Suchergebnisse

Among homeless people using drugs, a permanent place to live can be difficult to find. Homelessness or living in traumatic home environments might cause the experiences of displacement, which may weaken the possibility to attach to a new place emotionally and create the personal sense of home without support. In housing support work, it is possible to help formerly homeless people in vulnerable life situations to settle in their new living places. This study concentrates on client–worker interaction during 12 home visits recorded in 2017 in a Finnish Housing First-based floating support project for people injecting drugs. Ethnomethodologically oriented interaction analysis and geographies of home and home-based care are applied to examine how the workers and clients discuss clients' attachments to the places they live in and how the workers construct a sense of home in collaboration with the clients. The study highlights how the workers responded both sensitively and productively to the clients' needs and wants through collaborated actions and conversations that complement each other in the clients' home spaces. For example, the workers skilfully made the clients' complex housing issues understandable, aligned with the clients' views, promoted their right for self-determination and gave positive assessments in regard to the flat. These kinds of interactional approaches were utilised to support the clients in their construction of a sense of home and thus to strengthen their abilities to form an attachment to their current living places, which can be seen as important factors to prevent clients' future homelessness.

By the end of the 20th century, deinstitutionalisation had become a pervasive trend in the Western world. This thematic issue discusses how successful deinstitutionalisation has been in enabling dignified and safe living with necessary services in local communities. It contributes to an understanding of the history and phases of deinstitutionalisation and 'home turn' policies, and sheds light on the grassroots‐level of home‐ and community‐based work at the margins of welfare, hitherto little researched. The latter includes grassroots work to implement the Housing First approach to homelessness, commonly portrayed as a means of social inclusion, worker-client interactions during home visits and in the local community, as well as close inspections of what 'housing support' may actually entail in terms of care, discipline and service user participation.

This article is concerned with the doing and production of data. We ask how data are made in intimate spaces such as the home in collaboration with the different parties involved in home-based care and services. The article builds on ethnographic field notes from 73 home visits, in the context of home-based mental health, substance abuse and social care for adults in Finland and Sweden. Drawing on affect theory, the article aims to foreground aspects of the production of data and research that are often edited out of the research process. In so doing, we argue that the production of data would not be possible without the active and affective collaboration of all parties involved in home visits. Thus, the article scrutinizes in detail the efforts made by different parties, such as researchers, clients and workers to do and produce data. While we study an atypical setting of institutional interaction, we contend that affects and affective relations gain particular importance in the home.

Abstract
This article focuses on how clients' self-determination is accomplished in social worker–client conversations when discussing choices of clients' future services in a low-threshold outpatient clinic in Finland targeted at people who use drugs. Self-determination is approached from the point of view of relational autonomy, meaning that choices are never made completely independently but within certain societal and interactional contexts. The article applies interactional analysis to data from ten social worker–client conversations, which include forty-eight instances of 'choice talk'. The results demonstrate how social workers work hard to promote clients' self-determination, and how this is carried out with different emphases within the frame of relational autonomy. Social workers do not perform ethically questionable manipulation practices. Quite the reverse, their contributions in the conversations can be interpreted as endeavours to increase clients' self-confidence and autonomy competencies. However, a concern from an ethical point of view is that real service options are rather scarce for the clinic's clients. This considerably reduces the clients' capacity for self-determination. Furthermore, it also reduces the autonomy of social workers, who have limited opportunities to organise the services their clients desire and that the social workers themselves consider are the best options.

AbstractThis study focuses on how clients using illicit drugs are supported in managing the boundaries of their homes to avoid the risks that social relationships may have on their daily lives at home. The data consist of 14 client–worker encounters audio‐recorded in 2017 in a Finnish home‐based service for people using drugs. Discursive interaction analysis and geographies of home were applied to examine how boundaries of homes are negotiated in relation to social relationships and how the home is constructed as a risk environment in the interactions of the service. The results highlight that the tensions between home and social relationships can be complex in the context of illicit drug use. Managing the boundaries of the home and social relationships deserves special attention among welfare services to promote their client's right to privacy and attachment to a home environment. This is also important for preventing the risk of homelessness.

This book brings together contributions from a range of social welfare settings, including child welfare, unemployment, mental health and substance abuse treatment, to examine how interprofessional collaboration and service user participation are realised or challenged in multi-agency meetings. It provides empirically grounded analyses of specific aspects of multi-agency work and offers a distinctive conceptual framework for understanding and analysing interaction during meetings in various social welfare settings. Based on audio and video recordings, the authors provide clear examples of actual practices of social welfare professionals and demonstrate how the realisation of collaborative and integrated welfare policy is contingent on effective interactional practices between professionals and service users

In this book [titled Home, welfare work and vulnerability] the authors take the reader on welfare workers' home visits to clients in need of support in their living. Welfare workers refer to professionals in health and social care who in the book are represented among others by social workers, social care workers and nurses. The main concepts of the book are home, welfare work and vulnerability and these are contemplated from different angles. Welfare work entails encountering people who are in vulnerable situations in the midst of their everyday lives. They may need support in coping with their mental health, with physical illnesses, with the challenges of achieving sobriety and recovery or perhaps with the difficulties accompanying old age. On the one hand their ability to act is limited and weak but on the other they have many kinds of strengths and resources.

The book addresses a significant turning point in welfare services and work at which the objective is defined as the right of every individual to their own home and making living at home feasible for as long as possible. In the last fifty years or so many societal factors have made possible the dismantling of institutions, the reduction of places and the shortening of stays in institutions, the further development of care in the community, the construction of small residential and care facilities and most recently the further development of services to be taken into people's homes. The last stage of this dismantling of institutions is referred to in the book as the "home turn". As a societal change the home turn is complex – and that is how it is approached in the book. When one's own home is the main place in which welfare policy and work are implemented, it is important to scrutinize more closely what actually occurs there and what special issues are connected to this given context.

The book offers a timely point of view on the development of welfare services and the grass-root level welfare work done in the homes. It draws on interaction research based on ethnomethodology and human geography. Research data consist of recordings of home visits, researcher's field diaries and interviews with clients and workers. The work includes both chapters providing conceptual and theoretical overviews and empirical research on the encounters between client and worker(s) on home visits. Welfare work accomplished in people's homes entails many tensions and ethical issues which are analysed in the book and made visible through the means of research.