Direct Payments and Social Work Practice: The Significance of 'Street-Level Bureaucracy' in Determining Eligibility

Sponsored both by governments intent upon fiscal restraint anduser movements keen to extend choice and control, ‘cash-for-care’schemes are replacing direct services across mature welfarestates. Recent legislation on direct payments, which has enactedthe UK version of cash-for-care, has attracted considerableresearch interest in the UK. Previous studies point to a numberof tensions for social workers in the implementation processwhich give rise, in turn, to considerable uncertainty, evenhostility, on the part of front line staff. This article, whichdiscusses the findings of a study of assessment and care managementpractice in one English council, seeks to make sense of socialworkers’ approach to the allocation of direct paymentsby reference to Lipsky’s (1980) theory of ‘street-levelbureaucracy’. The author concludes that despite ten yearsof managerialism, in the course of which professional practicehas been routinized and regulated, Lipsky’s work is stilluseful in analysing front line behaviour around direct payments.     

The proximity filter: the effect of distance on media coverage of the Christchurch mosque attacks

ABSTRACT

The intense media coverage in New Zealand and Australia of the Christchurch mosque attacks exhibited significant disparity in editorial decision-making between the two countries. This research interrogates the different approaches taken in newsrooms and how these differences were manifested in broadcasts and publications. New Zealand media were focused largely on empathetic coverage of victims and resisted the alleged gunman's attempts to publicise his cause while their Australian counterparts showed no such reluctance and ran extended coverage of the alleged perpetrator, along with material ruled objectionable in New Zealand. It finds the editorial focus in each case exhibits the effect of proximity, identified in literature on empirical ethical decision-making as a factor in applied ethicality. The authors conclude that a proximity filter was used by New Zealand media who identified the victims as part of their own community, but the events of 15 March 2019 were seen as ‘foreign’ by Australian journalists who used perceived distance as justification for extremely graphic content.     

The disability self‐direction movement: Considering the benefits and challenges for an Australian response

The following article provides a snapshot of the current self‐direction movement within the disability sector across the industrialised world, with particular emphasis on the Australian context. As a global movement, self‐direction has been in progress for several decades through a variety of implemented responses. Despite implementation variation, all self‐direction models aim to facilitate individual control and decision making in care and support services. We describe self‐direction, its various models and programs, and explore its benefits and challenges. We conclude by making broad recommendations for decision makers involved in self‐direction. In particular, we offer a hierarchical decision tree that can be used to inform policy decisions at a systems – government policy – and organisational level.     

A Pilot for Improving Depression Care on College Campuses: Results of the College Breakthrough Series–Depression (CBS-D) Project

Abstract

Objective: To implement a pilot quality improvement project for depression identification and treatment in college health. Participants: Eight college health center teams composed primarily of primary care and counseling service directors and clinicians. Methods: Chronic (Collaborative) Care Model (CCM) used with standardized screening to identify, treat, and track depressed students for 12 weeks to monitor predetermined process and clinical outcomes. Results: Of all students receiving primary medical care services between January 2007 and May 2008, 69% (n = 71,908) were screened for depression. A total of 801 depressed students were treated and tracked; most predetermined treatment process and clinical outcome targets were achieved. Conclusion: The CCM for depression shows promise for improving depression identification and care for college students.