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“自主与保护”提出政策建议。服务用户的自主性和保护是相互冲突的，这是一个众所周知的事实。但是，研究表明，虽然个人社会服务（PSS）对自治（或自决）的观念保持着强烈的依恋，但他们也意识到保护（或家长式干预）有时是合理的。在本研究中，我们承认“自主性”的坚持是PSS的优点（尤其是当用户通过福利服务合同获得服务时），应该加以捍卫。但这还不够。我们也需要“保护”。必要的是在自治和保护之间保持平衡。为此，重要的是要考虑以下问题。适当程度的自主权（或自我决定）取决于看到有关服务用户的更广泛问题的评估能力，“面向用户的服务”这一时髦概念强调了这一点。为任何特定类型的个人服务用户确定一个社会可接受的保护水平，是一个需要在他（或她）生活的更广泛背景下进行辩论和解决的问题。面向用户的服务需要自主性和保护。不仅需要增加用户对所提供服务的控制（或自决），而且还需要将其与集体支持结合起来。需要承认欣赏相互依存和为保护（家长式行为）辩护的可能性。

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.