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Border crossings : investigating the comparability of case management in a service for older people in BerlinCrossland, John January 2012 (has links)
Case management, a coordinating process designed to align service provision more closely to the identified needs of people requiring assistance in the context of complex care systems, is an example of those policies and practices that cross the borders of different national welfare systems, ostensibly to resolve the same or similar problems in the adopting country. Developed in the USA, case management was re-named 'care management' upon adoption in the UK as part of the community care reforms of the early 1990s, reforms which have framed my professional life in English local authority adult social care services ever since. In 2007, a temporary research fellowship (TH Marshall Fellowship, London School of Economics) enabled me to spend four months in Berlin studying a citywide case management service for older people in the context of German long-term care policy and legislation. This experience sits at the core of this thesis which addresses the extent to which the study of a specific case management service for older people in Berlin can illuminate how case management translates across differing national welfare contexts, taking into account the particular methodological challenges of cross-national research. Drawing on both cross-national social policy and translation studies literatures and adopting a multi-method case study approach, the central problems of determining similarity and difference, equivalence and translation form the core of the thesis. Informed by a realist understanding of the social world, the study took a naturalistic turn in situ that fore-grounded the more ethnographic elements in the mix of documentary research, semi-participant observation and meetings with key informants that formed my data sources and were recorded in extensive field notes. The data were analysed to trace how case management was constructed locally in relation to both state and federal level policy and legislation, and then comparatively re-examined in the context of the key methodological problems identified above in relation to understandings of care management in England as reported in the literature, in order to further explore the question of comparability of case management across different welfare contexts. The research clearly demonstrates how institutional context both shaped and constrained the adoption of case management in Berlin, and highlights a need in comparative research for close contextual examination of the apparently similar, with a focus on functionally equivalent mechanisms, to determine the extent to which case management can be said to be similar or different in different contexts, particularly where English words and expressions are directly absorbed into the local language. Relating the case study to findings from earlier studies of care management in England highlights the extent to which care management in England is itself a locally shaped and contextualised variant of case management as developed in the USA that matches poorly to the variant in Berlin. Indeed problems discovered in the research site constructing definitional boundaries for case management in practice mirror issues in the wider literature and raise questions about the specificity of the original concept itself. Nonetheless, the study shows that, despite the multiple asymmetries of equivalence and difficulties of translation, there are sufficient points of similarity for cautious potential lessons to be drawn from Berlin, particularly with regards to policy changes on the horizon in England, but also in the other direction with regards to how case management in Berlin may also be re-shaped following recent reforms to German long-term care legislation.
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Old age, caring policies and governmentalityGarrity, Zoë January 2013 (has links)
Through the theoretical lens of Foucault's archaeological method, this thesis undertakes a discourse analysis to examine how old age and ageing are strategically positioned as forms of governmentality in New Labour social care policy documents. It is argued that these discourses are not directed purely at the older generation, but at everyone, at all stages of life, encompassing all aspects of everyday living. Old age thus becomes a strategy of governing the population through individual everyday lives. This hints at the way ageing is prefigured, anticipated and lived in advance. An analytical method is developed by weaving together Foucault's notions of archaeology and governmentality; the latter is utilised both as an analytical perspective and to provide an understanding of how people primarily act and interact in contemporary Western societies. This analytical perspective is initially applied to an exploration of how the form and function of social policy enable ordinary practices of life to become targets of political government, making both possible and desirable the government of everyday living: governing how we ought to live in every aspect of life from work and finances to health, to personal relationships and leisure activities. The thesis progresses to explore this in more detail through a practical application of governmentality and focused discourse analysis of eight New Labour social care policy texts. The aim of the analysis is to explore what subjectivities and forms of life are possible within these discourses and therefore what these policies actually do, as distinguished from what they claim to be doing. It is argued that the discourses that emerge in these policies act to limit and subjectify, by attempting to contain and stabilise the multitude of possibilities for practices of living. By ostensibly aiming to create social inclusion the policies make possible vast areas of exclusion that become prime spaces of government. Thus many ways of living, ageing, and being old become untenable due to their inherent contradiction with the social values and rationalities upon which these discourses are based. Whilst governmentality analyses have been brought to many other policy areas, this thesis makes an original contribution by: developing a governmental analysis of social policy as a form of biopolitics; by applying this analysis to the social care field; and by using policy discourses of old age and ageing to draw out significant aspects of a governmental society. In particular it explores the dispersion of many traditional boundaries, leading to the rearrangement of relations, responsibilities and subjectivities.
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A critical analytic literature review of virtue ethics for social work : beyond codified conduct towards virtuous social workWebster, Paul January 2011 (has links)
This submission is based on a critical analytical literature review of the moral paradigm of virtue ethics and a specific application of this to social work value discourse in search of lost identity. It echoes the philosophical academy's paradigmatic wars between 'act' and 'agent' appraisals in moral theory. Act appraisal theories focus on a person's act as the primary source of moral value whereas agent appraisal theories - whether 'agentprior' or stricter 'agent-based' versions - focus on a person's disposition to act morally. This generates a philosophical debate about which type of appraisal should take precedence in making an overall evaluation of a person's moral performance. My starting point is that at core social work is an altruistic activity entailing a deep commitment, a 'moral impulse', towards the distressed 'other'. This should privilege dispositional models of value that stress character and good motivation correctly applied - in effect making for an ethical career built upon the requisite moral virtues. However, the neo-liberal and neo-conservative state hegemony has all but vanquished the moral impulse and its correct application. In virtue ethical language, we live in 'vicious' times. I claim that social work's adherence to act appraisal Kantian and Utilitarian models is implicated in this loss. Kantian 'deontic' theory stresses inviolable moral principle to be obeyed irrespective of outcome: Utilitarian 'consequentualist' theory calculates the best moral outcome measured against principle. The withering of social work as a morally active profession has culminated in the state regulator's Code of Practice. This makes for a conformity of behaviour which I call 'proto-ethical' to distinguish it from 'ethics proper'. The Code demands that de-moralised practitioners dutifully follow policy, rules, procedures and targets - ersatz, piecemeal and simplistic forms of deontic and consequentualist act appraisals. Numerous inquiries into social work failures indict practitioners for such behaviour. I draw upon mainstream virtue ethical theory and the emergent social work counter discourse to get beyond both code and the simplified under-theoretisation of social work value. I defend a thesis regarding an identity-defining cluster of social work specific virtues. I propose two modules: 'righteous indignation' to capture the heartfelt moral impulse, and 'just generosity' to mindfully delineate the scope and legitimacy of the former. Their operation generates an exchange relationship with the client whereby the social worker builds 'surplus value' to give back more than must be taken in the transaction. I construct a social work specific minimal-maximal 'stability standard' to anchor the morally correct expression of these two modules and the estimation of surplus value. In satisficing terms, the standard describes what is good enough but is also potentially expansive. A derivative social work practice of moral value is embedded in an historic 'care and control' dialectic. The uncomfortable landscape is one of moral ambiguity and paradoxicality, to be navigated well in virtue terms. I argue that it is incongruous to speak of charactereological social worker virtues and vices and then not to employ the same paradigm to the client's moral world. This invites a functional analysis of virtue. The telos of social work - our moral impulse at work - directs us to scrutiny of the unsafe household. Our mandate is the well-being of the putative client within, discoursed in terms of functional life-stage virtues and vicious circumstance. I employ the allegorical device of a personal ethical journey from interested lay person to committed social worker, tracking the character-building moral peregrinations. I focus on two criticisms of virtue ethics - a philosophical fork. It is said that virtue ethical theory cannot of itself generate any reliable, independently validated action guidance. In so far as it does, the theory will endorse an as-given, even reactionary, criterion of right action, making 'virtue and vice' talk the bastion of the establishment power holders who control knowledge. I seek to repudiate these claims. Given that this demands a new approach to moral pedagogy, the practical implications for the suitability and training of social workers are discussed.
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Making sense of children's rights : how professionals providing integrated child welfare services understand and interpret children's rightsBoushel, Margaret January 2014 (has links)
The purpose of this study is to contribute to the development of integrated child welfare services through an exploration of how professionals providing such services make sense of children's rights and interpret their understandings in their approach to practice. The study focuses on professionals providing services for children between 5 and 13 years old within the Every Child Matters initiative, designed to support the assessment and provision of integrated child and family preventive services in England. The aims were to explore professional understandings of, and engagement with children's rights, provide a description and analysis of the empirical data, and develop a theorised understanding of the factors influencing sense-making and their implications for professionals' interpretations of their role. Areas of interest included similarities and differences in professionals' understandings and how these matched the understandings of service users and those evident in legal and policy texts. It was anticipated that professionals' understandings and engagement would draw on a complex mix of variable knowledge and embedded assumptions and practices, contested and negotiated in relation to welfare structures, texts and professional identities. The study was designed to explore whether this was borne out. A post-modernist theoretical approach was used, drawing on Bourdieu's theories of structured inequalities and influenced by Actor Network Theory's perspectives on networks. Using qualitative methodologies a case study was undertaken within one local area, linking a range of elements in an iterative process, with data from one phase interwoven in the next. Thirty-nine semi-structured interviews with professionals from social work, education and health settings drew on material developed from focus group discussions with child and parent service users and were supplemented by analysis of legal and policy texts and of 30 case records and site-based observations. Initial findings were discussed in parent and professional focus groups. In a second stage analysis of a subset of the data, these findings were explored further and situated within research and academic debate on professional practices and theories of childhood and of rights. Three broad configurations emerged from the data, reflecting differing professionals' constructions and practice interpretations of children's rights. Some participants interpreted children's rights as an essential ‘golden thread' underpinning their practice; others took a more selective ‘pick and mix' approach; and in a third perspective, children's rights were positioned as ‘uncomfortable accommodations' in relation to interpretations of professional role and of family life. These varying dispositions and related interpretations of professionals' regulated liberties were associated with perspectives on childhood, rights knowledge, professional setting, personal dispositions and relational practices. The findings are necessarily tentative and a causal relationship cannot be inferred. Three overarching themes emerged across these configurations. These related to: a common rights language and framework; children's longer-term welfare rights; and conceptualisations of the role of rights within relationships. The absence of a common rights framework to support professional and interprofessional discussions of children's rights was evident across all settings, as was a professional focus on the immediate and lack of attention to children's longer-term welfare, civil and social rights. Participants indicated that providing information about children's rights and exploring rights-based relationships in work with parents and carers was very rare and often avoided. The study proposes that in order to address children's rights in a more consistent and holistic way professionals need opportunities to explore theories of human and children's rights using a broad common framework such as the UNCRC. In integrating children's rights within professional practice increased attention is needed to children's longer-term welfare and development rights and to providing children and adults with information about, positive modelling of and opportunities to explore the place of rights in children's key relationships.
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Parts unknown : a critical exploration of Fishers' social constructs of child labour in GhanaBukari, Shaibu January 2016 (has links)
This study from the onset sought to explore, through a postcolonial critique, the meaning ascribed to child labour by fishers in a fishing community in Ghana. The purpose was to inform practice in social work so that social justice might be achieved for working children and their parents. However the study expanded, methodologically and theoretically, to preliminarily include a psychoanalytically informed psychosocial and discursive approach, extending the postcolonial critique to develop a nuanced understandings of the fishers' lived experience of, and responses to, children's work. Distinct from the dominant reductionist and positivistic etiologic understandings of child labour, this approach neither derides child labour as morally reprehensible and unequivocally dangerous, nor romanticises its beneficial aspects and links to cultural and traditional beliefs and practices (see Klocker, 2012). Instead, enables understanding of the fishers as ‘defended subjects' who invest in certain discourses as a way of defending against their vulnerable selves. It also affords a critically reflexive understanding of myself as a ‘defended researcher', owing to my semi-insider position as a former child labourer, and of the impact of this on my research relationships and findings. The study is intended to inform social worker practices in order to deal with complex situations concerning the relationship among fishers and their children paying equal attention both to the inner and the social circumstances of the fishers (Wilson, Ruch, Lymbery, & Cooper, 2011). In this regard it is inspired by Mel Gray's (2005) contention that social work practice should be shaped by the extent to which local social, political, economic, historical and cultural factors, as well as local voices, mould and shape social work responses. The study is conducted using critical ethnographic design that draws on the lived experiences of 24 fishers. Attempts were made to explore the fishers' experiences using psychoanalytically informed method (FANI) in addition to other conventional methods. The study highlights the fishers' use of narratives of slavery to explicate child labour. It focuses on the relationships that the fishers' have developed with their children and with the laws surrounding the use of children in work. It gives an indication of how the fishers' violently and aggressively relate with their working children. It also highlights the fishers' rejection of the laws surrounding child labour as being foreign and an imposition which excludes customary laws. The study further examines the identities the fishers developed in relation to laws that regulate them and children's work. It suggests that others see the fishers as powerless subjects who don't matter. It also underscores my shame and worries as a researcher considered by the fishers as an ‘educated elite' who works for ‘white people'. It further highlights how I provided self-justifying explications to defend myself as a researcher. The findings imply that solutions to child labour need to be localised paying equal attention to both the psyche and the social life of the fishers. They speak to the imperative for critical review of social workers/NGOs practices taking into account the unconscious processes that go on between fishers as parents and social workers as service providers. This thesis introduces a psychosocial dimension and insight into debates on child labour in Ghana.
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Context is all : a qualitative case study of youth mentoring in the inner-cityRana, Tasleem January 2018 (has links)
This project is an extended case study design investigating the mentoring programme of Kids Company, an innovative and controversial organisation that closed during fieldwork. The study considers the programme both as a case of the larger category of ‘youth mentoring' as well as a case in itself – of a unique and situated intervention. Methods employed included participant observation and interviews with professional staff, as well as the analysis of a sample of mentoring records documenting the one-year relationship of six mentoring pairs from the perspective of the mentor. Plans to interview mentoring pairs were curtailed by the unexpected demise of the organisation, but the data set includes interviews with five new mentors and mentees. The project has developed from a collaborative studentship aimed at understanding the mentoring programme, to include a post mortem of an organisation in crisis. Thus, documentation by and about Kids Company during this very public downfall also forms part of the data set. The thesis organises its findings into three chapters with insights on the model of mentoring employed by Kids Company and the reliance of popularised ideas from attachment theory and neuroscience; insights into the mentoring relationships themselves, including the value of a middle stage of everyday ‘being there'; and critical insights into how Kids Company's approach to young people and communities simultaneously takes on representations of race and class, yet elides them. The thesis draws together critical social policy and childhood studies literature on the history of child saving interventions and representations of the child in need within society, and psychology literature on youth mentoring initiatives, in order to make the argument that mentoring must be understood as an intervention situated in time and place. The messiness, complexity, and variety of youth mentoring experiences needs to be recognised. Nevertheless, youth mentoring also has potential to be powerful and productive for all involved and the thesis reflects on both the strengths and weaknesses of the Kids Company approach to make suggestions for good practice.
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This is a place for talking : an exploration of the transition to adulthood for young women with epilepsy in a residential special collegeFenton, Virginia Kay January 2013 (has links)
What does it mean to be an adult? What makes a person an adult? How have the circumstances of the lives of the six young women in my study shaped their understanding and perceptions of adulthood? These are the research questions at the heart of this thesis. I wanted to know more about the experiences of the young women that I worked with as a carer at a residential centre for young people with epilepsy and the influences that their experiences have had on how they perceive the world. This thesis begins with a puzzle in the form of fictional fieldnotes and concludes with an obligation. It charts the journey of the research from origins in a particular cultural setting to its conclusion as the beginning for the next stage, providing an opening chapter for the work that will grow from this study. The puzzle at the beginning of this thesis relates to the neurological functioning of a young woman, Evie (21). As soon revealed, Evie is a fictional character whose story has been told to represent themes from the research. Telling her story was also a way to use ‘writing as a method of inquiry' (Richardson, 2003). The methodological approach taken in this research sits within a phenomenological tradition by way of its modern guise as Interpretative Phenomenological Analysis (IPA) as developed primarily by Jonathan Smith, Paul Flowers and Michael Larkin. The use of this methodology reflects a concern with the meaning my participants take from their experiences (Smith et al. 2009). I focused on the transition to adulthood as this was the ‘common phenomenon' that my participants seemed to hold as a central concern in their lives. Five themes emerged from the analysis: · Alcohol = Adulthood · Adulthood is - independence · Adulthood is - domestic competence · Adulthood is - a ‘code of behaviour' · Adulthood is - an achievement The findings from the phenomenological analysis have been juxtaposed with an account of the research findings written as ethnographic fiction. ‘Evie/I' is a story that includes reflections on the relationships I have had with young people in my care and the one which developed when I took on a researcher identity. It relates how knowledge of past histories shaped how I interpreted what the participants in my study revealed to me and the development of a reflexive stance as a researcher. It is my intention that the juxtaposition of these related but different accounts of the findings should enhance the reader's understanding of both. Central to this thesis are Bourdieu's concepts of species of capital, habitus and field theory and they have been used as a theoretical framework. A conceptual model has been created to map the themes developed as they fit into the ‘code of behaviour' my participants seem hold central to the achievement of adult status. The epilepsy centre where this research was conducted is a ‘field' with certain characteristics. This has been considered in relation to the ‘habitus' my participants have developed as young women in this particular situation. Feminist theory has also influenced the way in which this research was conducted. Research relating to people with epilepsy seldom includes the voices of those with the condition and qualitative research approaches are relatively scarce (Andermann, 2000). The young women in this study also have learning disabilities and this factor likewise lessens the likelihood that their views will be represented in the research literature (Walmsley, 2001; Atkinson, 2005). The rationale behind the research relates to the need to address this omission. The obligation that concludes this thesis concerns the need for further research that includes the perceptions and voices of young people such as those in my study.
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Socialism by grace : the new visibility of postsecular social workShaw, Julia January 2016 (has links)
In conceptualising the new visibility of postsecular social work this thesis develops alternative perspectives to former secular, liberal and neoliberal hegemonies within the profession. Firstly secularism is considered as compromising deliberative and participatory democracy by inhibiting religious citizenship within the public sphere and in response the new visibility of postsecular social work incorporates the inclusion of religious perspectives into social welfare considerations with particular reference to faith based social action. Secondly liberalism is observed as perpetuating the marginalisation of religion, tolerated merely as a personal lifestyle choice, from public legitimacy and the new visibility of postsecular social work therefore recognises the contribution of public religion to addressing social welfare concerns in challenging this marginalisation. Thirdly neoliberalism is critiqued as an outcome of the marginalisation of religion from the public sphere by both secularism and liberalism and accordingly the new visibility of postsecular social work engages with political economy in the interests of social welfare and social justice. Resultantly the new visibility of postsecular social work affirms faith and reason as integral to public religion which is indicative of a new politics of social work that develops postsecular, post-liberal and postneoliberal perspectives through the reconfiguration of Christian socialism.
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La démarche éthique dans les pratiques psychiatriques institutionnelles : de l'implicite à l'explicite / The pursuit of ethics within psychiatric institutions : from being implicit to being explicitCano Gavaudan, Nicole 15 December 2010 (has links)
Ce travail essaie d’identifier les enjeux rencontrés dans la pratique de la psychiatrie et de proposer des repères susceptibles d’éclairer une réflexion dans une perspective éthique. Dans une première partie, nous questionnons la démarche de la psychothérapie institutionnelle, mouvement humaniste d’ouverture des hôpitaux et de prise en considération du sujet, à la lumière des concepts de l’éthique médicale ; en retour nous tentons d’interpréter les principes éthiques dans le domaine de la psychiatrie. Cette approche met l’accent sur l’expérience vécue de la maladie, l’intersubjectivité et le contexte institutionnel. Dans un second temps, une étude par entretiens semi-directifs réalisée auprès de 12 psychiatres hospitaliers révèle que les pratiques collectives sont peu orientées vers la responsabilisation des patients. La troisième partie se situe du côté des personnes hospitalisées à travers deux enquêtes. Une étude qualitative explore la perception de l’isolement de 30 patients : prédominent des affects négatifs et un vécu de privation d’information. Ensuite, une enquête par questionnaire saisit l’opinion de 169 patients sur le déroulement et les effets du séjour hospitalier ; leur appréciation s’avère majoritairement favorable. La confrontation des points de vue des psychiatres et des personnes hospitalisées, à l’aune des trois principes fondamentaux, révèle la primauté d’une dimension bienveillante, à l’exclusion parfois de l’autonomie et de la non-malfaisance. La dimension éthique du soin doit être sans cesse interrogée et réaffirmée. A cet effet, nous discutons de la pertinence d’un outil de questionnement des pratiques qui validerait le point de vue des patients. / This work tries to identify the issues encountered in the practice of psychiatry, and to propose reference points likely to clarify thinking from an ethical perspective. We initially examined institutional psycho-therapy, an open and humanistic movement of hospitals, and deliberated the topic in light of ethical medical concepts ; in return, we hoped to interpret ethical principles in the field of psychiatry. This approach placed the accent on the experience inherent in the illness, inter-subjectivity and the institutional context. Secondly, a study conducted via semi-directed discussions among 12 hospital psychiatrists revealed that collective practices are not oriented towards the accountability of patients. The third part dealt with two surveys of hospitalized people. A qualitative study explored the perception of seclusion by 30 patients : they predominantly show negative affects and an experience of being deprived of information. Then, a questionnaire survey showed the opinion of 169 patients on the procedure and effects of a hospital stay ; their rating was over-whelmingly favourable. The confrontation of opinions by psychiatrists and hospitalized patients, compared with the three fundamental principles, revealed the primacy of a benevolent dimension, to the exclusion at times of autonomy and non-maleficence. The ethical dimension of care must continue to be queried and re-asserted unceasingly. To this end, we will continue to discuss and interrogate the pertinence of a questioning tool of practices that would validate the patient’s viewpoints.
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The Female and Male Orphan Schools in New South Wales, 1801-1850Bubacz, Beryl M January 2007 (has links)
Doctor of Philosophy / This thesis is concerned with an examination and re-assessment of the establishment, operation and management of the Female and Male Orphan Schools, in the first half of the nineteenth century in New South Wales. The chaplains and governors in the early penal settlement were faced with a dilemma, as they beheld the number of children who were ‘orphaned’, neglected, abandoned and destitute. In order to understand the reasons why these children were in necessitous circumstances, the thesis seeks to examine the situations of the convict women, who were the mothers of these children. Governors Philip Gidley King and Lachlan Macquarie respectively in 1801 and 1819 established the Schools, which provided elementary education, training and residential care within a religious setting. Researching the motives underlying the actions of these men has been an important part of the thesis. An examination of the social backgrounds of some of the children admitted to these Schools has been undertaken, in order to provide a greater understanding of the conditions under which the children were living prior to their admissions. Information about family situations, and the social problems encountered by parents that led them to place their children in the Schools, have been explored. The avenues open to the girls and boys when they left the Schools, has formed part of the study. Some children were able to be reunited with family members, but the majority of them were apprenticed. A study of the nature of these apprenticeships, has led to a greater understanding of employment opportunities for girls and boys at that time. In 1850 the Schools were amalgamated into the Protestant Orphan School at Parramatta. By examining the governance and operation of the Schools during their last two decades as separate entities, we have more knowledge about and understanding of these two colonial institutions. It is the conclusion of this thesis that some of the harsher judgements of revisionist social historians need to be modified. It was the perception that more social disorder would occur if action was not taken to ‘rescue’ the ‘orphaned’ children, usually of convict parentage. However genuine charity, philanthropy and concern was displayed for the children in grave physical and moral danger. The goals of the founders were not always reached in the Orphan Schools, nevertheless they performed an invaluable service in the lives of many children.
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