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I N T E R NAT I O NA L

DOI: 10.1111/j.1468-2397.2007.00530.x J O U R NA L O F
Int J Soc Welfare 2008: 17: 216–224 SOCIAL WELFARE
ISSN 1369-6866

Factors affecting the development


Original
KOUKOULI
FACTORS
International
IJSW
Blackwell
Oxford,
©
1369-6866
XXX Articles
2007 The
UKAFFECTING
ET AL. of
Publishing
Author(s),
Journal THE DEVELOPMENT
Ltd
Journal
Social Welfare OF SOCIAL
compilation © Blackwell WORK IN
Publishing LtdGREECE
and the International Journal of Social Welfare

of social work and its


professionalisation process:
the case of Greece
Koukouli S, Papadaki E, Philalithis A. Factors affecting the Sofia Koukouli1, Eleni Papadaki1,
development of social work and its professionalisation Anastas Philalithis2
process: the case of Greece
Int J Soc Welfare 2008: 17: 216–224 © 2007 The Author(s), 1 Technological Educational Institute of Crete, Greece
Journal compilation © 2008 Blackwell Publishing Ltd and the 2 University of Crete, Greece
International Journal of Social Welfare.

This article discusses some of the factors that have shaped


the development of social work in Greece and analyses its
present level of professionalisation. There were four main
factors: (i) the familialist-statist social care model in which
social work operates in Greece; (ii) reluctant state support
related to a complex set of specific political, social and
economic conditions; (iii) the pressure of new needs in recent Key words: social work, Greece, Southern Europe, social care
years as a result of the aging population, family changes and services, professionalisation
increasing numbers of immigrants; and (iv) the European Dr Sofia Koukouli, Assistant Professor of Social Policy,
Union’s financial support and regulatory role in various social Department of Social Work, Technological Educational Institute
policy sectors. The present status of the profession indicates of Crete, Heraklion, Crete 71004, POB 1939, Greece
a satisfactory protection of professional rights, a slow but E-mail: koukouli@seyp.teiher.gr
steady improvement in the educational process, but also
limited occupational control. Accepted for publication June 6, 2007

Over the last 20 years, in most European countries, significance of social work and the central role the
unemployment resulting from the instability of the profession can play in the resolution of social problems
labour market combined with the continuous effort by are generally recognised, its development and current
social insurance systems to restrict expenses has pushed status differ considerably from country to country.
many social groups into social exclusion and poverty. As the main body of social workers is mostly
At the same time, the informal networks cannot or are absorbed by the state and specifically by positions in
unwilling to provide long-term steady financial support the public system of social assistance, social work is
and care to their members, as the increasing participation frequently considered to be a ‘by-product’ of the welfare
of women in the labour market and changes in family regime, shaped more or less by the regime’s main
and household structures have considerably restricted characteristics and influenced more specifically by the
the traditional role of the modern family. Therefore, the degree of development of social assistance. However, a
burden of dependency is being gradually transferred to cluster analysis, based exclusively on the type of welfare
the public systems of social assistance, the sector of regime and social care systems, produces a homo-
social policy that allocates means-tested cash benefits genisation of countries, which underestimates the role of
and services in kind to beneficiaries who have already other contextual factors in the shaping of social work
fallen below a certain minimum living standard or and/or the inner dynamics of the profession itself. As
are at risk of falling below that standard (Ditch & social workers provide very particular services of both
Oldfield, 1999; Gough, Bradshaw & Ditch, 1997; a personal and a social character, their work is also
Matsaganis, 2000). shaped and directly influenced by a certain social context
In such a context, with increasing social problems and is regulated by social values and norms that differ
and continuous challenges for the welfare states, ‘social between countries (Bähle, 2002; Munday & Ely, 1996).
professionals’, i.e. professionals involved in the delivery The present study intends to fill the gap in the literature
of social care services and particularly social workers, regarding the factors that influence the development and
who remain the nucleus of this group, are growing in shape of social work in different socio-economic and
importance (Banks, 1999; Lyons, 2003). Although the political environments and provide a thorough analysis

© 2007 The Author(s)


Journal compilation © 2008 Blackwell Publishing Ltd and the International Journal of Social Welfare.
216 Published by Blackwell Publishing, 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main Street, Malden, MA 02148, USA
Factors affecting the development of social work in Greece

of those factors. The Greek context is used as a case professionalisation as a dynamic historical process in
study. This work may also contribute to the comparative which occupations struggle for autonomy, power and
literature concerning social care models at European control in the attempt to delineate their boundaries
level and their qualitative characteristics. Specifically, and gain monopoly in the provision of services
the aims of the article are twofold: (i) to investigate (Freidson, 1970a, 1970b; Lowe, Zimmerman & Reid,
the factors that have affected the development of the 1989). Gaining a dominant position in the occupational
profession of social work in Greece, as related to the hierarchy is not only attributable to the possession
particularities of the political, social and economic of certain inherent attributes, but also results from a
context within which social workers operate; and more composite process where various factors interact,
(ii) to identify and discuss the specific traits of its such as the type of welfare state, the organisational
current professional status, describing its degree of structures within which social workers operate, their
professionalisation. relationship to the state and the political, social and
The article contains three main parts. The first part economic environment, new emerging social needs or
presents a theoretical framework of the factors supranational changes that have an impact at the
contributing to the development and shaping of social national level.
work. The second part analyses the landmarks in the First, social work in each country is directly linked to
development of social work and personal social services the model of welfare and social care services developed
in Greece in relation to political, economic and social in that country. In the models of social care acknowledged
changes over the years. The third section explores the by Abrahamson (1999), broadly reflecting the four
current level of professionalisation of social work in models of social care outlined by Anttonen and Sipilä
Greece based on the two main professionalisation (1996), differences exist in the spectrum of services
theories presented in the first part. supplied, the mode of funding, the organisation and the
delivery.
The modern welfare state (or social democratic policy)
A theoretical framework of the factors contributing to
associated with the Scandinavian countries is charac-
the development of the social work profession
terised by wide provision of good quality social
Although social work is a profession based on the services, publicly funded and locally organised. In most
acceptance of some common principles, values and cases, social services are delivered by local communities
methods of practice in different countries, its development with a significant degree of financial independence from
and degree of professionalisation are not the same the central state (Kvist, 2003). As prevention is considered
everywhere. The status of the profession today reflects to be more important than therapeutic interventions,
country-specific historical pathways, a specific insti- social services are less stigmatised in Scandinavia than
tutional framework and political decisions regarding in other European countries. In that context, social
social policy. To explain these differences, one must workers are well educated, including university and
first explain how professionalism can be achieved. postgraduate studies, have many work opportunities
There are two theoretical approaches to identify the and enjoy a high social standing (Lymbery, Charles,
factors that define the professional status of an occupation Christopherson & Eadie, 2000).
and determine its development: the attributes or traits The institutional welfare state (or corporatist social
approach and the power approach (Weiss, Spiro, Sherer policy), linked in particular to Germany, puts emphasis
& Korin-Langer, 2004). According to the representatives on labour market solutions to social issues, providing
of the attributes approach, there are a number of social protection mainly through public insurance funds
inherent, essential traits that characterise a profession that reward work performance and status. Those outside
and differentiate it from other professions and the labour market are likely to be dependent on local
occupations. These traits are: an orientation toward charity. Within this welfare model, social assistance
providing a needed service or commodity, which stresses schemes and the profession of social work are highly
the social contribution of the profession; a systematic diversified due to different historical pathways and
body of theory that directs the skills of practice and cultural traditions (Bähle, 2002; Belardi, 2002; Gough
prolonged training in a body of specialised knowledge; et al., 1997; Lambers, 2002).
a ‘user’–professional relationship based on professional In the residual welfare state (or liberal social policy)
judgment and competence; the regulation and control associated in recent years with the UK, the state is a
of its own membership, practice, education and perform- safety net and a regulator rather than a primary provider.
ance standards; and the existence of an enforceable code The English system has been characterised, since the
of ethics and a culture of values, norms and symbols that 1990s, by the contracting out of public social services
guide the profession (Goode, 1957; Greenwood, 1957). to the for-profit or not-for-profit sectors (Bähle, 2002).
The second theoretical framework, the power Financial limits and performance targets over the last
approach, criticises the traits theory and regards decade have made social workers less autonomous as

© 2007 The Author(s)


Journal compilation © 2008 Blackwell Publishing Ltd and the International Journal of Social Welfare 217
Koukouli et al.

their practice has been subjected to increasing managerial groups, and their demands for more participatory and
control (Lymbery, 2001). less bureaucratic forms of provision, significantly
The ‘rudimentary’ welfare model, also called the contested the ability of public welfare services and
‘Latin-rim’ model, represented by the group of Southern social work to respond effectively to the needs of these
European countries, is considered by some to be a groups (Wolch, 1990).
separate model, and by others as a rather immature Thus, context and contextual changes have had
variation of the corporatist welfare model (Ferrera, significant implications for the profile of social work
1996; Katrougalos, 1996). A common characteristic in in different societies. The current form of social work
all these countries is that the development of social in Greece has resulted from the profession’s inner
care services, like that of the social work profession, characteristics and its dynamic interaction with the
has been fragmented, retarded and modest (Ferrera, environment in which it has operated through the years.
1996; Katrougalos, 1996). A major reason was the The following section will describe the evolutionary
significant traditional role of the family in the provision process of the profession and social care services in
of welfare services, which historically functioned as Greece and discuss some of the factors that have shaped
an effective safety net for children, the unemployed, their interrelated course.
the disabled and the elderly (Flaquer, 2000). It is not
accidental that these countries did not have general
Stages of development of social work and social care
programmes of social assistance until very recently,
services in Greece
in contrast to other European countries (Matsaganis,
Ferrera, Capucha & Moreno, 2003), nor an explicit In Greece, one of the countries with a southern
family policy (Flaquer, 2000). Additionally, all of them European type regime regarding social work, the model
have a mix of social service providers, as is the case of social care services was traditionally based on a
everywhere, but public agencies and religious familialist-statist pattern for dealing with social
organisations predominate (Bähle, 2002). problems. The role of the state in social care was
In addition to the model of social welfare, the limited and social services have developed at a slow
particular organisational structures within which social rate. Welfare services were considered for many years
workers operate, and their degree of dependence on to be the last resort for the most deprived, and
the state, have also shaped the development and frequently took the form of ad hoc measures to address
professionalisation process of social work in different crisis situations, for which reason the system was
countries. According to Johnson (1972), social work is residual, stigmatising and very centralised (Petmesidou,
‘a state-mediated profession’, i.e. the state intervenes 2006). In that context, informal networks and especially
in the relationship between practitioner and service the family have always played a central role in covering
user and, as a result, social workers have limited needs, but support and services for the families
autonomy in professional decision making and limited themselves were always insufficient. In face of the
occupational control. Therefore, the way the state state’s deficiencies, a complex set of family values and
chooses to interpret its mediating role is also a very family solidarity has contributed to the reproduction of
important factor. the familialist pattern of the model over the years
Furthermore, the performance of the economy (Flaquer, 2000). Although social work was affected by
interconnected with the context of political and these general traits of the welfare model, the study of
ideological factors have affected the profession of the development of the profession in parallel with the
social work in various ways. For example, the financial social services in Greece also reveals a continuous
crisis of the 1970s in England, combined with the interplay between political, social, ideological and
election in 1979 of a Conservative government with a economic factors (Table 1).
neo-liberalist ideology, which is traditionally hostile to The Greek state intervened more actively in social
state welfare, led to serious cut-backs in public affairs during the 1920s and 1930s, mainly in the
expenditure and the social budget and introduced sectors of social insurance and public health (Liakos,
managerialism in social work practice (Lymbery, 2001). 1993). Rapid economic growth, the inflow of 1.5
Other factors affecting the development and social million ethnic-Greek refugees from Asia Minor in
status of the profession are demographic shifts and 1922, and the rising consciousness of the working class
societal changes. The rising percentage of older people led to the introduction of these preliminary social
in the population, high unemployment and poverty rates policy measures. Statutory personal social services
and the changing role of the family constitute new were developed mostly to address crisis situations, and
challenges for welfare systems and constantly test the it was the family that compensated for the state’s
ability of social work to address those issues. The deficiencies. In that context, the first school of social
emergence of new social movements and civic groups work, founded in 1937, operated for only two years
in the 1990s, such as the disabled and other minority (Dedoussi, Gregory, Georgoussi & Kyriopoulos, 2004).

© 2007 The Author(s)


218 Journal compilation © 2008 Blackwell Publishing Ltd and the International Journal of Social Welfare
Journal compilation © 2008 Blackwell Publishing Ltd and the International Journal of Social Welfare
© 2007 The Author(s)

Table 1. Landmark dates of the development of social services and social work in Greece (1930s–present).

Periods Major historical Social insurance Health Social services Social work
and political events

1930s Creation of the IKA First school of social work (1937)


insurance fund (L.6298/1934)
1940s Nazi occupation (1940–45) Private schools of social work
Civil War (1946–49)
1950s Unemployment insurance (1954) First serious attempt for an integrated Allowance for the blind (1951) Posts in child welfare programmes
Family allowances (1959) and decentralised health system (1950)
(LD 2592/1953) Posts in hospitals (1956)
Health centres in the rural areas Foundation of SKLE
Legal recognition of SW
(L.4018/1959)
1960s Dictatorship (1967–1974) Creation of the OGA Mandatory one-year term of medical Allowances for ‘unprotected’ State regulation of social work
insurance fund (L.4169/1961) graduates in rural health centres children (1960) practice (RD 690/1961)
(LD 67/68) Prolongation of social work studies
to 3 years after secondary education
(RD 542/1963)
1970s Reinstitution of Allowances for large families (1972) First public schools of social
democracy (1974) work: KATEE (1973)

Factors affecting the development of social work in Greece


1980s Greece becomes Establishment of the National Open Centres for the Elderly Upgrading of public schools
member of the EC (1981) Health System (L.1397/1983) (municipal authorities) of social work: TEIs (1984)
Organisation of primary health care Professional rights of social
Reform of mental health services work better defined (PD 50/1989)
➪Deinstitutionalisation of mental patients
1990s Modernisation of mental health ‘Help at Home’ (local authorities) School of Social Administration
services (L.2716/1999) Social Welfare departments under at the University of Thrace (1996)
prefectural authorities (PD 2218/1994) with two options after the first
National System for Social Care two common years: Social Policy
(L.2646/1998) and Social Work.
2000➪ Unification of health services at Unification of health and social TEIs become part of higher
the regional level (L.2889/2001) services at the regional level education, the other part being
Unification of health and social (L.3106/2003) the universities (L.2916/2001)
services at the regional level
(L.3106/2003)
Return to a more fragmented system
(L.3329/2005)

Notes: Included in the columns are relative laws, royal decrees (RD) or presidential decrees (PD).
IKA, the first compulsory insurance scheme for employees in the private sector; OGA, the social insurance fund for farmers; SKLE, the Greek Association of Social Workers; KATEE, Centres of Higher
Technological Education; TEI, Technological Educational Institute.
219
Koukouli et al.

The post-war years and the period after the Civil War During the next decade, considered to be the main
(1946–1949) stressed the need for further development period of development of the Greek welfare state, new
of social services. Social legislation was minimal, and innovative policies were introduced in various
however, and the few fragmented measures focused on sectors of social policy, either as part of the socialist
the institutional care of unprotected children and the government’s political agenda or in order to follow the
problem of poverty. To tackle the problem of poverty, European Community’s directives. Thus, a comprehensive
‘Directorates of Social Welfare’ were created by the and unified public ‘National Health System’ (ESY) was
Ministry of Health and Welfare at the prefectural level, established in 1983, while a reform in mental health
mainly to administer cash benefits for certain vulnerable services followed in 1984, promoting deinstitution-
groups (Matsaganis, 2004; Petmesidou, 1991, 2006). alisation and open care for the mentally ill at the
Although social work was legally recognised at the community level (Madianos, Tsiantis & Zacharakis,
end of the 1950s, the organisation of the education of 1999). Another important change was the creation of
social workers was left to the for-profit sector. Many the state-financed Open Care Centres for the Elderly
private schools were established between 1945 and (KAPI), operated by the municipalities and staffed by
1960, some of them of religious character and most of an interdisciplinary team of social workers, health
them influenced by the principles of American social visitors, occupational therapists, physical therapists and
work (Dedoussi et al., 2004). During the 1960s, the family assistants.
state undertook a more regulatory role regarding the Most of these policies also had a significant impact
practice of social workers and the duration of their on the social work profession. As in most of health and
education in the private sector schools. social care services, the social worker constitutes an
Social work in Greece was born in a very complex indispensable member of the interdisciplinary team;
historical and social context. The post-civil war period it was thus imperative to progressively modernise the
generated a profoundly divided society composed of existing schools of social work. After 1984, social work
two opposing parts: the conservatives, the ‘victors’ of education was provided exclusively by the public
the war; and the left, which was politically and socially system and the upgraded Technological Educational
excluded until 1974 (Katrougalos, 1996). As social Institutes (TEIs), which replaced the old KATEE.
cohesion was undermined for many years, the con- During the 1990s, the effort to reduce expenditure
servative and centrists governments of the post-war in order to join the Economic and Monetary Union
period were reluctant to reinforce the social professions, restrained the growth in social expenditure and social
especially those that could encourage collective action. benefits. Moreover, domiciliary care services were intro-
For example, social work education and practice focused duced in 1996 through the ‘Home Help’ programmes
for many years on the clinical model, and community providing nursing care at home and implemented jointly
social work only became part of the curriculum as late by a number of municipalities and the KAPI.
as 1962 (Papadaki, 2005; Zaimakis, 2002). In parallel, several efforts were undertaken to create
During the years of the Greek dictatorship (1967– a more decentralised and unified system of social
1974), the state implemented some selective social policy services. First, the law on the ‘Development of a
measures favouring specific groups and widening the National System of Social Care’ in 1998 attempted to
gap between social strata even further (Sotiropoulos, unify the fragmented welfare services, and the reform
1999). During this period, the first public schools of of 2003 aimed at an integrated system of health and
social work were established, in 1973, in Patras and social care services at the regional level. Each Regional
Crete within the Centres of Higher Technological Edu- Health and Welfare Authority (PESYP) was assigned
cation (KATEE) and offered post-secondary education. the responsibility for their direct managerial and
The interest of the dictatorship in creating schools of administrative control. However, in 2005 the newly
social work may be explained in part by the efforts of elected right-wing government brought back the old
the junta to propagate a more humane profile (Sotiro- fragmented system consisting of independent legal
poulos, 1999). For nearly a decade, social work education entities and restricted the PESYP (now called DYPE)
was provided by both KATEE and the old private to the role of coordinator.
schools. During the 1990s, the pressure exerted by the EU for
The reinstitution of Parliamentary democracy led to social reform and the new emerging needs – e.g. an
the protection of social rights through the Constitution aging population, the inflow of immigrants, rising
of 1975, ‘a cautious increase of social expenditure percentages of working women, changes in the family
until the beginning of the 1980s’ (Katrougalos, 1996: structure, rapidly increasing unemployment – further
52), and Greece’s accession to the European Community consolidated the profession of social work (Table 1).
(1981). Progressively, a supranational field of policy The professional rights of social workers were better
regulation emerged, significantly affecting policy defined, there was now a procedure for granting and
objectives and priorities. withdrawing licenses and a code of ethics and regulations

© 2007 The Author(s)


220 Journal compilation © 2008 Blackwell Publishing Ltd and the International Journal of Social Welfare
Factors affecting the development of social work in Greece

for private practice was established. Simultaneously, of professional standing. The training of future social
there was a systematic effort to upgrade the education workers takes place in public institutions of tertiary
of social workers provided by the TEIs. The duration of education: in the three social work departments of
studies was lengthened to eight semesters, the right TEIs and in the university department of Social
to attend graduate programmes was granted to TEI Administration. The duration of the studies is eight
graduates and the old curricula were modernised. Also, semesters for both categories of institutions. The training
in 1996, the School of Social Administration was curricula, the standards for admission, the number of
established at the University of Thrace. credits required for graduation and the qualifications of
The above analysis shows that the development of the academic staff are all predetermined by the state,
social work and social services in Greece was related although the schools of social work enjoy a certain
not only to the type of welfare regime, but also to the degree of autonomy, for example, regarding the contents
political affiliations of the respective governments, to of their training programme.
the performance of the economy, the pressure for Although undergraduate programmes have significantly
reforms by the EU and to upcoming social changes improved over recent years, graduate and continuing-
such as the decline of the family as a mechanism of education programmes are problematic. As the schools
care provision. of social work are not yet authorised to autonomously
organise graduate studies, advanced degrees (Masters
or PhD) related to the subject of social work are offered
The current professional status of social work
by only a few universities in the country. Also, the lack
The main issue addressed in this section is whether of an organised system of continuing education
social work in Greece has achieved a level of seriously affects the quality of the work of social
professionalism closer to that of the more established workers, undermining their ability to be constantly
professions. A combination of the traits theory and the updated. Moreover, social research in the field, which
power approach will be used as a framework for the could generate new knowledge and improve the quality
analysis that follows. of social services, has been very limited until recently
It is incontestable that social work provides personal for several reasons: a more practice-oriented approach,
social services for individuals and the community, very case overload, and the lack of motivation or the
well defined and distinct from those of other professions. reluctance of the state to invest in research in general
These services are, nowadays, more important than and in social research in particular.
ever before, and although the Greek state has been Additionally, the present system of admission to
very unwilling to acknowledge the importance of TEIs and universities often results in students attending
the profession over the years, recent demographic and disciplines they have not chosen, which produces
social changes will make this need more urgent in professionals who are unhappy in their work. A study
coming years (Table 2). conducted in the Department of Social Work of Crete
Lengthy training in a body of specialised knowledge showed that only 23 per cent of social work students
in higher institutions constitutes another basic feature had social work as their first choice and a significant
number of them said they were unwilling to search for
a job in the field after graduation (Papadaki, 2001).
Another important indicator when evaluating the
Table 2. Evolution of a number of demographic and social indicators for
Greece (1991–2001). professional status of social work is the existence of
some form of licensure limiting those who can legally
1991 2001 EU-15 (2001) define themselves as social workers. In Greece, contrary
Social expenditure 21.6 26.4d 27.3d
to other countries where non-qualified persons may
(percentage of GDP) hold social work positions (Weiss et al., 2004), the
Old-age dependency ratio 20.8 25.6 24.3 exclusive use of the title by professional social workers
Unemployment rate is legally recognised and has been protected since 1959,
Total 7.0 10.5 7.4
Men 3.9 7.3 6.4 which means that since that date the title of ‘social
Women 11.8 15.6 8.5 worker’ can be used only by individuals who have
Youth unemployment rate (<25) 22.9 29.6d 16.2d graduated from a recognised school of social work, and
Long-term unemployment that specific social work positions should be filled only
Men 2.5a 3.2 2.8
Women 7.8a 8.7 3.9 by qualified social workers.
At-risk-of poverty rate 22.0b 20.0d 24.0c However, licensure alone fails to address the critical
issue of securing a unique domain of activity for social
Notes: a 1994, b 1995, c 1999, d 2000. GDP, gross domestic product.
Source: Combination of data from the National Statistical Service of
work. Specific domains in health and social care
Greece (ESYE) 2003, Eurostat Yearbook 2002 and Eurostat, The social services are restricted to registered social workers, TEI
situation in the European Union, 2003. or university graduates. In general, both categories of

© 2007 The Author(s)


Journal compilation © 2008 Blackwell Publishing Ltd and the International Journal of Social Welfare 221
Koukouli et al.

graduates can work in the same domains of employment, being attracted to this field of study. The salaries of
while differences exist for some of the objectives of those working in the public or semi-public sector are
their work; e.g. ‘management’ and ‘planning’ in social rather low and predetermined by the unified civil
services constitute an additional objective for the service pay scale, with very small annual increases
university graduates. Even though one cannot claim that in salary irrespective of performance or qualifications.
other professional groups attempt systematically to The welfare organisations do not give social workers
penetrate into the fields of social work, problems opportunities for professional development. Managerial
regarding collaboration between social workers and positions in the social services are usually held by
other professionals, e.g. nurses, have been identified members of administrative staff with many years of
(Sapountzi, Kantzos, Papadimitriou & Georgiou, 2001). working experience, not by social workers. But even
Moreover, the power of social workers to secure a when social workers do become heads of a social work
level of occupational control over their activities is department, they enjoy neither higher financial rewards,
restricted. As they are mostly civil servants working in nor particular authority within the organisation.
bureaucratic settings, they are usually subjected to the All the observations recorded above suggest that, in
administrative authority, even with respect to professional the face of difficulties, the profession has gained over
issues, and they experience limited opportunities to act the years a satisfactory protection of its professional
autonomously. Their role in multidisciplinary teams is rights and a slow but steady improvement in its
often contested by the other members of the team, while educational process. However, it still has limited
qualitative studies have shown that there are interventions occupational control and restricted social standing.
in social workers’ professional sphere by administrative
or organisational superiors as well as by more prestigious
Conclusion
professionals, such as physicians (Papadaki, 2005).
Furthermore, social workers rarely head the organisations It is widely acknowledged that social work, although a
or agencies where they work and they generally have professional activity that shares common goals, meth-
limited access to the decision-making and policy- odologies and values across countries, is conditioned by
formulation processes. and dependent upon the context in which it engages
The existence of a strong professional organisation (McDonald, Harris & Wintersteen, 2003). In the present
struggling for the protection and promotion of the study, we explored the development of social work in
professional rights of its members is also a determinant Greece in relation to the development of social care
factor contributing to professionalism (Payne, 2002; services within a specific historical, economic, political
Weiss et al., 2004). The ‘Greek Association of Social and social context.
Workers’ (SKLE) was founded in 1955, 10 years after Although a legal framework regulating professional
the emergence of the first schools of social work in the practice has been in force since the 1960s, it was not
country. Full membership in SKLE is available to until the 1970s that the state began to establish schools
graduates of accredited social work programmes, of social work. First, one should not disregard the
although membership is not a precondition for engaging general framework in which social work has operated.
in social work practice. Although there are approximately As the Greek welfare state relied more on social
5,000 social workers in Greece according to SKLE’s insurance and the family for the provision and coverage
records (2006), a number of them are either retired or of social needs, public social care services remained
do not practise the profession (Dedoussi et al., 2004). poorly developed for many years, and were focused on
As active participation is very low, the profession’s the protection of marginalised social groups, mainly
ability to control its own membership is rather limited. through the provision of means-tested cash benefits
The agreement on certain ethical rules and the (Matsaganis, 2000). This led, inevitably, to increased
acceptance of those rules in everyday practice constitute bureaucratisation of the profession.
the common ground on which social work is based. The The lack of a systematic effort to improve the
existent code of ethics has been in force since 1992, provision of social services and the reliance on family
and according to that decree malpractice may result in carers to fill the gap emphasised the need for social
the temporary – up to 12 months – withdrawal of a work practitioners more than for highly trained social
license. Moreover, a license may be revoked permanently work staff. The ambivalent position of the state toward
if there is proof of serious malpractice problems or if a social work was particularly apparent in the policy
professional has been convicted by a court of law for a regarding the education of social workers: the education
severe violation of the penal code. However, there is no and training of social workers was left initially to
legal mechanism to enforce compliance. private schools, and then for a long period (1973–1995)
Lastly, higher professional status is usually associated was provided by KATEE or TEI, which thereby gave the
with higher material or other more symbolic rewards, profession a more technical orientation. The qualitative
such as power and prestige, and with more students changes in social work education occurring in the 1990s

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222 Journal compilation © 2008 Blackwell Publishing Ltd and the International Journal of Social Welfare
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