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When care is left to roam: carers' experiences of grassroots nonprofit services in Ireland

When care is left to roam: carers' experiences of grassroots nonprofit services in Ireland
When care is left to roam: carers' experiences of grassroots nonprofit services in Ireland
Increasingly countries are turning to nonprofit organisations to provide health and social care, particularly for people with disabilities. Alongside this change, debates continue about how states should manage the relationship with such organisations. Should features of the old-style “welfare” model be retained? Should aspects of the “new public management" model be chosen to measure the impact of the work? Yet others argue that grassroots organisations should form the basis of a service provision system. In the context of these debates, Ireland serves as an interesting case study of the system of care that can emerge when the state operates a “relaxed control” approach. This paper takes the perspectives of users themselves: family carers who are accessing services for a disabled adult child, to examine the effects of this approach on the ground. We show how geography played a central role in shaping these experiences, and discuss how we can learn from the Irish context. Rather than arguing for narrowly defined contractual measures, we conclude by proposing a renewed focus on relationship building with the aim of effective system operation, in the future of care services.
voluntarism, nonprofit, caregiving, disability, ireland, organisation
1353-8292
422-429
Power, Andrew
b3a1ee09-e381-413a-88ac-7cb3e13b3acc
Kenny, K.
50c6dd40-5d22-4056-a2d1-485fcc71596e
Power, Andrew
b3a1ee09-e381-413a-88ac-7cb3e13b3acc
Kenny, K.
50c6dd40-5d22-4056-a2d1-485fcc71596e

Power, Andrew and Kenny, K. (2011) When care is left to roam: carers' experiences of grassroots nonprofit services in Ireland. Health & Place, 17 (2), 422-429. (doi:10.1016/j.healthplace.2010.03.001). (PMID:2038255)

Record type: Article

Abstract

Increasingly countries are turning to nonprofit organisations to provide health and social care, particularly for people with disabilities. Alongside this change, debates continue about how states should manage the relationship with such organisations. Should features of the old-style “welfare” model be retained? Should aspects of the “new public management" model be chosen to measure the impact of the work? Yet others argue that grassroots organisations should form the basis of a service provision system. In the context of these debates, Ireland serves as an interesting case study of the system of care that can emerge when the state operates a “relaxed control” approach. This paper takes the perspectives of users themselves: family carers who are accessing services for a disabled adult child, to examine the effects of this approach on the ground. We show how geography played a central role in shaping these experiences, and discuss how we can learn from the Irish context. Rather than arguing for narrowly defined contractual measures, we conclude by proposing a renewed focus on relationship building with the aim of effective system operation, in the future of care services.

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More information

Published date: March 2011
Keywords: voluntarism, nonprofit, caregiving, disability, ireland, organisation
Organisations: Geography, PHEW – C (Care)

Identifiers

Local EPrints ID: 178369
URI: https://eprints.soton.ac.uk/id/eprint/178369
ISSN: 1353-8292
PURE UUID: 07a9ed28-3c32-48ca-a789-5c30df29ee7b
ORCID for Andrew Power: ORCID iD orcid.org/0000-0002-3887-1050

Catalogue record

Date deposited: 24 Mar 2011 11:57
Last modified: 19 Jun 2019 00:32

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Contributors

Author: Andrew Power ORCID iD
Author: K. Kenny

University divisions

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