Contents
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Introduction Introduction
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The Personal Assistance Budget: a hybrid scheme The Personal Assistance Budget: a hybrid scheme
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Profiles of the budget holders and their personal assistants Profiles of the budget holders and their personal assistants
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Why do people opt for paid informal care? Why do people opt for paid informal care?
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The perspectives of the budget holders The perspectives of the budget holders
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The perspectives of the personal assistants The perspectives of the personal assistants
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The overall support arrangements of the budget holders The overall support arrangements of the budget holders
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The outcomes of the PAB The outcomes of the PAB
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The perspectives of the budget holders The perspectives of the budget holders
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The perspectives of the paid informal carers The perspectives of the paid informal carers
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Conclusions: between labour and care Conclusions: between labour and care
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Notes Notes
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Twelve When informal care becomes a paid job: the case of Personal Assistance Budgets in Flanders
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Published:September 2006
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Abstract
In Flanders (the northern region of Belgium), Personal Assistance Budgets (PABs) have been introduced for disabled people. PABs are cash payments that allow the recipients to employ their own personal assistants. Under the scheme, relatives have no independent entitlement to financial compensation in respect of the care they provide, but must enter into a legal labour relationship with the budget holder. This chapter examines how the PAB arrangement works in practice and the consequences for paid informal carers. It begins by outlining a typology of arrangements for long-term care that sets PABs within a wider context. After brief descriptions of the PAB regulations and the design of a recent study into the operation of PABs, the chapter describes the profiles of budget holders and the people they employ. It then considers the principal reasons and motives for both parties to enter into this paid caregiving arrangement. The chapter describes the overall patterns of care received by the budget holders and the role of their paid caregivers within these wider patterns of support. Finally, it discusses the outcomes of the PAB from the perspectives of budget holders and their paid carers respectively.
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