Goda levnadsvillkor eller skälig levnadsnivå... efter 65 år : En jämförelse av omsorgsmodeller enligt LSS - lag om stöd och service till vissa funktionshindrade och SoL -socialtjänstlagen

Sammanfattning: The level of help and support given to elderly people over the age of 65 has been regulated by two separate laws; 1-the Act concerning Support and Service for Persons with Certain Functional Impairments (LSS) and 2- Act of Social Services (SoL). Recent changes in the legislation could cause local authorities to deal with these issues in different ways. The aim of this study was to examine and evaluate possible differences in the level of support for the elderly, dependant on which of the two laws was used in the decision process. The questions raised in this paper are · What are the major differences in the purposes of the two legislations? · How will the decisions be influenced dependant on what law is used? Do the decisionmakers identify the difference between the quality levels "good" and "fair"? · How is the process of care organised and managed within each of these legislations and how is the personnel used? · Are there differences in quality regarding freedom of choice, your own right to decide, influence, comprehensive view and continuity in the efforts given? · What development can you see in these fields of care. As a method I have used a case study involving four big cities in Scania. The most interesting and essential knowledge in the study was obtained from qualitative interviews with eleven decision-makers in the four communities. The result of this study indicates that there are more similarities than differences in the purposes of these laws. However, the practical outcome for the users differs a lot with regard to the different criteria of quality. In terms of organisation no typical model, but some variety of structures was observed. Also, this study showed problems in the collaboration between the separate organisations.