Toward Empowerment: ReVisioning Family Support Groups

ABSTRACT

Family support groups (FSG) have been recognized as an important and viable means for responding to the needs of family caregivers. How these groups work, however, is not well understood. The purpose of this qualitative exploratory study was to explore the impact of attending a family support group on the caregiving experience from the perspective of the family member. Personal, semi-structured interviews took place with eleven family members who had participated in at least one FSG. Data was analyzed for themes, using a constant comparative categorizing strategy. This analysis suggests that attending a FSG impacts the caregiving experience in four important ways: helping the family member to construct a self-identity as a ‘caregiver’; promoting a sense of personal competence; fostering the use of formal support groups; and creating a community context within which to experience the caregiving role. Cumulatively, these have the potential to contribute to a sense of empowerment for the family member by helping him or her to reposition the caregiving experience as more than a personal issue and promoting the emergence of a more collective voice.     

Group Work with the Deinstitutionalized Elderly

Two series of group sessions were conducted with elderly residents of a group home for deinstitutionalized mental hospital residents. Entitled, "Improving Communication Skills," the sessions were designed to enhance the residents' verbal and non-verbal communication skills and to lay the foundation for greater interpersonal contacts. An evaluation of this pilot program suggests that it did, in fact, help participants improve their interpersonal skills. The paper concludes with suggestions for the establishment of similar groups.     

Coping with a Terminal Diagnosis: Perspectives from Inside the Patient’s Home

This vignette describes the evolving and intimate relationship between a medical student and his patient, and their shared journey in accepting the patient’s terminal diagnosis. The news of her diagnosis touched all parts of her life, and this account explores those effects on a very personal level.     

Caregiver Support Groups: Finding Common Ground

SUMMARY

Members of caregiver support groups for the elderly have much in common but also bring to the group different experiences and attitudes. This article explores how group workers knowledgeable about significant caregiver differences and their effects on the group can enrich the group experience for all members. The four caregiver issues examined are: (1) past history between the caregiver and care recipient, (2) ability of caregiver to privately pay for home care, (3) views on long-term care placement in a nursing home, and (4) stage of disease or level of care needed by care recipient. Essential beliefs regarding the value of differences described by Northen and Kurland provide a framework for the group worker.     

Rethinking Needs Assessment in Planning Services for Older Adults

ABSTRACT

Needs assessments are widely used in the field of aging, and are considered valuable tools for planning service responses to unmet and undermet needs of older adults. This article describes a comprehensive needs assessment of Bermuda's older population and presents some of its findings to illustrate concerns about needs assessments that emerged from this experience. We suggest that even when needs assessments are carefully planned and adhere to generally recognized best practice principles, they may not be able to fully provide desired information. A revision of key assumptions about needs assessment is offered for researchers, planners, and community workers.     

The DASH Pilot Project: Developing Community-Based Nutrition Education for Older Adults

ABSTRACT

Nutrition-related chronic health conditions among older adults are a growing concern. In this study, nutrition education materials were created for use in senior centers by graduate nutrition students. After the materials were presented, focus groups were conducted with participants (n = 62) to obtain feedback on the content and presentation. Findings related to the participant’s knowledge of nutrition-related information, strategies to improve future class sessions, and participant recruitment will be discussed. These findings will be useful to program administrators as they develop nutrition programs for older adults who are vulnerable to nutrition-related health problems.     

Family Caregivers of the Elderly

Two groups of primary family caregivers were interviewed; one whose older relatives received assistance from an inhome chore services program, the other whose relatives had been terminated from service due to budget reductions. Both groups of caregivers were found to be actively involved in providing care to their older relatives. The assistance that caregivers provided was similar whether or not their relative received chore services. No significant differences were found in the type of tasks they provided nor in the amount or length of time they have provided care. The data suggest that there may be limits to the assistance that these caregivers can provide and that care of the elderly beyond such limitations needs to be supplied by other sources. Caregiving may be influenced both by the particular circumstances of the caregiver and the individual needs of the older relative. These findings support the notion that there is a need for shared responsibility between the family and government, based on an understanding of the tasks that family caregivers are best able to provide.     

The VA Caregiver Support Line: A Gateway of Support for Caregivers of Veterans

In passing the Caregivers and Veterans Omnibus Health Services Act of 2010, Congress created a legislative mandate for the Veterans Administration (VA) to strengthen its program of support services for caregivers of veterans. As part of this expansion, the VA implemented a nationwide toll-free telephone Caregiver Support Line (CSL). The CSL is a single point of entry system to link caregivers to national and local services to support care of a veteran. This article describes the CSL and its role in supporting aging veterans and their caregivers, discusses social workers’ contributions to its development and implementation, and reports utilization data.     

Mutual Aid Group Work: Social Work Leading the Way to Recovery-Focused Mental Health Practice

The emphasis on recovery principles in mental health practice in Australia challenges the predominant medical model in mental health service delivery. This article describes a mental health-based, telephone-mediated, mutual aid support group for carers of people with severe mental illnesses. Data was collated from evaluations of these groups over a period of 7 years. Outcomes of the evaluation indicated that participants of these groups highly valued the supportive and collaborative nature of the mutual aid groups. The author emphasizes the potential of this approach and the promise of social group workers leading the way to recovery-focused mental health practice.     

Quality of Life among Compound Caregivers and Noncompound Caregivers of Adults with Autism

ABSTRACT

Children diagnosed with autism spectrum disorder (ASD) are reaching adulthood and require some form of lifelong care. Many parents continue caring for their adult children with ASD for as long as physically possible. As parents age, many also may provide care for another loved one, such a spouse or parent. This study compares compound (those providing care for multiple loved ones) and noncompound parental caregivers (those providing care solely for an adult child with ASD) on six dimensions of quality of life (enjoys life, life is meaningful, ability to concentrate, accepts bodily appearance, satisfied with self, and frequency of negative feelings). Specifically, this study determined the extent to which compound and noncompound caregivers’ quality of life differed. The present study included 320 parents (age 50 or older) of adult children (18 or older) diagnosed with ASD who completed a web-based survey. T-tests for independent samples compared the six dimensions and overall quality of life between compound and noncompound caregivers. Results indicated that compound caregivers were less able to concentrate and had fewer negative feelings than noncompound caregivers. Further research is needed to determine the effects of caregiving on the multidimensional aspects of quality of life.     

Impact of Support Groups on Well-Being of Older Women

ABSTRACT

The goal of this study was to determine whether differences in incidence of depression and level of well-being are manifested between older women, aged 60 and older, who attend either (a) a peer-run support group, (b) a staff-run support group, or (c) a comparison group (i.e., who do not attend a support group).

Thirty-six women participating in peer-run and staff-run support groups and 9 women receiving nongroup support were administered the Geriatric Depression Scale and the Philadelphia Geriatric Center Morale Scale. Separate analyses of variance were employed on each scale to determine the significance of differences in scores according to facilitator type (i.e., peer-run vs. staff-run vs. comparison group).

Analysis of scores on the Geriatric Depression Scale indicated significant differences between women in the peer-run groups and women in the comparison group, but no significant differences between women in the peer-run groups and women in the staff-run groups or between women in the staff-run groups and women in the comparison group. Analysis of scores on the Philadelphia Geriatric Center Morale Scale did not indicate any significant differences between women based on facilitator type.

Results of this study have implications for those who run face-to-face support groups for older adults, for those who train peer group facilitators, and for community agencies that desire to initiate a support group system for their clientele.     

Use of Nondeliberative Practice in Groups for Older Adults with Substance Use and Mental Health Disorder: Group in an Art Gallery

ABSTRACT

This article presents an application of Norma Lang’s nondeliberative theory in groupwork with clients of Community Outreach Programs in Addictions (COPA), a Toronto community-based organization that assists adults age 55 and older who struggle with addictions and mental health. The article illustrates how we challenged concepts of group work which are predominantly discussion-based problem solving or premeditated by hosting a group in a major art gallery with clients considered difficult to serve. What was done is juxtaposed with what might have been done with greater knowledge of nondeliberative theory.     

Use of Play in Parenting and Family Groups

Parents who play with their children are more likely to have a strong parent-child attachment. Including play in parenting and family groups can help build parent-child relationships. However, little is written about how to include play in existing protocols for parenting and family groups. This article explores how a multi-family group used playful activities to build client engagement, scaffold parent skills in using play, and increase parents’ willingness to play with their children at home. It concludes by providing a list of play activities which can be easily integrated into parenting and family groups.     

Lessons Learned from the Kinship Education and Support Program (KEPS): Developing Effective Support Groups for Formal Kinship Caregivers

This qualitative study examines the effectiveness of the Kinship Education Preparation and Support (KEPS) program, a group-work program designed specifically to address the varied support needs of formal kinship caregivers. There were a total of 43 participants in this study, including relative caregivers, child welfare workers, and community leaders, all of whom participated in one of six focus groups. Themes emergent from the focus groups were: the need for, and benefits of, support programs for formal kinship caregivers, implementation challenges, and improvements for KEPS. Recommendations for planning supportive and educational groups for relative foster parents will be discussed using components of Kurland's planning model.     

Adolescent Peer Groups and Social Identity

This study investigated processes by which adolescents form positive evaluations of their peer groups. One‐hundred and fifteen male and female adolescents aged 14–15 years made a series of comparisons between their own peer group (the ingroup) and a group of which they were not a member (the outgroup). In line with the predictions of social identity theory ( Tajfel and Turner, 1979 ), participants behaved consistently in ways which favoured the ingroup: compared to the outgroup, the ingroup was associated to a greater extent with positive characteristics (e.g. being fun, nice, and honest) and to a lesser extent with negative characteristics (e.g. being ignorant, unfriendly, and boring). Their responses were also related to levels of identification with the ingroup: at higher levels of identification participants reported more favourable evaluations of their groups. These findings extend earlier research and show how the benefits derived from group membership in adolescence are in part realised through intergroup processes.     

Gambling Among Older Adults in Singapore Some Preliminary Empirical Findings

The purpose of this study is to shed light on gambling among older adults (age 60 and above) in Singapore. A sample of 74 older adults who were participants of a community-based elderly outreach program was surveyed. The results indicate that 27% of the respondents had gambled in the past one month and their favorite gambling game was 4D. Those who gambled were found to have more free time than those who did not (64 hours per week vs. 38 hours per week). Almost all the respondents (97%) did not know where to get help for problem gambling.     

Psychological Vulnerability and Gambling in Later Life

ABSTRACT

Objectives: Because behavioral problems often emerge from maladaptive coping methods, we investigated whether unmet basic psychological needs evolve toward a level of psychological vulnerability that puts older adults who gamble at risk for becoming problem gamblers. Methods: Data from a community sample of 379 adults ages 60 and above were analyzed using structural equation modeling. Participants responded to items regarding their demographics, gambling frequency, engagement in at-risk gambling behaviors, and the extent to which their basic psychological needs were met. Results: Satisfaction of basic psychological needs among older adults who gamble was negatively associated with their being at risk for developing a gambling problem. Satisfaction of basic psychological needs also mediated the negative effect of socioeconomic status on at-risk gambling behavior. Conclusion: Social workers should become mindful of how older adults, who are confronting psychological vulnerabilities in later life, might well turn to gambling as a maladaptive coping mechanism.As per journal style, abstract must not exceed100 words. Please amend accordingly.