Marketisation of women’s organisations in the criminal justice sector

2020 ◽  
pp. 203-220
Author(s):  
Vickie Cooper ◽  
Maureen Mansfield
Keyword(s):  
Criminal Justice ◽  
Service Providers ◽  
The Political ◽  
Community Based ◽  
Political Values ◽  
Reform Programme ◽  
System P ◽  
Specialist Services ◽  
Community Based Services ◽  
Roll Out

This chapter explores the gendered impacts of the austerity-driven probation reforms, which include the dismantling of community-based services for economically marginalised women and the alarming 131% rise in women recalled to custody. Blame for these deleterious effects has been apportioned to the privatisation of Probation Trusts in England and Wales and the subsequent dominance of ‘Community Rehabilitation Companies’ – where, in practice, larger, cheaper service providers are pushing out smaller, specialist services. Whilst we don’t disagree with this narrative, we argue that the neo-liberal tropes of the gender responsive reform programme – that preceded the privatisation of Probation Trusts – is an important policy context for understanding the contractual inequalities that we are seeing unfold today. The roll out of the gender responsive reform programme marked a key moment in the landscape of women’s voluntary sector as it encouraged them to compete with other voluntary services and prove ‘better value’ for money. This form of marketisation, we argue, has resulted in women’s services attenuating or, at best, compromising the political values and ethics that previously underpinned their ‘specialist’ approach to working with women in the criminal justice system.

scholarly journals All Is Good, but Not Really: Daily Reports of Satisfaction With Home- and Community-Based Services

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 639-640
Author(s):  
Jyoti Savla ◽  
Karen Roberto ◽  
Aubrey Knight ◽  
Rosemary Blieszner ◽  
Brandy Renee McCann ◽  
...  
Keyword(s):  
Service Use ◽  
Service Providers ◽  
Theory And Practice ◽  
Community Based ◽  
Daily Diaries ◽  
Rural Caregivers ◽  
Service Expectations ◽  
Extensive Body ◽  
Barriers To Health ◽  
Community Based Services

Abstract An extensive body of literature documents correlates of and barriers to health service use, yet much less is known about satisfaction with home- and community-based services for persons with dementia (PwD). Daily diary data from 122 rural caregivers (CG) of PwD (814 daily diaries) were used to assess everyday service use experiences. At the last diary interview, CG identified areas where service use expectations were and were not being met. CGs reported problems with services used on fewer than 5% of study days (e.g., service provider was delayed because of car trouble). In contrast, 82% of CG identified areas where service expectations were not being met. Their most common concerns were lack of control over service availability and lack of adequate training among service providers. Recommendations for alternative ways for capturing service use satisfaction will be offered, and implications for theory and practice will be discussed.

Changing patterns of mental health care in Greece (1984–1996)

1999 ◽  
Vol 14 (8) ◽  
pp. 462-467 ◽  
Author(s):  
M.G. Madianos ◽  
J. Tsiantis ◽  
C. Zacharakis
Keyword(s):  
Mental Health ◽  
Technical Assistance ◽  
Psychiatric Care ◽  
Significant Shift ◽  
Community Based ◽  
Mental Hospitals ◽  
Reform Programme ◽  
Changing Patterns ◽  
Community Based Services

SummaryGreece joined the European Community in 1981 and, three years later, the Commission of the European Communities provided financial and technical assistance under EEC Regulation 815/84 for the modernisation of the traditional psychiatric care system, with the emphasis on decentralisation of mental health services and the development of community-based services, as well as on deinstutionalization of long-stay patients and improvement of conditions in public mental hospitals. Over the last 11 years, the implementation of the EEC Reg. 815/84 programme contributed to a significant shift towards extramural care and rehabilitation. The role of the large mental hospitals has gradually been diminished and a large number of long-stay patients have been deinstitutionalised. It is commonly accepted that the EEC-funded psychiatric reform programme, despite inadequacies and constraints, had an impact on the changing mental health scene in Greece.

scholarly journals Dedicated community-based services for adults with personality disorder: Delphi study

2008 ◽  
Vol 193 (4) ◽  
pp. 342-343 ◽  
Author(s):  
Mike J. Crawford ◽  
Katy Price ◽  
Deborah Rutter ◽  
Paul Moran ◽  
Peter Tyrer ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Delphi Study ◽  
Service Providers ◽  
Community Outreach ◽  
Community Based ◽  
Delivery Of Care ◽  
Violent Offending ◽  
History Of ◽  
Community Based Services

SummaryDedicated community-based services have been recommended for people with personality disorder, but little is known about how such services should be configured. We conducted a Delphi survey to assess opinions about this. A panel of expert authors, service providers and service users agreed on only 21 (39%) of 54 statements on the organisation and delivery of care. Consensus was not reached on important issues such as working with people with a history of violent offending, the role of community outreach and the use of compulsory treatment. Further work needs to be undertaken before the optimal organisation of dedicated personality disorder services can be agreed.

scholarly journals Cross Cultural Workers for Women and Families From Migrant and Refugee Backgrounds: A Mixed-Methods Study of Service Providers Perceptions

2021 ◽  
Author(s):  
Helen J Rogers ◽  
Lily Hogan ◽  
Dominiek Coates ◽  
Caroline SE Homer ◽  
Amanda Henry
Keyword(s):  
Culturally Responsive ◽  
Service Providers ◽  
Perinatal Outcomes ◽  
Cross Cultural ◽  
Mixed Methods Study ◽  
Model Of Care ◽  
Community Based ◽  
Cultural Workers ◽  
Barriers To Access ◽  
Community Based Services

Abstract BackgroundWomen from migrant and refugee backgrounds who live in high-income countries are at increased risk of adverse perinatal outcomes, including mental health issues, preterm birth and maternal and infant mortality. There is a need to implement and evaluate models of care to meet their specific needs in order to improve health outcomes, their experiences of care, and overcome barriers to access. In Sydney, Australia, a unique model of care was implemented to support women and families from migrant and refugee backgrounds to access health and community-based services through the continuum of pregnancy to the early parenting period. This model of care is known as the Cross Cultural Workers (CCWs) in Maternity and Child and Family Health Service (the CCW Service). The aim of this study was to explore the perceptions of service providers regarding the CCW Service and identify recommendations for improvement.MethodsA mixed-methods study was conducted consisting of surveys and face to face semi-structured interviews. Service providers were recruited from hospital-based maternity and community-based services. Survey data were analysed descriptively. Interviews were analysed using qualitative content analysis. ResultsSixty-nine service providers completed surveys and 19 were interviewed. The CCW Service was highly regarded by service providers who perceived it to be critical in improving care for women from migrant and refugee backgrounds. The overarching theme from the interviews was the ability of the CCW Service to act as a ‘bridge to health’. There were three main categories; supporting access to health and community-based services, improving the healthcare experience, and organisational factors affecting CCW Service provision. A limitation of the CCW Service was the part-time hours of the CCWs, reducing their ability to meet demand, build service provider capacity to provide culturally responsive care and fully operationalise the model. Conclusion Service providers perceived the CCW model to be a culturally responsive model of care tailored to the needs of women and families from migrant and refugee backgrounds, that reduces barriers to access, has the potential to improve perinatal outcomes, and women's experience and satisfaction with care.

scholarly journals Cross Cultural Workers for women and families from migrant and refugee backgrounds: a mixed-methods study of service providers perceptions

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Helen J. Rogers ◽  
Lily Hogan ◽  
Dominiek Coates ◽  
Caroline S. E. Homer ◽  
Amanda Henry
Keyword(s):  
Culturally Responsive ◽  
Service Providers ◽  
Perinatal Outcomes ◽  
Cross Cultural ◽  
Mixed Methods Study ◽  
Model Of Care ◽  
Community Based ◽  
Cultural Workers ◽  
Barriers To Access ◽  
Community Based Services

Abstract Background Women from migrant and refugee backgrounds who live in high-income countries are at increased risk of adverse perinatal outcomes, including mental health issues, preterm birth and maternal and infant mortality. There is a need to implement and evaluate models of care to meet their specific needs in order to improve health outcomes, their experiences of care, and overcome barriers to access. In Sydney, Australia, a unique model of care was implemented to support women and families from migrant and refugee backgrounds to access health and community-based services through the continuum of pregnancy to the early parenting period. This model of care is known as the Cross Cultural Workers (CCWs) in Maternity and Child and Family Health Service (the CCW Service). The aim of this study was to explore the perceptions of service providers regarding the CCW Service and identify recommendations for improvement. Methods A mixed-methods study was conducted consisting of surveys and face to face semi-structured interviews. Service providers were recruited from hospital-based maternity and community-based services. Survey data were analysed descriptively. Interviews were analysed using qualitative content analysis. Results Sixty-nine service providers completed surveys and 19 were interviewed. The CCW Service was highly regarded by service providers who perceived it to be critical in improving care for women from migrant and refugee backgrounds. The overarching theme from the interviews was the ability of the CCW Service to act as a ‘bridge to health’ through the provision of culturally responsive care. There were three main categories; supporting access to health and community-based services, improving the healthcare experience, and organisational factors, including part-time hours, capacity, heavy workloads and confusion/lack of clarity regarding the CCW role, which affected CCWs’ capacity to optimally support service providers in providing culturally responsive care. These limitations meant CCWs were not able to meet demand, and fully operationalise the model. Conclusion Service providers perceived the CCW model to be a culturally responsive model of care tailored to the needs of women and families from migrant and refugee backgrounds, that reduces barriers to access, and has the potential to improve perinatal outcomes, and women's experience and satisfaction with care.

Older People with Learning Difficulties Leaving Institutional Care—A Case of Double Jeopardy

1996 ◽  
Vol 16 (2) ◽  
pp. 125-150 ◽  
Author(s):  
Alan Walker ◽  
Carol Walker ◽  
Tony Ryan
Keyword(s):  
Older People ◽  
Old Age ◽  
Service Providers ◽  
Institutional Care ◽  
Learning Difficulties ◽  
Field Research ◽  
Community Based ◽  
Official Definitions ◽  
The Impact ◽  
Community Based Services

AbstractPeople with learning difficulties are now surviving into old age and more and more of them are being resettled from long-stay hospitals. The main purpose of this article is to examine some of the key barriers facing, and dilemmas involved in, the provision of community-based services to this newly emerging user group. The findings of some recent field research on older people with learning difficulties who have been resettled into the community are used to illustrate the challenges facing service providers. Particular reference is made to the impact of age discrimination and traditional differences between service specialisms. The article shows that both official definitions of need in old age and the aspirations of the service responses to those needs have been artificially constructed in very narrow terms, especially when compared with the principled approach to service provision for younger people with learning difficulties. In conclusion, therefore, it is argued that the principles underpinning services for people with learning difficulties, such as normalisation, should be applied to older people as well.

Service Provider Perspectives Regarding Knowledge Sharing Activities in Community-Based Services

2020 ◽  
Vol 39 (2) ◽  
pp. 25-39
Author(s):  
Casey Fulford ◽  
Virginie Cobigo
Keyword(s):  
Service Providers ◽  
Service Organizations ◽  
Practical Implementation ◽  
Knowledge Mobilization ◽  
Community Based ◽  
Distributed Information ◽  
Social Service Organizations ◽  
Provider Perspectives ◽  
Adults With Intellectual Disabilities ◽  
Community Based Services

Evaluation of knowledge mobilization (KM) activities in community-based mental health and social service organizations is needed. Our objective was to understand how service providers want to access and share knowledge, in order to improve KM practices to better support adults with intellectual disabilities. We distributed information about five strategies for supporting friendships; this included strategy descriptions, outcomes of strategy evaluations, and practical implementation considerations. We distributed information through a conference presentation, online presentations, and online modules. Service providers completed questionnaires and phone interviews. We present findings on their perspectives regarding the format and content of the material, which can inform future KM efforts.

scholarly journals Systems integration to promote the mental health of Aboriginal and Torres Strait Islander children: protocol for a community-driven continuous quality improvement approach

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Janya McCalman ◽  
Roxanne Bainbridge ◽  
Yvonne Cadet James ◽  
Ross Bailie ◽  
Komla Tsey ◽  
...  
Keyword(s):  
Mental Health ◽  
Continuous Quality Improvement ◽  
Service Providers ◽  
Systems Integration ◽  
Community Based ◽  
Health And Wellbeing ◽  
Continuous Quality ◽  
Indigenous Children ◽  
Services And Supports ◽  
Community Based Services

Abstract Background Systems integration to promote the mental health of Aboriginal and Torres Strait Islander children works towards developing a spectrum of effective, community-based services and supports. These services and supports are organised into a coordinated network, build meaningful partnerships with families and address their cultural and linguistic needs, to help children to function better at home, in school, in the community, and throughout life. This study is conducted in partnership with primary healthcare (PHC) and other services in three diverse Indigenous Australian communities. It entails conceptualising, co-designing, implementing, and evaluating the effectiveness of systems integration to promote the mental health and wellbeing of Indigenous school-aged children (4–17 years). This paper outlines a protocol for implementing such complex community-driven research. Methods/design Using continuous quality improvement processes, community co-designed strategies for improved systems integration will be informed by narratives from yarning circles with Indigenous children and service providers, and quantitative data from surveys of service providers and audits of PHC client records and intersectoral systems. Agreed strategies to improve the integration of community-based services and supports will be modelled using microsimulation software, with a preferred model implemented in each community. The evaluation will investigate changes in the: 1) availability of services that are community-driven, youth-informed and culturally competent; 2) extent of collaborative service networks; 3) identification by PHC services of children’s social and emotional wellbeing concerns; and 4) ratio of children receiving services to identified need. Costs and benefits of improvements to systems integration will also be calculated. Discussion The study will provide evidence-informed, community-driven, and tested models that can be used for implementing systems integration to promote the mental health and wellbeing of Indigenous children. It will identify the situational enablers and barriers that impact systems integration and determine the extent to which systems integration improves service availability, systems and child outcomes. Evidence for the cost effectiveness of systems-level integration will contribute to national mental health policy reform.

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