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Social protection of older people in Finland from the eighteenth to the twenty-first centuries
 — messages for current policy and practice from an historical analysis
Author(s)Paivi Topo
Journal titleBritish Journal of Social Work, vol 41, no 5, July 2011
Pagespp 876-893
Sourcehttp://bjsw.oxfordjournals.org
KeywordsElder abuse ; Protection [vulnerable adults] ; Social policy ; Historical studies ; Finland.
AnnotationThis article explores how social protection of the elderly has evolved in Finland since the eighteenth century, and examines the influence of historical developments on current policy. It highlights two inter-connected themes in particular - the shifting levels of paternalism and the cycle from early `annual auctions' through state provision to increased privatisation and commissioning of services. The shifting levels of paternalism show that there has been a shift from strong to weak paternalism and from the duties to the rights of people in their old age. Recent developments, however, show distressing indications of leaving the most vulnerable old people to fend for themselves in a complex care system. With respect to increased privatisation and commissioning of services, statistics show that more severe problems of health and functioning are now required before gaining access at higher charge to services of a quality that may have deteriorated. Abuse and violence are understood as an issue of structural discrimination associated with old age, living in poverty or suffering from severe problems of health and functioning without access to necessary care and assistance. The implications for social work policy balancing protection and personalisation are discussed. (JL).
Accession NumberCPA-110926004 A
ClassmarkQNT: CA3G: TM2: HL: 76L

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