Building Community Capacity to Advocate for Policy Change: An Outcome Evaluation of the Neighborhoods Working in Partnership Project in Detroit

This article presents results of the outcome evaluation of Neighborhoods Working in Partnership (NWP), a community-based participatory research project of the Detroit Community–Academic Urban Research Center, designed to enhance policy advocacy skills through training and support, thereby increasing community capacity, engagement, and empowerment of Detroit residents to change policies. Focus groups and conversational interviews were conducted with NWP participants. Results indicate that the workshop empowered participants and enhanced dimensions of community capacity. Participants reported engaging in policy advocacy activities and various policy successes. Participants identified challenges and facilitating factors to their policy campaigns. Recommendations for similar trainings are provided.     

No Overall Control: Experiencing Community Development in Rural Britain

The publication is a welcome addition to the limited sourcesof literature available to community-based practitioners generallyand particularly to those working in rural areas. ‘NoOverall Control’ aims to explore the reality of communitydevelopment in rural Britain, through a series of stories thathighlight the conflicts and tensions that appear to be a featureof rural change. The book starts with an outline of the issues, policy contextand the increasing though still underdeveloped research basearound community activity and community involvement in ruralareas. It then takes a micro level     

Qualitative examination of rural service provision to persons with concurrent developmental and mental health challenges

Although there has been an international trend away from institutionalization to community-based care, this has not always been successful, particularly for the unique and vulnerable population diagnosed with both mental health and developmental disabilities. The challenge of meeting the needs of this population is increased in rural and remote areas. As a part of a larger study, this paper reports on the voices of service providers for people dually diagnosed as they maneuver through the considerable challenges of meeting complex needs while located in remote northern communities. The complexities of rural service provision for those with a dual diagnosis of mental illness and developmental disability is also highlighted and includes challenges of northern living, difficulties in diagnosis, and system level issues. This paper confronts the inequities in provision of effective community-based services to this population and draws attention to the need to support and develop local, integrated services in order to build inclusive communities for all.     

Misrepresenting Communities: The Politics of Community-Based Rural Ecotourism in Gales Point Manatee,Belize1

ABSTRACT While the celebration of community in conservation provides legitimization to contest centrist and coercive protected area management strategies, representations of community in resource management writings and in particular strategies such as ecotourism, are often based on simplistic images and generic models that ignore politics. Based on research in a community-based rural ecotourism project in Gales Point Manatee, Belize, from 1992–1998, the paper provides concrete examples of how the politics of class, gender, and patronage inequities limit the co-management of ecotourism associations, equitable distribution of ecotourism income, and support for conservation regulations across the community. Attention to multiple interests and identities within the rural community and their relationships to external actors, political institutions, and national policies are critical to understanding the challenges facing community-based conservation in Belize and demonstrated the relevance of such attention elsewhere.     

Urban/rural elderly health status differences: the dichotomy reexamined

Health policy research analyzes urban/rural differences as a simple dichotomy. Research characterizes the rural elderly as having a higher incidence of sickness, dysfunction, disability, restricted mobility, and acute and chronic conditions than their urban counterparts. However, population density as a dichotomy may obscure urban, rural, or urban/rural differences. Interviews measuring health status were conducted with a representative sample of 2,300 elderly people in six Northeastern Ohio counties constituting an urban/rural continuum. On medical condition, use of medical aids, and symptoms, health status improved significantly when moving from rural to urban, but correlations were small. Using dichotomies, urban elderly reported fewer medical conditions and symptoms than rural elderly, but four other health-status variables revealed no significant association and results differed depending on how dichotomies were defined. When individual communities were compared few urban/rural patterns emerged. Controlling for demographics did not change interpretations. Findings question blanket assertions about urban/rural health-status differences. Medical resources may be misallocated. Rather than assuming poor health status among the rural elderly, researchers must verify differences through community-based research.     

European challenges in delivering social services in rural regions: a scoping review

This article presents an overview of the challenges facing the diverse rural regions of Europe in delivering social services to its citizens. This is at a time of significant socio-economic and demographic change in Europe. Changes include the impact of globalisation, European integration, population ageing, international and regional migration and restructuring of employment. The uneven impact of change is transforming rural regions in different ways. The article uses findings from a scoping review of the literature that explored different definitions and policy dimensions of the term ‘rural social services’. A desktop search was undertaken of social services and rural policy literature published in the English language, from 1996 to 2007, and the limitations of this are acknowledged. This narrative review aims to scope the broad nature of challenges facing rural regions with regard to social services provision. The findings are grouped in sections exploring definitions, common trends and debates, key questions and underlying paradigms. The article concludes that policy makers and social work professionals may find it useful to take a wide view of existing literature while recognising that it is often limited and compartmentalised.     

Harnessing the community sector

The aim of this paper is to evaluate critically the prevailing policy approach that seeks to cultivate the community sector by the ‘third sector’ route of developing existing community-based groups. Analysing the extent and nature of participation in the community sector using both secondary data from the 2000 General Household Survey and primary data from a case study of the community sector in rural England, the finding is that a culture of participation in ‘third sector’ groups is relatively alien to lower-income populations and that such groups are much more used by relatively affluent populations for the purpose of developing their social networks. If the intention of harnessing the community sector is to improve the material circumstances of lower-income populations, a third sector approach of developing existing community-based groups is thus found to be inappropriate. Instead, it is argued that a ‘fourth sector’ approach is required. This seeks to further cultivate the prevailing culture of participation in one-to-one reciprocal exchange that is predominantly used by lower-income populations to improve their material circumstances. The paper concludes by outlining how this might be achieved.     

Urban/Rural Elderly Health Status Differences

Health policy research analyzes urban/rural differences as a simple dichotomy. Research characterizes the rural elderly as having a higher incidence of sickness, dysfunction, disability, restricted mobility, and acute and chronic conditions than their urban counterparts. However, population density as a dichotomy may obscure urban, rural, or urban/rural differences. Interviews measuring health status were conducted with a representative sample of 2,300 elderly people in six Northeastern Ohio counties constituting an urban/rural continuum. On medical condition, use of medical aids, and symptoms, health status improved significantly when moving from rural to urban, but correlations were small. Using dichotomies, urban elderly reported fewer medical conditions and symptoms than rural elderly, but four other health-status variables revealed no significant association and results differed depending on how dichotomies were defined. When individual communities were compared few urban/ rural patterns emerged. Controlling for demographics did not change interpretations. Findings question blanket assertions about urban/rural health-status differences. Medical resources may be misallocated. Rather than assuming poor health status among the rural elderly, researchers must verify differences through community-based research.     

Estonian social policy: from Soviet heritage to understanding the principles of deinstitutionalization

Deinstitutionalization is a key issue in the field of social policy. The community-based services movement has challenged the role of institutions as far back as the 1950s, but it is a relatively new development in Central and Eastern Europe. EU membership and the use of structural funds have been key elements of change in many countries; however, the Soviet heritage still overshadows progress and decision-making in social policy. Though deinstitutionalization’s overall meaning and aims are generally well known, less information is available about the processes and policies underlying deinstitutionalization. In post-communist countries, deinstitutionalization is often narrowly associated with large institutions, but its embedment in the social welfare policy framework is less discussed. Nevertheless, first attempts to change the design of social services to more participatory and integrated solutions are evident. For more than 20 years, developments in the field of social-welfare policy have aimed to reduce the gap between Estonia and other developed countries. This article reviews relevant documents in Estonia’s social welfare policy reforms from re-independence to the present. The article discusses the prospects and challenges for achieving deinstitutionalization’s intended goals in Estonia.     

Rediscovering Families and Households: Restructuring Rural Society and Rural Sociology1

Abstract The debate on rural restructuring is extended by redefining families and households and their study; by considering the contributions of family scholarship to rural sociological issues; by assessing the methodological implications and challenges of integrating a family focus in rural sociology; and by reengaging rural sociology around important policy issues. The structure and dynamics of family and household shape explanations of rural experiences. By integrating and building on family studies, rural sociology can enrich its knowledge base and further its relevance and power of explanation.     

Rural ageing in the United States: Trends and contexts

This paper examines rural population ageing in the United States with a particular focus on the contrasting contexts in which older rural residents live. We compare the characteristics of the older population by rural versus urban residence, and explore challenges and opportunities associated with the ageing of rural baby boomers. The United States is a vast territory, and rural areas in the US are diverse regionally, in poverty and income, principal forms of employment, proximity to metropolitan areas, population size, density and composition, the history of change in these parameters, and a number of other factors that affect the ageing process. Hence, the diversity across rural areas is an important consideration in what affects the well being of rural elderly individuals, as well as the community-level impacts of rural ageing. Further, the characteristics of the older rural population help shape community and rural development outcomes for diverse rural communities. We use data from various US Census Bureau sources, and cite other studies to provide a demographic overview of ageing in the rural United States, and to analyze how this situation differs in varying socio-demographic and regional contexts. In the concluding section, we focus on policy implications associated with rural ageing.     

Breaking Walls,Building Bridges: Expanding the Presence and Relevance of Rural Sociology*

Abstract Rural areas continue to face a series of challenges; many are likely to have profound impacts on the vitality of these places over the long term. Of central concern is whether the rural sociological enterprise, a potentially vital source of information and guidance on such diverse issues, will be able to effectively respond to such challenges. The author argues that in order to strengthen its relevance and viability in coming years, the rural sociological profession must embrace three important shifts. First, it must modify the manner in which it engages in the production of new knowledge by pursuing a more balanced portfolio of investments in disciplinary and transdisciplinary research. Second, it must take a bold step to build bridges to new entities whose missions, goals, and values closely align with those of the Rural Sociological Society. And third, it must take a more proactive role in generating quality, scientifically sound information that is aligned with the needs of federal and state policy communities, particularly information that can better articulate how policies are likely to impact rural people and places.     

Building Community-Based Alliances Between GLBTQQA Youth and Adults in Rural Settings

SUMMARY

This article discusses the need for community-based, gay-straight, youth-adult alliances in rural settings and provides a beginning framework for how to create this type of organization. It describes an emerging local community-based alliance of gay, lesbian, bisexual, transgender, queer, questioning, and youth and adult allies. Unlike school-based gay-straight alliances, this group, known as Prism, is open to youth from several schools in a college town and nearby rural communities.     

The restructuring of local government in rural regions: A rural development perspective

Rural development is a multidimensional phenomenon. The political dimension, relating as it does to power, resources, accountability, priorities and choice, is a pivotal aspect of rural development. Local government is often the centrepiece of rural political systems. Interventions to reconfigure local government are therefore quintessentially rural development initiatives. They serve to supplement, neutralize or detract from other development initiatives. One way to critically examine local government restructuring policies and programmes is to determine the extent to which they accord with commonly held principles of rural development, both in terms of outcomes and process. This research critically examines a particular public policy intervention in rural Ontario, Canada. Through the application of rural development principles and criteria, it concludes that the process was antithetical to rural development, and in terms of outcomes, of dubious value. It poses several questions and challenges for rural development theory, including governance, and practice.     

Housing Satisfaction Among Rural Small-Town Elderly

This study models the impact of ecological/architectural, psychosocial, demographic and well-being variables on house/neighborhood satisfaction of 989 community-based rural elderly (65 years or older) in 18 small Kansas towns. Using standard structured interview data, a holdout sample strategy was employed to test the path model. Results of tests of the model confirmed the statistical reliability (p < .05) of all direct predictors of house/neighborhood satisfaction; however, some indirect paths were not confirmed. Results showed that the strongest direct predictor of house/neighborhood satisfaction was satisfaction with specific dwelling features. Implications of the model for design and social planning intervention and policy are discussed.     

Danish home care policy and the family: implications for the United States

This paper provides an overview of reforms in Danish long-term care initiated in the early 1980s, describes the relationship between elder care in Denmark and the family, and considers implications for U.S. policy. The success of Denmark's community-based experimentation with new models of home care and housing for the elderly resulted in a national decision to eliminate new construction of nursing homes and increase access to publicly funded home care. Lingering concern that the provision of paid assistance for the elderly could undermine family structure is allayed by the findings of a recent survey: Three-fourths of the elderly report seeing their children on a weekly or more frequent basis. Findings from the Danish experience provide evidence that community-based services can aid family caregivers, enable the frail elderly to live in the setting of their choice, and be cost-effective from a public policy perspective.     

In Search of Housing: Urban Families in Rural Contexts*

Researchers have been following a trend posited by the renowned anthropologist Janet Fitchen, which examines the increasing movement of low‐income people to rural communities drawn not necessarily by labor market forces, but by the characteristics and amenities found in rural towns. This study adds to that literature by focusing on the ways in which public housing availability, changes in housing policy, and rural economic restructuring create opportunities for low‐income families to relocate from urban to rural communities in search of affordable housing. Data collected from an ethnographic sample addressed the following questions: (1) what motivates individuals and families to leave their urban neighborhoods and relocate to rural towns and (2) what challenges do individuals and families have in sustaining stable housing in rural communities? Two main sets of literature relevant to this discussion include studies of patterns of residential mobility and explanations of rural economic restructuring. Both form the conceptual approach of this article by offering a framework to better understand the housing choices and behaviors of low‐income families and the contexts in which these actions are situated.     

Social dimensions of land rights reform in Liberia: Some unresolved issues and policy dilemmas

This article is concerned with coherence in public policy in highly differentiated societies. It explores the challenges faced when seeking to develop policy in ways which both respond to progressive thinking and protect the interests of the poor. Land policy in Liberia illustrates the theme, specifically the 2013 ‘Land Rights Policy.’ The article shows how pressures for reform of customary governance and gender relations may undermine the institutions of local land management, and threaten the ability of the rural poor to defend their interests. This is of particular concern at the present time, given the appetite of external capital for land acquisition in Liberia, and the close alliances which it is forging with the Liberian elite.     

Home Is Where the Help Is

Abstract

Policy regarding long-term care has been an issue of rising national concern. In this paper we examine the transition of Danish long-term care policy with special attention to Skævinge, the first community in Denmark to integrate institutional and community-based services for the elderly. Recent studies on the variation between costs and services in Danish communities and the results of U.S. studies on community-based care suggest that successful implementation of integrated institutional and community-based long-term care is feasible in the United States. Lessons from Denmark highlight conditions that will facilitate success in this endeavor.