Ailsa Stewart

Citizenship and adult protection in the UK: an exploration of the conceptual links

Purpose – This article seeks to consider the links between emerging concepts of citizenship in the twenty‐first century and the legitimization of this agenda by providing an overview of UK policy as it relates to adult protection as well as consideration of concepts of citizenship and the links between the two areas.Design/methodology/approach – The paper provides an overview of adult protection in the UK and then takes the reader through concepts of vulnerability and citizenship and considers the implications of these concepts on the citizenship of those most likely to be subject to adult protection procedures in the UK.Findings – This article shows how models of citizenship have altered over time to reflect societal norms and customs and in particular how this paradigm shift has legitimized intervention in the lives of adults. It further highlights the likely impact of adult protection procedures on the citizenship rights of those most likely to experience them.Originality/value – The paper brings toget...

Care management in the 21st century: persistent challenges in implementation in the context of the emergence of self-care

Purpose – The purpose of this paper is to examine the persistent challenges in implementing care management within the context of integration. In addition the appropriateness of the care management model will be considered within the current, personalization focused, health and social care policy landscape. The paper draws upon a recent evaluation of a care management and assessment pilot project within a health and social care partnership in Scotland.Design/methodology/approach – A multi‐method approach was adopted, including interviews, vignettes and focus groups, in order to capture data around expectations in relation to the pilot as well as exploring processes and outcomes for those involved.Findings – This paper argues that whilst progress has been made with regard to care management, specific and persistent challenges remain. Professional and organizational boundaries, communication and information sharing remain key challenges. Policy imperatives have shifted the emphasis in community care service...

Community care and the single outcome agreement in Scotland: a driver or barrier to better outcomes?

This article will examine the potential gap between the rhetoric of reducing bureaucracy to achieve better outcomes for individuals, and the reality for community care in the framework of the introduction of a single reporting system focused on a Single Outcome Agreement (SOA), developed between local and central government in Scotland. The article will provide a description of current arrangements in Scotland and draw on a major analysis of all 32 08/09 SOAs conducted by Community Care Providers Scotland to examine whether or not this framework could be a driver or barrier to better outcomes.

Constructing community to achieve citizenship using recognition theory, recovery and citizenship as a reflective lens: experiences from the US and Scotland

ABSTRACT This article explores the usefulness of recognition theory, recovery, and citizenship in explaining constructions of community by adults who have experienced life disruptions participating in similar citizenship programs in the United States and Scotland. A content analysis of secondary data was undertaken and focus groups held with recent graduates of both programs. The findings indicate that constructions of community aligned significantly with aspects of identity and common experience rather than location. Moving toward an identity framed by assets rather than deficits was further identified, which reflects the need for recognition to be extended by communities that are well informed and nondiscriminatory in their attitudes toward those with life disruptions to promote inclusion and connectedness. Interventions at the level of community development and engagement are therefore crucial in promoting inclusion and increasing citizenship for marginalized groups alongside the role of social movements and public policy in tackling stigma and discriminatory attitudes. Uniquely, within this project, a theoretical framework that combined elements of recognition theory, recovery, and citizenship emerged that best explained the experience of those with life disruptions and provided direction for a future focus on community development as well as recovery and citizenship-oriented practice.

About this special issue

The source of this special issue of the American Journal of Psychiatric Rehabilitation reflects border crossings that are the main theme of this brief introduction. The theme comes from a postevent discussion among attendees and presenters at a 2016 symposium at Yale University titled “Recognition: Explorations in Equity, Justice, and Health Care.” The symposium was sponsored by the International Recovery and Citizenship Council (IRCC) and the Citizenship, Recovery, and Inclusive Society Partnership (CRISP). The IRCC is

‘Crossing the Acts’: The Support and Protection of Adults at Risk of Mental Disorder, Across the Legislative Frameworks

Ailsa Stewart reviews Crossing the acts: the support and protection of adults at risk of mental disorder, across the legislative frameworks by Tom Keenan