse in homelessness policy for young people: an Australian perspective

Homelessness among young people remains an ongoing critical issue across the globe, despite numerous targeted policies attempting to address the issue. Research demonstrates that the way policies represent social problems influences policy solutions. Drawing on Australian policy, this research investigates how policy discourses construct homeless young people, and how these constructions influence the support services developed. The study involves a critical discourse analysis of Australia’s most recent national inquiry report on homelessness among young people. The analysis suggests that the values and assumptions present throughout this policy largely reflect neoliberal political contexts, emphasising the importance of individual and community responsibility. However, there exists a disconnect between policy expectations of young people’s autonomy and the construction of their capacity for autonomy. This suggests that young people require greater levels of participation in policy development to create an effective balance between their own need for self-determinism and the support they require to transition out of homelessness.     

Theorising fatherhood,welfare and the decline of patriarchy in Japan

This paper investigates social policies concerning men's transitions to fatherhood and the changing role of fathers in Japan. A review of fathering research reveals a predominantly agency-level emphasis on role-strain between work and paternal identities with a specific discourse of weakened Japanese fatherhood. Previous research suggested Japanese gender equality and work-life balance initiatives stalled due to an absence of women's influence within Japan's corporate culture. This study offers a historical perspective to show modern family policies were essentially rooted in gender-equality campaigns led by women's organisations dating back to post-WWII era. The findings situate Japanese social policy and epistemology in the international vanguard of a ‘Nordic turn’ towards structural-level research and improved social citizenship rights to support men's transitions to fatherhood.     

Political origin and persistence of industrial policy in Africa

ABSTRACT

The literature on industrial policy in Africa has generally explained its political origins in terms of ruling elites’ distribution of benefits to their supporters. However, in competitive political contexts in which policies are deeply political and designed to satisfy clients, such as policies that support party donors, the problem of policy discontinuity is bound to arise because a change in ruling party is bound to alter the direction of distributional policies. The current paper uses Nigeria’s backward integration policy (BIP), an industrial policy on cement production, to sharpen the analytical distinction between the origins and persistence. Although the ruling elites’ political quest for survival explains the origin of Nigeria’s industrial policy on cement (ruling elites were in search of re-election funds and teamed up with domestic capitalists for donations, who in turn influenced the political elites to create policies in their area of business), it does not explain the continuation.     

The Impact of Female Cabinet Ministers on a Female-Friendly Labor Environment

The literature indicates that the representation of women in legislatures is positively associated with the passage of female-friendly social policy (e.g., child care or family leave). However, there is little corresponding research concerning the effects of women in cabinet on female-friendly social policy. I argue that this gap must be addressed, because most of the advanced industrial democracies are parliamentary democracies in which policies typically originate at the cabinet level, and governments typically enjoy substantial control over the legislative process. Thus, women in cabinet positions should be ideally placed to promote female-friendly policies; indeed, they are likely to be in a better position to promote these policies than their legislative counterparts. The purpose of this study is to analyze the role of female cabinet ministers in the adoption of female-friendly policies, thus addressing this gap in the gender and politics literature. It should be noted that the influence of female officeholders on female-friendly policy may differ by policy. To assess female officeholders’ effect on female friendly policy in general, I create an index measure using 17 variables related to these policy areas. Using ordinary least squares (OLS) regression, I find that female ministers have a significant effect on the adoption of policies that help to create a more female-friendly working environment.     

Live to 70 Years and Older or Suffer in Silence: Understanding Health Insurance Status Among the Elderly Under the NHIS in Ghana

Ghana has introduced a National Health Insurance Scheme (NHIS). Embedded in the NHIS is a policy to exempt poor and vulnerable groups from premiums and user fees. There has been some debate as to why the start-off age for exemption among the elderly is 70 years. Ghana has a shorter life expectancy than middle- and high-income countries and its current age of retirement is 60 years. This study explores the financial and social implications of continuing to charge premiums to people aged 60 to 69 years. Based on the analysis of data from a representative household survey, it is recommended that the exemption policy should be expanded to include all vulnerable elderly persons, regardless of age.     

Improving Tobacco-Free Advocacy on College Campuses: A Novel Strategy to Aid in the Understanding of Student Perceptions About Policy Proposals

Abstract

Objective: Tobacco-control policy proposals are usually met with opposition on college campuses. Research to understand students’ viewpoints about health-related policy proposals and messaging strategies, however, does not exist. This study investigated students’ perceptions about a smoke-free policy proposal to help understand their positions of support and opposition and to inform the development of effective messaging strategies. Participants: In January 2012, 1,266 undergraduate students from a midwestern university completed an online questionnaire about smoke-free campus policies. Methods: Responses were coded and analyzed using Linguistic Inquiry and Word Count software and chi-square, independent-samples t tests, and binary logistic models. Results: Most students who supported a smoke-free policy considered environmental or aesthetic conditions, whereas most opponents used personal freedom frames of thought. Supporters viewed smoking policies in personal terms, and opponents suggested means-ends policy reasoning. Conclusions: Taken together, points of reference and emotions about proposed policies provided insight about participants’ perspectives to help inform effective policy advocacy efforts.     

Has Family Policy Come of Age? A Decade Review of the State of U.S. Family Policy in the 1990s

Family policy has come of age in the 1990s, yet it has not achieved a status commensurate with that of economic or environmental policy. Because family policy has been difficult to define, this review proposes an explicit definition of the term family policy and a companion implicit term, a family perspective in policy making It updates the rationale for family policy, arguing that family commitment at its core is particularly consequential in an individualistic market economy with a small social safety net. It chronicles recent developments including philanthropic commitments, state and federal policy initiatives, and the use of research to inform family policy making. Selected family policy issues including family and work conflict, long-term care, family poverty, and marriage, are overviewed. The paper concludes with developments during the decade in theory, methods, and dissemination that hold the potential for capitalizing on the current popularity of families as a theme in policy making.     

Resilience in Undergraduate Social Work Students: Social Support and Adjustment to Academic Stress1

The purpose of this exploratory study was to analyze the relationship between academic stress and resilience in American, undergraduate social work students (N = 145), and to identify whether social support functioned as a protective factor amid this relationship. Testing social support within models of mediation and moderation served this purpose. Surveys were submitted to three social work programs and solicited empirical data on academic stress; social support and two subsystems, family and friend support; and perceived resilience. The sample reported moderate levels of academic stress, social support, and resilience. Academic stress significantly (p < 0.05), negatively influenced social support and resilience. Social support systems exerted significant, positive influence with each other and with resilience. No social supports mediated the negative stress effect on resilience. Friend support moderated the academic stress–resilience relationship. Implications for social work educators and field agency practitioners regarding enhancement of supportive peer relationships among undergraduate students are discussed.     

Family leave legislation in the American states: Toward a model of state policy adoption

The issue of mandated family leave has drawn substantial attention in recent years. This article develops and tests empirically a model of adoption of family leave policies in the American states during the late 1980s. State family leave policies are seen as a function of three sets of variables: (a) institutional-elite variables such as partisan control of state government and the proportion of women in the state legislatures; (b) constituency disposition variables such as mass partisanship, mass ideology, and the likelihood of general support for “women's” issues; and (c) contextual-demand variables such as birth rates and women's participation in the workforce. The model provides impressive fit to the data, accurately predicting the family leave policies of 92% of the state cases. The results suggest the importance of partisan control of state government, proportion of women in the state legislature, urbanization, and feminism as a state policy as factors that affect the probability that states will adopt mandated family leave policies. His research interests include American politics, public policy, and domestic political economy. He is editor of theAmerican Politics Quarterly, and is former President of the State Politics Section of the American Political Science Association. He received his Ph.D. from the University of Kentucky. Her research interests include family policy and women's labor force participation. She received her Ph.D. in Family Science from the University of Georgia.     

A Comparative Study of Social Policy Transfer

Abstract

Both the United Kingdom and Australia engaged in social policy transfer of anti-discrimination policy for people with disabilities in the 1990s with the adoption of new legislation whose structure and approach originated in the United States a decade earlier. This paper focuses on the extent of the convergence of disability policies between each country and the USA, and the variables that affected social policy transfer in each nation. By using a comparative approach, this paper allows for a better understanding of the processes and constraints involved in transferring social policy across nations.