Journal Article

Paying the Piper and Calling the Tune: Power and the Direct Payment Relationship

Janet Leece

in The British Journal of Social Work

Published on behalf of British Association of Social Workers

Volume 40, issue 1, pages 188-206
Published in print January 2010 | ISSN: 0045-3102
Published online June 2008 | e-ISSN: 1468-263X | DOI: http://dx.doi.org/10.1093/bjsw/bcn085
Paying the Piper and Calling the Tune: Power and the Direct Payment Relationship

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This paper provides empirical evidence from original research, which investigated the impact on the support relationship of the direct employment of workers, by direct payment users. The study used a grounded theory approach, with questionnaires to measure job satisfaction and stress, and in-depth interviews with respondents. It explored and compared the experiences of eight direct payment relationships with eight traditional service delivery homecare relationships. The research reveals the importance of the concept of power in helping us to understand the effect of direct employment and, based on this research, makes some suggestions for policy and practice.

Keywords: Direct payments; user-controlled support; direct employment; power; homecare

Journal Article.  7579 words. 

Subjects: Social Work

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