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A New Road to Reform

What lies behind England’s crisis in adult social care, why has real change been so hard and what can be done?

Ensuring effective, sustainable and affordable care and support for people of all ages is an urgent public policy challenge. This vital book outlines a different vision of social care as an essential part of the country’s economic and social infrastructure that enables people to live good lives.

Drawing on the history of social care, international comparisons and lived experience, it sets out a different road to reform that will secure political traction and public support for change.

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Responding to Extra-Familial Risks and Harms

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During adolescence, young people are exposed to a range of risks beyond their family homes including sexual and criminal exploitation, peer-on-peer abuse and gang-related violence. However, it has only been over the past two decades that the critical safeguarding implications of these harms have started to be recognised. Social care organisations are increasingly experimenting with new approaches but continue to experience challenges in supporting affected young people and their families.

This book analyses the results of the first rapid evidence assessment of social care organisations’ responses to risks and harms outside the home across 10 countries. The authors highlight key areas for service development, give insights into how these risks and harms can be understood, and consider wider implications for policy and practice.

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A New Approach to Care

Deficiencies in old age care are some of the most pressing human rights concerns in mature welfare states.

This book radically challenges the ethics of viewing care as a tradeable commodity and introduces a novel framework for understanding and analysing social care through the concept of ailment. Providing examples from the British and Finnish welfare states, it demonstrates how ailment shapes societies from the micro to the macro level. Addressing the marketisation and financialisation of care, the authors bring to light increasing inequalities in care.

This book argues that ailment is part of human life and society, and therefore the politics of care should begin with a politics of ailment.

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During the 20th century the locus of care shifted from large institutions into the community. However, this shift was not always accompanied by liberation from restrictive practices. In 2014 a UK Supreme Court ruling on the meaning of ‘deprivation of liberty’ resulted in large numbers of older and disabled people in care homes, supported living and family homes being re-categorized as ‘detained’.

Placing this ruling in its social, historical and global context, this book presents a socio-legal analysis of social care detention in the post-carceral era. Drawing from disability rights law and the meanings of ‘home’ and ‘institution’ it proposes solutions to the Cheshire West ruling’s paradoxical implications.

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How It Changes Lives

In the global emergencies our world faces, the strengths approach is needed now more than ever. Commonly misunderstood, its true power as a whole systems approach to release the potential of individuals, communities and their environments has been neglected. For those brave enough to embrace it, this book offers theoretical and practical encouragement.

The authors use a case study of their work with a unique non-governmental organisation in the United Kingdom that combines student placements with support for refugees. They illustrate what it really means to adopt a strengths approach in practice. Chapters include the strengths approach to funding, organisational development, management and governance as well as immigration law, student learning and research.

This book will give readers grounds for optimism as well as transferable practices for challenging social injustice.

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European Perspectives

In this much-needed text, leading international experts explore crucial aspects of people’s experience of long-term recovery from substance use.

Centred around the voices of people who use substances, the book examines the complex and continuing needs of people who have sought to change their use of substances, investigating the ways in which personal characteristics and social and systemic factors intersect to influence the lives of people in long-term recovery. With perspectives from Sweden, Norway, Germany, Belgium, Iceland and the United Kingdom, it also considers the role and needs of family members, and puts forward clear recommendations for improving future research, policy and practice.

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Care Work, Gender Equality and Welfare State Sustainability

In this insightful collection, academic experts consider the impact of neoliberal policies and ideology on the status of care work in Nordic countries. With new research perspectives and empirical analyses, it assesses challenges for care work including technologies, management and policy-making.

Arguing that there is a care crisis even in the supposedly feminist Nordic ‘nirvana’, this book explores understandings of the care crisis, the serious consequences for gender equality and the hitherto neglected effects on the long-term sustainability of the Nordic welfare states.

This astute take on the Nordic welfare model provides insights into what the Nordic experience can tell us about wider international issues in care.

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Steps to Impact for Health and Care Researchers
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EPDF and EPUB available Open Access under CC-BY-NC-ND licence.

Written by a leading expert in the field, this practical and accessible book is an essential guide to knowledge exchange, impact and research dissemination in health and social care.

Providing the why, what, who, how and when of research impact, the book helps researchers turn raw findings into useful, high-impact evidence for policymakers, practitioners and the public. It includes insightful interviews from leading journalists, science communicators, researchers and influencers in health and social care, as well as practical exercises, insider tips and case studies. The book will help researchers at all stages of their career to maximise the impact of their work.

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Health services are among the most expensive and complex areas of social policy.

Using qualitative comparative analysis to explore 11 developed countries’ health services, this volume considers the links between a range of different outcome measures and levels of funding, social determinants and different types of health expenditures. It also reflects on how those systems responded to the first wave of COVID-19.

This ambitious text identifies which underpinning factors are associated with the strongest outcomes, providing a rigorous account of health systems and health policies in the context of their wider economies and societies.

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Delaying Institutionalization, Sustaining Families

What ‘kind’ of community is demanded by a problem like dementia?

As aspects of care continue to transition from institutional to community and home settings, this book considers the implications for people living with dementia and their carers.

Drawing on extensive fieldwork and case studies from Canada, this book analyses the intersections of formal dementia strategies and the experiences of families and others on the frontlines of care.

Considering the strains placed on care systems by the COVID-19 pandemic, this book looks afresh at what makes home-based care possible or impossible and how these considerations can help establish a deeper understanding necessary for good policy and practice.

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