Human service agencies and front line practitioners are well known for the quality of services they provide to individuals, families, and communities. The last three decades of austerity-driven public policies—especially privatization—have restructured the human services in ways that have dramatically affected agencies, practitioners and clients. Yet we know very little about how this policy affects the practice experience of front line workers. Based on a literature review and preliminary qualitative results from a survey of human service workers in the public and non-profits sectors in New York City this paper (1) briefly reviews the functions of the welfare state; (2) depicts three overlapping historical stages of privatization in the human services; (3) describes the operationalization and implementation of privatization on the front lines; (4) explores the impact of privatization on service delivery and direct practice from the perspective of the practitioner; (5) summarizes the implications of this important policy trend for direct practice, the profession, and communities served by social workers; and (6) suggests steps social worker can take to address the sea change in the profession.
Clinical Social Work Journal – Springer Journals
Published: Jul 24, 2015
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