The overall theme of this volume is the understanding of human dignity, autonomy, and human rights in health care and social services in modern welfare states, with special reference to the Nordic countries. Focus is put on vulnerable groups such as children, individuals with cognitive impairment or mental illness, and persons with physical disabilities. Experts from different disciplines identify the ethical and legal dilemmas in modern welfare services and describe how basic values and/or rights come in conflict in concrete situations. Of particular interest is how the human rights perspective challenges the policies and regulations of modern welfare states while at the same time providing the overall normative direction for solving ethical, legal, and social conflicts or shortcomings. Although the human rights perspective is the most dominant, insights from philosophy and the social sciences provide both a necessary and fruitful supplement to the legal approach. The volume will be of interest for academics, researchers, and students in the field of health care ethics, human rights, and welfare state policies. It presents a challenging outlook on dilemmas that are characteristic for the modern welfare state in general, and for the Nordic countries in particular, and it will give the reader important insights and references for further studies.

Being an 'active citizen' involves exercising social rights and duties, enjoying choice and autonomy, and participating in political decision-making processes which are of importance for one's life. Amid the new challenges facing contemporary welfare states, debate over just how 'active' citizens can and ought to be has redoubled. Presenting research from the first major comparative and cross-national study of active citizenship and disability in Europe, this book analyses the consequences of ongoing changes in Europe - what opportunities do persons with disabilities have to exercise Active Citizenship? The Changing Disability Policy System: Active Citizenship and Disability in Europe Volume 1 approaches the conditions for Active Citizenship from a macro perspective in order to capture the impact of the overall disability policy system. This system takes diverse and changing forms in the nine European countries under study. Central to the analysis are issues of coherence and coordination between three subsystems of the disability policy system, and between levels of governance. This book identifies the implications and policy lessons of the findings for future disability policy in Europe and beyond. It will appeal to policymakers and policy officials, as well as to researchers and students of disability studies, comparative social policy, international disability law and qualitative research methods.

Over the last three decades, a number of reforms have taken place in European social policy with an impact on the opportunities for persons with disabilities to be full and active members of society. The policy reforms have aimed to change the balance between citizens' rights and duties and the opportunities to enjoy choice and autonomy, live in the community and participate in political decision-making processes of importance for one's life. How do the reforms influence the opportunities to exercise Active Citizenship? This volume presents the findings from the first cross-national comparison of how persons with disabilities reflexively make their way through the world, pursuing their own interests and values. The volume considers how their experiences, views and aspirations regarding participation vary across Europe. Based on retrospective life-course interviews, the volume examines the scope for agency on the part of persons with disabilities, i.e. the extent to which men and women with disabilities are able to make choices and pursue lives they have reasons to value. Drawing on structuration theory and the capability approach, the volume investigates the opportunities for exercising Active Citizenship among men and women in nine European countries. The volume identifies the policy implications of a process-oriented and multi-dimensional approach to Active Citizenship in European disability policy. It will appeal to policymakers and policy officials, as well as to researchers and students of disability studies, comparative social policy, international disability law and qualitative research methods.

Over the last three decades, a number of reforms have taken place in European social policy with an impact on the opportunities for persons with disabilities to be full and active members of society. The policy reforms have aimed to change the balance between citizens' rights and duties and the opportunities to enjoy choice and autonomy, live in the community and participate in political decision-making processes of importance for one's life. How do the reforms influence the opportunities to exercise Active Citizenship? This volume presents the findings from the first cross-national comparison of how persons with disabilities reflexively make their way through the world, pursuing their own interests and values. The volume considers how their experiences, views and aspirations regarding participation vary across Europe. Based on retrospective life-course interviews, the volume examines the scope for agency on the part of persons with disabilities, i.e. the extent to which men and women with disabilities are able to make choices and pursue lives they have reasons to value. Drawing on structuration theory and the capability approach, the volume investigates the opportunities for exercising Active Citizenship among men and women in nine European countries. The volume identifies the policy implications of a process-oriented and multi-dimensional approach to Active Citizenship in European disability policy. It will appeal to policymakers and policy officials, as well as to researchers and students of disability studies, comparative social policy, international disability law and qualitative research methods.

Being an 'active citizen' involves exercising social rights and duties, enjoying choice and autonomy, and participating in political decision-making processes which are of importance for one's life. Amid the new challenges facing contemporary welfare states, debate over just how 'active' citizens can and ought to be has redoubled. Presenting research from the first major comparative and cross-national study of active citizenship and disability in Europe, this book analyses the consequences of ongoing changes in Europe - what opportunities do persons with disabilities have to exercise Active Citizenship? The Changing Disability Policy System: Active Citizenship and Disability in Europe Volume 1 approaches the conditions for Active Citizenship from a macro perspective in order to capture the impact of the overall disability policy system. This system takes diverse and changing forms in the nine European countries under study. Central to the analysis are issues of coherence and coordination between three subsystems of the disability policy system, and between levels of governance. This book identifies the implications and policy lessons of the findings for future disability policy in Europe and beyond. It will appeal to policymakers and policy officials, as well as to researchers and students of disability studies, comparative social policy, international disability law and qualitative research methods.