Individualization and the Delivery of Welfare Services: Contestation and Complexity PDF
Preview Individualization and the Delivery of Welfare Services: Contestation and Complexity
Individualization and the Delivery of Welfare Services Also by Anna Yeatman ACTIVISM AND THE POLICY PROCESS (editor) BUREAUCRATS, TECHNOCRATS, FEMOCRATS JUSTICE AND IDENTITY: ANTIPODEAN PRACTICES (co-edited) POSTMODERN REVISIONINGS OF THE POLITICAL THE NEW CONTRACTUALISM? (co-edited) Individualization and the Delivery of Welfare Services Contestation and Complexity Anna Yeatman University of Western Sydney, Australia with Gary W. Dowsett La Trobe University, Australia Michael Fine Macquarie University, Australia Diane Gursansky University of South Australia, Australia © Anna Yeatman 2009, except; Chapter 10 © Michael Fine and Anna Yeatman 2009 Chapter 11 © Anna Yeatman and Gary W. Dowsett 2009 Chapter 13 © Diane Gursansky and Anna Yeatman 2009 Softcover reprint of the hardcover 1st edition 2009 978-1-4039-8808-9 All rights reserved. No reproduction, copy or transmission of this publication may be made without written permission. No portion of this publication may be reproduced, copied or transmitted save with written permission or in accordance with the provisions of the Copyright, Designs and Patents Act 1988, or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, Saffron House, 6-10 Kirby Street, London EC1N 8TS. Any person who does any unauthorized act in relation to this publication may be liable to criminal prosecution and civil claims for damages. The authors have asserted their rights to be identified as the authors of this work in accordance with the Copyright, Designs and Patents Act 1988. First published 2009 by PALGRAVE MACMILLAN Palgrave Macmillan in the UK is an imprint of Macmillan Publishers Limited, registered in England, company number 785998, of Houndmills, Basingstoke, Hampshire RG21 6XS. Palgrave Macmillan in the US is a division of St Martin’s Press LLC, 175 Fifth Avenue, New York, NY 10010. Palgrave Macmillan is the global academic imprint of the above companies and has companies and representatives throughout the world. Palgrave® and Macmillan® are registered trademarks in the United States, the United Kingdom, Europe and other countries. ISBN 978-1-349-54193-5 ISBN 978-0-230-22835-1 (eBook) DOI 10.1057/9780230228351 This book is printed on paper suitable for recycling and made from fully managed and sustained forest sources. Logging, pulping and manufacturing processes are expected to conform to the environmental regulations of the country of origin. A catalogue record for this book is available from the British Library. A catalogue record for this book is available from the Library of Congress. 10 9 8 7 6 5 4 3 2 1 18 17 16 15 14 13 12 11 10 09 Transferred to Digital Printing 2009 For Joanna Seymour 1966–2007 and John Yeatman 1914–2006 Contents List of Tables ix Preface and Acknowledgements x Notes on Contributors xiii Part I Theoretical Perspectives on Individualization 1 and the Delivery of Welfare Services Anna Yeatman Chapter 1 Introduction 3 Chapter 2 The Twentieth Century Idea of the Self and 25 Its Expression in the Ethos of the Welfare State Chapter 3 The Individual as the Centre of Subjective 42 Experience and the Right to Self-preservation Chapter 4 The Self as the Subject of Welfare 63 Chapter 5 The Will as the Subject of Welfare—The Consumer 73 Model of Service Delivery Chapter 6 The Inter-subjective Nature of Person-centred 89 Service Delivery Chapter 7 Governing Welfare Services 110 Part II The Case Studies 117 Chapter 8 Public Bureaucracy and ‘Customer Service’: The 119 Case of Centrelink 1996–2004 Anna Yeatman Chapter 9 Getting to Count: The Looking After Children 141 (LAC) Initiative Anna Yeatman and Joanna Penglase Chapter 10 Care for the Self: ‘Community Aged Care 165 Packages’ Michael D. Fine with Anna Yeatman vii viii Contents Chapter 11 Service Delivery and HIV-Positive Gay Men: 187 Pre- and Post-Advent of Highly Active Antiretroviral Treatment (HAART) Anna Yeatman and Gary W. Dowsett Chapter 12 Facilitating Independence and Self-determination: 210 The Case of a Disability Employment Service Anna Yeatman Chapter 13 Are Prisoners Clients? The Individualization of 235 Public Correctional Services Diane Gursansky and Anna Yeatman Consolidated Bibliography 258 Index 274 List of Tables 6.1 Relationship between Kitwood’s definition and derived 91 concepts of person-centredness 9.1 Features of institutions that facilitate systems abuse 144 10.1 Number of operational Community Aged Care Packages 171 and the provision ratio per 1,000 persons aged 70 years and over, 1992 to 2005 10.2 Clients assisted by the Help at Home Program, 2003 178 12.1 The formal aspect of contractualist protocols at a 219 specialist disability employment service 12.2 The features of contract in individualized service 222 delivery ix Preface and Acknowledgements This book came about as a result of a project on individualized service delivery that was funded by the Australian Research Council 2001–03 to which I offer thanks. I conceived the project and led the project team who included Gary Dowsett, Michael Fine, Diane Gursansky with Joanna Penglase serving as our research officer. Each of these four individuals contributed invaluable and distinctive insights to the project as it unfolded through time even while the normative theoretical vision for the project remained my own. I have placed a case study from an earlier project I led and conceived (also funded by the Australian Research Council on ‘the new contract- ualism’ 1998–2000) in this book because it belongs here: this is Chapter 12 (‘Facilitating independence and self-determination: the case of a disability employment service’). This case study originally appeared in ‘The Role of Contract in the Democratization of Service Delivery’, Anna Yeatman and Kathryn Owler in Law in Context 18 (2) 2001, published by Federation Press: www.federationpress.com.au. Thanks are due to Kathryn Owler for sharing the fieldwork for this case study with me. The conduct of the individualized service delivery project involved a project reference group that met thrice. The group combined policy, prac- titioner and consumer advocacy expertise as well as commitment to a normative vision for individualized service delivery. The individuals who served on this group gave of themselves generously and creatively. They provided some reality testing for the project; and in the last meeting of the reference group in May 2003, they also indicated that the policy context that had seemed relatively stable at the beginning of the project was changing in such a way as to make the normative orientation of the project seem even more ‘heroic’ than it had been. I acknowledge the assistance in this project of the following members of the project refer- ence group: Luke Grant, Sheila Ross, Mike Rungie, Sheila Shaver, Phil Tuckerman and Sandy Watson. I acknowledge also the contribution to both team meeting and reference group discussions of Cosmo Howard who at the time of the project’s empirical research was undertaking his doctoral dissertation research on Centrelink. In addition, I acknowledge the contributions to team meeting conversation and/or reference group conversations of Carol Austin, Bob McLelland, Bleddyn Davies, Kirsty Machon, John Rule, Rose Melville and Catherine McDonald. x
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