The specialisation of needs-assessment in Swedish municipal care for older people: the diffusion of a new organisational model

Blomberg, Staffan

doi:10.1080/13691450802075634

Cited by 22 publications

(21 citation statements)

References 15 publications

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“…Department of Health/Social Services Inspectorate, 1991; Phillips and Waterson, 2002). This process was closely connected to a trend of an increased economy-and market orientation inspired by the New Public Management with the introduction of different purchaser/provider-models (Blomberg, 2008;Phillips and Waterson, 2002) clarifying the distinction between assessment and intervention. One of the core elements in the reform was to expose the public care of older people to the idea of competition-governing with a partial privatization (Andrews and Phillips, 2000;Vabø, 2005), which was based on the assumption that the more state welfare was forced into a private mould, the more efficient its 5 organization would become (cf.…”

Section: Care Managementmentioning

confidence: 99%

“…As the care of older people in Sweden is still financed with local taxes and the exercise of authority is a municipal responsibility (Blomberg, 2008), there are many decentralised decisions on incoming applications to be made by the care managers. According to statistics from 293 of 321 municipalities in Sweden, there are 1,988 care managers carrying out needs assessments among older people (65+) according to the Social Services Act (Socialstyrelsen, 2013a).…”

Section: Care Managementmentioning

confidence: 99%

“…One of the core elements in the reform was to expose the public care of older people to the idea of competition-governing with a partial privatization (Andrews and Phillips, 2000;Vabø, 2005), which was based on the assumption that the more state welfare was forced into a private mould, the more efficient its 5 organization would become (cf. Blomberg, 2008;Clarke, 1998). In line with this development, programmes were introduced with the intention of increasing individual choice and control in Sweden (e.g.…”

Section: Care Managementmentioning

confidence: 99%

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How the Care Managers Handle the Process when Older People Consider Relocation to a Residential Home

2014

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The aim of this article is to reveal how care managers handle the process when older people consider relocation to a residential home in a Swedish context. The article is based on vignettebased interviews with seven care managers. The main findings in the article are that the care managers assist older people in their decisions by turning ageing in place and relocation respectively into seemingly natural choices. In both approaches they use warrants related partly to 'the best for older people', partly to 'the common good of economizing'. The conclusions drawn are that the care managers by applying risk management and extensive alliance-strategies are not really able to question their own work situation and that they perform their work in a context of different parties restraining themselves. The implications for social work policy and practice are that the approach referring to older people's self-determination while actually dealing in risk assessment must be thoroughly reconsidered. Other practical implications are that the idea of the purchaser/provider-model must be clarified, beyond the assessment of resources.* Email: Maria.Soderberg@soch.lu.se 2

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Section: Care Managementmentioning

confidence: 99%

Section: Care Managementmentioning

confidence: 99%

Section: Care Managementmentioning

confidence: 99%

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How the Care Managers Handle the Process when Older People Consider Relocation to a Residential Home

2014

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“…Dunér & Nordström, 2010;Nordh & Nedlund, 2016;Olaison, 2017). Blomberg (2008) has, for example, shown that these changes have narrowed down the assessment criteria that care managers use to determine which older people are eligible to access the services that the sector offers. Nowadays, it is often the most acute medical and care-related needs that are prioritised; social needs have lost, in other words, their 'legitimacy' as far as welfare eligibility is concerned (Olaison, 2009).…”

Section: Needs Assessment Within the Context Of Swedish Elder Carementioning

confidence: 99%

Professional discretion and length of work experience: what findings from focus groups with care managers in elder care suggest

Olaison

Torres

Forssell

2018

Journal of Social Work Practice

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Research has explored how care managers in elder care -who often function as 'street-level bureaucrats' -regard professional discretion. The way in which length of work experience affects care managers' use of professional discretion remains, however, unexplored. This article present findings from 12 focus groups with 60 care managers. By bringing attention to how care managers experience the needs assessment process, this article sheds light on how these 'street-level bureaucrats' struggle when they try to balance their clients' needs against institutional frameworks and local guidelines. Length of work experience seems to play a role in how care managers claim to use professional discretion. Experienced care managers describe how they deviate from the guidelines at times in order to create an increased scope of action in their decision-making process. Those with less time in the profession describe greater difficulties in this respect. Findings suggest that research should explore if length of work experience plays a role in the actual way in which care managers assess needs and make decisions. As such, they contribute to our understanding of how needs assessment processes are navigated by professionals while also pointing towards the nature of professional discretion in gerontological social work.

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“…It involves a publicly provided, comprehensive, high-quality service available to all citizens, which aims to reduce gender and class inequalities (Szebehely & Meagher, 2017;Szebehely & Trydegård, 2012). Care for the elderly in Sweden has mainly been financed through tax revenue (Blomberg, 2008;Szebehely, 2005). Services are expected to be offered according to need, and are not dependent on the ability to pay (Olaison, 2017;Szebehely & Trydegård, 2012).…”

Section: Introduction and Aimmentioning

confidence: 99%

Facing dementia as a we: Investigating couples’ challenges and communicative strategies for managing dementia

Nilsson¹

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The specialisation of needs-assessment in Swedish municipal care for older people: the diffusion of a new organisational model

Cited by 22 publications

References 15 publications

How the Care Managers Handle the Process when Older People Consider Relocation to a Residential Home

How the Care Managers Handle the Process when Older People Consider Relocation to a Residential Home

Professional discretion and length of work experience: what findings from focus groups with care managers in elder care suggest

Facing dementia as a we: Investigating couples’ challenges and communicative strategies for managing dementia

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