Responsibilisation,social work and inclusive social security in Finland

ABSTRACT

In this article responsibilisation in social work is studied by analysing two Finnish state-level policy documents (called final report and research report) which concern a current activation initiative called inclusive social security (ISS). It is asked how social workers and clients are constructed as responsible subjects in these documents. Responsibilisation refers to the advanced liberal mode of governmentality, which aims to strengthen citizens’ abilities to self-governance through various techniques that include the intertwined elements of surveillance and empowerment. It is demonstrated that the policy documents construct the social workers’ and the clients’ responsibilities partly in different ways. The final report leads activation to be based on shared responsibility and social work to be more community-based, whereas the research report strengthens more individual-based responsibility of clients and social workers. For the clients, the interpretation of ISS based on shared responsibility would probably be less stigmatising and paternalistic than the one based on individual responsibilities, i.e. approaching long-term unemployed citizens as being personally ‘at risk’ and thus a justified target group of individualised techniques for activation. For social workers and clients, future activation appears to be a wide mix of different techniques, moral expectations and possible ways of being a responsible subject.     

Socio-demographic Differences in Self-reported Psychological Distress Among 25- to 64-Year-Old Finns

Background Mental health problems are a major public health issue worldwide. The aim of this study was to assess the relative importance of socio-demographic characteristics associated with different domains of psychological distress in Finland. Methods Data source was a nationwide survey “Health Behaviour and Health among the Finnish Adult Population” (AVTK), from years 2002 to 2003 (N = 5425; response rate 66%). Psychological distress was measured by self-reported questions of general mental health (MHI-5), depression, insomnia and stress. Socio-demographic factors included education, employment status, partnership and children living in the household. Main analyses were conducted by multivariate logistic regression. Results Education, employment and partnership were associated with most of the psychological distress outcomes. Respondents with a lower educational level had poor mental health in both genders but less insomnia and stress in men. Those with an intermediate education had the least stress in women. The unemployed and retired were at a higher risk for poor mental health and depression. Moreover, employment status was associated with insomnia and stress in men. Respondents not having a partner showed a higher risk of psychological distress according to all measures. Not having children living in the household was associated with insomnia in women and with less stress in men. Conclusions Socio-demographic factors, such as having a partner and employment status, are associated with several measures of psychological distress indicating the importance of social and economic factors to psychological well-being. The association of education and of having children living at home varies by the domain of psychological distress measure.     

Accepting and Negotiating Service Users' Choices in Mental Health Transition Meetings

Across Western welfare regimes, policies emphasize that service users should have more choices regarding their services. This article examines how service choices are presented, responded to and decided in interactions between service users and professionals in mental health transition meetings. Choice is often associated with consumerist user involvement ideas, but in mental health choice also relates to the democratic user involvement approach and to shared decision making between professionals and service users. The results of the study show that professionals construct service users as consumers by offering service options in choice making sequences, expecting users to make appropriate choices. Service users mostly act like consumers by responding to these choice options. However, the study also demonstrates that the professionals do not always accept the user's first choice but respond to them as non‐preferred. Sometimes, they also suggest choices on behalf of the users. In these ‘non‐accepting’ sequences, choices are negotiated in interaction between the parties, rather than users acting as autonomous choice makers. The sequences are based on two kinds of professional reasoning: first, the professional‐led needs assessment and, second, the structure of the service package that the user is being offered. This negotiation has elements of shared decision making and the ‘logic of care’. But it also has elements of paternalist control which challenge both consumerist and democratic service user involvement and suggests consideration of more collectively oriented service user actions.     

Home as a risk environment: Negotiating the boundaries of homes and social relationships in services for people using illicit drugs

This study focuses on how clients using illicit drugs are supported in managing the boundaries of their homes to avoid the risks that social relationships may have on their daily lives at home. The data consist of 14 client–worker encounters audio-recorded in 2017 in a Finnish home-based service for people using drugs. Discursive interaction analysis and geographies of home were applied to examine how boundaries of homes are negotiated in relation to social relationships and how the home is constructed as a risk environment in the interactions of the service. The results highlight that the tensions between home and social relationships can be complex in the context of illicit drug use. Managing the boundaries of the home and social relationships deserves special attention among welfare services to promote their client's right to privacy and attachment to a home environment. This is also important for preventing the risk of homelessness.     

A Stain on the White Uniform — The Discursive Construction of Nurses' Industrial Action in the Media

This article focuses on the discursive construction of the nursing profession in the context of an industrial action. Drawing on studies that claim that the diffusion of new public management reforms restructure healthcare professions and on feminist studies arguing that gender is crucial to understanding the concepts and processes of this restructuring, the article examines a media debate surrounding a recent labour dispute in the Finnish healthcare sector. The analysis illustrates how the nursing profession was discursively constructed through a negotiation of individual and societal rights and responsibilities, and how the debate was framed by competing and contested discourses of professionalization, caring, labour markets and new public management. As a consequence, the debate both sustained and reproduced the traditional gendered meanings related to the nursing profession, as well as provided a context for unsettling, at least for a moment, the normative gender order of Finnish society.     

Images of ageing in a 50+ magazine

The aim of this paper is to study what kind of ageing identity is constructed and what kinds of roles in old age are available for the readers of magazines aimed at readers over 50 years of age. The data comprise the back issues for the years 1996 and 2006 of the most popular 50+ magazine in Finland.There were three dominant patterns of talk. Talk of freedom included freedom from work and from predetermined roles, but also possibilities for new identities. Talk of activity emphasized physical activity, but also being mentally active and curious even in old age. Looking good in old age was always important, but in the more recent data, there was also praise of the charisma of older people associated with their life experiences. The magazine builds self-confidence among older people and encourages them to re-shape their lives.     

Spatial Variation in Seasonal Water Poverty Index for Laos: An Application of Geographically Weighted Principal Component Analysis

In this paper we analyze the preferences about job security using tools from behavioral economics. We focus on the non-pecuniary value of job security and specifically whether this value depends on the current position of employees as tenured or non-tenured. Using a sample of 107 Israeli social workers, randomly allocated between tenured and non-tenured positions, we demonstrate that the non-pecuniary value of job security is about 20% of the wage. We also found that this value depends on the point of reference of the employees. Those with tenure place a higher value on job security, as do those with a higher level of loss aversion.     

Factual accounting in the discourse on homelessness

Discussions about homelessness can be approached as action that constructs social reality. From this point of view, an important finding in the analysis of interviews with four leading politicians is the number of rhetorical devices the speakers use in factual accounting: to make the state of affairs and events around homelessness appear as obvious facts, a reflection of reality. Five strategies of factual accounting are identified in this article: the witness strategy (the speaker has seen or heard the facts him- or herself), no alternatives strategy ("this is the only way to act"), the quantification strategy (warranting by means of figures and/or nonnumerical quantification), the social norms strategy (appealing to consensually accepted issues) and the expertise strategy (appealing to specialized knowledge). These strategies are used by the speakers to warrant the truth of facts that in many ways are more than likely to contribute to homelessness. Above all, they create an image of a static housing problem for which there is no remedy. It is, however, possible to alter this static picture if we start from the assumption that there are two sides to every issue. It is possible to argue against facts offered as true; the housing problem may not be so static after all, and solving it may not be so hopeless.     

From Care to Fellowship and Back: Interpretative Repertoires Used by the Social Welfare Workers when Describing their Relationship with Homeless Women

The study asks what kinds of interpretative repertoires do socialwelfare workers use and produce when describing their work,and how is the practitioner–client relationship describedin the different repertoires? Social welfare work is approachedthrough a single organization targeted for homeless women. Theresearch data consist of a free-form diary kept by the workers.The analysis shows that the workers construct six differentinterpretative repertoires: repertoire of care, repertoire ofassessment, repertoire of control, repertoire of therapy, repertoireof service provision and repertoire of fellowship. The repertoiresare not anchored to given workers or homeless women. Individualworkers adopt different repertoires, and a single homeless womanmay be encountered in several ways. The variation in the repertoiresand the movement between them make the work flexible. The quantitativelymost frequent repertoire is the repertoire of care based onthe ethics of care. As a carrying principle of the daily work,it may create a climate of trust and confidence which makesthe other repertoires possible. Due to its variation and commitmentto long-term care, the work with homeless women can be saidto challenge predominant policies that emphasize the citizen’sown responsibility and the managerialist mode of operation.     

Forms of advocacy in social welfare work with homeless women

The article examines the practices of social welfare work with homeless women. The question asked is, what forms of advocacy can be identified in these practices, especially from the perspective of welfare rights? The research is conducted in a support point open to all homeless women, located in a large Finnish city. The data consist of a diary kept mainly by three practitioners between 21 August 2000 and 21 September 2001. The analysis, which focuses on 359 entries, shows that the diary contains elements of four different forms of advocacy: best interest advocacy; self- and consumer-controlled advocacy; partnership and personal advocacy; and citizen advocacy. The conclusions from the research have relevance to work with the most vulnerable groups in general and are of three kinds. Firstly, all forms of advocacy are significant, for they complement each other and make up for the deficiencies in other forms. Secondly, the support point functions as a refuge for the homeless women, from which contacts with other service systems are organised and negotiated. Thirdly, this kind of advocacy is needed, because vulnerable groups have the greatest risk of being excluded or mistreated in different service systems.