Search

Informal caregiving for older family members is increasingly recognized and encouraged by public policies. This is even more the case in familialistic countries such as Austria. This article aims to examine the role of the family in the care culture of a familialistic care regime through the experiences of care dyads combining upwards intergenerational family care and formal care services. The analysis is based on framework analysis of 48 face-to-face interviews, almost all conducted separately, with 24 care dyads of older care users (average age 86 years old with moderate to high care needs) and their main informal carers in Austria combining formal and informal care. A quarter of caregivers and care receivers were male. We identified four different ideals (family care, preferences, involvement, gendered care) which were distributed across different groups of Socio-Economic Status (SES) and described by women and men. [ABSTRACT FROM AUTHOR]

A correction to the article "Does the Family Care Best? Ideals of Care in a Familialistic Care Regime" by Selma Kadi, Ricardo Rodrigues, Rahel Kahlert, Silvia Hofmann, and Gudrun Bauer, published on March 30, 2022, discusses the rectification of the incorrect abstract on Cambridge Core.

The aim of this paper is to assess to what extent prohibitive drug policies hamper the management of drug problems from the perspective of young people who have experience with the criminal justice systems (CJS). Qualitative, in-depth interviews were carried out in six European countries (Austria, Denmark, Germany, Italy, Poland, and the UK) following a common interview guide to obtain comparative data on the life trajectories of drug experienced youth. Altogether 198 interviews with people aged 14–25 years were collected and analysed by national teams following a common coding book. Unintended consequences of drug policies for the individual and society were identified. Individual consequences included health consequences and traumatic experiences with law enforcement. Social consequences included those affecting social relations such as stigmatisation and those impacting on institutions, for example, focusing on drug use and neglecting other problems. This paper confirmed earlier research indicating unintended consequences of prohibitive drug policies but also added to the literature its cross-national perspective and use of young people narratives as a source of analyses. There are, however, policy measures available that may reduce the volume and range of unintended effects. Their implementation is crucial to reduce the array of unintended consequences of prohibitive drug policies. [ABSTRACT FROM AUTHOR]

Based on research undertaken as part of the EU funded EPPIC project, this paper aims to update and elaborate on the relationship between drug use and offending behaviours by exploring variations within a cross-national sample of drug-experienced young people in touch with criminal justice systems. Adopting a trajectory-based approach, interviews were undertaken with 198 young people aged 15–25 in six European countries (Austria, Denmark, Germany, Italy, Poland, and UK). Data were analysed by applying the Bennett and Holloway categorization of the drugs-crime link, with a focus on the concept of social exclusion as developed by Seddon. Three main types of mechanisms (economic, pharmaceutical, and lifestyles) are used to interpret the data, showing how the relationship between drugs and offending can vary according to type of substances and over time. Furthermore, it can be associated with very different degrees of social exclusion and needs. The results suggest that while economic inequalities still play key roles in explaining drug use and offending, both behaviours can originate from a state of relative deprivation, resulting from the contradictions inherent in 'bulimic societies' that raise aspirations and desires while providing young people scarce opportunities for self-realisation and social recognition. [ABSTRACT FROM AUTHOR]

Background: Whilst care service capacities and investments in health for the elderly increase, several social groups are threatened to be excluded from adequate access and quality of care in East-Styria and Western Hungary, with about 1,5 Mio. habitants. Those vulnerable are the more disabled, who suffer from disease or illness earlier in life, have accumulated health problems and neither the health literacy nor the economic resources to attain proper care arrangements at home, compared the average. In both countries, the existing public services have significant problems to deliver integrated long term care. Informal carers cover more than 80% of the care spent, often without professional help and social security, and they are at health risk themselves. In Hungary, care structures are not covering the health care needs of the elderly quantitatively. From Hungary, there is also a significant lack of professional care givers, who tended to work outside public health services, and often abroad - in Austria. Case and Care Management Model: Chance B, offering 27 different services to enable persons to live an independent and self-determined life who's services manly focus on services for people with disabilities in Styria Austria all through a lifetime, has prepared a well-designed Interreg-project in Austria and Hungary, named „Age-friendly Region". In both countries, despite of having completely different health systems and ongoing health reforms, a bilateral case management model for the elderly has been systematically developed. The model is based on a comprehensive and inclusive notion of health with strong emphasis on social resources of clients. It is based on the bio-psycho-social model, as well as the system theoretical approach. It provides tools like interdisciplinary case-conferences, multidisciplinary health assessments, concerted and participative networking with service providers including primary health care and strategical communication with local and regional authorities. Intervention: The intervention consists of offering 6 case managers in the project regions and developing a case and care management model with regional and local stakeholders. The project „Age-friendly Region" offers elderly and caregivers a fully cost-free case management service, delivered through home visits and counselling. Project activities for care management aim at strengthening organisational integration of care by defining processes at the interfaces of services in the health, social and care sector. Of utmost importance, activities aim to actively promote professional integration of care from nurses, social workers and several medical professions. Furthermore the project is guided by a selective media and TV-campaign. First results: In Austria, the implementation not only has to deal with a complex political environment, it also has been creating a communication platform in the first year of the implementation, that is reliable and brought policies into action. At the same time the case management services are highly frequented. In Hungary, the service providers and municipalities of three regions are implementing the Case management model, with a high probability of sustainable organisational development within the provider organisations. Assessment instruments were introduced and play a key role in the development of the bilateral model for case and care management. [ABSTRACT FROM AUTHOR]