Social europe,social citizenship,and social services

The article begins by considering moves to establish Social Europe, alongside the European Unions single market, and the emphasis within the formulation of Social Europe on an employment-based model of social citizenship. This employment-based model is considered to be too limited for application to the social services. Accordingly, two other models are placed within the context of continuing European debate. These models are termed state clienthood and state-sponsored consumerism. The social democratic model of state cli-enthood is considered to be flawed by its neglect of the power exercised by the state over users of social services and by its lack of concern with individual needs. The potential of state-sponsored consumerism to open up questions concerning the rights of users of social services and responsiveness to their individual needs is explored and the conclusion is reached that, despite its inauspicious beginnings as part of the New Rights reform programme, this model has possibilities for enhancing social citizenship. Procedural rights offered by state-sponsored consumerism not only can extend social citizenship within existing social services provision but also can serve as a precursor to the wider participation of citizens in the social services, as the site of a continuing struggle around their rights.     

Developing our understanding of young people and drugs

SUMMARY. Many youngsters use drugs illicitly or illegally. They can therefore no longer be considered part of a small minority of delinquents. Still larger numbers of young people use alcohol or tobacco. However, most young people have not used drugs illegally and most have a negative attitude towards drug use. The author thus argues for more involvement of young people in prevention schemes, as they are more likely to be listened to by the target audience The article goes on to argue for variety in service provision in response to the changing nature of drug use and drug users. A. careful eclecticism should lead to co-operation between services, availability of alternatives to drug use and the involvement of the wider community     

‘Imposed unknowns’: a qualitative study into the impact of Independent Living Fund closure on users

The Independent Living Fund (ILF) was a non-departmental public body funded by the Department for Work and Pensions. An efficient and popular system of support, the ILF enabled 46,000 people between 1988 and 2015; however, in 2015 the Fund closed and local authorities (LAs) assumed sole responsibility for supporting former ILF users. This article presents the experiences of 12 former ILF users as they transition from ILF to LA support. We focus on participants’ experiences of ILF and LA support, their transition from ILF to LA support, and the emotional impact of transition. Participants were universally positive about their dealings with the ILF, whilst nearly all were worried about LA provision. For most participants, the process of transfer was not smooth; participants received insufficient information and poor communication from LAs. Participants expressed anxiety and uncertainty over the future and these feelings were exacerbated by the actions of LAs during transfer.     

Reviewing Respite Services: some lessons from the literature

Although the community care reforms raised the profile of respite services for adults with learning disabilities, little is known about the character of respite provision in Britain. This lack of information is compounded by the way the literature about respite is dispersed across user groups and is often restricted to particular types of services or to specific localities. In order to highlight some of the key issues associated with respite, this paper draws on a wide range of literature. Regardless of differences in terms of the service user groups, common themes are identified which are relevant to service planning and provision for adults with learning disabilities. The paper discusses these themes and argues that a break with the traditional notion of respite as primarily a way to relieve carer burden is long overdue. Adopting the perspective of the primary service users affords the opportunity to re-think respite services.     

The Everyday Drama of Coproduction in Community Mental Health Services: Analyzing Welfare Workers' Performance as the “Undercover Agent”

Current welfare policy encourages “coproduction” between citizens and welfare workers so that “lay expertise” effectively becomes part of the provision of services. Drawing on fieldwork from Danish mental health services, this article analyzes how expertise and authority are organized and performed in a network linking welfare workers and users as well as new participants (e.g., volunteers) and artifacts. Theoretically, the article employs Goffman's dramaturgical distinction between “frontstage” and “backstage.” The findings indicate that welfare workers coproduce services by covering their authority and expertise in “frontstage” meetings with users. However, relational and material resources in encounters “backstage” make welfare workers appear as accountable experts, which both fosters and threatens their credibility.     

Voluntary After‐School Alcohol and Drug Programs for Middle School Youth: If You Build it Right,They Will Come

Few after‐school programs target alcohol and other drug (AOD) use because it is difficult to encourage a diverse group of youth to voluntarily attend. The current study describes CHOICE, a voluntary after‐school program which targeted AOD use among middle school students. Over 4,000 students across eight schools completed surveys and 15% participated in CHOICE. Analyses indicated that there were some differences between CHOICE participants and nonparticipants. For example, African American and multiethnic students were more likely to attend. Past month alcohol users were more likely to initially attend, and marijuana users were more likely to continue attendance. Thus, CHOICE reached students of different racial and ethnic groups and attracted higher risk youth who may not typically obtain prevention services.     

'E-health': the internet and the transformation of patients into consumers and producers of health knowledge

This article analyses the use and production of health information on the Internet. The paper will show that users of health services have also become significant providers of health information and advice. This analysis is based on two studies. The first involved a qualitative study of households that used home computers to find health information on the Internet. The second piece of research involved the examination of home pages that contained accounts of ill health and an e-mailed questionnaire to home page authors. Drawing upon this research the consumption of health information is examined and related to how users make discussions about their health. This is followed by an analysis of the provision of health information on home pages. It is shown that these include web sites that provide simple accounts of an individual illness as well as sites that advocate a particular approach to health or offer services and products. The interweaving of personal experience with advice is considered and linked to debates about the quality of health information on the Internet and the reconfiguration of 'expertise'.     

Ethnicity and Ageing in Singapore

This article examines ethnic differences in the ageing phenomenon in Singapore, emphasising the socio-economic characteristics of elderly Malays. Poverty among elderly Malays is disproportionately high. The adequacies of the social security policy, especially the Central Provident Fund, in the provision of financial protection and retirement income for elderly Malays are explored. The government's strategy of shifting elderly care to the family and ethnic community will further undermine social cohesion by intensifying Chinese chauvinistic attitudes toward the minority groups, especially the Malays, hence, deepening the divisions among ethnic groups. State policy that highlights ethnic differences creates in-group posturing, which promotes a notion that the Chinese are a different species and culturally superior to other ethnic groups.     

Developing Responsive Preventative Practices: Key Messages from Children's and Families’ Experiences of the Children's Fund

As part of the prevention and social inclusion agenda, the Children's Fund, set up in 2000, has developed preventative services for children at risk of social exclusion. Drawing on a large qualitative dataset of interviews conducted in 2004/05 with children, young people and their parents/carers who accessed Children Fund services, this article analyses key practices and approaches valued by children and parents. These included: specialist support tailored to individual support needs, family‐oriented approaches, trusting relationships with service providers, multi‐agency approaches and sustainability of services. Finally, the article draws out key lessons for the future development of preventative services.     

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.     

Survival and Abuse: What We Can Learn From It

This article is about a journey involving survival, abuse and learning. It is written by two people who have considerable experience of being involved with mental health services; both are currently making an active contribution to social work education. It describes the way in which, in situations of survival and abuse, service users can use their experience and knowledge to learn how to support and advocate for each other. It suggests that the relationships that are built between service users as a result of these experiences can be used to address some of the gaps in service provision. At the same time these relationships can provide mutual learning which can be used to improve the education and training of social workers and other professionals.     

Who Contributes to the Provision of Public Goods at the Community Level? The Case of Potable Water in Ghana

This article offers an analytical framework to explain participation in the provision of drinking water in communities in Ghana along with empirical evidence of the individual factors that influence this provision. Framed in the context of the debate about the devolution of responsibilities from the government to the users of public goods to increase management efficiency and sustainability, the study analyzes how individuals respond to potable water participation activities. Distinguishing activities by the type of participation incentives they offer, the study finds that social exclusion is more likely in activities that lack effort complementarities and which have larger impacts on output allocation. Appropriation of social benefits is found to determine participation more strongly than the appropriation of the natural resource itself.     

Co-Production in the Context of Finnish Social Services and Health Care: A Challenge and a Possibility for a New Kind of Democracy

Alongside the ongoing renewal process of the Finnish welfare state, the role of the citizens is also revisited. So far the attention has mainly focused on how the responsibility for service provision is shared between the public sector and the service users, while the role of public services as a part of the democratic system has been more or less ignored. Based on the results from a 3-year participatory action research project called KAMPA, this article will discuss if the development of co-production in the context of public welfare services shows the way forward toward a new kind of society where democracy is an inseparable part of the structures and procedures of the service provision. The data gathered during the project (textual material, interviews, notes from meetings, and observation diaries) are analyzed using thematic analysis. The results show that while legislation and official policies strongly highlight the participation of citizens and service users, there are still many obstacles to overcome at both the attitudinal and practical level. The development of co-production and arenas of a new kind of democracy requires continuity in the attempts and recognition of the achievements, but it also has the potential to demonstrate the way in which a new more lively democratic society can come true in practice.     

Communications Technology—empowerment or Disempowerment?

Developments in communication technology can reduce dependence on others and facilitate independent living for disabled people. Recently developed telephone-based services allow users to call up help quickly, as and when they need it. But the dominant model of provision emphasises vulnerability, assumes a need for protection and imposes rules about appropriate use. The article identifies the influence of manufacturers and providers of communication alarms in perpetuating paternalistic approaches to services for older disabled people and limiting the potential for user determination of need. Emergent models which aim to facilitate user-control face low expectations among users, the entrenched attitudes of providers and the dominance of the market in influencing practice. The mixed economy of social care is likely to increase the gap between providers' interests and users' needs.     

The savings approach to financing long-term care in Singapore

Singapore is grappling with provision of services for the current generation of older people at the same time as building the foundation for the coming generations of elderly. In this article, I analyze four sets of factors that are shaping long-term care policy and financing in ways that are almost unique to Singapore. First, current developments can only be understood in the context of the Central Provident Fund (CPF) that was established by the Government of Singapore in the 1950s to ensure that the working population saved for retirement; the Medisave and related schemes for financing health care were subsequently developed alongside the CPF. Most recently, the existing funding arrangements have been extended to some long-term care services, and options for further extensions are under consideration. Second, the government's philosophy of maintaining the primacy of family support for the elderly has been expressed through a number of initiatives that provide financial and other incentives to families, combined with an emphasis on community care. The third factor is the relationship between government and the voluntary welfare organizations that are the major providers of institutional and community services. Finally, a series of government-sponsored reviews and advisory councils have provided for widespread consultation on policy options. These developments are directed to achieving a multi-pillar approach in which intergenerational transfers through taxation will be limited, and the role of individual savings and insurance will be increased.     

Disability and employment: towards an understanding of discourse and policy

This article explores the nature of disability employment policy drawing on evidence from fifteen countries. In line with earlier sociological approaches to disability it describes two ways of framing policy in the area. These two paradigms are developed and used to critically evaluate employment policy under the headings: legislative measures, open employment-financial employment support services and sheltered/supported provision. The dilemmas that may arise during implementation of policy are discussed and the consequences for the construction of an emancipatory employment policy. Finally, the article suggests some themes or dimensions that a coherent disability policy should have.     

Nonprofit governance during organizational transition in voluntary associations

This explorative field study examines the governance challenges that voluntary associations face in the transition from an internal focus on members to the provision of services to mainly nonmembers. This transition is an important stage in the life cycle of many associations. A qualitative research design was used to study five Swiss patient organizations. This article describes the transition process in terms of five main management challenges: different target groups, self‐help group versus competence center, cooperation, fundraising, and transparency. It then examines the implications for four governance aspects that confront managers and board members: recruitment and selection of board members, tasks of the board, relationship between the board and managing director, and the role of the general assembly of members.     

Child welfare services and delinquency: the need to know more

This article describes the need for a better understanding of the moderating effects of child welfare services on delinquency. Although juvenile delinquency is a commonly studied issue, researchers have paid little attention to the degree to which child welfare services may be associated with changes in subsequent delinquency rates. Emerging evidence suggests that for certain groups of maltreated children, such as children of color and females, certain child welfare services are associated with variations in risk of delinquent outcomes. The article discusses key methodological, theoretical, and policy implications that help guide further research in this area.     

Personal Assistance for People with Intellectual Impairments: experiences and dilemmas

The article gives an account of how personal assistance is adapted to people with intellectual impairments in Norway and the experiences with the arrangement for this target group. Most space, however, is given to a discussion of the challenges and dilemmas of including people with intellectual impairments in the target group for personal assistance, since other people than the user as a rule fill the role as manager of the service. Special attention is paid to the parents' role since they often act as managers on behalf of their sons/daughters. Furthermore, the assistants' role is discussed and the importance of how they meet the users. Finally, there is a discussion of the consequences the extension of personal assistance to intellectually impaired users might have both for personal assistance as a service and for the ordinary care services.