Država blaginje je povsod po svetu doživela svojo nemoč, ko se je morala soočiti z naraščajočimi zdravstvenimi potrebami in socialnimi problemi prebivalstva, potem ko so razpadli sistemi ...tradicionlanih oblik medčloveške pomoči in solidarnosti. V procesu deinstitucionalizacije javnih služb se je kot temeljno vprašaneje pokazalo razmerje moči med uporabniki in strokovnjaki. Avtorica, ga razčlenjuje na aktualnem primeru soobstoja treh različnih oblik pomoči starim pri nas, v katerih se zrcalijo različne stopnje institucionaliziranosti, s tem pa tudi vpliva inicijative in odvisnosti uporabnikov. To so: domovi za upokojence, pomoč na domu starim ljudem in skupine starih za samopomoč. Različne oblike samopomoči - skupine, organizacije in gibanja - so izziv za profesionalce tudi v naših razmerah, hkrati pa ob strokovni obravnavi izjemno pomembna komplementarna sestavina obvladovanja stisk ljudi.
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