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social services

The Health and Social Services Sector: a New Social Question? Values, Rights and Advantages

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The health and social services sector is a growing border area that seems to contain both the contradictions of the health service and those of social services. Operatively, economically, institutionally, culturally and procedurally, it is witnessing a transformation/evolution/involution of constitutionally guaranteed rights, and so of the meaning of citizenship. In our view, the difficult and complex relation between the health and social sectors, in terms of definition, institutional organisation and responsibility, organisational cultures, resources invested, profit-making and non-profit-making private interests operating, trade union relations and contract systems etc., is one of the keys for interpreting the evolution of welfare in Italy, and perhaps in the whole of Europe.only subscribers can see the full article

The Application of Isee to Social Services for the Elderly. Its Experimentation in the Rome City Council

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The reform of article V of the Constitution and the process which will lead to the definition of the Lep represent fundamental factors to analyse prospects in the Italian welfare model. Indeed the setting up of the social policy information system acquires a strategic function, whereas the Isee system represents a first important step. This premise introduces the experience initiated by the Rome City Council, which is particularly significant in the field of selective policies applied by social services. In fact, through an integration of the Isee calculation mechanisms, consented by the norm, it was possible to take account of the specific characteristics of the elderly and set specific policy objectives.only subscribers can see the full article

Innovation and the Role of Public and Private in the Context of the Crisis of Financing Welfare

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in the issue
Territorial Welfare
Through an analysis of local cases the essay examines the prospects for managing social services in the present socio-economic context, and the basic concept of person-centred social services, and the social interaction between those public and private figures working in society. It seems sufficient to draw attention to the action to be taken at local level with innovations that are the result of collaboration between public and private, in which the state not only has the task of planning and running social intervention, but also of controlling the processes with a new involvement of citizen groups, in the spirit of article 118 paragraph two of the italian Constitution.only subscribers can see the full article

The Fight Against Inequalities and the Efficiency of Social Spending

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Equality and efficiency are the reasons why public provision and production of social services need to be supported. This does not mean doing away with all monetary benefits: a minimum income, for example, is urgently needed for our country. However, the idea that the public provision and production of social services should be scaled down is highly debatable yet supported by many left-wingers.only subscribers can see the full article

Social Capital and Health Strategies: a Practical Experience

In the two years 2009/2010 Emilia-Romagna carried out various training courses in support of innovation strategies for the social and health services, aimed at managers and professionals in local health services and local bodies. An analysis of the literature, data and discussions with those taking part revealed that the main critical feature of the public system of health and social services in Emilia-Romagna was the crisis of trust in the relations between service providers and users, the community and the organization, and professionals and the organization. It was agreed to invest in the development of the social capital of the organizations and the communities as a strategy to guarantee sustainability to the system and improve the running of it. As part of the this strategy, some proposals for action were also formulated, which took the form of local laboratories of innovation to be created with the involvement of the health authorities, local bodies, the universities, citizens, citizens’ representatives, workers and the third sector, and other significant figures in the area.only subscribers can see the full article

Policies, services and migrants: open questions on integration

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Integration is a key issue of migration policy, regarding decisions on the recognition of rights to foreigners in a territory; recognition that in practice, as well as by law, tracks the trajectories of migrants and how they enter into the host societies. The social policy decisions made in recent years seem to be going in the opposite direction to that of a universal welfare state that seeks to balance fairly the needs of all people, citizens or migrants. The limited resources available and the consequent preference mechanisms that have been introduced are reducing the possible beneficiaries (through the tightening of entry requirements), thus jeopardizing the recognition of foreigners as having equal dignity and the same fundamental rights. The reflection on the ethical and political dimension of recent welfare policies is offered as a cue to looking at the future of social intervention in the context of the integration of migrants, with the promotion of integration policies, the rethinking of the organization of local services, and the ultimate goal of social cohesion for any intervention three inseparable mainstays. only subscribers can see the full article

Essential Assistance Guaranties as a Condition of Social Citizenship

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The paper examines the motivations and pathways that have characterised the debate on essential assistance guaranties (Lea) in health and social services, starting from the concept of «selective universalism» as a guarantee of the exercise of citizenship rights but also as a possibility to control social spending. An outline is given of the course which led to the definition of health LEAs with the incorporation of the principle of «selective universalism» and the guarantee of «essential and appropriate» services for everybody. On the other hand, the social LEAs have been inspired by the guarantee of a «minimum level of social service» considered indispensable, although in the document which is still to be made public, no mention is given to the responsibility of the state to guarantee uniformity in the exercise of social citizenship rights. It is quite clear that the government intends to lower the implementation threshold, reducing the services rather then selecting access, thus substituting public intervention with the social market.only subscribers can see the full article

Re-institutionalization? Extreme Forms of Marginalization

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The homeless are the most obvious category of extreme poverty. They are increasing in Italy and the western world: as well as alcoholics, drug addicts and those with psychiatric problems, there are new social figures from the categories of foreign migrants and newly poor Italians. When the hopes of the former come to nothing, the street is the definitive sign of their failure; among the latter, there are many fathers who have lost their jobs and then their homes. Among migrants, refugees and political refugees, b ut also the Romas, enjoy greater assistance, but at the price of reduced overall freedom. Policies for the homeless require finding homes, which are the starting point for any possible progress. A fixed domicile, even just for purposes of registration, is essential for the exercise of some fundamental rights. The response is inadequate, dealing mainly with urgent questions and emergencies, much less on organizing forward-looking measures that could bring about the necessary social integration. The lack of assistance encourages repressive attitudes that increase the seriousness of the problems and the underlying economic-social costs.only subscribers can see the full article

Isee: an Analysis of the Measure and the Efficacy of its Application

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Isee, the equivalent economic situation indicator, has a fundamental role in the establishment of an integrated system of social services and interventions. The use of Isee has become more widespread over the last two years after an initial period of caution due to legislative vagueness. At present its application involves some 12 million citizens. It is thus legitimate to inquire on the effects they have produced in terms of the efficacy of selective procedures. The adequacy of equality objectives is no doubt linked to the modalities of the construction of the indicator, the system of applicative regulations, especially the capacity to construct an effective control structure.only subscribers can see the full article

Regional Social Policies in Italy. Historical Constants and Institutional Changes

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in the issue
Territorial Welfare
The regionalization or decentralization of welfare policies is a process common to all European countries, though they have taken different paths and had strikingly different effects. In Italy they have been accompanied for years by the emergence of strong internal discrepancies in the quantity of services and in the performance of local institutions. The article deals with these questions on the basis of three analytical dimensions: first, the quality of the regional and local supply networks; secondly, the characteristics of social needs and demand that emerge in the different regions; and lastly, the nature of the historically-determined relations between the centre of the political administrative system and the various local levels involved in the supply of social services.only subscribers can see the full article