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Personal assistance: direct payments or alternative public service: does it matter for the promotion of user control?
- Author:
- ASKHEIM Ole Petter
- Journal article citation:
- Disability and Society, 20(3), May 2005, pp.247-260.
- Publisher:
- Taylor and Francis
Personal assistance organised as direct payments is seen as an important means for securing user control and freeing disabled people from their reliance on welfare professionals and unpaid carers. The hypothesis put forward in the article is that just looking at whether personal assistance is organised as direct payments or as an alternative service represents an overly restricted approach to judge how the user’s preferences are taken care of. By comparing models of personal assistance in the US, the UK, Sweden and Norway it will show that several other factors influence user control. In the final part of the article the question is raised as to whether paternalism is always negative for welfare service users. Since the users constitute a broad group it might be questioned if the assumption of the service users as rational, well informed and competent to make the best choices is always valid.
Personal assistance for disabled people - the Norwegian experience
- Author:
- ASHKEIM O.P.
- Journal article citation:
- International Journal of Social Welfare, 8(2), April 1999, pp.111-119.
- Publisher:
- Wiley
This article presents data from a survey of disabled people in Norway who receive personal assistance in the municipalities that have granted subsidies from the State. It concentrates on: who are the user of personal assistance; what distinguishes them from other disabled people; what dimensions has personal assistance as a service; how has it influenced the total service to the recipients and how is this composed; how do the users value their service; and to what extent does it seem to fulfil the aims of self-dependence and sovereignty for the users. Concludes that personal assistance seems to be a suitable instrument to reach the goals of full participation and equality of status for disabled people in Norwegian society.
Service provision for an independent life
- Authors:
- HELGOY Ingrid, RAVEBERG Bodil, SOLVANG Per
- Journal article citation:
- Disability and Society, 18(4), June 2003, pp.471-487.
- Publisher:
- Taylor and Francis
Discusses the question of how an independent daily life is possible for disabled people when relying upon professional service provision and the bureaucratic gate-keeping systems of the welfare state in relation to an interview study. Eighteen mobility disabled and 20 service providers in one local setting in Norway were interviewed. Highlights at least three categories regarding how independence is interpreted among the disabled: the super-normal, the independent living activists, and those experiencing powerlessness and lack of support. The analysis points out how these categories are constructed in relations between the disabled person, professional service providers and the gate-keeping systems of the welfare bureaucracy.