Routledge Studies in Health and Social Welfare – serie

Today, healthy ageing and active, meaningful lives are core values and aims for international and national health policies. Health services are challenged to ensure that the recipients of their services are active participants in their own care and beyond. Participation allows patients to become less dependent on healthcare providers, increasing their control over their own treatment and health. Increasingly, the idea of ‘participation’ is shifting, from participation in services to participation in mainstream society.This book examines the concept of participation, as well as the different meanings it takes on in the context of health and welfare services. It asks how services can enable and stimulate participation outside of those services. The contributions in this volume particularly focus on participation as engagement in daily life and ‘everyday life’ in order to develop the field of participation beyond the sphere of health and social care services. This book will appeal to researchers in the fields of health and social care, social services, occupational therapy and the sociology of health and illness. It will be of interest to practitioners of health and welfare services.

Peer research is increasingly used in international academic, policy and practice environments. It engages members of a group or social network as trusted members of a research team working in communities and settings they are familiar with. Critics, however, point to methodological concerns with peer research. These include the extent to which peer researchers genuinely represent the populations under study; data confidentiality; the emotional burden of enquiring into sensitive issues peers may experience in their own lives; and the reliability and credibility of data collected by people who do not have academic training. The book seeks to counter the marginalisation of research experience and skills derived from close relationships with people and communities, while reflecting critically on the strengths and limitations of peer research. Chapters by a wide range of international contributors illustrate the potential of peer research to facilitate an in-depth understanding of health and social development issues and enhance policy and practice. This interdisciplinary book provides students and professionals working in health, social science and development studies with a thorough grounding in this new style of research. It will appeal to those interested in research and evaluation; sexual health and public health; mental health, disability and social care; gender and sexuality; conservation and environmental management; migration and citizenship studies; humanitarian issues; and international development.

Drawing on the findings of a series of empirical studies undertaken with boards of directors and CEOs in the United States, this groundbreaking book develops a new paradigm to provide a structured analysis of ethical healthcare governance.Governance Ethics in Healthcare Organizations begins by presenting a clear framework for ethical analysis, designed around basic features of ethics – who we are, how we function, and what we do – before discussing the paradigm in relation to clinical, organizational and professional ethics. It goes on to apply this framework in areas that are pivotal for effective governance in healthcare: oversight structures for trustees and executives, community benefit, community health, patient care, patient safety and conflicted collaborative arrangements.This book is an important read for all those interested in healthcare management, corporate governance and healthcare ethics, including academics, students and practitioners.

Beginning with a focus on the ethical foundations of caregiving in health and expanding towards problems of ethics and justice implicated in a range of issues, this book develops and expands the notion of care itself and its connection to practice.Organised around the themes of culture as a restraint on caregiving in different social contexts and situations, innovative methods in healthcare, and the way in which culture works to position care as part of a rhetorical approach to dependency, responsibility, and justice, The Ethics of Care presents case studies examining institutional responses to end-of-life issues, the notion of informed consent, biomedicine, indigenous rights and postcolonialism in care and theoretical approaches to the concept of care. Offering discussions from a variety of disciplinary approaches, including sociology, communication, and social theory, as well as hermeneutics, phenomenology, and deconstruction, this book will appeal to scholars across the social sciences with interests in healthcare, medicine, justice and the question of how we think about care as a notion and social form, and how this is related to practice.

Focusing on under-researched aspects of social, economic and political change, this volume offers fresh insights into aging, older people and their families. It combines an international and interdisciplinary approach. Chapters explore the contexts in which family roles, institutional practices, public policies and social and cultural discourses evolve, connecting analyses of aging issues and policy development with sound research practices, as well as previously-ignored gaps in professional practice. Topics covered include politics and policy, health and social care, culture and migration, urban and rural sociology, gender studies, technology and economics. The book will be of particular interest to students and researchers in gerontology, community development, geography and population studies, along with researchers and professionals in physiotherapy, nursing and social work.

This book draws on research within neo-Weberian and neo-institutionalist perspectives to critically analyse National Health Services (NHSs) in Western Europe. Exploring the challenges posed by neo-liberal policies, it also looks at the impact of the role of the state, the medical profession, the public and the medical–industrial complex in their development. Bringing together a top-line range of expert international contributors, this book includes national studies from three European macro-regions: Britain, Scandinavia and the Mediterranean. In the first part, the NHSs of each country considered are examined historically and in a contemporary context in face of emerging challenges – from cost containment to governance. The second part looks across the macro-regions at the influence of the main actors involved in their evolution and sustainability. Comparing and contrasting the NHSs of Western Europe, the book ends with a discussion of future directions. This book makes a vital contribution at a time when health services globally have been under great pressure in the wake of the COVID-19 pandemic. It is written for academics and advanced students of healthcare, management, public policy, social policy and sociology – in addition to health professionals and policymakers.

Peer research is increasingly used in international academic, policy and practice environments. It engages members of a group or social network as trusted members of a research team working in communities and settings they are familiar with. Critics, however, point to methodological concerns with peer research. These include the extent to which peer researchers genuinely represent the populations under study; data confidentiality; the emotional burden of enquiring into sensitive issues peers may experience in their own lives; and the reliability and credibility of data collected by people who do not have academic training. The book seeks to counter the marginalisation of research experience and skills derived from close relationships with people and communities, while reflecting critically on the strengths and limitations of peer research. Chapters by a wide range of international contributors illustrate the potential of peer research to facilitate an in-depth understanding of health and social development issues and enhance policy and practice. This interdisciplinary book provides students and professionals working in health, social science and development studies with a thorough grounding in this new style of research. It will appeal to those interested in research and evaluation; sexual health and public health; mental health, disability and social care; gender and sexuality; conservation and environmental management; migration and citizenship studies; humanitarian issues; and international development.

In 70 countries worldwide, there is an estimated 370 million indigenous peoples, and their rich diversity of cultures, religions, traditions, languages and histories has been significant source of our scholarships. However, the health status of this population group is far below than that of non-indigenous populations by all standards. Could the persisting reluctance to understand the influence of self-governance, globalization and social determinants of health in the lives of these people be deemed as a contributor to the poor health of indigenous peoples?Within this volume, Ullah explores the gap in health status between indigenous and non-indigenous peoples by providing a comparative assessment of socio-economic and health indicators for indigenous peoples, government policies, and the ways in which indigenous peoples have been resisting and adapting to state policies. A timely book for a growing field of study, Globalization and the Health of Indigenous Peoples is a must read for academics, policy-makers, and practitioners who are interested in indigenous studies and in understanding the role that globalization plays for the improvement of indigenous peoples’ health across the world.

How should we understand transgenderism, especially as it affects children and adolescents? Psychiatric manuals include transgenderism among mental illnesses (Gender Identity Disorder). Such inclusion is relatively recent, and even the words transsexual and transgender were coined only a few decades ago. Yet stories of children with an in-between gender have always been, albeit symbolically, a part of popular culture. Drawing on fairy tales, as well as from personal narratives and clinical studies, this book explains how "Gender Identity Disorder" manifests in children, critically evaluating various clinical approaches and examining the ethical and legal issues surrounding the care and treatment of these youths. The book argues that Gender Identity Disorder is not pathology, and that medicine and society should assist children in expressing themselves, without attempting to force them to adapt to a gender that does not match with their perceived identity.

Biopolitics and the ‘Obesity Epidemic’ is the first edited collection of critical perspectives on the 'obesity epidemic.' The volume provides a comprehensive discussion of current issues in the critical analysis of health, obesity and society, and the impact of obesity discourses on different individuals, social groups and institutions. Contributors from the UK, Canada, New Zealand and Australia provide original, accessible, and engaging chapters on issues such as the effects on individuals, families, youths and schools. The timely contributions offered by Biopolitics and the ‘Obesity Epidemic’ to this highly topical area will be of interest to a wide range of readers, including teachers, education professionals, community health and allied professionals, and academics in areas such as education, health, youth studies, social work and psychology.

There is currently a lively debate ongoing in society about the nature of trust and the conditions necessary to establish and sustain it. Given the role of trust in bridging uncertainty, it is perhaps not surprising that as our consciousness of risk has increased, the role and nature of trust in social practices has come under growing scrutiny. These developments are particularly relevant to health because participation in health practices is arguably based on and engendered through trust. There is thus a need for empirically based research, which intelligently unravels this complexity to support all stakeholders in the health arena. This multidisciplinary volume of work addresses this gap by contributing substantively to the exploration of trust in the experience, practice and organization of health. It offers an overview of recent scholarship, based on empirical research, which explores the significance of trust in relation to key health-related issues. At the same time, this text examines conceptual themes in relation to trust more generally, including the relationship between trust and auditing, consent, expert knowledges and social capital.

The past three decades have seen enormous changes in the organisation of health care. This book explores the role of knowledge production and technology on these transformations, focusing on the market (attempts to embed principles of economic rationality and efficient use of resources in the shaping and delivery of health care), the laboratory (science, experiments and 'evidence' in the management of research, practice and policy) and the forum (the application of deliberative procedures and other forms of public consultation to health care decision making).

Contemporary globalization has had tremendous impact on health equity across the globe. However, no volume has systematically analyzed the relationship between globalization and global trends in health outcomes. This book consolidates and updates the findings of a global research project undertaken by the Globalisation Knowledge Network (GKN) of the World Health Organization’s Commission on Social Determinants of Health. Chapters examine such questions as: How has trade liberalisation affected the social determinants of health? How has globalization affected food security, nutrition and equitable access to water and sanitation? How well do present global governance structures take account of the health equity effects associated with the social determinants of health? This landmark volume will be a necessary addition for researchers and scholars studying the field of globalization, health and social policy, and public health across the social sciences.

This volume brings together experts from a variety of disciplines, such as medicine, biology, sociology, epidemiology, anthropology, economics and political science, who focus on three areas: health disparities and inequity due to gender, the specific problems women face in meeting the highest attainable standards of health, and the policies and actions that can address them. Highlighting the importance of intersecting social hierarchies (e.g. gender, class and ethnicity) for understanding health inequities and their implications for health policy, contributors detail and recommend policy approaches and agendas that incorporate, but go beyond commonly acknowledged issues relating to women’s health and gender equity in health.

*** Awarded First Place in the 2015 AJN Book of the Year Award in two categories - "History and Public Policy" and "Professional Issues" ***This anthology presents the philosophical and practice perspectives of nurse scholars whose works center on promoting nursing research, practice, and education within frameworks of social justice and critical theories. Social justice nursing is defined by the editors as nursing practice that is emancipatory and rests on the principle of praxis which is practice aimed at attaining social justice goals and outcomes that improve health experiences and conditions of individuals, their communities, and society. There is a lack in the nursing discipline of resources that contain praxis approaches and there is a need for new concepts, models, and theories that could encompass scholarship and practice aimed at purposive reformation of nursing, other health professions, and health care systems. Chapters bridge critical theoretical frameworks and nursing science in ways that are understandable and useful for practicing nurses and other health professionals in clinical settings, in academia, and in research.In this book, nurses’ ideas and knowledge development efforts are not limited to problems and solutions emerging from the dominant discourse or traditions. The authors offer innovative ways to work towards establishing alternative forms of knowledge, capable of capturing both the roots and complexity of contemporary problems as distributed across a diversity of people and communities. It fills a significant gap in the literature and makes an exceptional contribution as a collection of new writings from some of the foremost nursing scholars whose works are informed by critical frameworks.

In the context of ever-increasing globalization, transnational systems of support have emerged in response to the needs of transnational families, labour forces, and the communities within which they are located. This volume will be the first to systematically address transnational support research from a theoretical and empirical perspective, making the concept of transnationality part of the core knowledge structure of social work.

*** Awarded First Place in the 2015 AJN Book of the Year Award in two categories - "History and Public Policy" and "Professional Issues" ***This anthology presents the philosophical and practice perspectives of nurse scholars whose works center on promoting nursing research, practice, and education within frameworks of social justice and critical theories. Social justice nursing is defined by the editors as nursing practice that is emancipatory and rests on the principle of praxis which is practice aimed at attaining social justice goals and outcomes that improve health experiences and conditions of individuals, their communities, and society. There is a lack in the nursing discipline of resources that contain praxis approaches and there is a need for new concepts, models, and theories that could encompass scholarship and practice aimed at purposive reformation of nursing, other health professions, and health care systems. Chapters bridge critical theoretical frameworks and nursing science in ways that are understandable and useful for practicing nurses and other health professionals in clinical settings, in academia, and in research.In this book, nurses’ ideas and knowledge development efforts are not limited to problems and solutions emerging from the dominant discourse or traditions. The authors offer innovative ways to work towards establishing alternative forms of knowledge, capable of capturing both the roots and complexity of contemporary problems as distributed across a diversity of people and communities. It fills a significant gap in the literature and makes an exceptional contribution as a collection of new writings from some of the foremost nursing scholars whose works are informed by critical frameworks.

This volume brings together experts from a variety of disciplines, such as medicine, biology, sociology, epidemiology, anthropology, economics and political science, who focus on three areas: health disparities and inequity due to gender, the specific problems women face in meeting the highest attainable standards of health, and the policies and actions that can address them. Highlighting the importance of intersecting social hierarchies (e.g. gender, class and ethnicity) for understanding health inequities and their implications for health policy, contributors detail and recommend policy approaches and agendas that incorporate, but go beyond commonly acknowledged issues relating to women’s health and gender equity in health.

Demographic and epidemiological changes mean that frail older people have come to be seen as an expensive problem for health care systems. The challenge for professionals and policy-makers is to find ways to respond to the coming crisis by delivering high-quality care in the home. This collection offers a critical analysis of home care policy and practice. It focuses on how high-quality care is provided and the practices and policies that support this. It offers case studies (both policy- and practice-oriented empirical studies) from countries that share a basic orientation to social welfare: Canada, Denmark, Finland, Iceland, Sweden and the United Kingdom. The nine chapters set out a critical agenda for the development of "good" practices in challenging times. This book is essential reading for students, practitioners and researchers who wish to understand diverse problems in care provision for frail older persons and the complexities of policy responses in different health and social care contexts.

The past three decades have seen enormous changes in the organisation of health care. This book explores the role of knowledge production and technology on these transformations, focusing on the market (attempts to embed principles of economic rationality and efficient use of resources in the shaping and delivery of health care), the laboratory (science, experiments and 'evidence' in the management of research, practice and policy) and the forum (the application of deliberative procedures and other forms of public consultation to health care decision making).

In the context of ever-increasing globalization, transnational systems of support have emerged in response to the needs of transnational families, labour forces, and the communities within which they are located. This volume will be the first to systematically address transnational support research from a theoretical and empirical perspective, making the concept of transnationality part of the core knowledge structure of social work.

This volume intends to fill the gap in the range of publications about the post-transition social housing policy developments in Central and Eastern Europe by delivering critical evaluations about the past two decades of developments in selected countries’ social housing sectors, and showing what conditions have decisively impacted these processes. Contributors depict the different paths the countries have taken by reviewing the policy changes, the conditions institutions work within, and the solutions that were selected to answer the housing needs of vulnerable households. They discuss whether the differences among the countries have emerged due to the time lag caused by belated reforms in selected countries, or whether any of the disparities can be attributed to differences inherited from Soviet times. Since some of the countries have recently become member states of the European Union, the volume also explores whether there were any convergence trends in the policy approaches to social housing that can be attributed to the general changes brought about by the EU accession.

Demographic and epidemiological changes mean that frail older people have come to be seen as an expensive problem for health care systems. The challenge for professionals and policy-makers is to find ways to respond to the coming crisis by delivering high-quality care in the home. This collection offers a critical analysis of home care policy and practice. It focuses on how high-quality care is provided and the practices and policies that support this. It offers case studies (both policy- and practice-oriented empirical studies) from countries that share a basic orientation to social welfare: Canada, Denmark, Finland, Iceland, Sweden and the United Kingdom. The nine chapters set out a critical agenda for the development of "good" practices in challenging times. This book is essential reading for students, practitioners and researchers who wish to understand diverse problems in care provision for frail older persons and the complexities of policy responses in different health and social care contexts.

This collection of essays examines the interrelations between illness, disability, health, society, and culture. The contributors examine how "narratives" have emerged and been utilized within these areas to help those who have experienced d injury, disability, dementia, pain, grief, or psychological trauma to express their stories. Encompassing clinical case studies, ethnographic field studies and autobiographical case studies, Health, Illness and Culture offers a broad overview and critical analysis of the present state of "illness narratives" within the fields of health and social welfare.

First published in 2003.When Amitava Kumar left Patna, India, he envisioned himself as an up-and-coming citizen of the world, leaving behind the confines of Indian traditions. Yet like the wave of exiles that preceded him, he found that once we leave our past, we are defined by it: in the U.S. he is pigeonholed by his appearance and quizzed about saris and arranged marriages. BR>There is no beginning that is a blank page, writes Kumar. Circling the three capitals of the Indian diaspora, Bombay-London-New York captures the contours of the expatriate experience, touching on the themes of abandonment, nostalgia, and exile that have powered some of the most prominent Indian writers today -- Naipaul, Rushdie, Roy, Kureishi, as well as E.M. Forster and Gandhi. BR>With resonant, poetic language and a storyteller's sensibility, Kumar explores the works of these writers through the lens of his own life as an immigrant and writer. As their fiction reveals, the past of the expatriate is mythical,shaped by memory and loss. BR>With tales of life in India and London and meditations on the form Indian fiction gives to the lives of those who read about it, this is a sweeping, passionate search to find one's own story in the stories of others.

First published in 2003.When Amitava Kumar left Patna, India, he envisioned himself as an up-and-coming citizen of the world, leaving behind the confines of Indian traditions. Yet like the wave of exiles that preceded him, he found that once we leave our past, we are defined by it: in the U.S. he is pigeonholed by his appearance and quizzed about saris and arranged marriages. BR>There is no beginning that is a blank page, writes Kumar. Circling the three capitals of the Indian diaspora, Bombay-London-New York captures the contours of the expatriate experience, touching on the themes of abandonment, nostalgia, and exile that have powered some of the most prominent Indian writers today -- Naipaul, Rushdie, Roy, Kureishi, as well as E.M. Forster and Gandhi. BR>With resonant, poetic language and a storyteller's sensibility, Kumar explores the works of these writers through the lens of his own life as an immigrant and writer. As their fiction reveals, the past of the expatriate is mythical,shaped by memory and loss. BR>With tales of life in India and London and meditations on the form Indian fiction gives to the lives of those who read about it, this is a sweeping, passionate search to find one's own story in the stories of others.

There is currently a lively debate ongoing in society about the nature of trust and the conditions necessary to establish and sustain it. Given the role of trust in bridging uncertainty, it is perhaps not surprising that as our consciousness of risk has increased, the role and nature of trust in social practices has come under growing scrutiny. These developments are particularly relevant to health because participation in health practices is arguably based on and engendered through trust. There is thus a need for empirically based research, which intelligently unravels this complexity to support all stakeholders in the health arena. This multidisciplinary volume of work addresses this gap by contributing substantively to the exploration of trust in the experience, practice and organization of health. It offers an overview of recent scholarship, based on empirical research, which explores the significance of trust in relation to key health-related issues. At the same time, this text examines conceptual themes in relation to trust more generally, including the relationship between trust and auditing, consent, expert knowledges and social capital.

This collection of essays examines the interrelations between illness, disability, health, society, and culture. The contributors examine how "narratives" have emerged and been utilized within these areas to help those who have experienced d injury, disability, dementia, pain, grief, or psychological trauma to express their stories. Encompassing clinical case studies, ethnographic field studies and autobiographical case studies, Health, Illness and Culture offers a broad overview and critical analysis of the present state of "illness narratives" within the fields of health and social welfare.

Biopolitics and the ‘Obesity Epidemic’ is the first edited collection of critical perspectives on the 'obesity epidemic.' The volume provides a comprehensive discussion of current issues in the critical analysis of health, obesity and society, and the impact of obesity discourses on different individuals, social groups and institutions. Contributors from the UK, Canada, New Zealand and Australia provide original, accessible, and engaging chapters on issues such as the effects on individuals, families, youths and schools. The timely contributions offered by Biopolitics and the ‘Obesity Epidemic’ to this highly topical area will be of interest to a wide range of readers, including teachers, education professionals, community health and allied professionals, and academics in areas such as education, health, youth studies, social work and psychology.