From welfare state to participation society: austerity, ideology or rhetoric?

Heins, Elke; Fenger, Menno; Broekema, Babs

doi:10.1332/policypress/9781447343981.003.0005

Cited by 8 publications

(11 citation statements)

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“…Henceforth they have to rely as much as possible on their social networks (Fenger & Broekema, 2019). Social professionals are expected to fulfil an important role in this 'activation policy'.…”

Section: Introductionmentioning

confidence: 99%

“…The restructuring of the welfare state took place hand in hand with the decentralisation of social care and social assistance to the municipalities in 2015 (Fenger & Broekema, ). The transfer of these responsibilities was accompanied by significant budget cuts of about 15%–20% (Bredewold, Duyvendak, Kampen, Tonkens, & Verplanke, :221).…”

Section: Introductionmentioning

confidence: 99%

“…The government also made considerable cuts in day care and personal assistance for psychiatric patients, people with intellectual disabilities, and frail elderly, who live independently. Henceforth they have to rely as much as possible on their social networks (Fenger & Broekema, ). Social professionals are expected to fulfil an important role in this ‘activation policy’.…”

Section: Introductionmentioning

confidence: 99%

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The care receivers perspective: How care‐dependent people struggle with accepting help from family members, friends and neighbours

Bredewold

Verplanke

Kampen

et al. 2020

Health Soc Care Community

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In many countries in north‐western Europe, the welfare state is changing, and governments expect a great deal of informal care. In the Netherlands, citizens are also increasingly expected to rely on informal instead of professional care. In this study, we aim to determine to what extent Dutch care‐dependent people want to rely on social network members and what reasons they raise for accepting or refusing informal care. To answer this question, we observed 65 so‐called ‘kitchen table talks’, in which social workers assess citizens’ care needs and examine to what extent relatives, friends and/or neighbours can provide help and care. We also interviewed 50 professionals and 30 people in need of care. Our findings show that a great deal of informal care is already given (in 46 out of 65 cases), especially between people who have a close emotional bond. For this reason, people in need of care often find it difficult to ask their family members, friends or neighbours for extra assistance. People are afraid to overburden their family members, friends or neighbours. Another reason people in need of care raise against informal care is that they feel ashamed of becoming dependent. Although the government wants to change the meaning of autonomy by emphasising that people are autonomous when they rely on social network members, people who grew up in the heyday of the welfare state feel embarrassed and ashamed when they are not able to reciprocate. Our findings imply that policymakers and social professionals need to reconsider the idea that resources of informal care are inexhaustible and that citizens can look after each other much more than they already do. It is important that social policymakers approach the codes and norms underlying social relations more cautiously because pressure on these relations can have negative effects.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The care receivers perspective: How care‐dependent people struggle with accepting help from family members, friends and neighbours

Bredewold

Verplanke

Kampen

et al. 2020

Health Soc Care Community

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“…The Dutch welfare state provides an appropriate context for this study. In 2015, a major welfare state reform was enacted in the Netherlands, presented as a transition from a "welfare state" to a "participation society" (Fenger & Broekema, 2019). As part of this reform, responsibilities for youth care, care for people with disabilities and psychiatric problems, long-term non-residential care for frail elderly people, welfare policy for the long-term unemployed and sheltered work for people with disabilities were decentralised from the national government to municipalities with a greater emphasis on citizens' individual responsibility (self-reliance), engaging civil society and shrinking the role of the state (Trappenburg et al, 2020:1,670).…”

Section: Andmentioning

confidence: 99%

Dreaming the impossible dream? An exploratory study on the expectations of Dutch clients with multiple problems concerning the co‐production of public services

Boer

Huijsman

Wijngaarden

2021

Health Soc Care Community

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Currently, many policymakers try to encourage client involvement during the public service delivery process and make it a co-production. Clients are encouraged to act as active agents and embrace an integrated approach to address their problems to empower them. However, different studies have raised questions regarding to what extent these ambitions are appropriate for clients with vulnerabilities, such as clients with multiple problems. Aiming to further explore this issue, we studied the expectations of clients with multiple problems concerning the co-production of public services. We interviewed 46 clients with multiple problems at the start of their support trajectory. All 46 participants lived in five districts in Rotterdam, the Netherlands, and were recruited via community-based primary care teams. Our study indicates that co-production ambitions might not resonate with clients with multiple problems.The study shows that these clients' expectations are driven by their feelings of being overwhelmed and stressed out by their situation, feelings of being a victim of circumstances, bad experiences with public services in the past, their evaluation of what counts as a problem and the envisioned solutions. These clients expect public service providers to take over, fix their main problem(s) and not interfere with other aspects of their lives (not an integrated approach). Although participants seek a 'normal' life with, e.g., a house, work, partner, children, holidays, a pet, and no stress (a white picket fence life) as ideal, they do not feel that this is attainable for them. More insight into the rationale behind these expectations could help to bridge the gap between policymakers' ambitions and clients' expectations. K E Y W O R D SClients with multiple problems, co-production, clients, perspectives, integrated care What is known about the topic• Co-production is seen as an innovative way to emancipate clients and reduce the demand for public resources | e241REINHOUDT-DEN BOER ET al.

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“…Their practices are influenced by the policy and organizational contexts in which they are embedded. In the Netherlands, true to the trend described above, this has meant a striving towards self‐determination and self‐reliance (Fenger & Broekema, 2019; Reinders, 2002). If care theorists and managers alike frame dependency as a problem of self‐determination, what does that mean for care in practice?…”

Section: Dependency As a Problem Of Self‐determination—in Practicementioning

confidence: 99%

What is the problem of dependency? Dependency work reconsidered

et al. 2020

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van der Weele, accepted for publication). By definition, caring relationships are relationships of dependency, too. This has been recognized by foundational thinkers of nursing studies and care ethics alike. Virginia Henderson, for instance, defined the nurse's function as 'to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge' (Henderson, 1964, p. 64). Henderson thus assumed nursing to spring forth from a relationship of dependency between the caretaker and the care recipient (Dorothea Orem (1959) spoke of a 'self-care deficit'). Similarly, Joan Tronto writes that 'care arises out of the fact that not all humans or others or objects in the world

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From welfare state to participation society: austerity, ideology or rhetoric?

Cited by 8 publications

References 0 publications

The care receivers perspective: How care‐dependent people struggle with accepting help from family members, friends and neighbours

The care receivers perspective: How care‐dependent people struggle with accepting help from family members, friends and neighbours

Dreaming the impossible dream? An exploratory study on the expectations of Dutch clients with multiple problems concerning the co‐production of public services

What is the problem of dependency? Dependency work reconsidered

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