Rural public transportation and the mobility of older persons: paradigms for policy

Federal policy regarding public transportation in rural areas is examined through a comprehensive literature review. Then, three alternative approaches to future policy are suggested. The current fragmented panoply of rural transit programs that serve a minority of the rural population is the result of cycles of federal regulation and deregulation and chronic underfunding of rural transit compared to urban areas. The public purposes of transit, distinctions of need and demand, and funding comparisons with automobile usage are some contexts which set the framework for the social, and economic, and sustainability paradigms. Specific recommendations within each paradigm are suggested.     

Research on Women in Legislatures

Abstract

Media commentators, political activists, and feminist scholars all express the belief that the election of more women to public office will result in greater attention to the needs of women, children, and families and will change the very process by which public policy is made. This review essay examines the progress made by scholars towards answering these questions. I evaluate the major findings in three significant areas of research: the experience of women as candidates, the policy impact of women as legislators, and the relationship of women to the institutions in which they serve. Finally, directions for future research are suggested.     

The Potential of the SSI Program to Reduce Poverty Among the Elderly

Abstract

Despite large public policy efforts over the past 30 years, a large minority of households remains consistently inadequately prepared for retirement. If policymakers want to address this shortcoming, public policy has to change from its current path. This paper suggests a system of mandatory private pensions funded by a minimum mandatory contribution of 3% of payroll. In addition, a number of institutional changes are suggested to reduce the costs and risks of individual accounts.     

Rural versus urban residence as an influence on grandparent caregivers’ needs for service

The present study explored the impact of rural (n = 26) versus urban (n = 49) environments on perceived needs for services among grandparent caregivers, wherein persons participated in focus groups targeting their needs and concerns and/or completed a mailed survey. While findings suggested substantial similarity across rural and urban persons in unmet needs, areas of difficulty, and service barriers, rural grandparents who reported their health to be fair or poor reported the greatest unmet needs and experienced the widest array of problem areas, while the opposite was true for urban grandparent caregivers. With few exceptions, sociodemographic factors failed to predict unmet needs, array of problem areas, and barriers. The practice and policy implications of these findings are discussed.     

Health Status and Pregnancy Outcome in Patients Attending Prenatal Care

ABSTRACT

Maternal mortality tends to be ignored as a major public health problem. In addition to a high number of deaths, women also suffer from long-term disabilities related to complications of pregnancy and childbirth. Most of these deaths occur in developing countries and are complicated by living in rural areas, having a lack of resources and a lack of untrained individuals to assist with the pregnancy and delivery. The advantages of prenatal care in preventing complications and death are discussed.     

Rural poverty

Abstract

This paper examines rural poverty indicators arguing that governments have failed to provide the equitable access to resources needed to empower rural people to address their poverty. The paper illustrates how the decline in the fortunes of agriculture has led to a rapid disintegration of rural communities and to human rights concerns in relation to rural people. On quality of life indicators such as health and education, rural people are seriously disad-vantaged by comparison with urban Australians. Yet, the failure of governments to develop integrated rural policy frameworks that deliver equitable resources and their reliance on market forces is leading to the destruction of rural communities. For social workers, the challenge is to provide advocacy and policy leadership.     

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     

Adoption of an Outdoor Residential Hall Smoking Policy in a California Public University: A Case Study

Abstract

Objective: Because secondhand smoke is a public health concern, many colleges have adopted bans to ensure healthier environments. This study demonstrates how outdoor smoking policy change can be accomplished at a large public university. Participants: The participants were 1,537 students housed in residential communities at the University of California, Berkeley, who completed an online survey. Methods: A proposal for smoke-free residential communities that included student resident survey data was prepared. Results: The survey data indicated that most students (77%) were bothered by secondhand smoke, and most (66%) favored smoke-free environments. The data were used to advocate for a change in the residential community smoking policy. Conclusion: The survey data and institutional comparisons played a key role in administrators’ decision-making about campus smoking policy. Despite administrators’ concerns about students’ safety and freedom of choice, student-led advocacy was able to influence policy change.     

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.     

Increasing the Economic Self-Sufficiency of Rural Families

ABSTRACT

Rural poverty affects 2.5 million U.S. children annually. The implementation of Child/Parent Individual Development Account (IDA) policies and programs may reflect a “best practices” strategy for reducing the incidence and impact of rural poverty. IDAs are dedicated savings accounts designed to help low-income individuals save for home ownership, postsecondary education, and small business development purposes. A brief policy analysis and feasibility study indicates Child/Parent IDA programs are a feasible way to address long-term social, psychological, and economic development for rural adults and children. Social work's continued involvement in evaluating IDA policy is paramount for improving the well-being of rural families.     

Perceptions of Crime in Capitalist America: The Question of Consciousness Manipulation

Abstract

This paper reports research designed to assess a conflict interpretation of public consensus on the seriousness of different types of crimes. Earlier studies report that the degree of such agreement is extensive. It is suggested that, while this supports a consensus model of criminal law, it challenges the conflict model. However, that proponents of the latter suggest this consensus in a capitalist society is not surprising. It exists because the powerful, by dominating criminal justice, are able to manipulate the powerless to believe definitions of crime which support the interests of the powerful. This consciousness manipulation hypothesis is examined in a class-stratified sample which was asked to rate the seriousness of and suggest appropriate penalties for a number of person, property, political, white collar, victimless, and public order offenses. Little evidence of manipulation is found. The implications of these findings for false consciousness and public policy issues are discussed.     

Conducting a Hispanic Health Needs Assessment in rural Kansas: Building the foundation for community action

Healthy People 2020 states ethnic health disparities are a priority for the US. Although considerable national statistics document ethnic-related health disparities, information specific to rural areas is scarce and does not provide direction for implementing chronic disease prevention programming. Therefore, the purpose of our project was to use the Hispanic Health Needs Assessment (HHNA), a tool designed by the National Alliance for Hispanic Health (NAHH), in culturally diverse, rural Southwest Kansas. Our focus areas included: access to healthcare, heart disease, diabetes, overweight, nutrition, and physical activity.MethodsThe assessment followed six steps: (1) developing the assessment team, (2) data gathering using community member surveys, existing statistics and community leader interviews, (3) assembling the findings, (4) formulating recommendations for action at individual, institutional, community and policy levels, (5) sharing findings and program planning, and (6) sharing findings with NAHH. We identified several challenges collecting health related data in rural communities, but overall, the HHNA was a comprehensive and useful tool for guiding a community level health assessment.ConclusionThis process has provided our community partners with locally relevant statistics regarding the current status of health, health behaviors, and perceived community needs to inform resource allocation, program planning and applications for new funding initiatives.     

Health and Well-Being for Late Middle-Aged and Old Lesbians in a Rural Area

Abstract

Previous research on lesbian health care has drawn primarily from samples of young lesbians living in metropolitan areas. Through face-to-face interviews with twenty-one lesbians aged 54 or older and living in rural communities, this exploratory, naturalistic inquiry begins to fill a gap in the literature by examining the health care experiences of older, rural lesbians. Five themes emerged from the narrative data: issues of access; good health/good care; open to her own diversity; family and community; and visions-ideals and fears. We present these themes through informant quotes and discuss implications for policy and practice.     

Social Work and Disadvantage: Addressing the Roots of Stigma through Association

Abstract

This paper reports on a small-scale research study that explores the impact of climate change on rural women. Qualitative data were collected through interviews with 7 women, who came from a regional centre and were either employed by women's services or who had activist roles within the community pertaining to women's services. Outcomes of the study identified a range of areas of impact, including increased hardship for rural women, implications of household roles, and subsequent organisational responsibilities. A high level of concern, particularly for the vulnerability of women in crisis, was identified among participants. We contend that the effects of climate change are becoming increasingly relevant to the social work profession and that specific groups such as women are at risk of further disadvantage unless collective action is taken to circumvent the impact of climate change. Strategies for social work practice and policy initiatives are considered.     

Confronting Uncertainty: Lessons from Rural Social Work

Abstract

Communities in Australia and internationally are experiencing massive change. Climate variability is an aspect of change that social workers in Australia, particularly in rural areas, are grappling with. Vulnerable populations will be at increased risk as extreme weather events increase in frequency. Communities will be facing social challenges hitherto unknown. The experience of uncertainty and fragmentation as characteristics of postmodernism has exposed the ambiguous and contested nature of much of social work practice and contributed to a crisis of confidence for the social work profession. The move towards rationality and linear approaches in the postwelfare state is often at odds with the complexity and uncertainty of human situations that has always been social work terrain. It can be argued that social work, with its ethical base, person-in-environment approach, expertise in ambiguity and complexity, and recognition of context, is well-placed to manage postmodern uncertainty. Using the 2009 Victorian bushfire example, I argue that an uncertain future is an opportunity for social workers, those working in rural areas in particular, to reassert social work's moral purpose in working with communities facing change. Implications for social work policy, practice, and education are briefly explored.     

Integrating Services for Older People in Aging Communities in The Netherlands: A Comparison of Urban and Rural Approaches

ABSTRACT

The aim of this article is to discuss approaches to services integration for older people in urban and rural aging environments in The Netherlands, and the preliminary effects of these approaches on local aging conditions. In urban areas, services integration revolves around the creation of functional spatial hierarchy. In rural areas, the emphasis is on forging links between service providers. Outcomes for health and use of professional care services are similar. Out-comes for housing, informal care, and accessibility of services differ between urban and rural areas in ways that can be traced back to local aging conditions and elements of the specific approach to services integration used. In both urban and rural areas, much more could be done to connect formal programs to the lifeworlds of older dwellers.     

Public Policy Implications of Elderly Interstate Migration to Oregon, 1985-1990

Abstract

Several Oregon counties received a noticeable influx of elderly migrants from other states during the 1980s. Oregon policy regarding taxes, land use, and long-term care is examined for possible influence on migration. Models of elderly migration are examined for insight into how public policy influences migration, and previous research regarding the effects of elderly migration on public policy is reviewed. Data regarding disability and financial vulnerability among elderly by migration status are analyzed for possible influence upon public policy.

Change in the population aged 65 and older mirrored state and national patterns for 1980 to 1990 and 1990 to 1999. Interstate elderly arriving in attractive counties reported a low prevalence of disability and financial vulnerability, indicating a low risk of demanding public assistance. Interstate elderly arriving in population centers reported a relatively high prevalence of disability but a low prevalence of financial vulnerability. This may suggest that Oregon's long-term care policy influenced elderly migration.     

Decentralisation and devolution to the English regions: Assessing the implications for rural policy and delivery

The White Paper Your Region, Your Choice: Revitalising the English Regions opened the way for reforms to regional government in England which, it asserted, will improve decision-making and deliver better quality services. In the field of rural policy, too, there are demands for decentralisation to improve service delivery and reflect the diversity of rural areas. Drawing upon a case study of rural policy making and implementation in the English West Midlands, this paper explores current institutional structures for rural policy making and how further administrative decentralisation or political devolution might enhance them. It reveals a complex set of fragmented structures and blurred accountabilities in which policy implementation is an outstanding concern. The Government's administrative reforms, together with proposals to decentralise responsibility for rural service delivery, may assist in promoting greater differentiation and co-ordination at the regional tier. Nonetheless, in the absence of the transfer of significant resources and influence to an elected regional body, efforts to establish a more distinct and coherent approach to rural policy-making and delivery will continue to be hampered.     

The peri-urban fringe: Europe's forgotten rural areas

The EC White Paper — The Future of Rural Society — identifies three “standard problems” of rural areas, but the first, which characterises areas associated with “the pressures of modern development”, receives little attention in the remainder of the document. This paper explains why it is particularly important that the peri-urban areas are not ignored in the development of rural policy. In the first place, the problems of these areas are inextricably linked to those of areas of rural decline and if such links are ignored the resulting partial analysis of rural problems may cause some important policy-options to be overlooked. Second, there continue to be pockets of disadvantage within the peri-urban areas where deprivation is likely to be increased by close proximity to an affluent majority. Finally, the paper analyses the Rural Community Strategy for Berkshire, a nonstatutory document prepared by a group drawn from governmental, quasi-governmental and non-governmental organisations in one peri-urban area of southern England. This shows that while the broad agenda of rural policy issues (covering employment, housing and services), may be very similar to that found in areas of rural decline the rationale for intervention is somewhat different, and transport issues may lie at the heart of the “standard problem” of these areas.