The Implications of Community Care Policies for People who Require and Use Services

Examines the implications of the implementation and operation of community care policies for people who require and utilize services. The implications are examined in relation to the development of 'needs-led' services and are reviewed in terms of opposites or binaries. It is argued that the use of binaries is effective in highlighting current dilemmas, but limited when examining perspectives of power. This is because the use of binaries can imply an absolutist view of power with managers of purchasing and providing systems and professionals seen as possessing power, and people who use services seen as not possessing power. It is suggested that a perspective of power which can be usefully utilized and which provides a different perspective is that which has been developed by Foucault.

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