Challenges of prolonged transition from totalitarian system to liberal democracy

Pūras, Dainius; Šumskienė, Eglė; Adomaityte-Subaciene, Ieva

doi:10.1921/6104030204

Cited by 10 publications

(9 citation statements)

References 9 publications

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“…It is critical that external influences are consistent with the principles that the innovators are attempting to establish. For example, using the case of mental disability [ 23 ] show how European Structural funds may serve to maintain large institutions over community care, and thereby prolong the soviet style marginalization and stigmatization of dependent people.…”

Section: Discussionmentioning

confidence: 99%

The Process of Creating Integrated Home Care in Lithuania: from Idea to Reality

Jurkuvienė

Danusevičienė

Butkevičienė

et al. 2016

International Journal of Integrated Care

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Background:The article presents an analysis of the formulation and implementation of a social innovation: integrated home care (IHC) in post-soviet Lithuania. From 1998 a series of top-down orders to implement IHC were issued, however, home nursing did not start. In 2011 the Ministry of Social Security and Labour began a process to develop integrated home care using new, collaborative processes. The result was 21 pilot projects with well-conceptualized IHC services.Method:Using data from focus groups, interviews, and recorded observations, the research team systematically documented the innovation process, including themes and deviations, employing Smale’s Innovation Trinity framework to organize the larger picture.Results:In the Lithuanian post-totalitarian context, top-down communication was found to be prevalent. Not only IHC, but also openness to change and dialogue at high levels were innovations. Patient-centered practice at local levels could only occur when a new attitude of mind was reached through dialogue with officials at higher levels and between peers.Conclusions:The enactment, rather than the mask of dialogue, participatory program development were critical in the success of IHC innovation. This is difficult to achieve in the light of antiquated public bureaucracies, but in this case, the Ministry team, rather than avoiding the expectation of top-down communication, made it into an asset through promotion of collaboration.

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Section: Discussionmentioning

confidence: 99%

The Process of Creating Integrated Home Care in Lithuania: from Idea to Reality

Jurkuvienė

Danusevičienė

Butkevičienė

et al. 2016

International Journal of Integrated Care

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“…Respondents mentioned more or less active involvement of the Ministry of Health, Ministry of Education, and Ministry of Social Affairs, as well as the problems of weak coordination among them. This centralization of responsibilities, which also implies the inequality and dominance of powerful groups, fairly echoes the situation in Soviet times, when the main purposes of the internat system was physical care and isolation of “defective” individuals (Puras et al, 2013).…”

Section: Resultsmentioning

confidence: 62%

P.S. for post-Soviet: A glimpse to a life of persons with intellectual disabilities

Gevorgianienė

Šumskienė

2017

J Intellect Disabil

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This article focuses on the situation of persons with intellectual disabilities in the developing post-Soviet countries and aims to review the extent to which services offered to them promote values of the Convention on the Rights of Persons with Disabilities and empower these persons to lead fulfilling lives. Interviews with experts revealed that post-Soviet countries form a peculiar cluster among other developing countries, which has specific attributes. First of all, there prevails a strong stigmatization, which consequently leads to the predominant silent mandate to isolate those with intellectual disabilities in big residential care institutions. Second, the governments' lack political will to start the reforms and initiatives of nongovernmental organizations which they do not sustain (or, assumingly, are even suppressed). As a result, persons with intellectual disabilities find themselves stuck between the Soviet tradition of exclusion and simulated superficial reforms.

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“…Following the collapse of the Soviet Union, non-governmental organizations (hereafter NGOs) visited residential care institutions for persons with ID and stated that these institutions not only violate fundamental human rights, but that repressions and restrictions are still applied, manifestations of sexual and physical abuse have also been reported (Puras, Sumskiene and Adomaityte-Subaciene 2013).…”

Section: Institutional Carementioning

confidence: 99%

“…The CEEC are especially criticized for using the structural funds to perpetuate the outdated systems of institutional care. More than two decades of numerous attempts to promote changes have not resulted so far in a change of paradigm, as institutional culture and a tradition of exclusion still remain very strong (Puras, Sumskiene and Adomaityte-Subaciene 2013).…”

Section: Institutional Carementioning

confidence: 99%

Disability Hate Crime: The Overlooked Consequence of the Deinstitutionalization of Care

Šumskienė¹

2017

STEPP

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Challenges of prolonged transition from totalitarian system to liberal democracy

Cited by 10 publications

References 9 publications

The Process of Creating Integrated Home Care in Lithuania: from Idea to Reality

The Process of Creating Integrated Home Care in Lithuania: from Idea to Reality

P.S. for post-Soviet: A glimpse to a life of persons with intellectual disabilities

Disability Hate Crime: The Overlooked Consequence of the Deinstitutionalization of Care

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