敬老院老年人精神生活状况的调查与思考——以长沙市F敬老院为例

人口老龄化是世界性问题,中国已经步入老龄社会,人口老龄化压力已经显现,并将随着老龄化的发展而不断加重。机构养老成为越来越多的老年人的选择。为了了解机构老年人的精神生活状况,笔者对长沙市F区敬老院进行了调查。调查发现,老年人对敬老院的日常生活照料满意度较高;但老年人精神生活存在的问题比较多,如：社会交往少、精神负担重、敬老院精神服务能力与水平有限等等。要改善老年人的精神生活状况,一是要加强护理人员的专业培训,提高护理人员的专业水平;二是建立专业的社工站,拓展老年人精神生活的专业支持;三是构建多元服务模式,丰富老年人精神生活;四是建构老年人社会支持网,发挥社会支持系统的作用。     

Social policy and embedded evaluation: Assessing the impact of a food insecurity project in the United Kingdom

Social policy making needs to involve robust evaluation to assess its impact. In this article, a social policy intervention focused on tackling food insecurity amongst vulnerable people is examined and the benefits and challenges of using an embedded approach to evaluation are considered. Food insecurity is defined as not always having the economic, social, and physical resources to ensure a sufficient supply of nutritionally appropriate food. Evidence suggests that food insecurity in the United Kingdom is increasing in the context of long-term poverty, austerity, insecure employment, rising living costs, low pay, and cuts to welfare and public services. An embedded evaluation was conducted involving interviews with the intervention participants and observations of a series of cooking and food budgeting classes. The findings suggest that the classes had a positive impact on many of the participants, who felt more confident about cooking and valued the shared experience. However, given the acute problems facing many of the participants including long-term poverty, policies aimed at tackling food insecurity need to go beyond cooking and food budgeting skills. The embedded evaluation approach contributed towards the overall impact of the intervention by providing insights that led to changes as part of an iterative process during the intervention rather than in the form of a final report after its completion. An embedded evaluation-based approach can be resource intensive, and the role of the evaluators can present challenges, but it can help to bridge the gap between intervention design, delivery, and social change.     

Food and Poverty in Britain: Rights and Responsibilities

Social policy and food/nutrition are both to some extent contested disciplines and areas for intervention. The role of food in poverty definition and measurement by experts and within the lived experience by those defined poor, has been a neglected component of disciplinary study and focused policy response in Britain in the latter half of the twentieth century. This paper explores the historical and contemporary complementarities and challenges, and examines some of the consequences poor people face because society has ignored the social aspects of nutritional needs, and the nutritional contributions to poverty definition and interventions. Current policy initiatives in the health, food and social sectors in Britain are briefly reviewed and their potential shortcomings discussed.     

Is Food Insecurity Associated with Depressive Symptoms in South Korea?

Emerging studies have suggested a possible link between food hardship and depression; however, empirical knowledge is limited. In South Korea, more public discussion has been conducted regarding the prevalence and consequences of food insecurity on mental health. To begin to address the knowledge gap, we applied family stress theory and investigated the association of food insecurity with depression in South Korea. We employed observational data from the Korea Welfare Panel Study, the first data to draw on food insecurity information from a nationally representative sample in Korea. Our sample consisted of 744 non‐elderly household heads. The independent variable “food insecurity” was measured using a six‐item scale adapted from the United States Department of Agriculture Food Security Scale. The dependent variable “depression” was measured using 11 questions from the Center for Epidemiologic Studies Depression Scale adapted for Koreans. After controlling for income, material hardship, and other factors, our ordinary least squares regression findings show that food insecurity significantly predicts depression. Our findings are consistent whether food insecurity is measured on a continuum or in categorical groups. More research and empirical evidence should be shared to provide legitimate grounds for policy interventions that address and prevent food insecurity and mental health issues.     

Food Security: Rights, Livelihoods and the World Food Summit–Five Years Later

An international Summit was called for June 2002 aiming to reaffirm the commitments of the 1996 World Food Summit and intensify efforts to halve the number of hungry people in the world to 400 million by 2015. However, progress on achieving this target is open to question. This paper analyses recent policy debates in two areas: first, the right to food and freedom from hunger; and second, the measurement of food insecurity at global and national levels. It agrees that the "World Food Summit–five years later" (WFS–fyl) should reaffirm commitment to the right of all people to food and freedom from hunger and the commitment to raise the resources required to achieve this. A rights–based approach to food security implies that policies be defined and actions taken to reduce hunger by a range of local, non–governmental, governmental and international actors. However, reliable information on who the hungry are and where they are situated is required in order to track progress to WFS targets and identify and implement appropriate actions at the global, national or subnational levels. The inter–agency Food Insecurity and Vulnerability Information and Mapping Systems (FIVIMS) plays a key role in generating information on trends of the numbers of food–insecure in the world, but the robustness of its "undernourishment" measure has been debated. The paper concludes by outlining practical ways to improve food security analysis, indicating the potential contribution of rights–based and livelihoods approaches.     

老年人精神赡养的伦理思考

我国当今社会,老年人的物质需求已逐渐得到满足,老年人的精神赡养便成为了老龄人赡养的重要方面。近期关于老年人精神赡养如何实施的话题引起了人们的广泛关注。社会和政府在构建社会养老保障制度的同时应该着力从伦理的角度出发,建设一种精神赡养的社会伦理网络,使得老年人精神赡养得到广泛的伦理支持。     

应对人口老龄化挑战的中国道路

老年人口的养老负担问题、代际关系问题以及价值实现问题是影响中国未来可持续发展的三个关键性问题。从经济学视角看,就是生之者寡和食之者众的关系问题;从社会学角度看,有一个资源和权力分配的代际冲突和老年价值实现问题;从人口学视角看,计划生育弱势老人的比例在上升,今后中国会出现大量的“计划生育老人”,提出“计生老人”概念的意义在于,国家各级政府和部门要凸显人口计生公共服务的公益性和福利性。中国作为一个先老后富的国家,人口老龄化带来的挑战是长期的、多样的。本文提出了成功老龄化的战略构想,包括健康老龄化、积极老龄化、和谐老龄化和幸福老龄化。在应对人口老龄化和老龄问题挑战的过程中,中国社会逐渐走出了一条传统与现代相结合的中国道路,概括说：就是以家庭养老、单位（集体）养老和自我养老为基础,以社区助老、福利助老、慈善助老为补充的中国道路。最后,本文作者对本专题几位学者的观点在“中国问题和中国选择”的框架内进行了综合性的介绍和评论。     

How to Measure Social Progress?

A good society is the goal for social policy. Recent years have seen a growing awareness that gross domestic product (GDP) alone does not measure this. Happiness and well‐being have increasingly been seen as elements that should influence welfare policies. This review article provides an overview of many of the ways to measure well‐being and happiness. It attempts to cover three distinct, but interrelated subjects. First, why and what can be used to complement GDP as measures for societal development. Second, is there a relation between well‐being, happiness and central social policy areas? Third, whether knowledge on what makes people happy could inform policymakers in their decisions. The article discusses the many new attempts to measure societal development, and the fact that there are so many that decision makers and citizens are drowning by numbers and thereby not able to grasp whether or not there is social progress. Lastly, by using the classical depiction of welfare states, the article analyses whether the indexes are in line herewith, and that, therefore, they might be used as an instrument for steering societies in the direction of a good society.     

A Comparative Case Study of Care Systems for Frail Elderly People: Germany, Spain, France, Italy, United Kingdom and Sweden

Comparative studies of European social policies towards frail elderly people typically focus on the systems and their implementation. The study presented in this article, conducted in 2001 in six European countries (Germany, Spain, Italy, France, the United Kingdom and Sweden) aims at comparing the rights of the individuals within the different care systems. The methodology used is a case study approach, which draws on a series of situations of dependent elderly people. Therefore, the analysis focuses on the public authorities’ responses – the care packages, which determine the type of care required and the financial contribution of the user – in each of the six countries, in relation to the concrete situations of frail elderly people. As local variations are important, in all the countries studied, local authorities have been chosen in each of the countries. This approach gives us interesting concrete elements on the services and financial help which can be given to frail elderly people, but it also enables us to understand precisely the national care systems organized in the different countries and the main difficulties encountered by public authorities in facing this problem of frail elderly people.     

Probation and Social Exclusion

The paper begins with a brief discussion of the value of the term "social exclusion", before drawing on quantitative (survey) and qualitative (interview) evidence to suggest that young people on the caseload of the probation service are, in general, excluded from the full range of social goods. The basis of this exclusion is not only in poverty and unemployment, but in social and personal insecurity, lack of access to the benefits of education and training, and housing and health problems. It is argued that despite their exclusion these young people have predominantly conventional hopes and aspirations, and that there is therefore no reason to believe that a programme for their social inclusion and reintegration would be doomed to fail. The paper then reviews some aspects of present practice in probation which may tend to increase rather than reduce the exclusionary pressure on those with whom the service works, by stigmatizing and marginalizing them through a narrow focus on their offending. It concludes by suggesting strategies for more inclusionary and integrative practice in the areas of anti-custodialism, restorative justice and reintegrative shaming, community safety, and help with access to education, training and health services. The paper considers what local inter-agency structures are needed to support intensive work on offending, and sketches some characteristics of a probation service committed to social inclusion.     

Poverty and experiences of insecurity. A qualitative interview study of 25 long-standing recipients of social security

The purpose of this study is to explore experiences of insecurity among people living in relative poverty in an affluent welfare society. Twenty-five long-standing recipients of social security were interviewed. The study finds that poverty and related factors give rise to a sense of insecurity to which respondents react affectively with apprehension and anxiety. Respondents, all of whom live in the same Norwegian town, report multiple causes of their emotions, and adopt numerous psychological methods to address their sense of insecurity. The study's findings are discussed in light of theories of needs and emotions and contextual and methodological factors.     

社会工作介入老年临终关怀探析

随着老龄化时代的到来和人们生活质量的提高,老年临终关怀受到越来越多的关注。社会工作是一项助人自助的专业工作,可以通过综合运用个案工作、小组工作、社区工作三大社会工作专业方法,对临终老人及其家属进行多层次、全方位的介入。     

Transforming the curriculum through the intergenerational lens

Our society is aging at a rapid rate and with this trend comes many of the social and economic demands that the profession of Social Work addresses. Akey dilemma of the profession is how to interest and educate undergraduate social work students in aging and gerontology so that the needs of elderly can be supported. Social Work students notoriously are primarily interested in working with children and adolescents. With the support of the John A. Hartford Foundation's Geriatric Enrichment in Social Work Education grant, the authors developed a Spiral Perspective to infuse intergenerational content into the curriculum of their department and to give students exposure to geriatric content throughout their educational experience.     

Impact of older adults' mobility and social participation on life satisfaction in South Korea

South Korea has been experiencing rapid population aging. In an aging society, the need for healthy lives is greater. Two of the fundamental factors to enable independent and active life for the elderly are mobility and social participation. The purpose of this study was to examine the relationship between older adults’ mobility, social participation, and quality of life in South Korea. We used data from the 2017 National Survey of Older Koreans conducted by the Ministry of Health and Welfare and the Korea Institute for Health and Social Affairs and applied hierarchical regression. The major finding was that older adults’ mobility had a positive impact on their life satisfaction. After controlling for older adults’ mobility, social participation was positively associated with life satisfaction regardless of the place of residence. The findings of this study not only make a valuable contribution to further research on mobility and social participation but also provide new insight into improving older adults’ quality of life.     

西部农村老年社会工作的实践探讨

我国西部农村社会的快速老龄化及养老支持体系的缺失,为社会工作在西部农村社会的发展提供了机遇。社会工作如何在本土化的过程中服务于西部农村老人,在服务的过程中如何架构其实践模式都是我们必须讨论的问题。     

Professionals’ Perceptions of Food Insecurity Among Their Low-Income Clients

Abstract

This research examines the awareness of social service professionals of the food security of low-income families in a community-based savings program. Based on survey data of 65 community agencies in seven states that offer the Individual Development Account (IDA) program, the study investigates program providers’ awareness of the food security of IDA program participants. Second, this study presents IDA program provider activities to alleviate food insecurity and summarizes their opinions about how food insecurity could be prevented among their program families. Results show that providers were aware that families did not have enough of the kinds of food they want to eat. This perception was most strongly related to IDA programs with longer durations. Program families’ reports of their children’s food insecurity aligned well with the extent of food hardship reported by the program providers. Access to food and nutritional wellness services was considered most relevant for alleviating food insecurity. Financial security, access to community resources, and direct access to food and family support networks were considered important factors for protecting families from the threat of hunger. Research is needed to identify the role of community organizations that do not provide nutrition assistance for helping low-income families overcome food hardship.     

Poverty and Hardship among the Aged in Urban China

China's record in reducing poverty over the last three decades has been impressive, yet few studies have examined the incidence of poverty among older people despite the rapid ageing of the population. This article uses a unique national data set to examine patterns of poverty, deprivation and exclusion among the urban aged population (60 years and over) in 2000. The results point to the importance of poverty as an issue for older people, particularly for women and those who live alone. A number of indicators of hardship are developed in four areas – economic insecurity, housing, health, and social isolation – and the incidence of these is examined, separately and in combination, by living arrangement and gender. Women are shown to experience greater levels of hardship and isolation than men, and to be more likely to experience multiple deprivation across two or more areas. Finally, the overlap between poverty and hardship is examined as a way of validating the poverty estimates and giving them greater credibility. The results indicate that there are strong overlaps, although these differ across the different dimensions of hardship. Access to pension income and concern over the cost of necessary visits to see a doctor emerge as strong predictors of poverty and point to areas where policy change is needed.     

Ageing and the changing role of the family and the community: An African perspective

Global ageing, the major social issue of the twenty-first century, will have greater social repercussions for developing countries. The fastest increase of older persons in terms of ratio in relation to younger people is happening in developing countries, and in Africa segregation of older people in rural areas will become manifest. While beneficial changes for women have accompanied modernization in many of the developing countries, the situation of older women appears to be particularly precarious. Social changes brought about by modernization are also profoundly affecting the traditional systems of care for older people. Even though most older people requiring care are still looked after within the informal structures of the family, this can no longer be taken for granted as we move into the new century. This paper critically reviews social protection systems and the resource constraints which characterize developing countries and warns against blind development of social security systems based on those of the industrialized countries. The paper argues for the design of intergenerational support back into mainstream social relations so that older persons are not marginalized and put at risk through social protection programmes which reinforce physical vulnerability stereotypes and stress welfare needs over and above older people's social and economic contributions to society     

Long-term Care in China: Issues and Prospects

One of the major socioeconomic challenges China faces is the rapid aging of its population. China is now an aging society, even though it is still regarded as a middle-income economy. Coupled with the market-driven reform of social services and rapid erosion of family support, the provision of affordable and accessible social care services to older people has already become an urgent issue for the government to address. Looking into the future, the formulation of a sustainable position on long-term care (LTC) will increasingly become the major focus of social policy. This article sets out the background to the demographic shifts resulting in the emerging need for LTC in China. It analyzes the issues facing LTC services and reviews their prospects, including the structure, operation, financing, and interfacing of residential and community-based home care services.     

The Value of Pets in Geriatric Practice

Abstract

A program designed to help elderly pet owners is succeeding in areas unrelated to pet care. The relationships that seniors establish with the coordinating social worker and participating volunteer create opportunities in other areas. The program establishes a social work connection which can be tapped in an emergency and enhances socialization through volunteer visits. Program participation may also reduce the severity of housing problems and provide a chance to discuss end-of-life issues. Implications for policy and practice are discussed, including the importance of acknowledging the central role of a pet in the lives of many elderly people.