| 1. |
- Lewin, Barbro, 1940-, et al.
(författare)
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Needs and ambitions in Swedish disability care
- 2008
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Ingår i: Scandinavian Journal of Disability Research. - : Routledge. - 1501-7419 .- 1745-3011. ; 10:4, s. 237-257
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Tidskriftsartikel (refereegranskat)abstract
- The Swedish Disability Act, LSS, was introduced to guarantee good living conditions for people with severe disabilities. A specific goal was to overcome local variation in support. However, considerable differences still remain between the municipalities. In this study we have identified six characteristics to explain this variation: earlier presence of residential institutions, population density, human capital (age, education, employment, health), local culture, land area and stable left-wing government. The results support a need-responsiveness model of welfare but also signal accessability problems and a regional propensity to demand and provide independently of needs. This means that spatial equity is violated. In sum, it still matters where you live.
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| 2. |
- Lewin, Leif, 1941-, et al.
(författare)
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A kinder, gentler democracy : The consensus model and Swedish disability politics
- 2008
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Ingår i: Scandinavian Political Studies. - : Wiley. - 0080-6757 .- 1467-9477. ; 31:3, s. 291-310
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Tidskriftsartikel (refereegranskat)abstract
- Arend Lijphart’s seminal consensus model of democracy does not only try to explain how democracy actually works. It also purports to be a ‘kinder, gentler’ form of democracy with regard to e.g. unemployment, disability, illness and old age. So far, this conjecture has not been brought to a systematic test which is the purpose of this article. We look into the consequences for one of the areas Lijphart singles out: disability. Does consensus democracy promote a more generous policy towards disabled people than majoritarian democracy? We transfer Lijphart’s theory to municipality level. In Sweden, disability care is namely the responsibility for the municipalities, which are comparatively large and independent and with the right to tax their citizens; they are like small nation-states. There is, however, a considerable variation in disability support between them. Some give ten times as much support than others. Is it those governed according to the consensus model? Our approach helps controlling for the variation in political and cultural context and expands the number of observations. The statistical comparison of Swedish municipalities does not, however, lend any confirmation of the famous theory. Instead, there are reasons to doubt that consensus democracy promotes more generous policies.
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| 3. |
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| 4. |
- Adolfsson, Päivi, 1956-, et al.
(författare)
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Foodwork among people with intellectual disabilities and dietary implications depending on staff involvement
- 2012
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Ingår i: Scandinavian Journal of Disability Research. - London : Taylor & Francis. - 1501-7419 .- 1745-3011. ; 14:1, s. 40-55
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Tidskriftsartikel (refereegranskat)abstract
- The food provision for people with intellectual disability (ID) in Sweden is organized within their own households. The aim of this study was to describe how foodwork – planning for meals, shopping for food and cooking – is performed in different social contexts in community settings involving people with ID, staff or both. Dietary intake in the main meals in relation to foodwork practice was also studied. Four different foodwork practices could be distinguished. For some participants only one kind of foodwork practice was found, but for most of them two or more different practices. There was a tendency that food items and dishes chosen and used differed depending on what foodwork practice was performed, which, in turn, affected the nutrient intake. More attention needs to be directed to these everyday matters as a means to increase the quality of support in food for people with ID.
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| 5. |
- Adolfsson, Päivi, et al.
(författare)
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Observed dietary intake in adults with intellectual disability living in the community
- 2008
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Ingår i: Food & Nutrition Research. - : Co-Action Publishing. - 1654-6628 .- 1654-661X. ; 52
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Tidskriftsartikel (refereegranskat)abstract
- Background: Knowledge is lacking about dietary habits among people with intellectual disability (ID) living in community residences under new living conditions.Objective: To describe the dietary habits of individuals with ID living in community residences, focusing on intake of food, energy and nutrients as well as meal patterns.Design: Assisted food records and physical activity records over a 3-day observation period for 32 subjects.Results: Great variation was observed in daily energy intake (4.9-14 MJ) dispersed across several meals, with on average 26% of the energy coming from in-between-meal consumption. Main energy sources were milk products, bread, meat products, buns and cakes. The daily intake of fruit and vegetables (320_221 g) as well as dietary fiber (21_99.6 g) was generally low. For four vitamins and two minerals, 19-34% of subjects showed an intake below average requirement (AR). The physical activity level (PAL) was low for all individuals (1.4_0.1).Conclusion: A regular meal pattern with a relatively high proportion of energy from in-between-meal eating occasions and a low intake of especially fruits were typical of this group of people with ID. However, the total intake of energy and other food items varied a great deal between individuals. Thus, every adult with ID has to be treated as an individual with specific needs. A need for more knowledge about food in general and particularly how fruit and vegetables could be included in cooking as well as encouraged to be eaten as inbetween-meals seems imperative in the new living conditions for adults with ID.
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| 8. |
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| 9. |
- Lewin, Barbro, et al.
(författare)
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In pursuit of a measure of generosity in Swedish disability care
- 2005
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Ingår i: Resistance, Reflection and Change. - : Studentlitteratur, Lund. - 9144037872 ; , s. 302-
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Bokkapitel (refereegranskat)abstract
- Although one important aim of the Swedish disability reforms of the 1990s was to achieve a uniform regional implementation of the new disability act, commonly called LSS, public statistics still display differences between municipalities. An ongoing project, “A kinder, gentler democracy? Disability politics in Swedish municipalities”, aims at explaining the variation between the municipalities regarding their care for people with disabilities. The study is a total investigation of all municipalities, supplemented with qualitative case studies. Our first task has been to construct a measure of generosity concerning the implementation of LSS. We have found that generosity, as we have defined the concept, is multidimensional. Three dimensions emerge: Volume, Law and Change. The measure should be considered preliminary and developed further to serve as the dependent variable in the project to explain the variation in municipal implementation.
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