Welfare bureaus constitute a safety net for the dispossessed Arab minority in Israel who are partially excluded from the state social services. The welfare bureau reforms discussed in this article are consequently crucial to improve welfare services for the underprivileged minority service users. This article partially fills a lacuna in the relevant literature by adopting a critical approach to assess the reforms' actual contributions to improving the organizations' performances for minority population social services. It did this by investigating Arab social workers' views on the outcomes of different welfare services reforms for them. An exploratory study drew data from two tools: content analysis of official documents and in‐depth semi‐structured interviews with 19 Arab welfare bureau managers. The documents indicated that the ‘Change Program’ (1977) produced minimal to no positive outcomes for Arab welfare bureaus. Also, the respondents indicated that the ‘Reform in Local Welfare Services’ (2017) produced insufficient achievements, detailed in five themes. Two Arab representatives were consulted for the proposed ‘Right to Quality Welfare’ program (June 2023), which aims to offer a ‘uniform welfare basket’ to all citizens. The findings indicate that the concept of up‐down comprehensive organizational reforms should be re‐examined, considering instead small but incremental down‐up modifications.
{"title":"Welfare service reforms: Arab minority welfare bureau managers assess the outcomes","authors":"Ibrahim Mahajne","doi":"10.1111/spol.13025","DOIUrl":"https://doi.org/10.1111/spol.13025","url":null,"abstract":"Welfare bureaus constitute a safety net for the dispossessed Arab minority in Israel who are partially excluded from the state social services. The welfare bureau reforms discussed in this article are consequently crucial to improve welfare services for the underprivileged minority service users. This article partially fills a lacuna in the relevant literature by adopting a critical approach to assess the reforms' actual contributions to improving the organizations' performances for minority population social services. It did this by investigating Arab social workers' views on the outcomes of different welfare services reforms for them. An exploratory study drew data from two tools: content analysis of official documents and in‐depth semi‐structured interviews with 19 Arab welfare bureau managers. The documents indicated that the ‘Change Program’ (1977) produced minimal to no positive outcomes for Arab welfare bureaus. Also, the respondents indicated that the ‘Reform in Local Welfare Services’ (2017) produced insufficient achievements, detailed in five themes. Two Arab representatives were consulted for the proposed ‘Right to Quality Welfare’ program (June 2023), which aims to offer a ‘uniform welfare basket’ to all citizens. The findings indicate that the concept of up‐down comprehensive organizational reforms should be re‐examined, considering instead small but incremental down‐up modifications.","PeriodicalId":47858,"journal":{"name":"Social Policy & Administration","volume":"204 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140202736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is ample literature to suggest that labour's interests are at odds with the extension of income protection to ‘outsiders’. Until recently, Italian unions were reluctant, if not outright obstructive, towards the introduction of a minimum income scheme (MIS). After the 2008 financial crisis and its dramatic social and economic consequences, however, the three major labour confederations supported the introduction of a national MIS, openly embracing the fight against income insecurity. Why did trade unions overturn their conservative approach and eventually support social assistance safety nets? Drawing upon textual evidence and semi‐structured interviews, the paper suggests that the Italian labour movement, albeit with differences among the confederations, has radically changed its preferences towards social assistance. Unions gradually shifted from a ‘deservingness’ logic (championing ‘hard work’) to one of reservation wage (the ‘we are all in the same boat’ narrative). Weaknesses in labour market peripheries have encouraged the labour movement to defend those at risk of poverty. The Italian case has wider implications for actors' preferences and roles in welfare reform, showing that structural and strategic factors may encourage labour to join coalitions that support welfare ‘de‐dualisation’ pathways.
{"title":"Looking beyond the workplace: Trade unions and the politics of poverty in Italy","authors":"Luca Cigna, Bianca Luna Fabris","doi":"10.1111/spol.13020","DOIUrl":"https://doi.org/10.1111/spol.13020","url":null,"abstract":"There is ample literature to suggest that labour's interests are at odds with the extension of income protection to ‘outsiders’. Until recently, Italian unions were reluctant, if not outright obstructive, towards the introduction of a minimum income scheme (MIS). After the 2008 financial crisis and its dramatic social and economic consequences, however, the three major labour confederations supported the introduction of a national MIS, openly embracing the fight against income insecurity. Why did trade unions overturn their conservative approach and eventually support social assistance safety nets? Drawing upon textual evidence and semi‐structured interviews, the paper suggests that the Italian labour movement, albeit with differences among the confederations, has radically changed its preferences towards social assistance. Unions gradually shifted from a ‘deservingness’ logic (championing ‘hard work’) to one of reservation wage (the ‘we are all in the same boat’ narrative). Weaknesses in labour market peripheries have encouraged the labour movement to defend those at risk of poverty. The Italian case has wider implications for actors' preferences and roles in welfare reform, showing that structural and strategic factors may encourage labour to join coalitions that support welfare ‘de‐dualisation’ pathways.","PeriodicalId":47858,"journal":{"name":"Social Policy & Administration","volume":"31 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140202828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article analyses the use of a locally developed assessment tool designed to generate aggregated data to evaluate the work of a psychiatric and addiction clinic. The use of tools, methods and interventions in the Swedish social services is usually based on recommendations in national guidelines established by the National Board of Health and Welfare (NBHW). Thus, a locally produced and systematically used assessment tool provides an interesting deviant case for discussing knowledge production and use from the perspective of evidence‐based practice. The assessment tool was characterised by the specific psychiatric and addiction clinic context, where local needs and prerequisites were prioritised over the recommendations found in NBHW guidelines. The empirics comprise interviews with 12 professionals who used the tool, where experience of using the tool was analysed using a thematic analysis. The findings can be summarised in three main conclusions. First, tinkering of tools and methods is not necessarily associated with limited practice applicability or relevance. Second, professionals are more likely to appreciate a tool if that tool is designed with a treatment and conversation rationality in mind. Third, rather than perceived as more valid than other types of knowledge, NBHW‐recommended tools are associated with a certain shape or style – but a shape or style that is permeated by legitimacy.
{"title":"Innovation in practice: A deviant case analysis of a locally developed assessment tool used in a psychiatric and addiction clinic in Sweden","authors":"Sofia Härd","doi":"10.1111/spol.13024","DOIUrl":"https://doi.org/10.1111/spol.13024","url":null,"abstract":"This article analyses the use of a locally developed assessment tool designed to generate aggregated data to evaluate the work of a psychiatric and addiction clinic. The use of tools, methods and interventions in the Swedish social services is usually based on recommendations in national guidelines established by the National Board of Health and Welfare (NBHW). Thus, a locally produced and systematically used assessment tool provides an interesting deviant case for discussing knowledge production and use from the perspective of evidence‐based practice. The assessment tool was characterised by the specific psychiatric and addiction clinic context, where local needs and prerequisites were prioritised over the recommendations found in NBHW guidelines. The empirics comprise interviews with 12 professionals who used the tool, where experience of using the tool was analysed using a thematic analysis. The findings can be summarised in three main conclusions. First, tinkering of tools and methods is not necessarily associated with limited practice applicability or relevance. Second, professionals are more likely to appreciate a tool if that tool is designed with a treatment and conversation rationality in mind. Third, rather than perceived as more valid than other types of knowledge, NBHW‐recommended tools are associated with a certain shape or style – but a shape or style that is permeated by legitimacy.","PeriodicalId":47858,"journal":{"name":"Social Policy & Administration","volume":"35 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140202792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Centre‐periphery relations have constituted a paradox for the English National Health Service (NHS) since its creation in 1948. Is it a top‐down national service organised locally, or a bottom‐up arrangement of local health systems managed nationally? North West England provides a regional case study which traces the changing organisational, relational and spatial dimensions of the intermediate tier. These reposition centre‐periphery tensions. In foregrounding, situating and conceptualising region in these terms, I offer new insight into existing narratives and centre‐periphery relations in the NHS.
{"title":"A history of the intermediate tier in the English NHS: Centre, region, periphery","authors":"Michael Lambert","doi":"10.1111/spol.13019","DOIUrl":"https://doi.org/10.1111/spol.13019","url":null,"abstract":"Centre‐periphery relations have constituted a paradox for the English National Health Service (NHS) since its creation in 1948. Is it a top‐down national service organised locally, or a bottom‐up arrangement of local health systems managed nationally? North West England provides a regional case study which traces the changing organisational, relational and spatial dimensions of the intermediate tier. These reposition centre‐periphery tensions. In foregrounding, situating and conceptualising region in these terms, I offer new insight into existing narratives and centre‐periphery relations in the NHS.","PeriodicalId":47858,"journal":{"name":"Social Policy & Administration","volume":"40 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140168282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}