Policy and Institutional Design on Autonomy and Protection of Personal Social Sevice User in Welfare Contract

本研究旨在对通过福利服务合同获得服务的个人社会服务使用者的自主性与保护性提出政策建议。但研究表明，尽管个人社会服务(PSS)对自主(或自我决定)的思想保持着强烈的依恋，但他们也意识到这种保护(或家长式干预)有时是正当的。在本研究中，我们承认，持续的“自主”是PSS的优点(尤其是当用户通过福利服务合同获得服务时)，应该得到辩护。但这还不够。我们还需要“保护”。有必要的是在自治和保护之间保持平衡。为此目的，重要的是考虑以下问题。适当的自主权(或自我决定)取决于评估有关服务用户的更广泛问题的能力，这是流行的“以用户为导向的服务”概念所强调的。为任何特定类型的服务用户确定社会可接受的保护水平，是一个在其更广泛的生活背景下进行辩论和解决的问题。以用户为导向的服务需要自主和保护。不仅有必要加强用户对所提供服务的控制(或自决)，而且还必须将其与集体支持结合起来。认识到相互依存和为保护(家长式行动)辩护的可能性需要得到承认。

This research aims to make policy recommendations on "autonomy and protection" of personal social services users who get the services through welfare service contracts.It's a well-known fact that the autonomy and the protection of service users are conflict with each other. But it is shown that, while personal social services (PSS) retain strong attachment to ideas of the autonomy (or serf-determination), they also appreciate that the protection (or paternalistic intervention) is sometimes justified.In this research, we admit that the persistence of "autonomy " is the virtues of PSS (above all when the users get the services through welfare service contracts), and should be defended. But it is not enough. We need also "protection". What is necessary is to keep a balance between autonomy and protection. To that end, it is important to consider following issues.The proper extent of autonomy (or serf-determination) depends on the assessing ability to see wider issues concerning a service user that is emphasized by fashionable concept of "user-oriented services".Determining a socially acceptable level of protection for any given type of individual service user is a matter for debate and resolution in the wider context of his (or her) life.User-oriented services require autonomy and protection. It is necessary not only to increase user control (or self-determination) of service provided, but also to combine it with collective support. The possibility of appreciating interdependence and justifying protection (paternalistic action) needs to be acknowledged.