Welfare Context Research Articles

Norwegian and Swedish value sets for the EORTC QLU-C10D utility instrument.

This study aimed to develop utility weights for the European Organization for Research and Treatment of Cancer (EORTC) QLU-C10D, a cancer-specific utility instrument, tailored to the Norwegian and Swedish populations. The utility weights are intended for use in the specific welfare contexts of Norway and Sweden to support more precise healthcare decision-making in cancer treatment and care. This cross-sectional study included 1019 Norwegian and 1048 Swedish participants representative in age and gender of the two general populations. Participants completed a discrete choice experiment involving 960 choice sets, each consisting of two EORTC QLU-C10D health states described by the instrument's domains and the duration of each state. Utility weights were calculated using generalized estimation equation models, and non-monotonic levels were merged to ensure consistent valuation. In the Norwegian participants, the largest utility decrements were seen for the domain of physical functioning (decrement of -0.263 for highest level "very much"), followed by pain (decrement -0.205 for level "very much") and role functioning (-0.139). Among the cancer-specific domains, nausea had the largest utility decrement (-0.124). In the Swedish participants, the largest utility decrements were also observed for physical functioning (-0.207 for the response "very much"), followed by pain (-0.139), role functioning (-0.133), and nausea (-0.119). Emotional functioning also exhibited a sizable utility decrement (-0.115). This study provides the first set of utility weights for the EORTC QLU-C10D specific to Norway and Sweden, reflecting the unique health preferences of these populations. The generated utility decrements can inform cost-utility analyses and optimize resource allocation in cancer care within the Norwegian and Swedish healthcare systems.

Collaboration Between Social Workers and Music Therapists in a Child Welfare Context for Unaccompanied Refugee Children

Collaboration Between Social Workers and Music Therapists in a Child Welfare Context for Unaccompanied Refugee Children

Divergent rhythms of motherhood. Patterns of paid and unpaid work and domestic outsourcing among mothers in the United Kingdom and Western Germany

Objective: This article investigates class differences in mothers’ daily organization of paid and unpaid work, and how they are associated with domestic outsourcing in the United Kingdom and Western Germany. Background: Operating hours of schools and daycare facilities often conflict with long working hours in high-skilled jobs and nonstandard working hours in low-skilled jobs. However, little is known on whether advantaged mothers rely on domestic outsourcing to resolve such scheduling conflicts, and how disadvantaged mothers reconcile their daily care responsibilities with paid work, depending on the welfare state context. Method: The study uses sequence and cluster analyses on time-use data to identify typical patterns of paid and unpaid work (N=1,947). Regression models predict how these patterns differ by the mothers’ education and household income, and how they are associated with outsourcing housework and childcare. Results: In both contexts, disadvantaged mothers were more likely to have unpaid workdays rather than nonstandard workdays. However, British advantaged mothers were considerably more likely to outsource childcare to pursue standard workdays. By contrast, the pattern of partial workdays in the morning, combined with more unpaid work allocation, prevailed among Western German mothers. Conclusion: In the United Kingdom, more market-oriented as opposed to conservative family policies, stronger labor market deregulation, and more consistent policy incentives for domestic outsourcing seem more effective than in Western Germany in promoting advantaged mothers’ careers. However, this comes at the expense of greater class differences in how mothers organize their time.

Technology is never neutral: Robodebt and a human rights analysis of automated decision-making on welfare recipients

ABSTRACT Government agencies have embraced automated decision-making systems, particularly in welfare, despite the risk of mass-replicated erroneous decision-making creating systemic issues. This article uses Robodebt as an Australian case study with global ramifications to argue that government agency use of erroneous automated decision-making systems in welfare raises human rights concerns. First, this article examines the shortcomings of administrative law in a digital welfare context. Second, the article closely analyses the International Covenant on Civil and Political Rights and International Covenant on Economic, Social and Cultural Rights and identifies several human rights concerns raised by Robodebt. This article then examines ex-ante impact assessment models and concludes by recommending an obligation on government agencies to conduct a human rights impact assessment before deploying an automated decision-making system. By demonstrating the human rights implications on welfare recipients arising from automated decision-making systems, this article justifies the use of international human rights law as a complementary framework.

Heterogeneous effects of information and communication technology development on digital financial consumer protection: Evidence from the global sample

ABSTRACT This study primarily examines the influence of Information and Communication Technology (ICT) on Digital Financial Consumer Protection (DFCP), utilizing a dataset spanning 88 countries globally from 2014 to 2018, within the context of consumer welfare under diverse socioeconomic conditions. The research confirms a positive relationship between information and communication technology (ICT) evolution and digital finance consumer protection (DFCP) in OECD countries with inclusive institutions, competitive markets, and solid educational foundations. Conversely, a negative correlation is observed between ICT growth and DFCP in countries with moderate gender inequality. The study further confirms that ICT development positively influences DFCP due to contextual conditions (i.e. cybersecurity index, political stability, higher educational level, and market quality). Policy implications emphasize the need to address information inequality and protect consumer rights in the digital era. Measures to curb market monopolies of major tech companies and combat unauthorized data usage are recommended. Additionally, enhancing digital literacy is crucial for harnessing the benefits of ICT and promoting financial consumer welfare. Establishing a practical code of conduct aligned with market needs is also essential for ensuring consumer protection.

The promise and limits of inclusive public policy: federal safety net clinics and immigrant access to health care in the U.S.

Abstract In the United States, exclusionary public policies generate inequalities within and across labor, financial, and legal status hierarchies, which together undermine immigrant well-being. But can inclusive public policies improve immigrant health? We examine whether and how an immigrant-inclusive federal program, Federally Qualified Health Centers (FQHCs), shaped health care access and use among farmworkers over nearly three decades, paying particular attention to disparities at the intersection of nativity and legal status. Linking historical administrative data on the location and funding of FQHCs with the National Agricultural Workers Survey from 1989–2017, we first document trends in farmworkers’ county-level proximity to FQHCs and identify a steady increase in FQHC access among undocumented farmworkers following the Affordable Care Act. Next, using time-series cross-sectional regressions with a battery of fixed effects, we find that living in a county where FQHCs are available and better resourced is associated with increased health care use among undocumented farmworkers, but not among U.S.-born or documented immigrant farmworkers. We also find that county-level access to FQHCs is associated with reduced reports of language barriers to care among both documented and undocumented foreign-born farmworkers. These findings suggest that FQHCs may improve access for immigrants who are typically excluded from U.S. health care institutions. Still, county-level FQHC infrastructure is not associated with cost-related barriers to care for any nativity or legal status groups. Taken together, our study highlights both the potential and constraints of inclusive public policies for promoting health equity in a welfare state context characterized by commodification and stratification.

Pathways to higher education for vocationally qualified students. The case of Norway

ABSTRACT This article investigates six pathways through which students possessing initial vocational qualifications can enter higher education in Norway. In Norway, vocational education and training (VET) tracks in upper secondary education are popular nationwide with the youth population, catering to almost half of every youth cohort. However, despite explicit goals to promote social mobility through education, there is evident reproduction of social inequalities in attraction to and completion of higher education programmes. This issue is of paramount importance for the welfare state context, given that students in VET tracks typically come from lower socioeconomic backgrounds compared to their peers in general education pathways. Therefore, prohibited permeability between VET and higher education undermines universal access to higher education. This study is designed in a threefold manner: First, the connection between VET and socioeconomic background is investigated, leading to the conclusion that underprivileged youth are overly represented in VET pathways. Secondly, we explore alternative routes to higher education available to vocationally qualified students in Norway; and thirdly, we present available data on to what extend these pathways facilitate access to higher education. We conclude that limited permeability is a social problem and discuss possible means to address the issue.

Quality improvement development in Swedish healthcare and welfare services

PurposeQuality improvement has developed and spread, and today, all Swedish Regions emphasize that their strategies are based on systematic improvement. This paper aims to describe and illuminate the development of Quality Improvement (QI) in Swedish healthcare and welfare organizations by using publications in a Swedish context.Design/methodology/approachThe overview synthesis is inspired by a scoping literature review approach of relevant literature. All publications relevant to Swedish healthcare and welfare settings between 1992 until 2020 were included.FindingsIn all, 213 papers, 29 books and chapters and 34 dissertations related to QI and research in Swedish healthcare and welfare context were identified. From 2011 to 2020, the publication rate increased rapidly. Six different focus areas emerged: systematic and value-creating improvement work; collaboration between organizations and healthcare providers; use of improvement methods and (theoretical) models; leadership and learning; measurements, quality registers and follow-up; and involvement and patient safety. Further QI development in Swedish healthcare and welfare points to an increased importance of collaboration between organizations and coproduction with beneficiaries for the healthcare and welfare services.Originality/valueThis paper is one of the first to describe and illuminate the QI development in the healthcare and welfare sector in a country. The trajectory also points to a need for coproduction to handle future challenges.

Dynamics of Social Work Approach in Childcare; An Analysis of Integration of Islamic Kafala Theory and Bowlby’s Attachment Theory and Application Thereof in Childcare in Saudi Arabia

This paper explores the dynamic integration of Islamic Kafala theory and attachment theory within the context of childcare and welfare in Saudi Arabia. Despite the growing recognition of diverse cultural and theoretical frameworks in social work practice, there is very limited research on how specific theories are integrated and applied in childcare, particularly within Islamic contexts. This study aims to fill this gap by analyzing the application of these theories in enhancing child welfare and social work practices in Saudi Arabia. Utilizing a mixed-methods approach, the research draws on qualitative data from surveys of child welfare professionals and families engaged in the Kafala system, supplemented by case study analyses in various Muslim countries. The findings reveal that the integration of Islamic Kafala theory and attachment theory offers a culturally sensitive and effective framework for improving childcare practices, promoting the emotional and psychological well-being of children in care. The study highlights practical implications for social workers, suggesting strategies for the successful incorporation of these integrated theories into child welfare practices in Saudi Arabia. It also identifies challenges and limitations within the current system, offering recommendations for policymakers to enhance child welfare services. This research contributes to the theoretical and practical knowledge of childcare and welfare, advocating for a more nuanced and culturally informed approach to social work in Saudi Arabia.

Social work and Pierre Bourdieu: relevance for and in a Norwegian welfare state context

ABSTRACT A significant body of the literature argues for the relevance of Bourdieu in social work and other welfare professions due to his focus on social stratification, inequality, and marginalization. Despite this relevance, Bourdieu remains a peripheral figure in social work research and teaching. Thus, the literature poses that Bourdieu is relevant, but largely missing. This paper discusses the relationship between the relevance for and application of Bourdieu in a Norwegian context, with a particular focus on the welfare state. We argue that Bourdieu’s conceptual apparatus can shed light on important social issues and developments in a contemporary context, and thus, also has potential both for social work research and praxis, including research on practices. We pay particular attention to Bourdieu’s notions of ‘doxa’ and ‘symbolic violence’, as well as theories on the modern welfare state, through the concepts of ‘the left and right hand of the state’. We suggest an unfulfilled potential in the application of Bourdieu in the analysis and understanding of the very role and function of social work in a modern welfare state and for themes integral for social work, most notably social inequality and mobility.

Contradictions at work: Navigating relational autonomy and caste in Delhi, India

Ethnographic insights into people’s working lives can help us envision social policy to build dignified workspaces. This article explores the interlinkages between work and social protection, by drawing attention to two dimensions of pheriwale’s everyday working lives: first, how they relate to their work, and second, how they are situated within the Indian welfare context. Pheriwale are a group of traders in Delhi, India, who collect and sell secondhand/used-clothes. Like much of the Indian workforce, pheriwale’s work is classified as ‘informal’, since they remain outside social security tied to formal employment, they largely rely on irregular flow of income and primarily belong to the lower-caste groups. Low-income groups in India are entitled to various welfare schemes; however, accessing and receiving these welfare benefits may not always be consistent or dependable. In Delhi, pheriwale have been trading used/secondhand clothes for almost a century and they are one of the visibly women-dominated trading groups in the city. This article builds on four months of qualitative fieldwork at pheriwale’s marketplace in West Delhi, between 2017 and 2019. By following pheriwale’s work experiences through the conceptual lens of relational autonomy, this study highlights two key findings. First, due to the nature of self-employment, pheriwale shared how they have relative control of time and energy in their working routines. Second, in the face of an unreliable welfare state, pheriwale rely on building familial means of social protection to sustain lives.

Are lateralized and bold fish optimistic or pessimistic?

Cognitive bias is defined as the influence of emotions on cognitive processes. The concept of the cognitive judgement bias has its origins in human psychology but has been applied to animals over the past 2 decades. In this study we were interested in determining if laterality and personality traits, which are known to influence learning style, might also be correlated with a cognitive bias in the three-spined sticklebacks (Gasterosteus aculeatus). We used the judgement bias test with the go/no-go procedure where fish were first trained to discriminate between a black and white card and, after reaching a minimum learning criterion, tested their response to an ambiguous card (grey). Optimistic subjects were expected to have a high expectation of reward associated with an ambiguous stimulus, whereas pessimistic subjects a high expectation of non-reward. We used an emergence and a mirror test to quantify boldness and laterality, respectively. We hypothesised that male, bolder and more strongly lateralized fish would be more optimistic than female, shy and less strongly lateralised fish. We found that males and more strongly lateralized fish were more optimistic than females and less strongly lateralized fish. In addition, bold males were more optimistic than shy males as we predicted, but females showed the opposite pattern. Finally, fish trained on the black colour card learned the training task faster than those trained on a white card. Our results indicate that both laterality and personality traits are linked to animals’ internal states (pessimistic or optimistic outlooks) which likely has broad implications for understanding animal behaviour particularly in a welfare context.

Processing payments, enacting alterity: financial technology in the everyday lives of asylum seekers

ABSTRACT This article examines how the Asylum Support Enablement (ASPEN) card – a prepayment card provided to UK asylum seekers – enacts their alterity in ways that problematise the techno-optimist narrative of digital technologies as promoters of financial inclusion. Drawing on analysis of 53 documents alongside 21 interviews with asylum seekers, refugees, advocacy organisations and technology providers, the article proceeds in four steps. First, we trace the migration of Prepaid Financial Services’ (PFS) prepayment technology from the humanitarian context of UNHCR’s Cash Assistance Programme in Greece to its adoption in UK state practices, considering what this means for the mobility of policy norms inscribed in digital technologies. Second, building on the concept of ‘alterity processing’, we examine how the UK Home Office discursively co-constructs asylum seekers as ‘deviant subjects’ and its bureaucratic entities as indispensable. Third, we analyse how this co-construction is used to justify asylum seekers’ exclusion from mainstream banking, rendering them dependent on the ASPEN card. Finally, we elucidate how the card’s surveillance, encoded rules, and induced precarity govern asylum seekers’ behaviours. We thus demonstrate how financial technologies – as deployed across humanitarian and statist welfare contexts – engender new lines of marginalisation and forms of social control.

Social reproduction in rural Chinese families: A three‐generation portrait

AbstractMuch of the existing debate on social reproduction focuses on capitalist social relations or is framed around the distinction between the Global North and Global South. Using China, whose unique post‐1949 developmental trajectory embraces both elements of socialism and capitalism, this article aims to breakdown the dichotomy between capitalism and other economic systems and instead draw attention to the ways in which households, the state and market are interdependent. Drawing upon an ethnography conducted in two rural villages and three‐generational life history data, this article explores how the organization of reproductive work evolved in rural families against the backdrop of wider political and economic transformations since 1949. Through an examination of the inter‐linkages between productive and reproductive activities across three generations, it reveals that unpaid reproductive work, performed unambiguously by women, has been central to China's economic modernization in both the Mao and Post‐Mao eras. The organization of this reproductive work among women inside the households of each generation since 1949 is influenced by a combination of factors including the patrilocal and patrilineal kinship system, the social welfare context and the economic processes of a particular era. While confirming existing scholarship on migration and agrarian change, by revealing the household as a site of gendered and intergenerational negotiation, this article disputes a linear generational power shift in agrarian transformations.

Spoken service language for customer well-being in a transformative service context: residential aged care

PurposeSpoken service language is critical for service experiences and human welfare in many service settings. However, little is known about how spoken service language can enhance customer well-being in transformative service contexts. This paper explores spoken service language and well-being for customers experiencing vulnerability in a transformative service context, informed by an empirical account of the human welfare service of residential aged care.Design/methodology/approachSituated within transformative service research (TSR), this study was guided by a theoretical framework of service language and adopts a strengths-based approach to customer experiences of vulnerability. A qualitative multiple case study methodology was applied to explore carers’ perspectives on spoken service language and well-being from three residential aged care homes in Australia.FindingsThe findings demonstrate five spoken service language practices and four principles of spoken service language for well-being that co-create customer well-being and support the alleviation of customer experiences of vulnerability. Conceptualised as transformative spoken service language, the spoken service language practices and principles collectively recognise, support and leverage residents’ capabilities and uplift customer well-being, by enacting a process of mattering highly salient to transformative service contexts.Originality/valueThis study is the first to conceptualise how employee spoken service language can be used to support customer well-being and enhance transformative value for customers experiencing vulnerability to align with the goals of TSR. Practically, the study advocates for a greater awareness and more considered use of transformative spoken service language in human welfare and other transformative service contexts.

Welfare state policy and educational inequality: a cross-national multicohort study

Abstract Proponents of welfare policy have argued that publicly funded early childhood education and care (ECEC), paid parental leave, and family benefits spending can weaken the influence of social background on educational outcomes by providing a supplementary source of early investment that particularly benefits disadvantaged families. We analyze whether the welfare state context in which children spend their early childhood (ages 0–5) moderates the association between parental educational attainment and the child’s educational achievement at age 10. We combine data from two large-scale international student assessments with data about welfare state policies. Results from multilevel models show that countries with higher public ECEC spending and higher family benefits spending exhibited a weaker association between parental education and student math achievement. Countries with longer parental leave exhibited a stronger association between parental education and student math, science, and reading achievement. Findings provide evidence of the mixed role of welfare state policies for social inequality in student achievement.

The socio-technical organization of equity, diversity, and inclusion (EDI) in child welfare

ABSTRACT In this article we use institutional ethnography to investigate the intersection between provincially mandated digital technologies intended to streamline decision-making, improve communication, and create efficiencies and the development and implementation of strategies to institutionalize Equity, Diversity, and Inclusion (or EDI) in child welfare contexts. These two moves collide in the Child Welfare Redesign – a state-led initiative that organizes the convergence of data and diversity work in local Children’s Aid Societies in the Canadian province of Ontario. Drawing on 38 interviews with child welfare directors, supervisors, and managers coupled with extensive documentary research, our findings show how the Ontario Child Welfare Redesign goal to make child welfare services more “inclusive” and “culturally appropriate” for Black, Indigenous, and LGBTQ+ communities who are overrepresented among those receiving child welfare services is undermined by the continued use of provincial information management infrastructure and the provincially mandated Child Protection Standards and Tools.

The flexibility of family co-ordinators in complex family interventions: building relations over time with families living in sustained poverty

ABSTRACT Complex family interventions represent innovative yet contested policy approaches to child poverty and their follow-up with families with complex needs laid down in several national policies. Across welfare state regime contexts, the role of the family co-ordinator is central to these approaches. This role and the work of co-ordinators in interaction with families, family members, and other services deserve further exploration to increase knowledge of the contribution of such interventions. In this article, we explore the role of the family co-ordinator in the Norwegian family intervention programme, New Patterns – Safe Upbringing. The research builds upon fieldwork conducted over several intervals (2019–2021). Family co-ordinators were followed in their everyday work practices, and they were interviewed over several rounds. In our analysis, we look at how the family co-ordinator role and relations with families evolve over time as knowledge increases and the family situation changes. Our research findings demonstrate the importance of flexibility and temporality in complex family interventions, including their role for instigating trust in the relationships between family co-ordinators and families, their role as cultural and system interpreters, and as such providing means for successful targeted support.

Do Health and Well-Being Change Around the Transition to Informal Caring in Early Adulthood? A Longitudinal Comparison Between the United Kingdom and Germany

PurposeProviding care in early adulthood may have long-term consequences, given the importance of this life stage for life-course transitions. This study aimed to analyze how the transition into caring during young adulthood (17–29 years old) influenced health and life satisfaction in the United Kingdom and Germany. MethodsDatasets were from 10 annual waves of the UK Household Longitudinal Study and the German Socioeconomic Panel between the years 2009–2018. We used propensity score matching to match young adult carers (YACs) to similar noncarers to address the endogeneity of unpaid care provision. Then we applied piecewise growth curves to observe changes in self-rated health (United Kingdom N = 2,851; Germany N = 454) and life satisfaction (United Kingdom N = 2,263; Germany N = 449) between YAC and noncarers before, during, and after the onset of care. We assessed carer status, weekly hours spent on care, and duration of care. ResultsIn the United Kingdom, life satisfaction decreased and the probability of reporting poor health increased after becoming a YAC, particularly for those who reported caring for more weekly hours. However, no such differences were found between YAC and noncarers in Germany. DiscussionThe onset and intensity of caring responsibilities during early adulthood influenced health and life satisfaction in the United Kingdom but not in Germany. One possible interpretation for these differences may be attributed to the different welfare contexts in which YACs are providing informal care. Our results highlight the importance of identifying and supporting the needs of young adults who are providing informal care while making key life-course transitions.

Case conceptualization in child welfare: an underused resource to improve child, family, and provider outcomes.

Case conceptualization, formally known as case formulation, is one tool that assists in determining the best course of action for children and families experiencing family violence that has been under-utilized in child welfare. In this article we present a step-by-step case conceptualization process that considers the child welfare context. We then present a hypothetical case example of a 10-year-old child referred by a child welfare worker to evidence-based treatment for mental health and behavioural concerns. Mental health services are not helpful for the child and further consultation is enlisted. To more effectively guide intervention and treatment planning and ultimately improve outcomes for the child, we present case conceptualization as a process that incorporates relevant aspects of the child and family's history and circumstance. We conclude with a succinct case conceptualization and treatment plan to show how the prognosis of the child can be improved when case conceptualization is employed.