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How governance conditions affect the individualization of active labour market services: an exploratory vignette study
- Author:
- RICE Deborah
- Journal article citation:
- Public Administration, 95(2), 2017, pp.468-481.
- Publisher:
- Wiley
Service individualisation is high on the agenda of active welfare states. Especially for the long-term unemployed and other people with complex problems, individualised employment and social services are seen as a crucial precondition for social and labour market integration. To achieve tailor-made service delivery, welfare states have introduced new governance mechanisms such as client profiling, performance indicators, game-theoretical incentives or institutionalised discretion. However, comparative research on how these governance mechanisms affect service individualisation is still rare. To fill this gap, this article presents an exploratory vignette study on Denmark and the Netherlands conducted in 2010–12. The main finding of this study is that institutionalised discretion, as it is implemented in the Dutch minimum income system, increases the variety and innovativeness of employment services, makes service provision more holistic (especially for vulnerable clients), and increases the targeting capacity of service allocation between vulnerable and work-ready clients. (Edited publisher abstract)
A comparative analysis of personalisation: balancing an ethic of care with user empowerment
- Author:
- RUMMERY Kirstein
- Journal article citation:
- Ethics and Social Welfare, 5(2), June 2011, pp.138-152.
- Publisher:
- Taylor and Francis
- Place of publication:
- Abingdon
Modern developments in care and support delivery for disabled and older people have led to the expansion of personalisation schemes, where money is paid in substitute for care and support. Although the schemes have been evaluated within their own national contexts, little work has been done so far to explore the theoretical implications of their development and extension, particularly from an ethics of care perspective. This paper fills that gap by drawing on comparative evidence from several schemes across different nations to develop an analysis which draws on feminist theory and an ethics of care approach to examine: the gendered policy outcomes and impact of such schemes; a feminist analysis of the governance implications of personalisation; the implications for the gendered division of work, particularly between paid and unpaid care work and between different groups of paid and unpaid carers; an ethics of care analysis of the impact of personalisation over the lifecourse of disabled and older people, and carers; and a discussion of the relationship between commodification, empowerment, citizenship and choice drawing on the work of care ethicists.
Personalisation in social care: progress in the UK and abroad
- Author:
- HELP THE AGED
- Publisher:
- Help the Aged
- Publication year:
- 2008
- Pagination:
- 17p.
- Place of publication:
- London
This paper introduces the development of the concept personalisation in the UK. It then briefly outline systems of social care provision in France, Germany, the Czech Republic and the Netherlands, all of which operate on the basis of personal budgets. Although the systems differ in the details, but are linked by the common principles of user choice and control to which the UK currently aspires.
Indicators to estimate the appropriateness of activating interventions for people living with dementia and for their informal caregivers
- Authors:
- VAN'T LEVEN Netta, et al
- Journal article citation:
- Aging and Mental Health, 22(11), 2018, pp.1416-1423.
- Publisher:
- Taylor and Francis
Objectives: Dyadic activating interventions support both people with dementia and their informal caregivers to maintain activities. For a person-cantered approach referrers need insight in how specific interventions might meet individual needs, characteristics, and preferences of a dyad. This study aimed to develop a set of indicators for three psychosocial dyadic, activating interventions. Method: This study used the ‘RAND Appropriateness Method’ directed at agreement on indicators within a panel of experts. Qualitative research had identified 31 relevant conceptual indicators. A panel of 12 experts in dementia care rated the extent to which these indicators are recognizable in their clinical practice. Indicators with median ratings in the top third segment of the nine-point-scale were considered recognizable. Results: 18/31 conceptual indicators (58%) were found recognizable in 75%–90% of the panelists’ clients. Although consensus on the recognisability of some indicators about the need or preference for physical and social activities was lacking, the respondents nevertheless recommended including these in regular assessments. Other indicators were judged too difficult to recognize in clinical practice. Conclusion: The selected indicators offer guidance to referrers on what intervention(s) to choose, and discuss the appropriateness in a shared decision-making process, thus contributing to a person-cantered approach. (Edited publisher abstract)