scholarly journals The Macro- System Analysis of Social Care Services in Albania, According to An Ecological Perspective

2017 ◽  
Vol 5 (1) ◽  
pp. 494
Author(s):  
Phd Cand.Entela Avdulaj

This paper, takes in consideration the most important components of the macro system, of social care services in Albania, according to an ecological perspective. It analyzes the impact and the implementation of national legislation, social policy, national strategies, and different models of interventions in the social care services. The ecological model of Bronfenbrenner (1979, 2000), reveals that the devlopment is result of interaction between the person and its environment and varies according to social context. The macro system, one of the component of this context is defined as the set of attitudes, values and social rules imposed by the other subsystems of other levels. Considering the institution as a whole, we identify its macro- system as a set of legislation, social policies and different models. The macro system analysis serves as a starting point for a depth assessment of the social care programs, based on the eco-systemic perspective. There are 24 public residential centers in Albania, which have dual dependence between the central government (State Social Service) and local governments (municipalities). These centers treat and support with services 6 social categories of people in need: children (orphans, abandoned, in vulnerability situation); people with disabilities (children, young and old people); old people; victims of trafficking; victims of domestic violence; families in need. Their establishment and functioning is regulated according to the Albanian legislation, social policies, strategies and standards. Through the study of law, social policies, strategies and standards set, that exist in Albania for social care services and through the interviews with leaders and services specialists, as well, have been identified the models used in the design of legislation and social policies and theirs impact in the development of social care services in Albania. The results showed that despite the changes in legislation and social policy based in a social inclusion perspective, the programs of social care services are not fulfilling this perspective.

2020 ◽  
Vol 30 (4) ◽  
pp. 421-435
Author(s):  
Stefanie Börner

The common legal and economic framework of the European Union (EU) has turned the vast socio-economic differences within Europe into virulent problems of social inequality – issues that it attempts to tackle within its limited resources. The article takes the EU’s self-expressed social commitment as a starting point and analyses its approaches to social policy from a social-rights perspective. It first discusses why Marshall’s social-citizenship concept provides a useful analytical tool to assess the social policies enacted so far at the European level and then presents an institutional analysis of the EU’s four major social-policy activities: harmonising, funding, coordination and cooperation. This analysis focuses on the horizontal and vertical relationships and the addressees of these policies to determine how these policies measure up against social-rights standards. The findings point to the poor development of transnational social citizenship given the special nature of EU social policies. The only social rights that exist at the European level are in the field of social-security coordination. And even those are marked by a double selectivity that excludes citizens who are not transnationally active and those who are but lack the necessary means to provide for themselves.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jill Manthorpe ◽  
Jo Moriarty

Purpose The COVID-19 pandemic has shone a light on long-standing, structural race inequality in Britain. This paper aims to review historic patterns of ethnic diversity among the workforce employed in services for older people to present some of the lessons that can be learned from the pandemic. Design/methodology/approach A historical overview was undertaken of research about ethnic diversity in the social care workforce. Findings Too often, the ethnic diversity of the social care workforce has been taken as evidence that structural racial inequalities do not exist. Early evidence about the impact of coronavirus on workers from black and minority ethnic groups has led to initiatives aimed at reducing risk among social care employers in the independent sector and in local government. This offers a blueprint for further initiatives aimed at reducing ethnic inequalities and promoting ethnic diversity among the workforce supporting older people. Research limitations/implications The increasing ethnic diversity of the older population and the UK labour force highlights the importance of efforts to address what is effective in reducing ethnic inequalities and what works in improving ethnic diversity within the social care workforce and among those using social care services for older people. Originality/value The ethnic makeup of the workforce reflects a complex reality based on multiple factors, including historical patterns of migration and gender and ethnic inequalities in the UK labour market.


Author(s):  
Charles West

This chapter examines the impact of austerity policies on health, well-being and social care in the UK. In particular, it considers the health care provided by the National Health Service (NHS) and other health services, as well as the social care that is normally paid for, rather than the wider social support provided by family, friends, neighbours or colleagues. The discussion begins with an overview of the economic case for spending on health and social care, and more specifically the logic in pursuing spending policies that carry a high economic multiplier. The chapter then emphasises the duty of governments and those working in health care to achieve good value for the money spent, citing the case of the UK NHS. It also describes five principles underlying market competition in the context of health care before concluding with an analysis of social care services in the UK.


2011 ◽  
Vol 10 (2) ◽  
pp. 151-162 ◽  
Author(s):  
Caroline Glendinning ◽  
Nicola Moran ◽  
David Challis ◽  
José-Luis Fernández ◽  
Sally Jacobs ◽  
...  

As in other countries, improving collaboration between health and social care services is a long-established objective of English social policy. A more recent priority has been the personalisation of social care for adults and older people through the introduction of individualised funding arrangements. Individual budgets (IBs) were piloted in 13 English local authorities from 2005 to 2007, but they explicitly excluded NHS resources and services. This article draws on interviews with lead officers responsible for implementing IBs. It shows how the contexts of local collaboration created problems for the implementation of the personalisation pilots, jeopardised inter-sectoral relationships and threatened some of the collaborative arrangements that had developed over the previous decade. Personal budgets for some health services have subsequently also been piloted. These will need to build upon the experiences of the social care IB pilots, so that policy objectives of personalisation do not undermine previous collaborative achievements.


2019 ◽  
Vol 3 (2) ◽  
pp. 160-171
Author(s):  
Damian Spiteri ◽  
Jessica Borg

Autism Spectrum Disorder can be particularly distressing to families. Care-givers who operate in the Maltese social care sector need to be responsive to the underlying factors that bring about this distress; including the impact that the disorder has on a person’s development and the constraints associated with the social stigma that ASD tends to elicit on community and neighbourhood levels. The management of care services needs to heighten the social care sector’s responsiveness by understanding the stressors and achievements associated with working in this sector; as well as by remaining regularly updated about how any services offered can be further developed.


1990 ◽  
Vol 10 (3) ◽  
pp. 331-347 ◽  
Author(s):  
Ann Netten ◽  
Bleddyn Davies

ABSTRACTThe social production of welfare provides a theoretical framework for the analysis of the consumption of social services and the impact of welfare policies. Based on the new home economics, it represents the unit of consumption as a unit of production of commodities. With the advent of disability this unit extends from the household to the informal care network. Social care agencies become involved when the production of basic commodities, such as nutrition and personal care, fall below threshold levels which threaten the survival of the informal care network. The social production of welfare allows comparisons across systems and provides the starting point for the development of tools for empirical analysis.


1991 ◽  
Vol 20 (3) ◽  
pp. 389-414 ◽  
Author(s):  
Howard Glennerster ◽  
Anne Power ◽  
Tony Travers

ABSTRACTA succession of Acts of Parliament passed between 1988 and 1990 mark the most decisive break in British social policy since the period between 1944 and 1948. This paper examines the extent to which common principles underlie this legislation. One of the most important common elements has been the reduction in the powers of local government and in the presumption that local authorities should be the main providers of social welfare outside the social security system. Schools, housing estates and social care services are to be given greater powers to run themselves or to become separate organisations. Local authorities are to use their resources to fund and contract with external agencies. The possible outcomes of this change in governance are discussed.


2014 ◽  
Vol 55 (1-2) ◽  
pp. 131-144
Author(s):  
Suzanne Marie Francis

By the time of his death in 1827, the image of Beethoven as we recognise him today was firmly fixed in the minds of his contemporaries, and the career of Liszt was beginning to flower into that of the virtuosic performer he would be recognised as by the end of the 1830s. By analysing the seminal artwork Liszt at the Piano of 1840 by Josef Danhauser, we can see how a seemingly unremarkable head-and-shoulders bust of Beethoven in fact holds the key to unlocking the layers of commentary on both Liszt and Beethoven beneath the surface of the image. Taking the analysis by Alessandra Comini as a starting point, this paper will look deeper into the subtle connections discernible between the protagonists of the picture. These reveal how the collective identities of the artist and his painted assembly contribute directly to Beethoven’s already iconic status within music history around 1840 and reflect the reception of Liszt at this time. Set against the background of Romanticism predominant in the social and cultural contexts of the mid 1800s, it becomes apparent that it is no longer enough to look at a picture of a composer or performer in isolation to understand its impact on the construction of an overall identity. Each image must be viewed in relation to those that preceded and came after it to gain the maximum benefit from what it can tell us.


2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Turkan Ahmet

The past few decades of ongoing war in Iraq has had a dramatic impact on the health of Iraq’s population. Wars are known to have negative effects on the social and physical environments of individuals, as well as limit their access to the available health care services. This paper explores the personal experiences of my family members, who were exposed to war, as well as includes information that has been reviewed form many academic sources. The data aided in providing recommendations and developing strategies, on both local and international levels, to improve the health status of the populations exposed to war.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. P. Pomey ◽  
M. de Guise ◽  
M. Desforges ◽  
K. Bouchard ◽  
C. Vialaron ◽  
...  

Abstract Background Quebec is one of the Canadian provinces with the highest rates of cancer incidence and prevalence. A study by the Rossy Cancer Network (RCN) of McGill university assessed six aspects of the patient experience among cancer patients and found that emotional support is the aspect most lacking. To improve this support, trained patient advisors (PAs) can be included as full-fledged members of the healthcare team, given that PA can rely on their knowledge with experiencing the disease and from using health and social care services to accompany cancer patients, they could help to round out the health and social care services offer in oncology. However, the feasibility of integrating PAs in clinical oncology teams has not been studied. In this multisite study, we will explore how to integrate PAs in clinical oncology teams and, under what conditions this can be successfully done. We aim to better understand effects of this PA intervention on patients, on the PAs themselves, the health and social care team, the administrators, and on the organization of services and to identify associated ethical and legal issues. Methods/design We will conduct six mixed methods longitudinal case studies. Qualitative data will be used to study the integration of the PAs into clinical oncology teams and to identify the factors that are facilitators and inhibitors of the process, the associated ethical and legal issues, and the challenges that the PAs experience. Quantitative data will be used to assess effects on patients, PAs and team members, if any, of the PA intervention. The results will be used to support oncology programs in the integration of PAs into their healthcare teams and to design a future randomized pragmatic trial to evaluate the impact of PAs as full-fledged members of clinical oncology teams on cancer patients’ experience of emotional support throughout their care trajectory. Discussion This study will be the first to integrate PAs as full-fledged members of the clinical oncology team and to assess possible clinical and organizational level effects. Given the unique role of PAs, this study will complement the body of research on peer support and patient navigation. An additional innovative aspect of this study will be consideration of the ethical and legal issues at stake and how to address them in the health care organizations.


Sign in / Sign up

Export Citation Format

Share Document