This study reports the findings from a scoping review of the use of the capability approach in social work research. We identified 17 peer-reviewed journal articles which actively used the capability approach and addressed social work practice. The purpose was to examine how the use of the capability approach was linked to policies, practices and social justice approaches in social work research. The merits and challenges of the capability approach in social work research are discussed. Four main applications of the capability approach were found: as a tool for social workers in practice, to explore the subjective sense of well-being, to address social inequalities on a structural level, and as a way of evaluating social practices. The capability approach was framed as congruent with the aims of social work, and as a call for action for social workers to promote social justice, human dignity and well-being. Another finding was that empowerment, mostly viewed as a tool for social workers to promote strength in individuals, was closely connected to using a capability approach. The contradictory use of empowerment in social work may carry some lessons for future development of a capability approach in social work. The review indicates that the capability approach is used in a range of different ways and acknowledged as a valuable tool for research in social work.
PurposeThe purpose of this paper is to explore stakeholder views on the policy of integrated health and social care for older people with complex needs in Sweden and the issue of trust in implementing the policy.Design/methodology/approachThe study used a qualitative interview design and interviews with nine strategically selected stakeholders. A thematic analysis focused on trust, as defined in the theory of collaborative advantage, was used.FindingsThis study of health and social care exposed a lack of trust on political, strategic and inter-professional levels. Two opposing lines of argument were identified in the interviews. One advocated a single government authority for health and social care. The other was in accordance with recently implemented national policies, which entailed more collaboration between local government authorities, obliging them to make joint local agreements. The Swedish experience is discussed in an international context, examining the need for collaboration in integrated care services for older people.Research limitations/implicationsAlthough the findings are important for the current adjustment in health and social care for older people, the number of interviewees are limited. Future studies will include more regions and longitudinal studies.Originality/valueSweden is currently undergoing an extensive adjustment in line with recent national government policy which involves more primary health care and a corresponding reduction in the number of hospital beds. The restructuring of the care system for older people with complex needs is a paradox, as it simultaneously increases the need for centralisation while also increasing coordination and collaboration on a local basis.
Purpose The purpose of this paper is twofold: firstly, to describe adult safeguarding in Sweden’s social services, and secondly, to analyse the changes in Sweden’s national policies related to its adult safeguarding legislation and discuss the implications. Design/methodology/approach An analysis of two government bills was carried out inspired by the What’s the Problem Represented to Be approach. Findings The background and review procedure that is part of the obligation to report mistreatment in Sweden’s social services is described. The policy analysis shows a change from a rights-based discourse concerning the duty of staff to safeguard vulnerable service recipients’ rights, to a discourse on the obligation for staff to be part of systematic quality assurance. The most conspicuous change in the representation of the problem was attaching the problem descriptions to a lack of quality instead of a duty to protect. Social implications The implications of the reporting procedure are discussed in terms of a general lack of channels for service recipients and their family members to raise their own concerns about mistreatment. It is suggested that there ought to be more legal and transparent channels for service recipients and their family members to file complaints. Originality/value This paper provides an overview of adult safeguarding in Sweden’s social services, which to date has been lacking in the literature.
Inter-organisational collaboration is crucial in the care of older people, as is the development of integrated care. Storytelling in organisations is one way of understanding how to achieve successful collaboration. This article provides insights into the ways in which storytelling in collaborative experiences contributes to a collective identity instrumental in the successful collaborations involved in integrated care for older people. Theory: Managing cultural diversity is one specific theme in the theory of collaborative advantage; this is used in combination with theories of storytelling in organisations. Method: Interviews with staff from three different municipalities applying three various strategies for integrated care were carried out. Stories of the collaborative experiences were analysed using a narrative approach. Results: The most significant finding was that a similar type of success story was evident across all three municipalities. The story was identified as an epic-comedy story where success was accomplished through the heroic characterisations of the managers, in addition to their improvisation abilities and discretionary work towards common goals. Conclusion: It is suggested that storytelling in collaborative experiences is one way of overcoming cultural frictions between different collaborating actors and may contribute to a coherent sense of a collective identity, thus facilitating further collaboration.
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