Models of disability support governance: a framework for assessing and reforming social policy

Henman, Paul and Foster, Michele (2015) Models of disability support governance: a framework for assessing and reforming social policy. Australian Journal of Social Issues, 50 3: 233-252. doi:10.1002/j.1839-4655.2015.tb00348.x

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Author Henman, Paul
Foster, Michele
Title Models of disability support governance: a framework for assessing and reforming social policy
Journal name Australian Journal of Social Issues   Check publisher's open access policy
ISSN 0157-6321
Publication date 2015-10-01
Year available 2015
Sub-type Article (original research)
DOI 10.1002/j.1839-4655.2015.tb00348.x
Open Access Status Not yet assessed
Volume 50
Issue 3
Start page 233
End page 252
Total pages 20
Place of publication Canberra, ACT, Australia
Publisher Australian Social Policy Association
Language eng
Subject 3312 Sociology and Political Science
Abstract In many developed countries, the provision of disability services has undergone significant transformations, from institutional to community based care, and from oganisational to personalised funding. Yet delivering disability support remains an ongoing challenge for governments. Specifically, the relative success of different types of disability support governance is convoluted and problematic given the diversity and complexity of disability support systems and the people they serve. To enhance the systematic analysis and evaluation of disability support governance, this paper conceptually advances four distinct models based on the locus of control and coordination of such support: uncoordinated; casework governance; dwelling-based governance; and user-coordinated. Using illustrations from case studies of individuals receiving care, the identification of these ideal types enables their relative strengths, weaknesses, and the occasions of governance failure to be articulated. No one model is universally applicable to people, nor immune to failure. Furthermore, the paper presents a novel approach to visualising actual disability support arrangements as social networks. The utility of such visualisations for analysing individual and systemwide arrangements is outlined. In the context of Australia's developing National Disability Insurance Scheme, these conceptual and analytical developments are argued to be important tools for policy and service analysis and reform.
Keyword Disability services
Acquired disability
National Disability Insurance Scheme
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID LP0883377
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Nursing, Midwifery and Social Work Publications
School of Social Science Publications
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Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 07 Oct 2015, 19:47:33 EST by Dr Paul Henman on behalf of School of Social Science