Social Services in Times of Economic and Social Crisis: The case of Spain

The financial and economic crisis which originated in 2008 has had a severe impact on the population of the Southern European countries. The economic policies of austerity and public deficit control, as well as the neo-liberal and conservative social policies are redefining the public social protection systems, in particular the Social Services. In order to get to understand the current situation, we shall explain how the Social Services were developed in Spain and analyse the causes and consequences of the economic crisis. The working hypothesis is that the greater the increase on the population’s needs, the more developed the Social Services should be. We carried out a descriptive analysis of the situation as far as the social impacts of the crisis per region are concerned. We tested the hypothesis through a parametric model of analysis of variance (one-way ANOVA) triangulating with the non-parametric Kruscal-Wallis test. The working hypothesis failed. The regions with better developed Social Services show a lower level of poverty and social exclusion. The challenges that the public Social Services system faces in times of crisis is three-fold: 1) re-modelling of local administration and transferring of the municipal Social Services responsibilities to the regional administration; 2) an increase of the population at risk of poverty and social exclusion 3) impact on social policies.

Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe: the eDESDE-LTC study

Background: The harmonization of European health systems brings with it a need for tools to allow the standardized collection of information about medical care. A common coding system and standards for the description of services are needed to allow local data to be incorporated into evidence-informed policy, and to permit equity and mobility to be assessed. The aim of this project has been to design such a classification and a related tool for the coding of services for Long Term Care (DESDE-LTC), based on the European Service Mapping Schedule (ESMS). Methods: The development of DESDE-LTC followed an iterative process using nominal groups in 6 European countries. 54 researchers and stakeholders in health and social services contributed to this process. In order to classify services, we use the minimal organization unit or “Basic Stable Input of Care” (BSIC), coded by its principal function or “Main Type of Care” (MTC). The evaluation of the tool included an analysis of feasibility, consistency, ontology, inter-rater reliability, Boolean Factor Analysis, and a preliminary impact analysis (screening, scoping and appraisal). Results: DESDE-LTC includes an alpha-numerical coding system, a glossary and an assessment instrument for mapping and counting LTC. It shows high feasibility, consistency, inter-rater reliability and face, content and construct validity. DESDE-LTC is ontologically consistent. It is regarded by experts as useful and relevant for evidence-informed decision making. Conclusion: DESDE-LTC contributes to establishing a common terminology, taxonomy and coding of LTC services in a European context, and a standard procedure for data collection and international comparison.

Reacciones comunitarias a la crisis económica y social en España

Introducción. En un contexto de incremento de las desigualdades y de la pobreza en la sociedad española, donde el desmantelamiento del Estado de Bienestar reduce la posibilidad de encontrar recursos e implementar políticas públicas de reducción de estos efectos; la Sociedad Civil y la ciudadanía desarrollan prácticas resilientes orientadas a satisfacer las necesidades de las comunidades más afectadas por el desempleo y el recorte de servicios sociales. Material y métodos. a) Datos secundarios estadísticos procedentes de organismos y fundaciones; y webs de organizaciones resilientes; b) datos primarios producidos a partir de entrevistas y grupos de discusión. Metodología de análisis de contenido y análisis de discurso. Resultados y discusión. las prácticas resilientes como satisfactores de necesidades, son estructuradas a partir de dos dimensiones adaptación/transformación; dependencia/autonomía. Se observa que estas prácticas cuanto más abstracción presentan (de las necesidades concretas relacionadas con la subsistencia, a las necesidades más intangibles relacionadas con cuestiones simbólicas e identitarias), mayor complejidad en su diseño y organización, y mayor potencia como satisfactor.