The rights-based approach to social protection in Latin America: From rhetoric to practice

This paper aims to contribute to developing the normative framework for rights-based social protection systems and discusses lessons learned in some emblematic programmes implemented in Latin America which have sought to advance a rights approach. The paper emphasizes the added value of the rights-based approach and describes the normative content of the right to social security. It then describes the basic elements of a rights-based approach and examines how it is operationalized in the design, implementation and evaluation of landmark social protection programmes in the region. The paper seeks to demonstrate that, despite the large gap that still exists between the rhetoric of a human rights approach and its implementation in specific policies, there have been significant achievements in some countries in Latin America. It argues that some of the good practices in the region can serve as policy examples to follow elsewhere. The paper concludes with a number of public policy recommendations with a view to consolidating the rights perspective in social protection programmes.

Serviço social e educação: interfaces de uma atuação política

Pós-graduação em Serviço Social - FCHS

A atuação do assistente social como educador ambiental nos Projetos de Trabalho Técnico Social (PTTS)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Comunidad negra de Itacoã: territorio, biodiversidad y organización social, pilares para el etnodesarrollo?

Analisa e discute as possibilidades e limitações de etnodesenvolvimento da comunidade negra de Itacoã a partir do estudo de seus pilares de sustento: território, biodiversidade e organização social e sabendo que ela se encontra num processo de transformação das suas atividades produtivas pela maior necessidade de ingressos monetários das familias moradoras. Neste estudo, o uso e manejo dos recursos naturais, a proximidade geográfica com a cidade de Belém do Pará e a capacidade organizativa interna têm sido considerados os principais fatores favoráveis para a melhora das condições de vida de população local. Por contra, a densidade populacional em relação à área demarcada, a minimização de alguns serviços sociais e as dificuldades sazonais de obtenção de renda mínimos têm sido analisados como obstáculos para a implementação de práticas de desenvolvimento rural. De igual modo se significa a manutenção da diversidade de plantas medicinais e frutíferas na área investigada, resultado da tradicional prática do manejo agroflorestal e as contradições das relações estabelecidas entre as diversas familias do povoado e entre elas e as instituições envolvidas, públicas e de direito privado.

A insersão social da UNESP de Araraquara: sua importância na economia do município e na prestação de serviços à comunidade

O artigo analisa a importância e o significado da inserção social da UNESP de Araraquara, a partir de duas perspectivas: 1. dos impactos sobre a economia do município e do montante de recursos financeiros movimentados; 2. da prestação de serviços à comunidade. O período estudado compreende os anos de 1993 a 1995.

Os desafios e posibilidade do estágio supervisionado: contribuição da supervisão acadêmica qualificada voltada para a práxis social

Pós-graduação em Serviço Social - FCHS

Teoria e prática no serviço social: subsídios para a reflexão sobre o exercício profissional do assistente social

Pós-graduação em Serviço Social - FCHS

Assistência social e práticas institucionais no atendimento a andarilhos de estrada

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

How to progress from discourse to practice? a new agenda for change in medical schools into the next decade

In the context of medical school instruction, the segmented approach of a focus on specialties and excessive use of technology seem to hamper the development of the professional-patient relationship and an understanding of the ethics of this relationship. The real world presents complexities that require multiple approaches. Engagement in the community where health competence is developed allows extending the usefulness of what is learned. Health services are spaces where the relationship between theory and practice in health care are real and where the social role of the university can be revealed. Yet some competencies are still lacking and may require an explicit agenda to enact. Ten topics are presented for focus here: environmental awareness, involvement of students in medical school, social networks, interprofessional learning, new technologies for the management of care, virtual reality, working with errors, training in management for results, concept of leadership, and internationalization of schools. Potential barriers to this agenda are an underinvestment in ambulatory care infrastructure and community-based health care facilities, as well as in information technology offered at these facilities; an inflexible departmental culture; and an environment centered on a discipline-based medical curriculum.

Políticas de desenvolvimento territorial como forma de combate à exclusão social: uma análise da política de promoção do comércio justo em poços de caldas

Pós-graduação em Planejamento e Análise de Políticas Públicas - FCHS

Servizi relazionali e inclusione sociale: due studi di caso sul coinvolgimento delle famiglie nel Comune di Parma

La presente ricerca muove i suoi primi passi dall’ipotesi generale che il paradigma relazionale possa offrire al mondo dei servizi sociali una configurazione diversa, talora meno utopistica, del community work. Sebbene, infatti, in questi anni il sistema di offerta dei servizi si sia arricchito di principi come la co-progettazione e la co-responsabilità delle azioni, il lavoro di comunità resta ancora molto distante dal lavoro generalmente svolto nei servizi sociali territoriali, incapaci per ragioni strutturali e culturali di accogliere dentro di sé tale funzione. L’idea dalla quale trae origine la presente tesi di dottorato, è pertanto quella di arricchire la definizione di servizi sociali relazionali. Partendo dalle dimensioni che in letteratura sociologica e nei principali modelli teorici di social work definiscono un servizio alla persona quale servizio relazionale, nella prima parte teorica viene ipotizzata una trasformazione parziale del welfare regionale emiliano, poiché ai mutamenti culturali di questi anni non ha fatto seguito un cambiamento reale dei modelli operativi maggiormente basati sullo sviluppo delle competenze. Nella seconda parte della tesi, la ricerca empirica si focalizza sui progetti “family friendly” realizzati nel Comune di Parma, collocati in una logica di welfare societario e basati sull’apporto di soggetti di Terzo Settore, responsabili di ogni fase di realizzazione delle attività. La ricerca si avvale prevalentemente di tecniche qualitative e in alcuni tratti assume le caratteristiche della ricerca-azione. Nelle conclusioni, il contesto territoriale studiato rivela grande ricchezza dei legami strutturali, ma anche necessità di un rafforzamento dei legami interni. La forza dei servizi prodotti si situa, inoltre, nella sovrafunzionalità del legame tra volontari e famiglie, e di questo elemento dovrebbe arricchirsi anche il social work che scelga di adottare una prospettiva metodologica di lavoro relazionale.

The stigma of mental illness in Southern Ghana: attitudes of the urban population and patients' views

PURPOSE: Stigma is a frequent accompaniment of mental illness leading to a number of detrimental consequences. Most research into the stigma connected to mental illness was conducted in the developed world. So far, few data exist on countries in sub-Saharan Africa and no data have been published on population attitudes towards mental illness in Ghana. Even less is known about the stigma actually perceived by the mentally ill persons themselves. METHOD: A convenience sample of 403 participants (210 men, mean age 32.4 ± 12.3 years) from urban regions in Accra, Cape Coast and Pantang filled in the Community Attitudes towards the Mentally Ill (CAMI) questionnaire. In addition, 105 patients (75 men, mean age 35.9 ± 11.0 years) of Ghana's three psychiatric hospitals (Accra Psychiatry Hospital, Ankaful Hospital, Pantang Hospital) answered the Perceived Stigma and Discrimination Scale. RESULTS: High levels of stigma prevailed in the population as shown by high proportions of assent to items expressing authoritarian and socially restrictive views, coexisting with agreement with more benevolent attitudes. A higher level of education was associated with more positive attitudes on all subscales (Authoritarianism, Social Restrictiveness, Benevolence and Acceptance of Community Based Mental Health Services). The patients reported a high degree of experienced stigma with secrecy concerning the illness as a widespread coping strategy. Perceived stigma was not associated with sex or age. DISCUSSION: The extent of stigmatising attitudes within the urban population of Southern Ghana is in line with the scant research in other countries in sub-Saharan Africa and mirrored by the experienced stigma reported by the patients. These results have to be seen in the context of the extreme scarcity of resources within the Ghanaian psychiatric system. Anti-stigma efforts should include interventions for mentally ill persons themselves and not exclusively focus on public attitudes.

Servizi Sociali Territoriali e Università: Esempi di Sinergie Possibili per un Percorso di Qualità

Although – or because – social work education in Italy has for some 15 years now been exclusively in the domain of the university the relationship between the academic world and that of practice has been highly tenuous. Research is indeed being conducted by universities, but rarely on issues that are of immediate practice relevance. This means that forms of practice develop and become established habitually which are not checked against rigorous standards of research and that the creation of knowledge at academic level pays scant attention to the practice implications of social changes. This situation has been made even worse by the dwindling resources both in social services and at the level of the universities which means that bureaucratic procedures or imports of specialisations from other disciplines frequently dominate the development of practice instead of a theory-based approach to methodology. This development does not do justice to the actual requirements of Italian society faced with ever increasing post-modern complexity which is reflected also in the nature of social problems because it implies a continuation of a faith in modernity with its idea of technical, clear-cut solutions while social relations have decidedly moved beyond that belief. This discrepancy puts even greater strain on the personnel of welfare agencies and does ultimately not satisfy the ever increasing demands for quality and accountability of services on the part of users and the general public. Social workers badly lack fundamental theoretical reference points which could guide them in their difficult work to arrive at autonomous, situation-specific methodological answers not based on procedures but on analytical knowledge. Thirty years ago, in 1977, a Presidential Decree created the legal basis for the establishment of social service departments at the level of municipalities which created opportunities for the direct involvement of the community in the fight against exclusion. For this potential to be fully utilized it would have required the bringing together of three dimensions, the organizational structure, the opportunities for learning and research in the territory and the contribution by the professional community. As this did not occur social services in Italy still often retain the character of charity which does not concern itself with the actual causes of poverty and exclusion. This in turn affects the relationship with citizens in general who cannot develop trust in those services. Through uncritical processes of interaction Edgar Morin’s dictum manifests itself which is that without resorting to critical reflection on complexity interventions can often have an effect that totally the opposite to the original intention. An important element in setting up a dynamic interchange between academia and practice is the placement on professional social work courses. Here the looping of theory to practice and back to theory etc. can actually take place under the right organizational and conceptual conditions, more so than in abstract, and for practitioners often useless debates about the theory-practice connection. Furthermore, research projects at the University of Florence Social Work Department for instance aim at fostering theoretical reflection at the level of and with the involvement of municipal social service agencies. With a general constructive disposition towards research and some financial investment students were facilitated to undertake social service practice related research for their degree theses for instance in the city of Pistoia. In this way it was also possible to strengthen the confidence and professional identity of social workers as they became aware of the contribution their own discipline can make to practice-relevant research instead of having to move over to disciplines like psychology for those purposes. Examples of this fruitful collaboration were presented at a conference in Pistoia on 25 June 2007. One example is a thesis entitled ‘The object of social work’ and examines the difficult development of definitions of social work and comes to the conclusion that ‘nothing is more practical than a theory’. Another is on coping abilities as a necessary precondition for the utilization of resources supplied by social services in exceptional circumstances. Others deal with the actual sequence of interventions in crisis situations, and one very interestingly looks at time and how it is being constructed often differently by professionals and clients. At the same time as this collaboration on research gathers momentum in the Toscana, supervision is also being demanded more forcefully as complementary to research and with the same aim of profiling more strongly the professional identity of social work. Collaboration between university and social service filed is for mutual benefit. At a time when professional practice is under threat of being defined from the outside through bureaucratic prescriptions a sound grounding in theory is a necessary precondition for competent practice.

Resisting Postmodernity: Swedish social policy in the 1990s

The purpose of this paper is to introduce ideas that have emerged during the course of writing a book on Swedish welfare in the 1990s. The book is the result of many years of writing about two subjects: Swedish drug policy and the Swedish welfare state. The one very specialised, the other, more general. I first became interested in Swedish drug policy on a research visit to Örebro Län in 1986. A social worker showed me a copy of the county's drug policy programme and explained the significance of the 'restrictive line'. I have spent the years since that visit, trying to understand and explain the Swedish goal of a drug-free society (Gould 1988, 1994, 1996b). I only began to write about the welfare state in Sweden in the early 1990s, just as things were beginning to go wrong for the economy (Gould 1993a, 1993b, 1996a, 1999). For the last few years I have intended to write a book on the events covered by the period 1991-1998 - the years of a Bourgeois and a Social Democratic Government -which would bring the two halves of my work together. Material for this study has been accumulated over many years. A number of research visits have been made; large numbers of academics, politicians, civil servants, journalists, unemployed people, social workers and their clients have been interviewed; and extensive use has been made of academic, administrative and public libraries. Since September 1991 I have systematically collected articles from Dagens Nyheter about social services, social insurance, health care, employment, social issues and problems, the economy and politics. The journal Riksdag och Departement (Parliament and Ministry), which summarises a wide range of public documents, has been invaluable. Friends and informal contacts have also given me insights into the Swedish way of life. The new book is based upon all of these experiences. This paper will begin with a brief account of major global social and economic changes that have occurred in the last twenty years. This is intended to provide a background to the more recent changes that have occurred in Swedish society in the last decade. It will be suggested that the changes in Sweden, particularly in the field of welfare, have been less severe than elsewhere and that this is due to political, institutional and cultural resistance. The paper will conclude by arguing that Sweden, as an exemplar of an Apollonian modern society, has had much to fear from the Dionysian characteristics of postmodernity.

Domestic radon exposure and risk of childhood cancer: a prospective census-based cohort study

Background: In contrast with established evidence linking high doses of ionizing radiation with childhood cancer, research on low-dose ionizing radiation and childhood cancer has produced inconsistent results. Objective: We investigated the association between domestic radon exposure and childhood cancers, particularly leukemia and central nervous system (CNS) tumors. Methods: We conducted a nationwide census-based cohort study including all children < 16 years of age living in Switzerland on 5 December 2000, the date of the 2000 census. Follow-up lasted until the date of diagnosis, death, emigration, a child’s 16th birthday, or 31 December 2008. Domestic radon levels were estimated for each individual home address using a model developed and validated based on approximately 45,000 measurements taken throughout Switzerland. Data were analyzed with Cox proportional hazard models adjusted for child age, child sex, birth order, parents’ socioeconomic status, environmental gamma radiation, and period effects. Results: In total, 997 childhood cancer cases were included in the study. Compared with children exposed to a radon concentration below the median (< 77.7 Bq/m3), adjusted hazard ratios for children with exposure ≥ the 90th percentile (≥ 139.9 Bq/m3) were 0.93 (95% CI: 0.74, 1.16) for all cancers, 0.95 (95% CI: 0.63, 1.43) for all leukemias, 0.90 (95% CI: 0.56, 1.43) for acute lymphoblastic leukemia, and 1.05 (95% CI: 0.68, 1.61) for CNS tumors. Conclusions: We did not find evidence that domestic radon exposure is associated with childhood cancer, despite relatively high radon levels in Switzerland.