Overlooked and under‐served? Promoting service use and engagement among ‘hard‐to‐reach’ populations

Cortis N. Overlooked and under‐served? Promoting service use and engagement among ‘hard‐to‐reach’ populations Social service providers strive to meet the needs of those most marginalised from society and from service systems. Yet many people who might benefit from available help consistently miss out. Using qualitative data, this study developed a repertoire of actions that organisations and service personnel can employ to improve participation and outcomes for groups who may be eligible for and may benefit from services, but whom service providers find difficult to identify, reach and engage. Semi‐structured interviews with service managers and coordinators of child, family and youth services in Australia attest to the diversity and context specificity of those who are deemed to be ‘hard‐to‐reach’. The research data highlight ways to improve reach and engagement in a managerialist context by refining organisational action in four strategic domains: overcoming access barriers, building client relationships, utilising networks and partnerships, and ensuring staff capacity and sustainability.     

Can Quasi‐market and Multi‐level Governance Co‐exist? Insights from the Case of Lombardy's Employment Services System

This article explores the functioning of Lombardy's networked employment services system, inspired by quasi‐market and horizontal subsidiarity principles, and specifically addresses a gap in the quasi‐market literature, where little attention is devoted to the role played by institutions at lower levels of government. A qualitative study of the Lombardy system, with a focus on the municipality of Milan, is relied upon in order to explore the extent to which the principles of quasi‐market and multi‐level governance pursued by the regional government are allowed to co‐exist in practice. Here, sub‐regional levels of government are directly involved in services provision, but enjoy a more privileged condition relative to the private providers, thereby jeopardizing the implementation of an effective quasi‐market. The article contributes to existing theories by suggesting that horizontal subsidiarity and marketization cannot neglect multi‐level governance in those sectors where public bodies at various levels of government are directly involved in implementation.     

Is Personalization the Right Plan at the Wrong Time? Re‐thinking Cash‐for‐Care in an Age of Austerity

As personalization has dominated the policy agenda for reform in social care, its roll‐out as a mainstream option has coincided with global programmes of austerity which have targeted services for disabled people. Was this simply bad timing or was its implementation always part of the agenda for reform? Whilst the principle of cash‐for‐care schemes drew strongly on promoting the independence and autonomy of disabled people, early incarnations of direct payments policy in the UK were initially at least in part rolled out in light of potential cost savings to social care budgets. This article explores these and other issues in light of evaluations of the Scottish government's self‐directed support (SDS) test sites (2009–11) and implementation of subsequent legislation enforcing models of SDS in Scotland from April 2014. Discussion draws on the authors’ recent book (Pearson et al. 2014) to reflect on what the evidence can tell us about radically transforming social care at a time of global austerity.     

Academic performance and peer relations among rural‐to‐urban migrant children in Beijing: Do social identity and self‐efficacy matter?

Due to the household registration system, millions of rural‐to‐urban migrant children in China are ineligible to receive urban social welfare benefits. These children potentially suffer from the evolving awareness of their perceived inferior social identity and experiences of inequalities at an early stage of life. This study examined whether self‐perceived social identity is related to academic performance and peer relations among rural‐to‐urban migrant children in Beijing. Data were collected from 136 children during 2013 and 2014 in three schools for migrant children in Beijing. Path analysis showed that children who identified as a Beijinger, compared with those who self‐identified with their rural hometown, had better self‐efficacy, which in turn was associated with better academic performance and better peer relations. Enlightened by Western theories, these findings suggest that migrant children’s performance in school could be enhanced by cultivating positive perceptions of their social identity through teachers’ practice and community‐ and policy‐level social support.     

Co‐producing innovation or innovating co‐production? Responding to the contact needs of non‐resident parents in the Republic of Ireland

The empowerment and participation of children and families in both the design and the delivery of services oriented towards them is now an accepted norm, if not always the accepted practice. Yet, challenges still remain, particularly where parents are separated and contact issues are problematic. Although contact centres are common in some Western countries including Australia, New Zealand, the UK, France, and the USA, this is not the case in the Republic of Ireland. The relatively recent introduction of divorce, increases in separation and childbirth outside of marriage have led to the need for service planners to respond to the growing issue of non‐resident contact with children. Using Bovaird's co‐production framework, the purpose of this paper is to outline and discuss specific findings relating to service user involvement emanating from a formative evaluation of an innovative supported contact service in Ireland. What emerges from the findings is a picture of co‐production where the broad parameters of the service are professionally defined and where the specifics of service user involvement in delivery vary from family to family but within the bounds of professional control.     

School‐to‐work transition in South Korean young adults: Stratified or Individualized?

This study examines the relationship between family background and school‐to‐work transition (STWT) patterns in South Korean young adults. The transition from school to work has been linear, a simple change in status from full‐time student to full‐time worker. In the recent past, however, segmented (unemployment) and unstable (frequent status changes) patterns (have been increasing). While individualization theorists propose that family background is no longer a strong influence on STWT, stratification theorists posit that family background still plays a key role in STWT. There are a few studies that examine these theoretical arguments using empirical data. The research question is whether nonlinear and low labor market attachment STWT patterns stem from a disadvantaged family background (i.e., parents with low levels of education or low family income). This study applies Group‐Based Trajectory Analysis (GBTA) to the Korean Labor and Income Panel Study (KLIPS). Results show that young adults from disadvantaged family backgrounds are more likely to have segmented and unstable STWT patterns compared to those from advantaged family backgrounds, suggesting that family background still plays a significant role as young adults prepare and enter the labor market. This study supports the use of stratification theory for understanding STWT in labor market uncertainty.     

Job satisfaction and ‘welfare‐to‐work‘: is any job a good job for Australian single mothers?

This exploratory study sought to assess the job satisfaction of employed Australian single mothers who had mandatory employment participation requirements. In particular, we sought to identify the characteristics of the job and the individual that were closely associated with participant's job satisfaction. Self‐report data on job satisfaction, employment characteristics and parenting stress were collected from 155 employed single mothers. Participant job satisfaction was compared to female Australian population norms and linear regression analyses determined the job‐related and individual predictors of single mothers' job satisfaction. Findings from this exploratory study revealed that single mothers involved in a mandatory welfare‐to‐work program experienced significantly lower job satisfaction than the Australian female population. The individual variable, parental distress, negatively predicted each of the six job satisfaction domains while being employed on a casual basis was inversely associated with three domains (job security, work hours and overall job satisfaction). The Australian government purported that making the transition from welfare to work would improve wellbeing for program participants, under the assumption that ‘any job's a good job‘. However, the relatively low levels of job satisfaction experienced by single mothers in the current study provide little support for this assumption.     

Treatment‐as‐usual in effectiveness studies: What is it and does it matter?

Andrée Löfholm C, Brännström L, Olsson M, Hansson K. Treatment‐as‐usual in effectiveness studies: What is it and does it matter? A hallmark of an evidence‐based practice (EBP) is the systematic appraisal of research related to the effectiveness of interventions. This study addressed the issue of interpreting results from effectiveness studies that use treatment‐as‐usual (TAU) as a comparator. Using randomised controlled studies that evaluate the effectiveness of multisystemic therapy as an illustrative example, we show that TAU includes a wide variety of treatment alternatives. Estimated treatment effects on recidivism suggest that TAU seems to contain a greater variation in underlying risk than experimental conditions, supporting the hypothesis that the content of TAU could affect outcomes. Implications for the realisation of an EBP are discussed.     

(A‐)typical and (in‐)secure? Social protection and “non‐standard” forms of employment in Europe

Atypical forms of employment (part‐time work, mini‐jobs, fixed‐term contracts and solo self‐employment) have gained in importance overall in recent years in many European countries. They are often part of an irregular career pattern and carry a high risk of unemployment. In a 6‐country comparison (Germany, the United Kingdom, the Netherlands, Italy, Denmark and Poland) we consider whether and in what way national social protection laws cover the various forms of non‐standard employment and the specific risks these entail. Significant variations were found in coverage standards and practices between countries as well as substantial variability within countries in their responses to different types of non‐standard employment. A need for further and improved coordination of both social legislation and tax law is identified.     

The State as a Norm‐Builder? The Take‐up of Parental Leave in Norway and Sweden

This study shows that although Norway and Sweden have rather similar family policies, the seemingly small differences that exist reflect different national ideals of care, and these differences encourage parents to employ different gendered moral rationalities. However, Sweden's ideal of ‘equal‐sharing/professional care’, encourages fathers to take longer leaves than the Norwegian ideal of ‘partial sharing plus choosing between professional or parental care’. Given their different national ideals of caring, different gendered moral rationalities emerge. While in Norway the dominant gendered moral rationality among our interviewees is ‘man‐doing‐his‐duty’, in Sweden two different rationalities arise: the ‘breastfeeding‐plus‐sharing’ rationality and the ‘male‐opt‐out’. This conclusion is based on 60 interviews with mothers and fathers in Oslo and Stockholm.     

Coexisting principles and logics of elder care: Help to self‐help and consumer‐oriented service?

Healthy and active ageing has become an ideal in Western societies. In the Nordic countries, this ideal has been supported through a policy of help to self‐help in elder care since the 1980s. However, reforms inspired by New Public Management (NPM) have introduced a new policy principle of consumer‐oriented service that stresses the wishes and priorities of older people. We have studied how these two principles are applied by care workers in Denmark. Is one principle or logic replacing the other, or do they coexist? Do they create tensions between professional knowledge and the autonomy of older people? Using neo‐institutional theory and feminist care theory, we analysed the articulation of the two policy principles in interviews and their logics in observations in four local authorities. We conclude that help to self‐help is the dominant principle, that it is deeply entrenched in the identity of the professional care worker and that it coexists with consumer‐oriented service and without major tensions in the logics identified in their practices.     

NDIS Self‐Management Approaches: Opportunities for choice and control or an Uber‐style wild west?

This article examines the emerging challenges and opportunities presented by self‐management options in Australia's National Disability Insurance Scheme (NDIS). We examine the three different ways in which NDIS participants can opt to self‐manage their funding and services, including direct employment and emerging Uber‐style online platforms, and explore the potential implications of these options for NDIS participants, service providers and the disability support workforce. In particular, we focus on these options in relation to the transition to a marketised services landscape being developed alongside the NDIS, and examine both the risks and opportunities for each stakeholder group. Through this analysis, we identify implications for policy and practice, in particular around regulatory mechanisms and the role of government within this emerging market economy and transforming service landscape.     

Killing the Golden Goose? Third Sector Organizations and Back‐to‐Work Programmes in Germany and the UK

Third sector, or not-for-profit, organizations have been viewed in many parts of Europe as agencies that can be harnessed by public policy programmes to support the socially excluded. Within the emerging mixed economy of welfare, third sector agencies offering training, support and employment for groups disadvantaged in the labour market provide an important example. This illustrates, from one specific field, the dynamics occurring at the interface between public and third sectors in the delivery of public policy goals. This article examines both the history of 'partnership regimes' in this field and the evolving local organizational arrangement. The developments in the contrasting welfare regimes of Britain and Germany, which exemplify different institutional traditions, are analysed. The potential impact of regulatory changes on the capacity of third sector work integration agencies to deliver policy goals is assessed in both countries using evidence from recent case study research. The analysis suggests that the emerging managerialist partnership structures are tending to convert third sector organizations into 'just in time' deliverers of poor programme outcomes in both welfare regimes while also eroding their distinctive potential to provide more than mere labour market integration.     

Does Size Matter? Comparing Medium‐Term Cost‐Effectiveness of Group Homes with Institutional Care in South Korea

Using unique 5‐year longitudinal data on Korean children in group homes and those under institutional care, this paper compared the medium‐term cost‐effectiveness of group homes and that of institutional care facilities in terms of developmental outcomes. Results from propensity score matching estimation show that children in group homes tend to have more desirable positive outcomes and fewer behavioral problems in the medium term to a statistically significant margin. The cost‐effectiveness ratio of being placed in a group home is consistently higher than placement in an institutional care facility. That is, for one dollar spent on an out‐of‐home care service, we anticipate the children in group homes have more desirable outcomes in the medium term than their counterparts in institutional care facilities.     

Mandatory Defined‐Contribution Pension Systems: Progress — or Regression?

While mandatory defined-contribution pension systems can be designed so that they are neutral or progressive in their effects on income distribution, a number of features they commonly contain are regressive. In determining whether a defined-contribution system is neutral or regressive, it is important to examine its actual features rather than a stylized version. Because administrative costs for managing financial accounts often are the same for large- or small-value accounts, there is a tendency for for-profit financial institutions to charge flat-rate fees or fees that, in relation to account balances, are higher for small accounts than for large accounts. These fees are one of the reasons why defined-contribution system tend to be regressive.     

Asylum‐seeking minors in interpreter‐mediated interviews: what do they say and what happens to their responses?

This study explored how asylum‐seeking minors report information when formally interviewed. Twenty‐six Russian‐speaking minors (mean = 16.0 years of age) were individually interviewed by officials assisted by one of 18 interpreters. A qualitative analysis of the responses was used to develop categories that were then analysed quantitatively to elucidate characteristics of the questions asked by the officials, the minors' responses to them and the accuracy with which the minors' responses were rendered. The asylum‐seeking minors distinguished themselves as active participants. They appeared eager to disclose relevant information despite being asked many potentially contaminating questions. Most of the children's responses were accurately rendered, but mistranslations can affect the fact‐finding process substantially. Both the minors and the officials involved in the asylum‐seeking process need to recognize that both the questions asked and the responses given may be influenced by the third parties involved, i.e. the interpreters.     

Does the unification of health financing affect the distribution pattern of out‐of‐pocket health expenses in Turkey?

Turkey has implemented health reforms for over a decade and has taken significant steps toward unifying health financing. This study investigated the financial burden associated with out‐of‐pocket (OOP) expenditures under universal health coverage, using national 2003–2015 household budget data from the Turkish Statistical Institute. Progress was evaluated using Kakwani–Suits indices and Lorenz concentration curves. The results indicate that overall, more than a decade after its unification, redistribution of wealth in the Turkish health financing system has benefitted the wealthy but not the poor. Both curve and index approaches (Kakwani index 2003 = ?0.50; 2015 = ?0.44) reveal an increasingly regressive pattern of OOP health expenditures. The effective use of fiscal space and good political leadership are essential for the successful continuation of reforms to combat poverty in Turkey.