Children with disabilities in Swedish child welfare – a differentiating and disabling practice

ABSTRACT

Research shows that children with disabilities are victims of violence and abuse to a higher extent than other children and thus need support from social services. In Sweden, cooperation between two different social services units is required to support children with disabilities in socially vulnerable families. In this study, we have examined the intersection between children and disability in a Swedish social services context from the perspective of childhood studies and disability studies. The reasoning of the two units including the child perspective emerged during focus group interviews based on two vignettes. The results show two different rationalities, which has consequences for the disabled child. In spite of a social policy where the ‘best interests of the child’ are meant to prevail and disabilities are meant to be interpreted as barriers in society, children with disabilities seem to be reduced to individuals who are lacking in ability and competency and who are profoundly victimised by power structures that favour the adult perspective in social services.     

Effective local governance assisting vulnerable groups: The case of youth not in employment,education or training (NEETs) in Sweden

Youth not in employment, education or training (NEETs) have been analyzed from either individual or macro-structural perspectives, while policy discussions have emphasized national policy. This disregards (i) the substantial variation in NEET rates within countries, and (ii) the importance of local governance for this variation. We examine these issues in Sweden through the lens of interactive governance. Theoretically, four aspects of collective action are highlighted: identification of local NEET subgroups, perceptions of problems and of solutions, and stakeholder relationships. Empirically, an initial multi-level regression analysis of all 290 Swedish municipalities provided the basis for semi-structured interviews regarding local work with NEETs in 20 strategically selected municipalities. The qualitative data are here analyzed using fuzzy-set qualitative comparative analysis. The results suggest that municipalities where local governance combines three of the four aspects, namely identifying NEET subgroups and sharing perceptions of problems and of solutions, have lower NEET shares than predicted.     

The Apparent Failure of Russia's Pronatalist Family Policies

Russia has a history of pronatalist policies dating back to the 1930s. Two sets of pronatalist measures were implemented during the past 40 years. The one designed in the early 1980s proved to be a clear failure. Instead of raising fertility, completed cohort fertility declined from 1.8 births per woman for the 1960 birth cohort to 1.6 for the 1968 cohort. The government of President Putin became concerned with the dire demographic conditions of high mortality and low fertility in Russia in the 1990s and early 2000s. A comprehensive set of pronatalist measures came into effect in January 2007. The period total fertility rate increased from 1.3 births per woman in 2006 to 1.6 in 2011, which the authorities view as an unqualified success. An unbiased demographic evaluation as well as analyses of Russian experts reveals that apparently the measures mainly caused a lowering of the age at birth and shortening of birth intervals. It appears that any real fertility increase is questionable, i.e. cohort fertility is not likely to increase appreciably. The recent pronatalist measures are likely to turn out to be a failure.     

Financial Health Economics

We provide a theoretical and empirical analysis of the link between financial and real health care markets. This link is important as financial returns drive investment in medical research and development (R&D), which, in turn, affects real spending growth. We document a “medical innovation premium” of 4–6% annually for equity returns of firms in the health care sector. We interpret this premium as compensating investors for government‐induced profit risk, and we provide supportive evidence for this hypothesis through company filings and abnormal return patterns surrounding threats of government intervention. We quantify the implications of the premium for the growth in real health care spending by calibrating our model to match historical trends, predicting the share of gross domestic product (GDP) devoted to health care to be 32% in the long run. Policies that had removed government risk would have led to more than a doubling of medical R&D and would have increased the current share of health care spending by more than 3% of GDP.