The Residential Choices of Ethnic Elders in Affordable Housing: Changing Intergenerational Relationships and the Pursuit of Residential Independence

This study examines the housing choices and residential experiences of ethnic minority elders in affordable senior housing in a large metropolitan area by using a life course perspective in the context of community life. Using in-depth interview data with 138 individuals, the study reveals that the elders’ decisions to move were fueled by their evolving intergenerational relationships, suburban isolation, governmental provisions of housing and health care, and ethnic concentrations in urban centers. Place meanings arose from the relationship between life course factors, urban configuration, and health care provision as they unfolded in a community boundary of the activity setting.     

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.     

Financial Exploitation of Elders: Analysis of Risk Factors Based on County Adult Protective Services Data

ABSTRACT

While all types of elder abuse and neglect are serious problems affecting thousands of vulnerable elders, financial exploitation has especially serious implications for the victims’ economic well-being and quality of life, because it may deprive the victims of their life savings and assets and thus their economic foundation for independence. In this study, data from the case files of a county adult protective services program were analyzed to identify risk factors associated with financial exploitation of and mismanagement by elders. The elders who were financially exploited were, on average, in their late seventies and tended to be cognitively impaired. We also found that owner-occupant elders were especially vulnerable to exploitation and that financial mismanagement and exploitation often occurred together. Approximately 60% of the perpetrators were relatives of the elderly victims, mostly their adult children, and the rest of the perpetrators were not related to the victims. Implications for interventions include case management for frail, cognitively impaired elders; preventive educational programs; and ongoing collaboration among adult protective services, financial institutions, and law enforcement agencies.     

Aspects of workplace flexibility and mothers' satisfaction with their husbands' contributions to household labor

This article explores whether mothers’ perceived control over their own workplace flexibility options has any relationship to their satisfaction with their husbands’ contributions to household labor in the United States. We hypothesize that flexibility enhances their ability to more adeptly engage in role management in multiple life areas, thus enabling them to be more satisfied with their partners’ domestic input as well. We use a unique data set of 1,078 randomly sampled women involved in mothers’ organizations that generally attract members based on their current level of participation in the paid labor market. We then link nine distinct workplace flexibility policies with mothers’ satisfaction related to their husbands’ participation in all household tasks, as well as a subset of female-typed tasks. We find that across both arrays of tasks, mothers with more perceived control over work-related schedule predictability and those that had the ability to secure employment again after an extended break had higher levels of satisfaction with their husbands’ participation in household labor. In addition, short-term time off to address unexpected needs was important for all tasks considered together only.     

Residential Adjustment of Elders: Learning from Experiences With Parents and Peers

The ways elders learn from the experiences of their parents and peers in coping with declining health can affect residential adjustments they make themselves to minimize their exposure to long-term-care risks. Experiences of parents and peers can affect predisposition toward residential options, and parental and peer experiences sometimes can have major influences in elder residential choices. Drawing on qualitative interviews with community-residing elders, we illustrate how elders critically assess how their own parents and peers responded to declining health. We then show how these assessments influence the residential thinking and adjustments of these elders in anticipation of their own declining self-care capacity.     

”Attachment to Home” and Other Factors Related to Widows' Relocation Decisions

Widowhood has been identified as a stage of life when older persons are more apt to voluntarily relocate. Theoretically there is an "environmental press" to move brought about by circumstances and the inappropriateness fo single-family dwellings after the death of spouse. A number of indentified factors were hypothesized to influence recent widows' relocation. Following initial interviews with 221 older respondents, those who actually moved during a 2-year period were re-interviewed. Results indicated that "attachment-to-home" factors and family proximity were the best indicators of widows' staying in or moving from their homes. Movers and stayers are contrasted, and movers' situations before and after relocation are analyzed.     

The Subjective Value of "Home" to Older Homeowners

Older individuals generally report a high level of housing satisfaction with their current homes and seldom wish to move, yet most objective measures of the physical quality of their housing suggest that their residential situation is often far from desirable or adequate. The purpose of the present study was to investigate whether a group of subjective values could be identified which might provide a better understanding of the meaning of "home" to older persons. Using factor analytical procedures, four factors were found: (1) traditional family orientation; (2) cost vs. comfort trade-off; (3) status value of homeownership; and (4) competence in familiar environment. Results are discussed in regard to the implications of these subjective-value factors for both public housing and relocation counseling.     

Client Satisfaction with Home Care Services in Rural Russia

Abstract

The objective of this work is to explore the satisfaction of a sample of 300 frail elders living in a rural Russian area with the support services provided by social service agency staff. The client population lives in extremely difficult conditions in terms of housing and associated communal services. They reported very high levels of satisfaction with the agency-provided services, both general satisfaction and their satisfaction with the specific services received during the reference visit inquired about by the interviewer. The degree of satisfaction is likely related to the difficulty of their living environment and their probable poverty, as well as the quality of services received. Attempts to relate the variance in the satisfaction ratings to the extent of activity limitations and the volume of formal and informal care using multivariate analysis met with limited success, owing in part, at least, to the limited variance in the dependent variables. Nevertheless, the patterns identified are broadly consistent with expectations based on modeling previously done for the U.S. populations receiving at-home care. The results clearly indicate the value of providing such services to frail elders in such circumstances.     

Child welfare clients and school satisfaction

Despite long-standing knowledge about child welfare clients' poor educational outcomes, we know less about these vulnerable young people's situation in school. This article addresses school satisfaction among upper secondary students who have been in contact with the child welfare services. These child welfare clients' school satisfaction is compared with their peers' satisfaction. The results from a survey indicated that the majority of child welfare clients were satisfied with school but that they were less satisfied with school than were their peers. The results showed that the association between school satisfaction and positive school experiences explains a large part of this difference. Among students who reported they were doing well in school, had supportive teachers and friends at school, the difference in school satisfaction between child welfare clients and others was small. Among students who did not report similar positive experiences in school, difference in school satisfaction between child welfare clients and their peers was more substantial. These results show that school can be a good place for child welfare clients, but that facilitating support from teachers, increasing opportunities for making friends at school, and working to develop the child welfare clients' academic performances are important as efforts to improve school satisfaction.     

Formal Volunteering among Vulnerable Older Adults from an Environmental Perspective: Does Senior Housing Matter?

Based on the premise that environmental support is an important facilitator for engagement in formal volunteering among vulnerable subgroups of older adults, we focus on older low-income individuals who live alone. Drawing on the environmental docility hypothesis, we examine the role living in senior housing has on the likelihood of volunteering. Data came from the 2012 wave of the Health Retirement Study (N = 1415). Kernel weights derived from propensity scores were used to account for observed sociodemographic and health characteristics associated with both senior housing living and the outcome. Logistic regression models showed that living in senior housing positively affected engagement in formal volunteering after adjusting for personal and environmental factors. As a modifiable target of intervention for successful and healthy aging, our findings provide important background knowledge for the development and implementation of housing-specific volunteer programs for vulnerable elders.     

Client satisfaction with home care services in rural Russia

The objective of this work is to explore the satisfaction of a sample of 300 frail elders living in a rural Russian area with the support services provided by social service agency staff. The client population lives in extremely difficult conditions in terms of housing and associated communal services. They reported very high levels of satisfaction with the agency-provided services, both general satisfaction and their satisfaction with the specific services received during the reference visit inquired about by the interviewer. The degree of satisfaction is likely related to the difficulty of their living environment and their probable poverty, as well as the quality of services received. Attempts to relate the variance in the satisfaction ratings to the extent of activity limitations and the volume of formal and informal care using multivariate analysis met with limited success, owing in part, at least, to the limited variance in the dependent variables. Nevertheless, the patterns identified are broadly consistent with expectations based on modeling previously done for the U.S. populations receiving at-home care. The results clearly indicate the value of providing such services to frail elders in such circumstances.     

Housing Cost Burden and Marital Satisfaction

This study assessed the relationship between housing burden ratios and marital satisfaction. We also examined whether economic pressure might mediate this association and whether housing satisfaction would moderate it. Using existing data from the National Survey of Families and Households (n = 5,109 participants), results suggested that participants' housing burden ratio was negatively associated with marital satisfaction. Among homeowners, having a paid-off home mortgage was positively associated with marital satisfaction. These relationships were fully mediated by feelings of economic pressure. Although housing satisfaction was positively associated with marital satisfaction, it did not mediate the association between participants' housing burden ratio and their reported marital satisfaction.     

Aging in (Privatized) Places: Subsidized Housing Policy and Seniors

The market-based approach of delivering affordable housing has led to a net loss of traditional public housing and an increase in alternative subsidized housing options. For poor, physically frail older adult residents, subsidized housing and its associated services and support provide an important safety net. This article explores the implications and consequences of this movement for low-income seniors. Specifically, we look at the past and current housing policies, the focus on public-private partnerships, and the transition toward mixed-income communities. The article ends with suggestions for protecting vulnerable older adult populations in a market-driven arena.     

Influence of Late Life Stressors on the Decisions of Older Women to Relocate into Congregate Senior Housing

Late-life stressors often require individuals to make substantial alterations in behavior and lifestyle and can affect their overall health and well-being. Relocation is a significant life stress, regardless of age. The primary aim of this study is to elucidate the push-pull factors associated with moving into congregate senior housing. The secondary aim is to investigate the decision-making processes and stresses associated with moving into a congregate living environment. Interviews were conducted with 26 women who were new residents in congregate senior housing. Relocation, as expected, was considered to be stressful, although individual differences were found among perceptions of relocation stresses. Women who had made the decision to relocate on their own showed evidence of better psychosocial well-being at the time of the move. One-quarter of the sample chose to move to provide care to another person. As the options for senior housing continue to evolve and the number of adults reaching advanced age continues to increase, it is important to understand the factors that contribute to successful adaptation. This knowledge will enable facility administrators to implement programs and procedures to assist incoming residents with acclimating to their new homes.     

An Evaluation of Caller Satisfaction with Solution-Focused Telephone Counselling

Abstract

‘Practice Forum’ is intended to provide a forum for social work practitioners to share their practice with others; to describe what they are doing and assess its effectiveness.

We extend an invitation to all social work practitioners to submit articles for ‘Practice Forum’ and we look forward to receiving your contribution.

The telephone is a potentially valuable intervention tool in family counselling. The Child, Adolescent & Family Health Service has been experimenting with a response which combines the traditional advantages of telephone counselling with aspects of Steve deShazer's solution-focused approach (deShazer 1985). In 1990 a study was conducted to evaluate caller satisfaction with this approach. Results indicate a high level of satisfaction with the counselling. At a time of increasing funding cuts and lengthening waiting lists, it is important that as many options as possible remain available to our clients. An expansion in effective telephone counselling services may well be one way of achieving this.     

Housing in Old Age: Dynamical Interactions Between Neighborhood Attachment,Neighbor Annoyance,and Residential Satisfaction

Objective: Residential satisfaction and neighborhood quality play major roles in aging well. However, longitudinal research about the interplay between such factors is still sparse. Our 1-year study examined whether change in residential satisfaction was associated with change in two indicators of neighborhood quality: neighborhood attachment and neighbor annoyance.

Methods: Findings come from a longitudinal study with 85 community-dwelling German older adults (age range: 60 to 92 years). Participants filled out questionnaires at two measurements that were 1 year apart. The interplay between residential satisfaction and neighborhood was explored using a cross-path model.

Results: Higher levels of residential satisfaction predicted enhanced attachment and reduced annoyance over time. Moreover, attachment predicted positive change in residential satisfaction over the course of 1 year.

Conclusion: Results suggest that older adults may apply adaptive behaviors and strategies to optimize their neighborly experiences. Such findings have implications for improving residential satisfaction in community-dwelling older adults.