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Journal article

Money talks, but what does it say?: direct payments and the commodification of care

Author:
LEECE Janet
Journal article citation:
Practice: Social Work in Action, 16(3), September 2004, pp.211-221.
Publisher:
Taylor and Francis

The development of direct payments has been greatly influenced by the combined pressure of governments' determination to create a mixed economy in social care and action from the disability movement in its quest for independent living and social justice. The extent to which the ideals of these perspectives have been realised by the reality of direct payments is unclear. One outcome of the shift to a market economy is that social care provision is treated progressively as a commodity to be bought and sold. Charts the background to cash payments, explores the issues and considers what the future may hold.

Journal article

Changing direction: direct payments and disabled children

Author:
LEECE Janet
Journal article citation:
Representing Children, 14(4), 2002, pp.215-225.
Publisher:
National Youth Advocacy Service

The Carers and Disabled Children Act 2000 extended the powers of local authorities to make direct payments to the parents of disabled children and to disabled young people aged 16-17 years themselves. This article looks at the background to direct payments and discusses the disadvantages, advantages and potential to improve the lives of disabled young people and their parents. Also explores some important issues as local authorities expand their schemes. Data from a pilot project in Staffordshire Social Services is also used to inform the debate.

Journal article

Money matters: an evaluation of the direct payment pilot project for parents of disabled children in Staffordshire

Authors:
LEECE Janet, BABB Caroline, LEECE David
Journal article citation:
Journal of Integrated Care, 11(1), February 2003, pp.33-38.
Publisher:
Emerald

Presents the findings from an evaluation project. The study used an evidence-based case comparison method to compare a small sample of parents accessing direct payments from those using services arranged or provided by social services. The study found that parents accessing direct payments did not report any greater benefits than those using traditional services. Looks at some of the possible reasons for this, and puts forward suggestions for other authorities setting up similar schemes.

Journal article

Extending direct payments to informal carers: some issues for local authorities

Author:
LEECE Janet
Journal article citation:
Practice: Social Work in Action, 14(2), June 2002, pp.31-44.
Publisher:
Taylor and Francis

The Carers and Disabled Children Act (200) has potential to fundamentally change carers services and the way they are delivered. This article examines the practical issues involved in the implementation of the Act, in terms of providing equitable services, defining terms, young carers and care package limits, local authority eligibility criteria and whether funding is adequate.

Journal article

Paying the piper and calling the tune: power and the direct payment relationship

Author:
LEECE Janet
Journal article citation:
British Journal of Social Work, 40(1), January 2010, pp.188-206.
Publisher:
Oxford University Press

This paper provides empirical evidence from original research, which investigated the impact on the support relationship of the direct employment of workers, by direct payment users. The study used a grounded theory approach, with questionnaires to measure job satisfaction and stress, and in-depth interviews with respondents. It explored and compared the experiences of eight direct payment relationships with eight traditional service delivery homecare relationships. The research reveals the importance of the concept of power in helping us to understand the effect of direct employment and, based on this research, makes some suggestions for policy and practice.

Book

Developments in direct payments

Editors:
LEECE Janet, BORNAT Joanna, (eds.)
Publisher:
Policy Press
Publication year:
2006
Pagination:
305p.
Place of publication:
Bristol

This book charts the change, critically evaluating progress, take-up, inclusion and access to direct payments by different user groups. With contributions from campaigners, academics, practitioners, direct payment users and personal assistants, the book: provides an overview of the history of direct payments; presents findings from key research into direct payments and disabled people, older people, carers, people with mental health problems, people with learning difficulties and disabled children; discusses the implementation and development of direct payments provision; compares developments in the UK with those in North America.

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