Table Of ContentIndividualization and the Delivery of Welfare Services
Also by Anna Yeatman
ACTIVISM AND THE POLICY PROCESS (editor)
BUREAUCRATS, TECHNOCRATS, FEMOCRATS
JUSTICE AND IDENTITY: ANTIPODEAN PRACTICES (co-edited)
POSTMODERN REVISIONINGS OF THE POLITICAL
THE NEW CONTRACTUALISM? (co-edited)
Individualization and the
Delivery of Welfare
Services
Contestation and Complexity
Anna Yeatman
University of Western Sydney, Australia
with
Gary W. Dowsett
La Trobe University, Australia
Michael Fine
Macquarie University, Australia
Diane Gursansky
University of South Australia, Australia
© Anna Yeatman 2009, except;
Chapter 10 © Michael Fine and Anna Yeatman 2009
Chapter 11 © Anna Yeatman and Gary W. Dowsett 2009
Chapter 13 © Diane Gursansky and Anna Yeatman 2009
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For Joanna Seymour 1966–2007 and
John Yeatman 1914–2006
Contents
List of Tables ix
Preface and Acknowledgements x
Notes on Contributors xiii
Part I Theoretical Perspectives on Individualization 1
and the Delivery of Welfare Services
Anna Yeatman
Chapter 1 Introduction 3
Chapter 2 The Twentieth Century Idea of the Self and 25
Its Expression in the Ethos of the Welfare State
Chapter 3 The Individual as the Centre of Subjective 42
Experience and the Right to Self-preservation
Chapter 4 The Self as the Subject of Welfare 63
Chapter 5 The Will as the Subject of Welfare—The Consumer 73
Model of Service Delivery
Chapter 6 The Inter-subjective Nature of Person-centred 89
Service Delivery
Chapter 7 Governing Welfare Services 110
Part II The Case Studies 117
Chapter 8 Public Bureaucracy and ‘Customer Service’: The 119
Case of Centrelink 1996–2004
Anna Yeatman
Chapter 9 Getting to Count: The Looking After Children 141
(LAC) Initiative
Anna Yeatman and Joanna Penglase
Chapter 10 Care for the Self: ‘Community Aged Care 165
Packages’
Michael D. Fine with Anna Yeatman
vii
viii Contents
Chapter 11 Service Delivery and HIV-Positive Gay Men: 187
Pre- and Post-Advent of Highly Active
Antiretroviral Treatment (HAART)
Anna Yeatman and Gary W. Dowsett
Chapter 12 Facilitating Independence and Self-determination: 210
The Case of a Disability Employment Service
Anna Yeatman
Chapter 13 Are Prisoners Clients? The Individualization of 235
Public Correctional Services
Diane Gursansky and Anna Yeatman
Consolidated Bibliography 258
Index 274
List of Tables
6.1 Relationship between Kitwood’s definition and derived 91
concepts of person-centredness
9.1 Features of institutions that facilitate systems abuse 144
10.1 Number of operational Community Aged Care Packages 171
and the provision ratio per 1,000 persons aged 70 years
and over, 1992 to 2005
10.2 Clients assisted by the Help at Home Program, 2003 178
12.1 The formal aspect of contractualist protocols at a 219
specialist disability employment service
12.2 The features of contract in individualized service 222
delivery
ix
Preface and Acknowledgements
This book came about as a result of a project on individualized service
delivery that was funded by the Australian Research Council 2001–03 to
which I offer thanks. I conceived the project and led the project team
who included Gary Dowsett, Michael Fine, Diane Gursansky with Joanna
Penglase serving as our research officer. Each of these four individuals
contributed invaluable and distinctive insights to the project as it
unfolded through time even while the normative theoretical vision for
the project remained my own.
I have placed a case study from an earlier project I led and conceived
(also funded by the Australian Research Council on ‘the new contract-
ualism’ 1998–2000) in this book because it belongs here: this is Chapter
12 (‘Facilitating independence and self-determination: the case of a
disability employment service’). This case study originally appeared in
‘The Role of Contract in the Democratization of Service Delivery’, Anna
Yeatman and Kathryn Owler in Law in Context 18 (2) 2001, published
by Federation Press: www.federationpress.com.au. Thanks are due to
Kathryn Owler for sharing the fieldwork for this case study with me.
The conduct of the individualized service delivery project involved a
project reference group that met thrice. The group combined policy, prac-
titioner and consumer advocacy expertise as well as commitment to a
normative vision for individualized service delivery. The individuals who
served on this group gave of themselves generously and creatively. They
provided some reality testing for the project; and in the last meeting of
the reference group in May 2003, they also indicated that the policy
context that had seemed relatively stable at the beginning of the project
was changing in such a way as to make the normative orientation of the
project seem even more ‘heroic’ than it had been. I acknowledge the
assistance in this project of the following members of the project refer-
ence group: Luke Grant, Sheila Ross, Mike Rungie, Sheila Shaver, Phil
Tuckerman and Sandy Watson. I acknowledge also the contribution to
both team meeting and reference group discussions of Cosmo Howard
who at the time of the project’s empirical research was undertaking his
doctoral dissertation research on Centrelink. In addition, I acknowledge
the contributions to team meeting conversation and/or reference group
conversations of Carol Austin, Bob McLelland, Bleddyn Davies, Kirsty
Machon, John Rule, Rose Melville and Catherine McDonald.
x
