Moving to and Living in a Retirement Home

Abstract

Bad health combined witii deteriorating physical functions force many elderly people to move to a retirement home. The primary focus of this study was to investigate the resident's experience of safety and security. From a sample of 57 residents, 12 persons volunteered to participate in the interview. Data were analyzed with qualitative content analysis. The standard and design of the participant's previous home made mobility difficult and this affected their sense of security. This motivated them to move into an environment where they felt more secure. The environment at the retirement home was predominantly described as secure and safe. The finding shows that the participants felt that safety and security were more important than independence.     

Express yourself! A student's experience of running a movement improvisation workshop

This paper is an account of a social work student's experience running an improvisation workshop whilst on placement in a children's residential home. It describes the ways in which children were able to use movement and music in a spontaneous and unstructured manner to express their emotions, and how the improvised use of music can enable children to relate to, and understand, their experience.     

Exploring the needs of parents for achieving reunification: The views of foster children,birth family and social workers in Spain

BackgroundFamily reunification refers to the process through which children and adolescents under a measure of temporary separation (foster care or residential) return to live with their biological families. The research has begun to reflect a paradigm change in intervention and support for these families that affects the consolidation of reunification and the prevention of new processes of separation and reentry into the protection system.ObjectivesThis article examines the needs of parents who are susceptible to an educational intervention from a positive focus that contributes to the consolidation of family reunification.MethodEighteen semi-structured interviews were conducted and 22 discussion groups were convened with 135 participants (63 protection-system professionals, 42 parents and 30 children and adolescents). The data were analyzed through content analysis and were subject to peer revision.ResultsA series of parents' specific educational needs when their children return home was recognized. These needs can be the objects of family intervention based on a positive focus directed toward highlighting parents' strengths and are related to awareness of family progress, emotional management, giving and receiving help from other families and social support. The participants' comments show that feelings of self-sufficiency and positive reinforcement are fundamental for consolidation of the process.ConclusionsSocial support through formal and informal networks may be a path to explore for providing more and better support after returning home. Empowering families so that they can be agents of support for other families can be a way to consolidate reunification, allowing families to be active agents in the reunification process. In addition, listening to children's voices can be a good strategy for family consolidation.     

Decision-making around psychotropic medications for children in foster care: Perspectives from foster parents

Background and objectiveChildren in foster care have complex mental health needs and receive high rates of psychotropic medications. Rarely can foster parents make legal decisions about treatment, yet they are intricately involved in the child's life and responsible for the child's safety and well-being. We aimed to conduct the first study of foster parent perspectives on decision-making relevant to the use of psychotropics with children in foster care.MethodsWe conducted semi-structured phone interviews with 13 parents in a small northeastern state who had fostered a child receiving psychotropics in the past 5 years. The state child welfare agency sent information about the study via email to all foster and adoptive parents for whom they had email contact. Interviews queried parents' knowledge and attitudes toward psychotropics, engagement in decisions, and recommendations for the decision-making process. Interview responses were coded and synthesized using mixed inductive and deductive methods in Dedoose software.ResultsChildren came into care on an average of four psychotropics. Parents reported receiving little information about the medications and finding information on their own. Parents acknowledged the potential benefits of medications, yet attitudes were largely against their use. Internal and external pressures for and against the use of medications were described. Many parents felt left out of the decisions and recommended team decisions.ConclusionsEfforts to improve foster parents' knowledge of medications, side effects, and monitoring, as well as team decision protocols, are sorely needed to improve decisions for this population.     

Chapter 3 Decision-Making and Satisfaction with a Continuing Care Retirement Community

Abstract

We draw on both life course and decision-making theories to examine decision strategies prior to moving to a continuing care retirement community (CCRC) and subsequent satisfaction following the move. Multivariate analyses drawing on panel data for a sample of 92 older adults (age 64 to 94) before and after their move to a CCRC show that frequent residential relocation in the adult years reduces the odds of considering staying in one's own home. Cognitive orientations at time 1 predict subsequent satisfaction with the move to a CCRC: mastery increases the odds, desiring age-integrated housing reduces the odds.     

Elders' Decisions To Enter Assisted Living Facilities: A Grounded Theory Study

ABSTRACT

The purpose of this qualitative study was to develop a substantive theory of elders' decision-making process to relocate to an assisted living facility. The researchers interviewed a purposive sample of 28 elders who resided in assisted living facilities. The theory of elders' decisions to relocate to an assisted living facility is a story about elders weighing and balancing gains and losses to go to where the help is. Decision makers weigh and balance gains and losses before, during, and after relocating to an assisted living facility. Elders stay at their current residence if gains outweigh losses and they relocate if losses outweigh gains. Understanding the process of decision-making in this segment of the population may lead to the development of interventions that can promote positive relocation experiences among elders and increase the effectiveness of their decision-making behaviors.     

A Sociohistorical Analysis of Gay Men's Procreative Consciousness

SUMMARY

This qualitative study argues that an understanding of gay men's thoughts about fatherhood must be situated within a socially constructed historical context that is rapidly changing how gay men think about the possibility of creating families. Analysis draws on 39 interviews with gay men about their reproductive decision-making. Two samples of gay men were recruited-19 childless gay men ranging in age from 19–53 years, and 20 gay fathers who became a parent through non-heterosexual means, aged 33–55 years. Findings reveal how gay men's procreative consciousness and fathering desires are intimately tied to the social and historical context by which they came of age. Private thoughts about fatherhood and reproductive decision-making are better understood within a sociohistorical framework that can grasp how institutional relations shape how gay men navigate the reproductive arena.     

The Development and Validation of a Scale to Measure Attitudes Toward Women's Genitals

ABSTRACT

Sexual behaviors may be related to or influenced by a range of factors including individuals' attitudes toward women's genitals. To date, however, no reliable and valid measure exists with which researchers or clinicians can assess individuals' attitudes toward women's genitals. The purpose of this study was to develop a reliable and valid scale to measure attitudes toward women's genitals and to test its predictive capacity.

The process of developing the Attitudes Toward Women's Genitals Scale (ATWGS) was conducted in three phases: (1) elicitation, which involved a comprehensive literature review and surveys completed by 370 men and women; (2) development, review, and revision of an initial item pool; and (3) survey administration and psychometric analysis, which involved an initial survey administration to 604 men and women and a second administration, for the purposes of establishing temporal stability of the scale, to 16 individuals. The final ATWGS resulted in a 10-item scale that exhibited sufficient internal consistency (Cronbach's alpha = 0.848) and convergent validity, as it was correlated at 0.429 with the five-item Sexual Opinion Survey. The ATWGS also showed evidence of predictive capacity in that women's scale scores differed significantly based on their history of cunnilingus, gynecological care, vibrator use, and orgasm. For men, there were significant ATWGS score differences based on their experience with cunnilingus. Also, men scored significantly higher on the ATWGS than did women (p < .001), indicating more positive attitudes. The ATWGS was found to exhibit evidence of sufficient reliability, validity, and predictive capacity.     

Migration as a window to empowerment: Nepalese women's experiences in South Korea

ABSTRACT

Migrant women are often described as victims of the global economy: accounts of human rights abuses and economic exploitation have eclipsed more positive accounts of the impact of migrant work on women's lives. Some migrant women are positioned to make use of new opportunities which they see as empowering, in contrast to earlier experiences in their homes or sending countries. This study, based on qualitative interviews with 13 young Nepalese women working in manufacturing and agricultural sectors with Employment Permits in South Korea, highlights a rather positive window of women's empowerment. It shares the perspectives of young, mostly single women who gain self-confidence through their new ability to take care of their family (some becoming primary breadwinners). The women are also able to plan for their economic futures, and report their voices being heard more in important family decision-making. These material, relational, and perceptual improvements are all important dimensions of empowerment. In these experiences, gender intersects with age and other factors to produce a nuanced view of specific young women's experience of migrant work.     

Self-Determination and Confidentiality

ABSTRACT

This article seeks to further clarify the ambiguous nature of two of social work's most important values: self-determination and confidentiality. Previous research indicates that many ethical decisions in social work practice are difficult to make; and, many times decisions are made based on the worker's values and experiences rather than on written ethics, laws, and agency policy. To explore this concept further, an open-ended survey instrument was distributed to 82 social work students after completing the required practice classes. The participants were asked whether they would break confidentiality based on a specific vignette and describe what decision was made and why. Results indicated that degree level (MSW versus BSW) proved to be a significant factor related to whether and/or why the respondent would break confidentiality. In addition, students with more paid work experience were more likely to question the issue of confidentiality and were more likely to break it. Two issues reflected in the decision-making process involved ensuring client safety and self-determination. In conclusion, this article explores possible reasons for breaching confidentiality and pitfalls that can occur for all professionals in making these types of decisions. Furthermore, it explores the ambiguous nature of problem solving in this area, and suggests ways that social workers can improve their decision-making skills.     

Social Work's Role in Prenatal Diagnosis and Genetic Services: Current Practice and Future Potential

Abstract

Although the development of sophisticated technologies associated with prenatal testing processes have assisted in the practice of prenatal diagnosis, limited attention has been given to the complexities surrounding the decision-making processes for pregnant women following a poor or fatal diagnosis. An emerging international body of knowledge suggests that the process of having prenatal testing and then deciding on whether to continue a wanted pregnancy is often difficult and traumatic. In the last 50 years, social workers have played an invaluable role in the provision of holistic counselling and support for children and families in a range of areas and contexts. This paper highlights the unique contributions that social workers can bring to the field of prenatal testing. It emphasises the consideration of strengths and values inherent within social work practice that provides appropriate and timely support for women who have received a poor or fatal diagnosis following prenatal testing.     

“Something Amazing I Guess”: Children's Views on Having A Say About Supervised Contact

Abstract

This paper reports on a small-scale, qualitative study on children's perspectives about their participation in decision-making processes regarding supervised contact. The paper begins with an overview of the study and a summary of findings in relation to four key research questions framed around the idea of children having a say, that is, children's views and perspectives of their participation in family law decision-making processes. These key questions include: What are children's experiences of having a say? What are children's understandings of having a say? Did children want a say in the decision for them to have supervised contact? How did having (or not having) a say feel? Discussion focuses on what importance children place on having a say in family law matters, a finding that is contrasted with children's experiences of marginalisation and exclusion from decision-making processes and of ambivalence and reluctance sometimes expressed around having a say. Children's idea of having a say as taking place in and through particular forms of dialogue and conversation, thus enabling the recognition of children and respect for what they have to say, are also explored. We conclude by reflecting on the implications of the study for professionals working in family law     

Establishing a Group to Encourage Writing for Publication among Doctoral Students

Abstract

Research Notes, a new feature of the Journal, presents short reports of current research in social work education. Each report presents a synopsis of the purpose, methodology, results, and conclusions of the study.

The authors describe the establishment of a group that encourages doctoral students to write for publication while focusing on the quality of their written work. They detail the steps taken in starting the group, describe the group's internal review process, share results of an evaluation of the group's first year, and discuss implications for other social work programs wishing to nurture publication productivity.     

Towards a generic international human resource management (IHRM) model

Abstract

Reflecting the prevailing Western literature and based on an empirical study in Chinese multinational enterprises (MNEs), this study develops an IHRM model and argues that it can be widely applicable. The model indicates that an MNE's IHRM policies and practices are the interaction of the home HRM system, firm-specific factors and host-contextual factors. The firm-specific and host-contextual factors have a differentiated, changing and concurrent impact on IHRM policies and practices. There is also interplay between IHRM policies and practices. Intervening factors and their impact may vary over time and in different contexts.     

Predictors of Nursing Home Admission: A Social Work Perspective

Abstract

Institutionalisation of geriatric patients is a growing trend in ageing societies, such as Singapore. Earlier studies focused on the sociodemographic profile and attributes of nursing home residents and applications, but neglected to address the predictors of nursing home admission from a social work perspective. The present retrospective study identifies independent risk factors that predispose a patient to a nursing home discharge from a general rehabilitation ward in a community hospital in Singapore, with a multidisciplinary emphasis on clinical intervention. Factor analysis results reinforced findings that functional impairment and dementia are consistent predictors of nursing home admission. Multivariate logistic regression analysis showed that positive predictors of nursing home admission include older age, length of hospital stay, low socioeconomic status, dementia, and functional disability. Social work interventions include early referrals to the medical social worker, so that options for social and family support can be explored prior to deciding to place patients in a nursing home. Other interventions include suitable family therapy and counselling for patients and their families.     

Substance Abuse,Homelessness, Developmental Decision-Making and Spirituality: A Women's Health Issue

ABSTRACT

A qualitative methodology was used to examine the relationship between homeless women's spirituality, substance abuse, moral reasoning and developmental decision-making. Findings indicated that a lack of development in spirituality and the ability to make decisions in childhood is related to homeless, addicted women's inability to maintain abstinence and achieve social independence. Spirituality impacted decisions to abstain from substance abuse and increased the women's social independence. Findings suggest that treatment needs to incorporate spirituality, family of origin, and the development of skills for independent decision-making. The authors propose that childhood maltreatment, homelessness and substance abuse impede spiritual development. Therefore, substance abuse treatment needs to include a focus on spirituality and moral reasoning in the recovery process.     

Connecting a University to a Distant Neighborhood

Abstract

The willingness on the part of university participants to listen attentively to community representatives is of great importance to successful collaborations. This article presents three phases of a university-community partnership between the Macedonia neighborhood in High Point, North Carolina, and the Center for the Study of Social Issues (CSSI) at the University of North Carolina at Greensboro. Although no professional network and neighborhood contacts were in place prior to this collaboration, the partnership addressed community needs by obtaining federal grant funding and by listening to the residents' concerns. Staff, students, and faculty overcame the challenges of inexperience and the difficulty of working with a neighborhood that was not located near the university. In various phases, the partnership moved away from a technical assistance approach to a self-help model. By actively engaging neighborhood residents through the Community Outreach Partnership Center (COPC), a learning and adaptation process occurred that resulted in successful university-community collaboration.     

The Response of Social Work to the Depression,by Jacob Fisher. Schenkman Publishing Co., Cambridge,Mass., and G. K. Hall and Co., Boston, 1980. $23.95.266 Pp.

Abstract

This article presents an innovative refinement in the use of group process records for educational purposes, reviews the history of Rothman's Committee for the Preparation of Teaching Materials, and discusses the Committee's development of a comprehensive framework for teaching records. The teaching record fosters student attentiveness to practice context and complexities, regard for ongoing self-evaluation, and interest in cooperative learning. Teaching records also provide a structure for integrative learning through the identification, elucidation, linkage, and illustration of practice concepts and principles. The five key parts of the teaching record—major teaching themes, overview of group characteristics, group process record, teaching points, and teaching strategies—are described, and excerpts from an illustrative teaching record of a session with nursing home residents are presented.     

Harnessing Fortune: Personhood,Memory, and Place in Mongolia by Rebecca M. Empson

ABSTRACT

Since the change of regimes in 1989, private property has become the symbol of the new era in the postsocialist part of Europe—an ideological tool as well as a vessel for creating and realizing identities. For young people in Bratislava, the capital of Slovakia, buying an apartment is the most common way to secure one's housing. However, it is accompanied by personal sacrifices and debt, resulting in uncertainties for many years to come. Therefore, the decision whether to buy or rent significantly influences young people's modes of life. Nevertheless, securing one's housing is not solely an economic question, but also a part of an intimate process of creating a personal space. To feel at home means to make it one's own, hence to dive into the process of constant re-negotiation. The aim of this article is to analyze the relationship between property relations and the process of creating a home. The research data originates from intensive year-long qualitative fieldwork with thirty-five informants in Bratislava. As the results show, in a postsocialist society of uncertainties, private property is conceptualized as a personal goal and point of stability, but it also adds specific tensions and dilemmas to the notion of home. In relation to this, both home and property are parts of the same ongoing process of appropriation—influenced by preferences in taste, ideal notions, and social aspirations, as well as by broader social and economic factors.