Pickard Linda, King Derek, Knapp Martin
London School of Economics and Political Science, England.
J Soc Work (Lond). 2016 May;16(3):263-282. doi: 10.1177/1468017315569645. Epub 2015 Feb 4.
Social work practice is increasingly concerned with support not just for service users but also for unpaid carers. A key aspect of practice is the assessment of carers' needs. The Government has recently passed legislation that will widen eligibility for carers' assessments and remove the requirement that carers must be providing a substantial amount of care on a regular basis. This article examines which carers are currently 'visible' or known to councils and which are not, and uses the results to examine the likely effects of the new legislation. In order to identify the characteristics of carers known to councils, the article uses large-scale surveys, comparing the 2009/10 Personal Social Services Survey of Adult Carers in England and the 2009/10 Survey of Carers in Households in England.
Carers who are known to councils provide extremely long hours of care. Among carers providing substantial care who are known to councils, the majority care for 100 or more hours a week. The focus of councils on carers providing long hours of care is associated with a number of other carer characteristics, such as poor health.
Councils' emphasis on the most intense carers is unlikely to be attributable solely to the current legislation. Therefore, dropping the substantial and regular clauses alone will not necessarily broaden access to carers' assessments and, in order to achieve this, considerable new resources may be needed. How far these resources are available will determine the extent to which practitioners can broaden access to carers' assessments.
社会工作实践越来越关注不仅为服务使用者提供支持,也为无偿照顾者提供支持。实践的一个关键方面是对照顾者需求的评估。政府最近通过了一项立法,该立法将扩大照顾者评估的资格范围,并取消照顾者必须定期提供大量照顾的要求。本文研究了哪些照顾者目前在地方议会中是“可见的”或已知的,哪些不是,并利用研究结果来考察新立法可能产生的影响。为了确定地方议会已知的照顾者的特征,本文使用了大规模调查,比较了2009/10年度英格兰成年照顾者个人社会服务调查和2009/10年度英格兰家庭照顾者调查。
地方议会已知的照顾者提供的照顾时间极长。在地方议会已知的提供大量照顾的照顾者中,大多数人每周照顾100小时或更长时间。地方议会对提供长时间照顾的照顾者的关注与许多其他照顾者特征相关,比如健康状况不佳。
地方议会对最投入的照顾者的强调不太可能仅仅归因于现行立法。因此,仅取消大量和定期条款不一定会扩大照顾者评估的获取范围,为了实现这一点,可能需要大量新资源。这些资源的可获取程度将决定从业者能够在多大程度上扩大照顾者评估的获取范围。