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The dialectics between specialization and integration: politicians' and managers' views on forms of organization in the Swedish social services
- Authors:
- PERLINSKI Marek, et al
- Journal article citation:
- Administration in Social Work, 35(1), January 2011, pp.60-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article focuses on the views and attitudes of politicians and managers in relation to Swedish social service organisations. In particular, it examines the factors that influence organisational processes within the personal social services (PSS), and how different organisational models affect social workers' interventions. This study is based on interviews with 3 politicians and 12 managers responsible for the PSS in 3 Swedish municipalities with different organisational models: a specialised organisation; an integrated organisation; and a combined organisation with elements of both specialisation and integration. The respondents predominantly reported a sense of satisfaction with their own PSS organisation. The results are presented in tables comparing the advantages and disadvantages of the different PSS models with regard to context, social workers, interventions, and results. The main results are summarised in a heuristic model that presents a number of fundamental intra-organisational factors that influence the organising of the PSS.
Integrated primary health care in Australia
- Authors:
- DAVIES Gawaine Powell, et al
- Journal article citation:
- International Journal of Integrated Care, 9(4), 2009, Online only
- Publisher:
- International Foundation for Integrated Care
In Australia, primary health care services are divided between public and private sectors, are responsible to different levels of government and work under a variety of funding arrangements, with no overarching policy to provide a common frame of reference for their activities. Over the past decade, coordination of service provision has been improved by changes to the funding of private medical and allied health services for chronic conditions, by the development in some states of voluntary networks of services and by local initiatives, although these have had little impact on coordination of planning. Integrated primary health care centres are being established nationally and in some states, but these are too recent for their impact to be assessed. Reforms being considered by the federal government include bringing primary health care under one level of government with a national primary health care policy, establishing regional organisations to coordinate health planning, trialling voluntary registration of patients with general practices and reforming funding systems. If adopted, these could greatly improve integration within primary health care. Careful change management and realistic expectations will be needed. Also other challenges remain, in particular the need for developing a more population and community oriented primary health care.
Integrated primary health care: Finnish solutions and experiences
- Author:
- KOKKO Sim
- Journal article citation:
- International Journal of Integrated Care, 9(2), 2009, Online only
- Publisher:
- International Foundation for Integrated Care
Finland has since 1972 had a primary health care system based on health centres run and funded by the local public authorities called ‘municipalities’. On the world map of primary health care systems, the Finnish solution claims to be the most health centre oriented and also the widest, both in terms of the numbers of staff and also of different professions employed. Offering integrated care through multi-professional health centres has been overshadowed by exceptional difficulties in guaranteeing a reasonable access to the population at times when they need primary medical or dental services. Solutions to the problems of access have been found, but they do not seem durable. During the past 10 years, the health centres have become a ground of active development structural change, for which no end is in sight. Broader issues of municipal and public administration structures are being solved through rearranging primary health services. In these rearrangements, integration with specialist services and with social services together with mergers of health centres and municipalities are occurring at an accelerated pace. This leads into fundamental questions of the benefits of integration, especially if extensive integration leads into the threat of the loss of identity for primary health care. This article ends with some lessons to be learned from the situation in Finland for other countries.
Super for some
- Author:
- CALLAGHAN David
- Journal article citation:
- Community Care, 26.10.06, 2006, pp.30-31.
- Publisher:
- Reed Business Information
Once regarded as a model for the UK to follow, the system of integrated health and social services in Northern Ireland is to be completely rebuilt. The author looks at the changes, and highlights some of the advantages and disadvantages identified.
Target in their sights
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 18.08.05, 2005, pp.28-30.
- Publisher:
- Reed Business Information
Presents the views of staff involved in the integration of Cambridgeshire's children's services.
Integrated social services in Europe
- Author:
- MUNDAY Brian
- Publisher:
- Council of Europe
- Publication year:
- 2007
- Pagination:
- 93p., bibliog.
- Place of publication:
- Strasbourg
Report of a project aiming to review existing work on social services integration across Europe, concentrating on its benefits for the most vulnerable groups and the strengthening of social cohesion, and to develop policy guidelines. In the report, social services refers to personal social services provided for individuals related to their specific needs and circumstances, and the term integration applies to a range of approaches or methods for achieving greater coordination and effectiveness between services to achieve improved outcomes of the service users. It discusses benefits of integrating social services with services such as health and of disintegration of social services, looks at research on theoretical and evidence-based approaches to integration of social services, and reviews models for integrating social and health services, identifying the main barriers to integration. It sets out approaches to integration of social services across selected European countries, and includes policy guidelines for the design and implementation of integrated models of social services.
Practice-based commissioning and the future of partnership based integrated care
- Author:
- LORIMER Robin
- Journal article citation:
- Journal of Integrated Care, 14(1), February 2006, pp.44-48.
- Publisher:
- Emerald
With practice-based commissioning becoming a requirements in the NHS, this article reviews its potential impact on the established practical arrangements for health and social care partnerships. It raises a number of serious questions about the future and, with the management of long-term conditions in mind, set out challenges that lie ahead.
The promised land
- Author:
- PHILPOT Terry
- Journal article citation:
- Community Care, 8.3.01, 2001, pp.22-23.
- Publisher:
- Reed Business Information
Northern Ireland's integrated services offer the government a model for England's health and social care. Asks whether integration is actually delivering.
Making Wales a No Wrong Door Nation: how are we doing?
- Author:
- CHILDREN'S COMMISSIONER FOR WALES
- Publisher:
- Children's Commissioner for Wales
- Publication year:
- 2022
- Pagination:
- 32
- Place of publication:
- Cardiff
This report sets out a series of key findings from the meetings with the Regional Partnership Boards (RPBs) on their No Wrong Door plans, and what RPBs and the Welsh Government are expected to do next. A ‘No Wrong Door’ commitment entails ensuring that children with complex needs and their families do not get bounced between services or get doors shut in their faces. The review found that every RPB has a plan for children’s provision, and has begun to make changes towards a No Wrong Door approach; every RPB now has a group dedicated to children’s issues, which reports in to the main Board; there are some really encouraging examples of taking a No Wrong Door approach; some Boards could tell us how they themselves have worked directly with children and young people, and how they have made information about services more accessible; the development of the new NEST / NYTH framework, designed to support RPBs to deliver a ‘whole system approach’ ensures children and young people get the right support from the right people, first time. The NEST/NYTH framework includes No Wrong Door as one of its key principles. Boards have engaged positively with the new NEST / NYTH framework and all have a plan to work within this framework. (Edited publisher abstract)
The development of a concept map for understanding spiritual integration in evangelically based social service organizations
- Author:
- RIDINGS John W.
- Journal article citation:
- Journal of Religion and Spirituality in Social Work, 34(4), 2015, pp.331-355.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The role that spirituality and religion play in the delivery of social services in faith-based organisations is a relative unknown. Specifically, what remain missing are well-defined operational indicators that cover the continuum of spiritual integration. This article describes results from a study using concept mapping to create a conceptual model of spiritual integration for The Salvation Army in Chicago. Eleven brainstorming sessions were convened with counsellors, case managers, program directors, pastors, secretarial staff, church parishioners, and other Salvation Army affiliates (N = 112), and a list of 117 spiritual integration indicators was generated. Using Concept Systems software, 15 of the original panelists sorted the 117 items and a total of 105 study participants rated them along the dimension of importance for the concept of spiritual integration. Using hierarchical cluster analysis and multidimensional scaling, a conceptual map with 9 clusters was produced. Clusters with the highest importance ratings were Living Your Faith, Treatment of Others, and Evangelism. This research presents a conceptualisation of spiritual integration and identifies the constituent domains. Findings may help focus programmatic and research efforts, leading to the development of measures that open the field for further research and theory generation. (Edited publisher abstract)