Chapter

Developing new forms of service design and delivery

Edited by Paul Bywaters, Eileen McLeod and Lindsey Napier

in Social work and global health inequalities

Published by Policy Press

Published in print September 2009 | ISBN: 9781847421951
Published online March 2012 | e-ISBN: 9781447303541 | DOI: http://dx.doi.org/10.1332/policypress/9781847421951.003.0012
Developing new forms of service design and delivery

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There are many reasons why people entitled to use health and social-work services do not use them. Service design may preclude even those with the most complex and greatest needs. Some may be excluded because services are not acceptable, adequate, or appropriate. Others may place themselves out of the reach of services, for instance because of the stigma attached to their illness. This chapter shows how social work can be a prime mover in reviewing and reshaping health and social-work service delivery. Section 12.1 describes an action research project conducted in Glasgow, Scotland, with black and minority ethnic populations whose reluctance to use mental-health services has been compounded by their ongoing experience of racism and isolation. It addresses mental-health inequalities through community conversation. Section 12.2 describes an oncology social-work service of a large metropolitan hospital in Melbourne, Australia, with the goal of improving psychosocial care for cancer patients.

Keywords: Scotland; Australia; service design; social work; mental-health services; racism; service delivery; health inequalities; psychosocial care; cancer patients

Chapter.  5646 words.  Illustrated.

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