Contestability and social justice: The limits of competitive tendering of welfare services

Abstract

This paper critically analyses competitive tendering as a model for the provision of welfare services. Competitive tendering, driven by National Competition Policy and other imperatives for greater efficiency and a smaller public sector, is now used extensively by governments to fund welfare services. However, the suitability of this funding model to welfare services generally, and specifically welfare services in non-metropolitan areas, can be criticised on both theoretical and empirical grounds. Competitive tendering is grounded in economic rationalist, urbo-centric assumptions that are largely inappropriate for welfare provision, and have limited validity in rural areas. There is little rigorous empirical evidence of improved efficiency and effectiveness of service delivery under this model. Conversely, there is mounting evidence about the negative impacts. In rural areas this includes the erosion of community service obligations, less collaboration and greater secrecy between agencies, the reduction of choice, limited opportunities for local planning, cost shifting, and threats to continuity of care. This paper concludes with a call for greater application of the ‘public benefit’ test under the provisions of the National Competition Policy, and the development of more sophisticated frameworks for assessing the contestability of welfare services. Social workers have a leading role to play in challenging the dominant ideology of competition-orientated welfare reforms.     

Transnational social workers in statutory child welfare: A scoping review

Internationally, child welfare services experience chronic workforce shortages and high rates of staff turnover. One strategy adopted to fill critical workforce gaps is the international recruitment of social workers. Child welfare employers in Australia, New Zealand and the United Kingdom have a shared tradition of recruiting transnational social workers to address ongoing labour shortages in the Northern and Southern Hemisphere. This raises questions about the impact of this practice for those migrating social workers and about practice with indigenous populations. This paper scoped publications to identify emerging themes about social work movement between these countries, with a focus on knowledge that can prepare transnational social workers for the unique Australian context, including working with Aboriginal and Torres Strait Islander communities. The review found that international recruitment to statutory child welfare in Australia is not well researched, with limited evidence about the profile of recruits, the effectiveness of this strategy and retention rates. The demographics and experiences of overseas qualified social workers in child welfare over the past 40 years in the various Australian jurisdictions remain relatively unknown. There are major gaps in knowledge about the ways international recruitment affects outcomes for children, and their families, in Australia's statutory child welfare services delivery.     

Neoliberalisation,the social investment state and social work

ABSTRACT

This article focuses on the challenges to social work evolving from two major discourses contributing to the common sense contextualising social work within the new spirit of capitalism and the governing of the soul. Beside neo-liberal ideas and values challenging social work values and the welfare state, the question is also about managerialism. To what extent is the social worker able to contribute to liberating, reflexive critique, or exert pastoral power? I have chosen to see how the idea of the social investment state may be linked to Rose’s and Foucault’s ideas about expanding governmentality and end my discussion by relating to some of the early writing on social work’s challenges in confronting ideas and practices interpreted as neoliberalisation moves.     

From local to global: Making social policy more effective for rural community capacity building

Abstract

In the context of a discussion of globalisation this paper examines developments in social policy aimed at building civil society and enhancing social capital. It notes that policy driven by a desire for minimal government intervention and market dominance has resulted in a clear disadvantage in rural Australia and growing inequities between urban and rural communities. Clearly poverty has a postcode and overwhelmingly the postcodes are rural. At the same time the demography of ‘rural’ Australia is changing as the inland empties and the coastal regions experience population overload with its accompanying environmental problems. This paper discusses the need for more effective targeted involvement of the state in rural policy development if we are to preserve quality of life, address inequities and overcome the divide between city and country. There is a strong role for social work in forging rural community development. However, the profession has to be much more politically astute in its dealings with governments and community groups if it is to carve out a central role. Strategies are discussed to develop such a role.

Margaret Alston is an Associate Professor in social work and is Director of the Centre for Rural Social Research at Charles Sturt University, New South Wales. She is a Director for the Foundation for Australian Agricultural Women, a member of the Advisory Board for the Social Sciences Unit, Bureau of Rural Sciences, a member of the Board of General Practice Education Australia and on the Editorial Committee for Australian Social Work     

Marrying the social and the biological? A rejoinder to Newton

Marrying the biological and the social raises a complex series of issues that defy easy answer or simple resolution. In this brief rejoinder to Newton's (2003 ) recent paper in this journal –‘Truly embodied sociology: marrying the social and the biological?’– I take up some of these issues through: (i) a restatement of my own position in these debates and the broader sociological context within which it is located; (ii) a discussion of various problems and tensions within Newton's own critique of this ‘nascent material‐corporeal’ project to date. Newton's paper, it is concluded, is a welcome, timely and topical contribution to these (evolving) debates, though any such ‘dispute’ is probably more apparent than real: a case, in short, of reinforcing arguments about the complexity of these relations and the consequent need to ‘tread warily’.     

Making Continuing Professional Development Relevant and Accessible in Regional Social Work

ABSTRACT

Continuing professional development (CPD) is an integral component of quality social work practice (Australian Association of Social Workers, 2013). Despite this, there is a lack of knowledge around the perceived needs and challenges of accessing CPD for rural and regional social work practitioners. This research explored professional development education needs and challenges for rural social work practitioners. The findings revealed an increase in complex cases in practice leading to the need for more training in mental health, legal aspects, and therapeutic interventions. Strong demand for CPD was evident, with a preference for face-to-face training instead of online modules. In the face of persistent challenges some innovative solutions were possible from a partnership between service providers, higher education providers, and the professional body to better meet the needs of the rural social work practitioners.

IMPLICATIONS

• Increasing complexity in rural, regional, and remote social work practice has placed extra demands on the knowledge resources of social workers.

• Continuing professional development (CPD) must be relevant and readily accessible to meet the needs of those who practice in these areas.

• Partnerships between agencies, higher education providers, and professional bodies, along with the use of technology can increase accessibility for rural, regional, and remote social workers.

     

Instrumentalism,knowledge and gender in social work

Abstract

The new public sector managerialism of the 1990s has introduced a profound cultural change within social work organisations. It involves a substitution of knowledge which is primarily instrumental in character for the discursive, interpretive and reflexive knowledge on which social workers have traditionally relied in client-centred practice. This paper draws on perspectives from critical theory and psychoanalysis and argues that, despite the apparent neutrality of managerialist discourse, it is both ideological and gendered. It encourages the construction of rigid socially structured defence systems within welfare organisations and is inimical to the kind of thought which can engage with interwoven emotional and material needs to develop reparative practice. Furthermore it is in danger of undermining precisely those forms of supervision that can sustain professionals in the face of the emotional impact of relationships with distressed and damaged people.     

Psychotropic medications in child welfare: From federal mandate to direct care

Background and objectiveChildren in the welfare system are prone to uncoordinated and unmonitored mental health care, including psychotropic medications. To address these issues, federal legislation mandated that state child welfare agencies improve the coordination and oversight of psychotropic medications. However, there is no clear guidance on how to improve these practices, particularly at the level of direct care. We aimed to identify specific areas for improvement through state-wide surveys of four groups.MethodsWe surveyed all known members of four groups working directly with children in foster care in one small northeastern state. Respondents included 209 foster and adoptive parents, 169 child welfare staff, 84 mental health therapists, and 33 clinical prescribers. Survey items addressed practices and perceptions related to sharing of information and cross-system communication and monitoring of medication effects and side effects.ResultsNearly two in five foster and adoptive parents reported not regularly receiving information about the purpose or side effects of psychotropic medications, and they disagreed among themselves on who was primarily responsible for monitoring safety and effectiveness. One-third of child welfare staff and two-thirds of mental health therapists reported that information about psychotropic medications is not regularly shared with the child's provider team. Half of clinical prescribers reported not regularly communicating with child welfare staff.ConclusionsWe identified specific areas for improvement related to communication, sharing of information, monitoring, and role clarification. Strategies to improving these activities are key to ensuring the safe and effective use of psychotropic medications in this population.     

Case Management in Rural Australia: Arguments for Improved Practice Understandings

Abstract

This article is principally concerned with case management and rurality in the Australian context. While there is substantial literature exploring case management across disciplines and across contexts, there remains a substantial gap in knowledge in relation to the role played by rurality in case management practice in Australia. An emerging body of knowledge associated with human service delivery in rural Australia under the stewardship of authors such as Alston, Cheers, and Lonne, offers valuable links between rurality and human services and draws attention to the specificity of rural work. However, there remains a gap in knowledge about how rural specificity impacts on case management practice in the political, cultural, and socioecological context that makes up rural Australia. Thus, the aim of this paper is to reflect upon contemporary knowledge of rural case management in the light of current literature and emerging trends, and to provoke interest in this topic as an area for further discussion and research.     

Knowledge cybernetics: a new metaphor for social collectives

Abstract

Knowledge cybernetics is principally concerned with the development of agents like autonomous social collectives that survive through knowledge and knowledge processes. Deriving from epistemological antecedents created by Stafford Beer and explored through notions of ontology by Eric Schwarz, a new form of knowledge management arises that is connected with the notions of Marshall and her new radical classifications for knowledge. These ideas can be closely associated with concepts of lifeworld and the ideas of communicative action by Habermas, and leads to a useful knowledge cybernetic framework. This has the capacity to relate to and develop a variety of what might be thought of as otherwise disparate theories that can ultimately be expressed in terms of knowledge.     

Rural social workers and their jobs: An empirical study

Abstract

Results are reported from a national survey of 194 social workers commencing rural positions in Australia in 1994 and 1995. This paper focuses on: practitioner, position and community characteristics; which location the practitioners came from; their professional, rural practice and rural living experience; preparation for the positions by employers and educators; satisfaction with rural work and life; and anticipated length of stay. Results challenge myths about rural social workers and support key themes of rural practice literature. Respondents were mixed with respect to age and experience, scattered widely throughout Australia in different-sized communities, mostly living and working in the same communities and engaged predominantly in generic practice. There appears to be a pool of rural practitioners in Australia who are committed to living and working in rural places. Implications are developed for practice, employers, the profession, professional education, research and theory. Tentative explanations are offered for high rural staff turnover.     

Digital remediation: social support and online learning communities can help offset rural digital inequality

ABSTRACT

While all students enter college with varying levels of digital skills, those from rural areas may face extra challenges because their own skills and those of their pre-college networks may be underdeveloped. Without some type of intervention, digital deficits can perpetuate further educational disadvantages. We developed an online learning community (OLC) in two sections of an introductory college course and integrated collaborative learning into students’ weekly activities. Regression analysis of survey data (N?=?373) shows three impacts: access to social support is associated with higher skill assessment and improvements in digital skills; rural status is associated with a clear and significant disadvantage in digital skill assessment; and that involvement in an OLC contributed substantially to improvements in digital skills. We conclude with limitations and considerations for future research.     

Video conferencing applications in social work: Work locally,think globally

Abstract

Video conferencing is a technology that facilitates the provision of high quality education, health-care and consultation to clients and families served by rural area health professionals via visual and audio transmissions. It also plays an important role in the education, and training of rural health professionals and the development of a multidisciplinary team dialogue between rural and metropolitan partners. This paper describes our experience of a video conferencing program conducted at the Goulburn Valley Mental Health Service and St George's Older Persons Mental Health Service. We have found a number of benefits of this technology for clients, their families and for health professionals themselves. The development of expertise in the use of video conferencing technology has empowered social workers in their work places. Video conferencing has been extended to other aspects of social work practice. A pertinent example of this is the use of video conferencing in Guardianship and Administration hearings for patients who would otherwise be unable to attend because of health problems (physical, mental and mobility).     

Coming Events

Abstract

In Australian Social Work, June 1992, Cheers gives an overview of ‘Rural Social Work and Social Welfare in the Australian Context’. This is an important contribution to our understanding of working in rural and remote areas in Australia. Over the past five years Cheers, through his published articles, has been instrumental in increasing our knowledge base of the requirements for social workers to be effective in these areas. In giving an overview it is not possible to discuss some of the problems in implementing the ideas presented by Cheers. It is the purpose of this article to extend Cheers' article by discussing the difficulties faced by social work(ers) in rural and remote areas as well as making suggestions for the development of social work practice in rural and remote areas.     

User satisfaction surveys and cognitive question testing in the public sector: the case of personal social services in England

Obtaining feedback from service users is a key element of the UK Labour Government's agenda for modernization of the public sector. This reflects a growing international trend in Europe and North America. Recognized difficulties in taking an approach to performance assessment based on the concept of user satisfaction are outlined. Ascertaining the views of people who use personal social services poses particular challenges which result from the levels of impairment and illness in the population, local variations in service provision and the 'care and control' functions of social care. It is argued that cognitive testing of questions, based on research knowledge about user views, provides a way of overcoming some of the pitfalls of traditional satisfaction surveys, while developing questions that are meaningful to respondents. The origins and principles of cognitive testing are described, followed by an example of their application in the development of a questionnaire for home care users. Strengths and limitations of the approach are identified.     

Teaching ethnicity in social work education: teachers’ experiences in Sweden

ABSTRACT

The shifting demographics that come with migration and globalization have changed the settings for social work education in Sweden. To promote sustainability in a diverse society, strategies for inclusion and equality are essential in the development of core competencies in social work. One essential question is how social work education has responded to the demographic changes. The study aims to contribute with knowledge about how ethnicity is conceptualized in Sweden and to describe the impact the subject has on teaching forms and strategies. More specifically, the study investigates university teachers’ expressions of their teaching practices about the concept and addresses the faculty members’ narratives about the teaching situations. The study concludes that the lack of a coherent academic context for teaching ethnicity leads to the development of individual approaches by the teachers and a personalization of the issue of ethnicity in social work education. This creates a limitation on how structural elements come into play in relation to ethnicity, and in turn, leads to a shortage of a critical analysis of the construction of social problems where ethnicity plays a fundamental role. These circumstances precede theoretical perspectives on social problems related to ethnicity, migration, transnational relations, globalization, and racism.     

Analysis of social innovation on social networking services

ABSTRACT

Social network services are allowing more social connectivity and making possible sharing information and knowledge of a different nature. This article analyses if social workers related to active social policies from Malaga province (Spain) are using social network services to share information and knowledge and if there is a mirror between online and offline relationships. Since it is an experimental model, through virtual ethnography and through social network analysis methodology, we observed the presence, connectivity and analysed the structure of relationships that keep 235 professionals from 52 organizations in Facebook®. Moreover, the model uses the statistical technique of modularity for detecting online communities, which are compared with distribution of professionals in their organizations. Results show how social network services applied to social intervention are massively and frequently used by professionals. On the other hand, the detected communities reflect existence of analogy between online and offline relationships. The online structure shows a high degree of cohesion and how certain professionals have higher capacity of influence and diffusion depending on position in the online structure. It argues about the opportunity to incorporate social network services towards social intervention as a manner of social innovation to improve cooperation and diffusion of information and knowledge.     

Social Capital,Knowledge, and the Environment: The Effect of Interpersonal Communication on Climate Change Knowledge and Policy Preferences

Abstract

This article contributes to the literature on social capital and the environment in two ways. First, we identify a relationship between interpersonal discussion networks and assessed and perceived individual scientific knowledge. We then examine if knowledge mediates the relationship between discussion networks and policy preferences about climate change (CC). Using nationally representative survey data, we examine the extent to which an individual’s interpersonal discussion network is related to knowledge on CC and support for CC policy. We find those who discuss climate have higher levels of perceived knowledge, but discussion is not related to individuals’ levels of assessed knowledge. We also find that knowledge does not fully mediate the relationship between discussion and policy preferences, implying that interpersonal discussion may influence CC policy preferences independent of perceived and assessed knowledge. We conclude with remarks about the importance of knowledge perception as well as offer some avenues to extend this research.     

Disciplinary knowledge revisited: The social construction of sociology

In Making Science (1992) I make the distinction between two types of knowledge: research frontier knowledge and core knowledge. Core knowledge is the small body of knowledge for which the entire scientific community treats as indisputable facts. The research frontier is all new knowledge which makes claim to being facts but in practice there is no consensus on this knowledge. The two types of knowledge are linked together by the evaluation process. Most frontier knowledge turns out to be insignificant and is ignored. A small part of frontier knowledge is taken as candidates for the core and evaluated. Most of this knowledge turns out to be “wrong.” Thus the important data of Jacobs ( 1989) loses a good deal of its impact because he forces it into a theory which he calls “social control”: a theory for which there is no evidence. Stephen Cole is professor of sociology at the State University of New York at Stony Brook. He is the author of Making Science: Between Nature and Society and, with Jonathan R. Cole, Social Stratification in Science. Stephen Cole is professor of sociology at the State University of New York at Stony Brook. He is the author of Making Science: Between Nature and Society and, with Jonathan R. Cole, Social Stratification in Science.