Nursing Home Social Services Directors and Elder Abuse Staff Training

In a nationally representative study of 1,071 nursing home social services directors 80% of social services departments provided resident rights training and 60–70% were involved in abuse training. Departments headed by recent grads and in chain nursing homes or in the northeast were more likely to be involved in training. Seventy-two percent of social services directors were able to provide one-on-one training about reporting suspected abuse; education and licensure were related to ability to train.     

PERCEPTION OF SENIOR CENTERS BY THE BLACK ELDERLY

This study explored the impact of the neighborhood senior center on the black elderly by determining their perception of senior centers. Three groups of black elderly were interviewed: attenders of a neighborhood senior center (n = 46), non-attenders in the same community (n = 33), and non-attenders in a comparable community without a neighborhood senior center (n = 27). A 29-item interview schedule was conducted that determined awareness of senior center activities and services. Significant differences were found among the three groups with the attenders and non-attenders in the same community having the highest level of awareness of senior center activities and services. Age, sex and marital status were not found to influence perception of senior centers. The findings suggest that the neighborhood senior center needs to be further examined as a model for serving minority elderly.     

Improving Emergency Care for the Elderly

Much has been written on the developing role for social workers in hospital emergency rooms but little has focused specifically on social work interventions with elderly emergency room patients in an urban teaching hospital. A group of fifty patients over sixty-five years of age, referred to social service for assessment and assistance with home care issues, is described. The emergency room social worker's role with these elderly patients is highlighted and three case examples are discussed. It is argued that social work interventions improve the quality of both emergency and ongoing care for this growing and often at risk population.     

Applying critical social work in direct practice with families

This paper seeks to further discourse concerning the implications of critical social work for direct practice with families and children. It presents and discusses a hypothetical example of how a social worker in a social care agency in Israel can incorporate critical social work notions into an official social work report. The paper begins by presenting key concepts in critical social work, their manifestations in practice and their implications for official social work reports. It then presents a mock report informed by critical social work ideas and discusses its structure and contents. The mock report provides an example of how abstract notions central to critical social work can be actualized. The paper thus offers practitioners the opportunity for a richer discourse on the contribution of critical social work to direct practice with families and children.     

Social services provided for physically abused children in Sweden: background factors and interventions

This study aims at describing and analysing what kinds of social services are provided for physically abused children in Sweden. The social services files were examined for 113 children under 15 years of age (67 boys and 46 girls) who had been reported to the police as having been physically abused by a parent or equivalent caretaker in a particular police district. The children's social services files indicated an increased risk of a parental abusive behaviour prior to the abuse incident. There had been former interventions in 81 per cent of the families and previous reports on neglect or abuse in 44 per cent of the 113 families. After the abuse incident, investiga-tions were opened in 80 per cent of the cases. The three most common interventions were placement in foster care, referrals to Child and Adolescent Psychiatric Service and Social Services support contacts. The study shows that there was a tendency towards more proactive work with injured children, children of immigrant parents and children of mentally ill parents.     

Alcohol and drug abuse: removing structural barriers to treatment for historically disadvantaged communities in Cape Town

The article reports on an exploratory study that examined access to alcohol and other drug treatment for historically disadvantaged communities in the Cape Town metropole. In-depth interviews were conducted with 20 key informants from various sectors of the alcohol and drug treatment system, including treatment service providers, members of local drug action committees and social workers from district social service offices. Findings highlighted three structural barriers to service delivery: (i) difficulties in developing and implementing a strategic plan relating to alcohol and drug problems due to poor capacity and other infrastructural issues, such as a lack of information, poor intersectoral collaboration and limited consultation with service providers; (ii) limited allocation of resources to alcohol and drug treatment which has restricted the availability of affordable services as well as the capacity of established services to meet increased demand for services in this area; and (iii) fragmented service delivery. The study highlighted the need for further transformation of the South African social welfare system responsible for alcohol and drug treatment service delivery through public–private partnership development and the introduction of a management information system.     

新型农村养老保障制度探析

农村养老保障问题是当前农村迫切需要解决的问题之一,解决农村养老保障问题是解决农村社会保障问题的一把钥匙。因而,研究新型农民养老保障问题是现实的需要、发展的需要,具有现实性和前瞻性。本文首先肯定了土地保障与家庭保障在农村养老中的基础性作用,接着重点探讨了在农村建立社会化养老保障体系进程中有关基金筹集、基金管理和组织管理的问题。     

Elder Abuse in Turkey and Associated Risk Factors

Abstract

Elder abuse is one of the most important problems encountered by the elderly. Health, economical and psychological dimensions of the experience of aging also pose risk for elder abuse. This study aims to determine the abuse to which elder people are exposed based upon their own evaluations and to investigate the risk factors associated with elder abuse. This is a cross-sectional study among quantitative designs. Population of the study comprises 309 outpatient elders over the age of 65 referring to Ayd?n Do?an Geriatrics Clinic of Ankara University, Turkey. Collected data were analyzed by chi-square test and logistic regression. In total, 70.9% of the elderly participating in this study experienced abuse more than once. Majority of the participants were victims of emotional abuse (64.1%), followed by neglect and abandonment (26.9%) and economic abuse (12.6%). There was significant relation between sex, marital status, health status of the elderly and being abused (p?p?相似文献   

Violence Across the Lifespan: Interconnections Among Forms of Abuse as Described by Marginalized Canadian Elders and their Care-givers

Elder abuse is recognized as a major problem, with profoundeffects on the health and quality of life of older persons.In our aging population, elder abuse represents an escalatingclinical issue for social workers and health care professionalswho provide care to older people. A major gap in our examinationof elder abuse is the potential contribution and applicationof knowledge developed within research derived from other formsof family violence. This paper explores the interconnectionsamong various forms of violence across the lifespan, and theexperiences voiced by marginalized elders and their care providers.We interviewed seventy-seven rarely consulted older adults andforty-three formal and informal care-givers of older adultsin focus groups in Ontario and Alberta, Canada. Study findingsrevealed four major themes that describe interconnections amongtypes of abuse: (i) intergenerational cycles of abuse; (ii)violence across the lifespan; (iii) exposure to multiple subtypesof elder abuse; and (iv) ongoing spouse abuse that shifted intoelder abuse. The results from this study indicate that victimsoften ‘suffer in silence’ and cultural factors,ageism and gender are ubiquitous to elder abuse. Recommendationsto reduce elder abuse include education, formal and informalsupports and services.     

SOCIAL INTERACTION AND MORALE OF SPANISH-SPEAKING RURAL AND URBAN ELDERLY

Considered in this survey study is the social interaction of rural and urban Spanish elderly with their kin in a northern New Mexico county. Generally rural elderly were visited significantly more than their urban counterparts. Implications about the modernization of the Mexican-American family are drawn.     

Advance Care Planning in the Delivery of Adult Protective Services

ABSTRACT

In ensuring the safety and protection of older adults from abuse and exploitation, adult protective services (APS) workers face a variety of situations involving serious illness and end-of-life conditions. Many older adults encountered in APS will present with one or more chronic conditions that may warrant discussion of advance care planning with clients and their families. This study surveyed APS workers (n = 508) in 21 states regarding encounters with end-of-life situations and the practice of future care planning. Results revealed that three-fourths of APS workers encounter clients with serious illnesses and about two-thirds do discuss planning in advance for care. More than one-half of the respondents indicated client incapacity and refusal to address future care needs as barriers to discussing planning in advance for care. Recommendations to enhance advance care planning among APS workers are discussed.     

Ecological factors associated with elder abuse in Taiwan: a systematic review

Elder abuse is a serious issue in Taiwan because of rapid growth among the aging population and the deterioration of traditional values. Understanding of elder abuse in Taiwan has been fragmented, as a bulk of studies have primarily focused on socio-demographic characteristics and past childhood abuse. Only a handful of studies have focused on the environmental contexts. To address this research gap, we systematically review the prevalence, socio-demographic characteristics, and risk factors associated with elder abuse in Taiwan by applying Bronfenbrenner's ecological framework. Twenty-nine research articles are reviewed to address this research gap. Practice and policy implications are also discussed.     

Informal Support Networks Meet Health needs of Rural Elderly

While major studies of informal support systems have been conducted in urban areas, it is important to gain comparable knowledge for the rural and small town communities in which so many older people live. This exploratory study had as its overall purpose to examine the association between community based informal support networks and the ability of older adults to carry out daily activities in a rural area-the measure of the functional health status of the person. Within a rural perspective the outcome of the study included: replication of urban data in terms of network identification; the generation for further study of two hypotheses related to the association of network functionality and functional health and one hypothesis related to the association of network proximity and functionality; and recommendations of unstudied areas of concern for a better understanding of network functionality.     

Emotional abuse and neglect: a time for reappraisal

This paper explores, from a UK perspective, issues surrounding policy and practice in cases of neglect, which inevitably involves emotional abuse. It does not address cases of emotional abuse in which neglect does not occur. The paper argues that there is a sufficient body of knowledge on the necessary conditions for healthy child development and factors associated with psychological/ emotional disorders in childhood for social workers to be more proactive in work with such cases. There is, however, a need for this evidence to be assembled and organized in ways which will be useful to social workers. Nonetheless, intervention in such cases is unlikely to become more effective unless some of the reasons for the'neglect of neglecf are better understood and addressed. In the second part of the paper, a range of factors influencing such work is considered, related to the professional, organizational and legal context within which social workers in the UK operate.
The paper draws on an ESRC funded project, which ended in 1995, of social workers' judgements in cases of child sexual abuse and neglect     

Lessons on community social services from the great Hanshin earthquake

This article describes crucial lessons learned on community social services from the great Hanshin earthquake, including negative and positive aspects. The Hanshin quake brought about the biggest urban disaster Japan has experienced since the Second World War. The character of the disaster problems and response measures differed from the emergency stage (in the aftermath of the quake) to the relief stage (roughly until the end of March 1995) and the restoration and reconstruction stage (thereafter).     

Primary Caregivers and Chinese Elders’ Demand on Community Services

Abstract

The most influential model explaining the elderly’s service use is Andersen and Newman's model. But the applicability of the model on elders’ demand on community services has not been tested, especially in developing countries such as China. This research tested the applicability of the model by studying how primary caregiver relations to the elderly influence Chinese community-dwelling elders’ demand on community services. With a total of 2,124 respondents aged 65 and older who reported primary caregivers, six primary caregiver relations were examined: son, spouse, daughter, daughter-in-law, unmarried son and daughter, and other. Data came from the 2014 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Results indicated that: (1) Elders cared for by daughters-in-law showed a significantly stronger tendency of expecting community services than elders cared for by other caregivers among both rural and urban areas. (2) Elders were least likely to expect community services in two cases: urban elders taken care of by daughters and rural elders whose primary caregivers were unmarried sons and daughters. Since Chinese elders cared for by different caregivers tended to seek community care in different manners, future research may study how suitable community service programs can be developed to well meet the needs of various elderly groups.     

Hearing the Voices of Abused Older Women

Summary

This paper focuses on a qualitative research process that gathered responses from 64 older women aged fifty and older on their experience of violence and abuse. What older women said about abuse in their lives supports the use of a feminist framework as well as the age based analysis of the elder abuse field. Some respondents spoke of abuse from childhood into their later years. Some spoke of partners witnessing or experiencing abuse as children. Some women express concern about possible abuse by their adult children of their own children.

Abused older women like younger women need a safe environment, emotional support, advocacy, information, and peer support. While it is important to consider the perspectives and knowledge of service providers when developing policy and practice on abuse of older women, it is critical to ask the women survivors of abuse or neglect what they believe would benefit them, and others in similar situations.     

The Effects of Neighborhood Variables on Needs of Social Care: A Hierarchical Multiple Regression of Senior Residents in China

Community-based elder care has become a dominant model in the world. However, the role of community-level factors in helping or hindering the individuals concerned in obtaining the needed care has not received much attention. This research aims to investigate how community-level factors, including neighborhood disadvantage, residential instability, and social service environment affect the need for instrumental, medical, and emotional services of Chinese senior residents. Employing the hierarchical multiple regression analysis, the results show that instrumental activities of daily living impairment contributed significantly to the need for instrumental, medical and emotional services. Living alone was found to be associated with the need for medical and emotional services. Objective socioeconomic status was only significantly related to the need for medical care. The type of urban community was positively associated with the need for instrumental services and was negatively related to the need for medical care. Residential instability was positively associated with of the need for instrumental services and medical care. Social service environments had heterogeneous effects on the need for social services. However, neighborhood disadvantage had no significant impact on the need for social services. Implications for future research and policy reform were also discussed.     

Building a people's home* for settled,conscientious Swedes

Social policy in Sweden has evolved along two lines, one marginal and the other institutional. A work ethic that stems from the pre-Christian era is a factor in both these traditions, above all in the marginal model. The marginal line, with social services aimed at the indivual, has traditionally focused on the coercion of deviants, a tendency that was manifest in the statutory provisions up to the reform of the social services in 1982. Rigorous regulations based on domiciliary right meant that poor relief and social assistance were largely reserved for the settled population. A primary aim of the social services reform of 1982 was to replace the existing social relief, with its heavy emphasis on control, by a system of social services that would be voluntary in principle and aimed at catering to the client. Coercive measures became less frequent initially, but the element of repression soon grew again at a time when the economic climate was becoming harsher. Since the beginning of the 1980s there has been a further increase in repression in both social welfare and correctional care. This has been accompanied by significant tendencies to move away from an institutional social policy towards a marginal line. The shifts in values in the 1980s and 1990s do not represent a traditional right-left dichotomy.