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When the clients can choose: dilemmas of street-level workers in choice-based social services
- Authors:
- COHEN Nissim, BENISH Avishai, SHAMRIZ-ILOUZ Aya
- Journal article citation:
- Social Service Review, 90(4), 2016, pp.620-646.
- Publisher:
- University of Chicago Press
To examine the question of how increased use of choice-based management strategies in social services influences the behaviour of street-level workers, this article provides an analytical framework for understanding street-level logic in choice-based environments. It then looks at home-nursing care in Israel to examine how choice plays out in street-level workers’ day-to-day practices. By relying on 34 interviews with social workers working in home-care agencies, the authors illustrate how street-level workers’ jobs have expanded beyond implementing public policy to include the “new job” of recruiting and retaining clients. The article shows how a choice-based environment gives higher priority to clients’ preferences, while at the same time these preferences are subordinated to the economic interest of the providers. It also demonstrates how market pressures may push street-level workers to develop new practices and coping strategies that go beyond, but often also counter to, formal policy. (Edited publisher abstract)
Who has the power? The role of NPOs in local authorities
- Authors:
- BAR-NIR Dorit, GAL John
- Journal article citation:
- Voluntas: International Journal of Voluntary and Nonprofit Organizations, 22(1), March 2011, pp.1-25.
- Publisher:
- Springer
- Place of publication:
- New York
Recent years have seen accelerated processes of decentralization and devolution of social services from central government toward local authorities and from them to non-profit organizations (NPOs). This article describes a case study of the process of transition of power from a local authority to a NPO and the outcomes of this transition on public policy making. The findings presented in the article are based on a qualitative analysis of documents over a period of 7 years (1999–2006) in a large local authority in Israel and its relations with a NPO which provide services for the elderly.
Israel's long-term care insurance law after a decade of implementation
- Authors:
- BOROWSKI Allan, SCHMID Hillel
- Journal article citation:
- Journal of Aging and Social Policy, 12(1), 2000, pp.49-71.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Reviews Israel's Long-Term Care Insurance (LTCI) with a view to identifying possible directions for reform and lessons for other countries considering the introduction of a similar social insurance scheme. Considers the law's effects in terms of the size and characteristics of the beneficiary population, the coverage of the scheme, its financial standing, the rate of institutionalisation of the elderly, the caregiving burden, the service delivery system, and the overall scope of long-term care services for the aged.
The graying of the world: who will care for the frail elderly?
- Editor:
- OLSON Laura Katz
- Publisher:
- Haworth Press
- Publication year:
- 1994
- Pagination:
- 345p.,tables,bibliogs.
- Place of publication:
- Binghamton, NY
Comparative study of policies for older people in 11 countries. Countries covered include Canada, China, Finland, Germany, Israel, Japan, Sweden, United Kingdom, United States and Yugoslavia.
The impact of organisational qualities of old age homes in Israel on the subjective well-being of female residents
- Author:
- IOECOVICH Esther
- Journal article citation:
- Journal of Social Work in Long-Term Care, 1(3), 2002, pp.37-53.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Previous studies, especially those conducted during the 1960s, have maintained that institutions have a negative impact on the quality of life and well-being of their elderly residents. Various studies have focused on organisationaltraits, such as size and type of ownership, as being explanatory variables affecting SWB (subjective well-being). The present study investigated: theSWB levels among functionally independent female residents of old age homes in Israel; whether old age homes differ in terms of SWB levels; and, theimpact of organisation characteristics, such as levels of centralisation and formalisation, on residents' SWB. The sample included 464 residents and 164 staff members in 48 old age homes. The findings show that the majority of theresidents expressed moderate to high levels of SWB and that the facilities differed significantly in terms of the level of SWB reported by their residents. The facilities were homogeneous in terms of formalisation, but differed significantly in terms of centralization and in their organisational structure.No correlation was found, however, linking the organizational qualities to theSWB reported by the elderly residents. The implications of the study results arediscussed for policy and program development purposes.
Long-term care: a comparison of policies and services in Israel and the United Kingdom and implications for the United States
- Author:
- COX Carole
- Journal article citation:
- Journal of Aging and Social Policy, 9(2), 1997, pp.81-99.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Discussions over the issue of long-term care continue in the United States. This article looks at the experiences of Israel, whose system is based on national insurance, and that of the United Kingdom, which is based on grants to local authorities. Argues that these examples can act as valuable teaching aids in the development of programmes in the United States. Highlights that although both countries focus on community care with virtually universal access, concern over resources is forcing each to target their services increasingly to the most frail. Concludes that the findings underscore the necessity for accurate planning and adequate resources if services are to meet the needs of the frail elderly population.
Relationships between organizational properties and service effectiveness in home care organizations
- Authors:
- SCHIMID Hillel, NIREL Ronit
- Journal article citation:
- Journal of Social Service Research, 20(3/4), 1995, pp.71-92.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Presents research findings on the relationships between organizational properties and service effectiveness in home care organizations. Investigates three main components of the home care system in Israel - the provider organisation, the home care worker and elderly clients and the degree of empowerment granted to them in determining the care plan affects their evaluation of the services and their satisfaction with the organization. It was found that training and working conditions also influence the rate of complaints reported by the provider organizations.
New welfare mixes in care for the elderly: vol. 2; Austria, Denmark, Finland, Israel, Netherlands
- Editors:
- EVERS Adalbert, SVETLIK Ivan
- Publisher:
- European Centre for Social Welfare Policy
- Publication year:
- 1991
- Pagination:
- 121p.,tables,bibliog.
- Place of publication:
- Vienna
A country-by-country examination of welfare provision for older people focusing in particular on the mix of private and public sector provision. Volume 1 is on Czechoslovakia, Hungary, Poland and Yugoslavia; volume 2 is on Austria, Denmark, Finland, Israel and the Netherlands; volume 3 is on Canada, France, Germany, Italy and the United Kingdom.
Social services in international perspective: the emergence of the sixth system
- Authors:
- KAHN Alfred J., KAMERMAN Sheila B
- Publisher:
- United States. Department of Health, Education, and Welfare. Social Rehabilitati
- Publication year:
- 1977
- Pagination:
- 418p.
- Place of publication:
- Washington, DC
Covers socail services in Canada, France, Germany, Israel, Poland, United Kingdom, United States, and Yugoslavia.