Disability, Citizenship and Community Care: A Case for Welfare Rights?

Description

Cover Half Title Dedication Title Page Copyright Page Contents List of Figures and Tables Preface Acknowledgements 1 The Role of Assessments in Community Care for Disabled People in England from The Cornerstone of Community Care Disabled Citizens Citizenship and Community Care: The Aims of This Book 2 Social Policy, Rights and Citizenship Social Citizenship The 'Myth' Of Social Citizenship 'Positive' Versus 'Negative' Rights Lonely Citizens, the Market and the Welfare State Universal Social Citizenship? 'Negative'Versus 'Positive'Rights The Market and Consumerism The 'Myth'of the Universal Welfare State Responses to Unequal Citizenship Reclaiming Social Citizenship Social Rights - a Right to Welfare? Citizenship, Negotiating Needs and Access to Services 3 Community Care for Disabled People in the 1990s The Community Care Changes Curbing Costs Faciliating User Empowerment Assessment and Citizenship The Civil Right to an Assessment Versus the Social Right to Services Gatekeeping and Rationing in Social Care 4 Managing Demand at the Frontline: Managerial, Bureaucratic and Professional Gatekeeping The Structure of Assessment Services in the Two Local Authorities Managerial Gatekeeping Classification of Team Types Hospital Specialist Generic/Older Controlling Access to Assessments through Bureaucratic Gatekeeping The Right to an Assessment? Bureaucratic Barriers to an Assessment Service-specific Assessments and Deflection Risk, Need and Deterrence Using Service Charges and Denial 'But We Don't Ration Assessments!' Professional Gatekeeping Access to Services Values, Models of Disability and 'Competent Informants' 'Citizen-the-Carer' Versus 'Citizen-the-User' Summary 5 Negotiating Barriers in the Dark? Accessing Assessments Imposed Access Hospital 'Being Referred' 'Being Registered' Negotiated Access Networks, Knowing the System and Using Third Parties Timing of Assessments Being Passed Around Barred Access Service-specific Assessments Telephone Assessments Being a Carer Threats to the Civil Right to an Assessment 6 Being a 'Competent Member' of the Community: Services and Social Participation Negotiating Need 'Citizen-the-Worker ' Versus 'Citizen-the-User' Users Abdicating from Citizenship Practitioners as 'Co-Citizens' The Powerful Position of 'Citizen-the-Worker' 'Citizen-the-User' Versus 'Citizen-the-Carer' Social Participation Practical Assistance and the 'Disabled Citizen' Citizenship Denied? 'Citizen-the-Carer' and the Availability of Services Control Over the Delivery of Services and Social Participation 'Citizen-the-Consumer'? Paying for Services Being Competent to Take Risks: The Right to Refuse Services? Competency, Services and Social Participation 7 Community Care Assessments in the 1990s: Citizenship Denied? Rationing Access Rationing Access to Assessments No Right to Challenge Rationing Decisions Within Judicial Process - a Threat to Civil Rights? No Right to Services to Meet Needs: the Conflict of Competent Informants Attempting to Assert Civil Rights The Imposition of Civil Rights? Negotiating Access to an Assessment The Civil Right to an Assessment? Implicit Barriers to Citizenship Gaining Access to Social Rights: Being Competent to Assess Need 'Citizen-the- User' and 'Citizen-the- Worker' The Community Care Triangle? The Practitioner as 'Co-Citizen' Services and Social Participation The Disabled Citizen The Caring Citizen Control Over Appropriate Services 'Citizen-the-Consumer' in Community Care Citizenship Denied? 8 Assessment and Care Management Policy and Practice in the New Millennium: Towards a New Framework of Citizenship? The Civil Right to an Assessment The Problem of Variable Access to Assessments Welfare Rights and Assessments The Nature of the Assessment Process What Should Assessments Look Like? Who Should Carry Out Assessments? Developing a 'Co-citizenship' Approach to Assessments: the Role of Social Services Departments Developing Citizen-Friendly Services Control Over Services The Disabled Care Manager A New Citizenship Framework: the Challenge for the Welfare State and its Citizens Bibliography Index