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The discretion and power of street-level bureaucrats: an example from Swedish municipal eldercare
- Authors:
- DUNER Anna, NORDSTROM Monica
- Journal article citation:
- European Journal of Social Work, 9(4), December 2006, pp.425-444.
- Publisher:
- Taylor and Francis
This paper focuses on discretion in the frontline practice of social work with elderly people in Sweden. The aim is to describe and analyse how care managers in municipal eldercare use discretion and power in needs assessment and decision-making. Emanating from Lipsky's concept of discretion, we identify the conditions of decision-making, which along with the concepts of structural power and intentional power constitute the theoretical framework of this analysis. Eight care managers from four Swedish municipalities were observed and interviewed. The researchers carried out 38 observations and nine in-depth interviews. The analysis led to the identification of four techniques in the decision-making process of care managers: reject, execute, transform needs and control. The consequences of these practices are discussed at the end of the paper.
The roles and functions of the informal support networks of older people who receive formal support: a Swedish qualitative study
- Authors:
- DUNER Anna, NORDSTROM Monica
- Journal article citation:
- Ageing and Society, 27(1), January 2007, pp.67-85.
- Publisher:
- Cambridge University Press
Several studies of frail older people have focused on the relationship between formal and informal care, while others have examined the character of inter-generational relationships. Yet knowledge of the significance of the informal-support networks of older people who receive formal care is still scarce. The aim of this paper was to explore how older Swedes who receive formal elder-care experienced their informal support networks. The findings presented emanate from a qualitative case study. The structural, interaction and functional dimensions of the support networks were the main analytical tools. In the study population, the size of the formal support network varied from one to 12 people (or categories of people), and the size of the informal support network varied from one to six people (or categories of people). The main results demonstrate the importance of informal support with reciprocal relationships, and the value of confidants and emotional support, both of which contribute to feelings of belonging, security and wellbeing. A well-functioning formal and informal support network allows individuals to maintain autonomy in old age, even when they have to depend on help from others.