Community Care: Relationships and Control

Analysis of the relationships available to people with learning difficulties has received much attention in recent literature and has also become the focus of work undertaken by service personnel. This paper presents an analysis of networks of people with a learning difficulty in Wales and illustrates the paucity of close relationships in people's lives. It is argued that community care involves the removal of custodial forms of social control and their replacement by mechanisms which place greater emphasis on relationships as a form of imposing sanctions on individuals. In an attempt to assist the move to improve networks the authors argue the need to develop a theoretical understanding of the social processes by which individuals are excluded and as a result inform the means by which individuals may be included.     

Community Care and Social Exclusion of the Chronically Mentally Ill

Everyday life for the mentally ill has been characterized typically by social exclusion. This study attempts to identify some of the elements of this exoerience bv focusine on the dimensions of residential scgregatio& ~ n e m ~ l ~ ~ m c n t , social isolation, and time. Psrtici~ant observa~ion and interview methods wcrc used to understand the problem of social exclusion for 60 former state hospital patients. The results suggest that social exclusion can be interpreted as part of a wider system of socio-cultural organization which fosters the separation of the mentally ill.     

It Takes a Community: Older Lesbians Meeting Social and Care Needs

Although specialized formal services are becoming more prevalent in addressing the needs of the older LGBT community, little is known about informal groups that have organized to meet the needs of this population. This article presents two case examples that depict the efforts of older lesbians to meet the social and care needs of members of their communities. The concept of psychological contracting is used to analyze these experiences, and combined with a review of the literature, practice implications for care and support for this special population are discussed.     

Spirituality and Social Care

In this paper I discuss the main theoretical ideas in the book and the way in which the author applies them to social casework. I consider the relevance of these ideas to contemporary social work in terms of their contribution to the knowledge base of social work and social work methods. I argue that Kleinian ideas can make an important contribution to understanding the interpsychic and intrapsychic aspects of human experience with which social workers come into contact. I suggest that the author writes about the casework relationship with little regard to the social and political contexts in which social work is undertaken and that in contemporary social work, there needs to be a relationship between three different elements, namely: the client--as an individual within their social context; the emotional dynamics of the client-worker relationship; and the integration of theory, social policy and the legal framework.     

Community Care in Taiwan

SUMMARY

This article explores the policy definitions and the funder roles of central and local governments in community care in Taiwan. The notion of community care has been adopted in Taiwan following the model of Hong Kong but the main question of the article is whether this has resulted in actual service provisions at the community level, forming an alternative to institutional care. The data has been collected from several sources: policy documents, official statistics, surveys, general reports, funding provision reports, and empirical studies. The results show that neither central nor local authorities are seriously involved in caring for elderly people or persons with disabilities in Taiwan's communities. In Taiwan, community care for these groups of people still means, in practice, informal care provided by female family members without any support from public policies.     

Experimentation and Planning in Community Care

The dominant ideology in services for people with learning disabilities is clearly normalisation, or social role valorisation, as it has recently been termed. The emphasis is on the role that a person has within society. However, in Western society, what seems to be valued is power, individualism, enterprise, wealth, beauty and so on. It is not yet clear how we will be able to help people with learning disabilities to achieve such valued social roles. An alternative may be to consider whether we can design communities which value co-operation, affection and interdependence (rather than independence) and I shall describe first a fictional community which has such ideals, and then a real (albeit small) community, in Mexico, where conditions are arranged such that these ideals may be realised. I will then go on to outline some aspects of the philosophy which underpins these communities and which might be relevant to designing co-operative communities. These include the importance of setting objectives; the valuing of human diversity; the importance of viewing a person as a function of her or his social relations; acknowledging the complexity of human behaviour; and the distinction between rule-governed and contingency-shaped behaviour.     

Building Bridges into the Community: Social Capital in a Volunteering Project for Care Leavers

Volunteering to address poor life outcomes often experienced by care leavers is emphasised in UK policy. Although volunteering is credited with the ability to generate social capital, there is limited research on the impact of volunteering on the social capital of care leavers. This article re‐examines data from an evaluation of a volunteering project for care leavers. It explores in what ways young people's participation in the project constitutes social capital. The findings support the importance of regular face‐to‐face contact and co‐production for young people to become creators of their own social capital.     

Community Connections: Social Capital and Community Success1

This article examines the impact of two types of community social capital—ties between civic organizations formed through shared members and ties between residents formed through socializing in local gathering places—on residents’ subjective appraisals of community success. Community social capital studies tend to focus on the first of these types of ties, networks of civic engagement, while the second, gathering place networks, has received relatively little scholarly attention. Studying both allows me to assess the formal and informal arenas of community sociability, providing a more thorough understanding of social capital and community life. I assess the effects of community‐level social capital networks on the individual‐level experience of residing in the community using survey data on 9,962 residents from 99 small towns in Iowa. This rich data set allows me to avoid two shortcomings common in social capital research: I construct genuine network measures of social capital (rather than infer network structure from community attributes) and conduct multi‐level analyses (rather than rely on disaggregation). My findings indicate both types of social capital are positively and significantly associated with resident ratings of community success, suggesting community networks—in both the formal and informal sectors—have important consequences for small towns and their residents.     

Community Service and Adolescents' Social Capital

In two studies of 5th–12th graders (n = 2,371; n = 999), we compare four groups based on engagement patterns in community service (CS) and/or extracurricular activities (EC). In both studies, adolescents who engaged in BOTH CS (whether mandated or voluntary) and EC had the highest reports of bonding and bridging social capital, intergenerational harmony, and social support whereas those who did NEITHER had the lowest. For most outcomes, adolescents engaged only in CS had higher reports than peers engaged only in EC. Content analyses of what adolescents learned in CS suggest its potential for broadening their awareness of fellow members of their communities, their mutual obligations, and collective capacities.     

Awareness of Elder Abuse Among Community Health and Social Care Staff in Northern Ireland: An Exploratory Study

ABSTRACT

This article reports on one of the first surveys of multi-disciplinary staff awareness of elder abuse in this region of the United Kingdom (UK). Forty staff from eight professional groups in the Southern Health and Services Board area were surveyed about their knowledge of elder abuse, the types of help they thought they could offer the abused and the abuser, and the level of abuse in their current caseload. Thirty-five per cent of respondents had cases of physical, psychological, financial, and sexual abuse as well as care-giver neglect of people aged 65 and over in their caseloads. The findings suggest that while staff had differing levels of awareness of elder abuse, further training is necessary.     

Community Size,Individual Social Position,and Community Attachment1

Abstract The objective of this investigation is to elaborate and test the linear development and systemic models of community attachment. We focus on the interplay of community size, five social position variables, and three dimensions of community attachment, namely, involvement, amity, and sentiment. Data are obtained from a statewide migration telephone survey of 851 respondents aged 18 and over, conducted in Utah in October 1988. We focus on a weighted subsample of 415 nonmetropolitan respondents. Multiple Classification Analysis (MCA) techniques are employed. Contrary to the linear development model, community size did not have an independent inverse impact on community involvement, amity, and sentiment. Results do vary by social position and community attachment dimensions.     

The Social Construction of Fat: Care and Control in the Public Concern for Healthy Behaviour

Especially during the last decade populations of modern affluent societies are warned by scientist, politicians, media and interest groups that there is an obesity epidemic. Being overweight is now not only culturally condemned, but also medically and politically defined as a major public health threat. This article presents three lines of critique which is offered against this dominant public perception. Some argue that we need to change our attitude to fat irrespective of the medical truth. Others agree there is a problem, but they disagree with the analysis and therefore offer other solutions. Most fundamental is the kind of critique that starts with the question ‘But is it true?’ This question leads to three major conclusions. First, it turns out that the medical science is flawed, one‐sided and contradicted. Second, because there are no effective therapies, present policies produce major negative side‐effects. And third, these policies produce and legitimize discriminatory practices. A general conclusion which can be drawn from this critical literature is that the present risk discourse on fat has much more to do with social and cultural issues like power, blame and control than with health problems.     

The Social Care Work Portfolio: An Aid to Integrated Learning and Reflection in Social Care Training

The focus of the paper is on the use of a specifically designed portfolio in social care training as an aid to both integrated learning and reflection. Integrated learning is achieved through the use of discrete sections in the portfolio which require students to discuss their practice placement agencies from perspectives that demonstrate their understanding of subjects such as theories and practices of social care, psychology, social policy, legal studies. Reflection, which is considered a core element of social care training, is examined as a learning tool. A model for the promotion of reflection is presented to help students gain new perspectives on their learning experiences. Criteria for the assessment of both integrated learning and use of reflection are discussed. Some comments of students, recorded during the evaluation process, are presented as evidence of their learning through the use of the portfolio model.     

Ready or Not: Transitioning from Institutional Care to Community Care

Federal legislation has moved toward the support and expansion of home- and community-based alternatives to nursing home placement. Despite the seemingly positive nature of these efforts, the question remains as to whether individuals, families, and communities are prepared for this shift in long-term care. Furthermore, there has been a lack of attention to the impact of nursing home transition programs on family caregivers, community resources, and the availability of appropriate housing alternatives. Although nursing home transition programs offer a promising alternative to institutional care, the authors suggest a closer examination of the policies and practicality of these transitions is needed.     

Social Control and Emotions

This is the first article in Symbolic Interaction's symposium in tribute to Tamotsu (Tom) Shibutani (1920–2004). The author, a student in Shibutani's graduate course on social control, discusses his teacher's ideas and their evolution into his own. The article provides ample basis for the author's observation: a scholar's contribution can be measured not only by the cumulative corpus of his or her published work, but also by the influence that this individual has had on the work of others.     

Community Based Rural Health Care in India

SUMMARY

India is a large country, geographically as well as popula-tionwise. The majority of its population lives in rural areas, i.e., villages. Again, most of the villages are in remote areas. The State has been making sincere efforts to make the basic social services accessible to all in the rural area. Health being one of the vital services, it has been a challenging task before the State to extend it to the remote rural areas, many of which are not yet connected by motorable roads. As a result of various experiments carried out over the last five decades, the State has developed a fairly well-designed primary health care service, and it is in operation in rural areas. However, there appears to be a striking gap between the delivery of health services in rural areas and utilization of the services by the people. Attempts have been made in this article to apprise the readers of the health service system in India, and it discusses the issue of health service delivery at the village level. The discussion is based on a small study carried out in a rural area in the State of West Bengal (India) where students of social work of the University to which the author belongs are placed for field work. Following the inputs received through supervision of the students' work, the study was initiated and conducted.

This article based on the study seeks to focus on peoples' perception of the health services as provided by the State in rural areas, which in turn gets reflected in the extent to which they utilize the services. Social workers being an integral part of the health set up, their role bears special significance. Discussion, therefore, centres on scope for social work intervention at the community level as well as in institutional level of the health service delivery system to make the services meaningful and effective in rural areas. In fact, it has to take the leadership role in reforming the service delivery system when required.