Both "bureaucracy" and "bureaucrats" have taken on a pejorative hue over the years, but does the problem lie with those on the "street-level" -- those organizations and people the public deals with directly -- or is it in how they are managed? Norma Riccucci knows that management matters, and she addresses a critical gap in the understanding of public policy by uniquely focusing on the effects of public management on street-level bureaucrats. How Management Matters examines not only how but where public management matters in government organizations. Looking at the 1996 welfare reform law (the Personal Responsibility and Work Opportunity Reconciliation Act, or PRWORA), Riccucci examines the law's effectiveness in changing the work functions and behaviors of street-level welfare workers from the role of simply determining eligibility of clients to actually helping their clients find work. She investigates the significant role of these workers in the implementation of welfare reform, the role of public management in changing the system of welfare under the reform law, and management's impact on results -- in this case ensuring the delivery of welfare benefits and services to eligible clients. Over a period of two years, Riccucci traveled specifically to eleven different cities, and from interviews and a large national survey, she gathered quantitative results from cities in such states as New York, Texas, Michigan, and Georgia, that were selected because of their range of policies, administrative structures, and political cultures. General welfare data for all fifty states is included in this rigorous analysis, demonstrating to all with an interest in any field of public administration or public policy that management does indeed matter.

In Welfare Reform, Jeffrey Grogger and Lynn Karoly assemble evidence from numerous studies to assess how welfare reform has affected behavior. To broaden our understanding of this wide-ranging policy reform, the authors evaluate the evidence in relation to an economic model of behavior.

Who are NHS middle managers? What do they do, and why and how do they do it’? This book explores the daily realities of working life for middle managers in the UK’s National Health Service during a time of radical change and disruption to the entire edifice of publicly-funded healthcare. It is an empirical critique of the movement towards a healthcare model based around HMO-type providers such as Kaiser Permanente and United Health. Although this model is well-known internationally, many believe it to be financially and ethically questionable, and often far from 'best practice' when it comes to patient care. Drawing on immersive ethnographic research based on four case studies – an Acute Hospital Trust, an Ambulance Trust, a Mental Health Trust, and a Primary Care Trust – this book provides an in-depth critical appraisal of the everyday experiences of a range of managers working in the NHS. It describes exactly what NHS managers do and explains how their roles are changing and the types of challenges they face. The analysis explains how many NHS junior and middle managers are themselves clinicians to some extent, with hybrid roles as simultaneously nurse and manager, midwife and manager, or paramedic and manager. While commonly working in ‘back office’ functions, NHS middle managers are also just as likely to be working very close to or actually on the front lines of patient care. Despite the problems they regularly face from organizational restructuring, cost control and demands for accountability, the authors demonstrate that NHS managers – in their various guises – play critical, yet undervalued, institutional roles. Depicting the darker sides of organizational change, this text is a sociological exploration of the daily struggle for work dignity of a complex, widely denigrated, and largely misunderstood group of public servants trying to do their best under extremely trying circumstances. It is essential reading for academics, students, and practitioners interested in health management and policy, organisational change, public sector management, and the NHS more broadly.

Reform of welfare is one of the nation's most contentious issues, with debate often driven more by politics than by facts and careful analysis. Evaluating Welfare Reform in an Era of Transition identifies the key policy questions for measuring whether our changing social welfare programs are working, reviews the available studies and research, and recommends the most effective ways to answer those questions. This book discusses the development of welfare policy, including the landmark 1996 federal law that devolved most of the responsibility for welfare policies and their implementation to the states. A thorough analysis of the available research leads to the identification of gaps in what is currently known about the effects of welfare reform. Evaluating Welfare Reform in an Era of Transition specifies what-and why-we need to know about the response of individual states to the federal overhaul of welfare and the effects of the many changes in the nation's welfare laws, policies, and practices. With a clear approach to a variety of issues, Evaluating Welfare Reform in an Era of Transition will be important to policy makers, welfare administrators, researchers, journalists, and advocates on all sides of the issue.

Examines the forms that poverty takes in American families and what can be done to remedy it.

Although practitioners do not often identify an explicit focus on social welfare policy, the analysis (what it is) and evaluation (what it does) of policy is basic to social work practice. This unique pocket guide presents a case study on one of the most important domestic policy decisions in the post-WWII era, the passage of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996. This law ended welfare as we knew it by creating the Temporary Assistance to Needy Families (TANF) program and closing the Aid to Families with Dependent Children program.Examining the law through three decision-making models assists readers in understanding TANF's historical antecedents, its political and power implications, and the way in which it meets social and economic goals. Individual chapters demonstrate how programs such as TANF are evaluated and the methods that can be used, such as primarily qualitative, primarily quantitative, and mixed methods evaluation techniques. Illustrating the advantages and disadvantages of each approach for evaluation, Hoefer makes use of the numerous studies undertaken in the thirteen years since welfare reform and its 2006 reauthorization. Part history text, readers will also learn about the details of the TANF legislation creation and evaluation, but will finish with a greater understanding of the policy creation and evaluation processes.This pocket guide will be useful to researchers and students of advanced social policy who seek to understand the two stages of policy-making, to develop policy, or to describe the impact of social policy on social problems.

Winner of the 2019 Paul Sweezy Marxist Sociology Book Award presented by the Marxist Section of the American Sociological Association Families on welfare in the United States are the target of much public indignation from not only the general public but also political figures and the very workers whose job it is to help the poor. The question is, What explains this animus and, more specifically, the failure of the United States to prioritize a sufficient social wage for poor families outside of labor markets? The New Welfare Consensus offers a comprehensive look at welfare in the United States and how it has evolved in the last few decades. Darren Barany examines the origins of American antiwelfarism and traces how, over time, fundamentally conservative ideas became the dominant way of thinking about the welfare state, work, family, and personal responsibility, resulting in a paternalistic and stingy system of welfare programs.