Senior Centers

Abstract

This article explores the degree of influence of the racial and linguistic characteristics of staff and the availability of culturally diverse programs on the level of minority elder participation in senior centers. Two hundred twenty senior centers, recreation clubs, nutrition sites, and local Area Agencies of Aging in New York State were surveyed and comprise the study population. The impact of factors such as the racial/ethnic backgrounds of the senior center staff, linguistic abilities of the staff/administrators, and the availability of culturally specific programs on the level of participation among non-Caucasian elderly were evaluated. The study found that increasing the representation of minority staff and diverse programming, increases the level of participation of minority elders in senior centers. These findings provide the framework for recommendations to increase the representation of non-Caucasian staff in senior centers. Doing so will lead to a greater diversity of senior center consumers and allow senior centers to reach out to traditionally under-served populations.     

Core Programs and Services at Senior Centers

Senior centers have grown rapidly since the 1960's and are now a major element in community programs for older Americans. Despite their growth there has been little examination of what should be the minimum core of programs and services for all senior centers. A mail survey was undertaken to ascertain what senior center directors, staff and participants in Maryland viewed as the most important programs and services, the most helpful program and the reasons participants were originally attracted to the senior centers. The quantitative data collected was supplemented by focus groups with directors staff and participants. Based on the findings six core programs and services are recommended as well as optional services.     

Racial and Ethnic Diversity in Senior Centers: Comparing Participant Characteristics in More and Less Multicultural Settings

The 2008 Health Indicators Project surveyed a probability sample (N = 1,870) of New York City senior center participants. Attendees of racially and ethnically diverse and nondiverse senior centers were compared across 5 domains: demographics; health and quality of life; social support networks; neighborhood perceptions and engagement; health service access/utilization. Although homogeneous and diverse center participants demonstrate similar health and quality-of-life outcomes, those from diverse centers demonstrate greater risk of social isolation, receive less family support, and more likely seek medical care from hospitals or community clinics. Implications and future directions for research, practice and policy are discussed.     

Examining the Curricula for Entry-Level Social Workers in Aging-Related Fields

The rapidly growing older population necessitates the provision of more gerontological social workers. This study evaluates the social work programs that are offered by a university in Hong Kong, based on separate surveys of alumni and employers. It also examines the effects of alumni background characteristics on perceived training adequacy. The training is found to be moderately adequate in preparing the alumni for practice in aging-related jobs, but there is a need to improve the existing curricula. Implications for the improvement of the curricula and suggestions for further studies are also discussed.     

Using Child Services: The Importance of the Mother–Child Relationship and Maternal Social Support

Gaps between children’s need for clinical services and receipt of services create a risk for negative child outcomes, therefore, it is important to identify factors that bolster parental use of child services. Attachment theory lends support to potential power of both parent–child relationship quality and the social support received by the parent in promoting service utilization and ultimately child outcomes. Study 1 uses a sample of 8-year-old children and their mothers to examine the roles of service use as a mechanism linking maternal social support and child behavioral outcomes. Study 2 uses a sample of 12-year-olds and mothers to more closely examine deficits between service need and the role of mother–child relationship quality in explaining the link between maternal social support and service deficits. Overall, this study highlights the importance of maternal social support and the parent–child relationship in predicting child service utilization, with nuanced results.     

中国特色社区老年照顾的定位及其发展策略

20世纪80年代以来,中国老龄化问题日益严峻,社区老年照顾发展起来。中国社区与西方社区不同,有自身的特点,因此在发展中存在着两个问题：一是定位问题,二是推进策略问题。在定位问题上,宜将社区老年照顾定位为家庭养老的辅助;在发展策略上。宜先行发展收费型老年服务业,然后有选择地实现低偿或无偿照顾。这两个问题的解决对于社区老年照顾事业的均衡发展具有重要意义。     

中国特色社区老年照顾的定位及其发展策略

20世纪80年代以来,中国老龄化问题日益严峻,社区老年照顾发展起来。中国社区与西方社区不同,有自身的特点,因此在发展中存在着两个问题:一是定位问题,二是推进策略问题。在定位问题上,宜将社区老年照顾定位为家庭养老的辅助;在发展策略上,宜先行发展收费型老年服务业,然后有选择地实现低偿或无偿照顾。这两个问题的解决对于社区老年照顾事业的均衡发展具有重要意义。     

Senior Services that Support Housing First in Metro Vancouver

Housing First is a model and philosophy for housing homeless people in immediate and permanent housing. In order to implement and deliver Housing First, research is essential to understand the system of support services as they currently exist. Guided by principles of community-based participatory research, this paper presents the findings from a senior-focused deliberative dialogue workshop in Metro Vancouver, Canada. Participants (16 service providers and 1 service recipient) identified services and resources available to support seniors in maintaining housing and barriers and facilitators for accessing services. Broadly, data were organized into seven themes: (1) Housing; (2) Home support; (3) Transportation; (4) Information availability, accessibility, and navigation; (5) Cultural diversity; (6) Discrimination; and (7) Funding and financial support. Results found that affordable housing that adapts to changing health conditions, income supports, health services, homecare, transportation, and culturally appropriate and nondiscriminatory informational resources are among the supports most needed for persons as young as 50 years old to succeed under the Housing First model in Metro Vancouver. Barriers to Housing First service provision, including rigid eligibility criteria for chronically and episodically homeless, should be revised to better support the growing number of older adults who are newly entering homelessness in Metro Vancouver.     

A Quantitative Evaluation of the Multi-Disciplinary Approach to Prevention Services (MAPS) Program to Protect Children and Strengthen Families

This article presents the results from an evaluation of a state-funded, prevention-based, pilot program called the Multi-Disciplinary Approach to Prevention Services that was designed to reduce the potential for child abuse and neglect. The program served 64 families of various races and ethnicities over two years. A quantitative pretest–posttest design was used to analyze existing program data related to client outcomes including parenting skills, parenting satisfaction, and the use of non-family resources to assist in improving skills and satisfaction. Means comparisons were used to assess the relationship between three standardized instruments (the Parenting Scale, the Eyberg Child Behavior Inventory and the Kansas Parental Satisfaction Scale). Findings indicated a statistically significant improvement regarding resource engagement by families, parenting behaviors and perceptions, and involvement with Child Protective Services. The results from this study offer insight into how to improve parenting behaviors and increase child protective factors for youth who are at risk of maltreatment. In addition, these findings contribute to strengthen the legitimacy of Weiner's Attribution Theory while providing the social work profession with additional data in areas of research targeting the intersection of financially viable prevention programs, family stability, parental education, resources engagement, and the reduction of child abuse and neglect. If additional research supports the efficacy of prevention programs such as MAPS, funding similar programs could lead to improved parenting and decreases in child maltreatment.     

Multilevel Factors Related to Psychosocial Care Outcomes in Washington State Skilled Nursing Facilities

As the primary providers of psychosocial services in skilled nursing facilities, social services professionals report barriers interfering with their ability to meet residents' needs. This study utilizes a 3-category quality assessment framework and a cross-sectional survey design to assess factors impacting the provision of effective psychosocial services in Washington State facilities. Hierarchical linear regression results indicate that the 3-factor model explains 26.4% of the variance in psychosocial outcomes; 4 variables exert the most influence: ownership turnover, practitioner experience, practitioner role identity, and the importance of individualizing care. Findings have implications for developing necessary supports for quality psychosocial care delivery.     

“Keeping It Real”: An Evaluation Audit of Five Years of Youth-Led Program Evaluation

Youth are increasingly seen as competent in participating in research and program evaluation, two activities previously reserved for adults. This article is a report of the findings from an evaluation audit of Stand Up! Help Out!, a participatory action after-school youth leadership development program for disadvantaged urban youth that utilized youth evaluations to develop a best practices service model. The youths' feedback assisted providers in improving services so that youth engagement in the program was 99% (by comparison with national highs of 79%). Here, the authors describe an important aspect of the process of youth-led program evaluation leading to such high youth engagement: how youth interviewed each other so as to optimize the authenticity of their program evaluations and contributions to program design. Drawing from over 5 years of program evaluation data collected by youth, the authors report on the youths' experiences as informants and coresearchers, consider strategies used to help youth best describe their experiences in the program, and describe implications for other settings looking to incorporate youth-led program evaluation. Youth-led program evaluation has considerable promise for helping service providers make programs more meaningful for disadvantaged youth.     

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.     

Outcomes assessment: evaluation in routine practice

Evaluating the quality and effectiveness of human services, whether social services or medical services, is critically important for the providers, for the organization, and for the payers of those services. We propose that outcomes assessment, a continuous model of evaluation designed for routine services settings, can be considered for use in evaluating the effectiveness of human services on a routine basis. In medical care, outcomes assessment measures initial and subsequent disorder-specific and generic outcomes domains as well as prognostic or case-mix characteristics that can be used to adjust outcomes among groups. We describe a current implementation of outcomes assessment in a state mental health system in the US and make recommendations for the future of the field.     

The Research Potential of Mental-Health Social Workers: A Qualitative Study of the Views of Senior Mental-Health Service Managers

Social workers have undoubtedly played a significant role inmental-health care in Britain. Yet their contribution to themental-health knowledge base is decidedly meagre compared tothe prolific research activity of psychiatry and allied healthprofessions. A qualitative study was conducted on the researchpotential of mental-health social work, based on the views ofsenior service managers in London boroughs. Social-work researchwas found to suffer from a combination of structural, economicand academic constraints. The impact of social work on mental-healthpolicy and practice developments, particularly in the lightof a growing emphasis on evidence-based practice, is likelyto remain weak until this issue is addressed.     

The Image of the Deceased Spouse in Remarriage of Elderly Widow(er)s

After death of a spouse, a widow(er) retains a strong multidetermined attachment to the lost person. This theoretical paper explores the cultural, interpersonal, and intrapsychic factors which bolster the tie. After examining obstacles and motivations for remarriage, the paper examines the triadic bonds between the widow(er), first spouse, and second spouse. Illustrations of the perceptual and interactional dynamics of the triad are presented. A clinician who is sensitized to the triad in a remarriage may help the new couple to be aware of and cope with the persistence of the tie with the deceased spouse.     

Structuring Mental Health Within Senior Services: A Case Study of an Outpatient Mental Health Clinic Serving Latinos

The article presents a case study of an outpatient mental health clinic serving Latino older adults. The study explored staff perceptions on the clinic development and the context within an immigrant multicultural community. The study used in-depth, semistructured interviews with support staff, clinical social workers, and administrators. Interviews were analyzed using a thematic content analysis. The mental health clinic formation was perceived by staff as an ecological process stemming from the needs of the Latino immigrant senior clients. A close knit and interdependent culture allowed the clinic to adjust to diversity and changing cultural contexts.     

Client Experiences of Trauma-Informed Care in Social Service Agencies

This paper describes a qualitative study of individual client interviews (n?=?26) from four social service agencies to understand how clients experience trauma-informed care services and implementation challenges. We used the Fallot and Harris framework to explore client experiences of the five core concepts of trauma-informed care (safety, trustworthiness, choice, collaboration, and empowerment) using semi-structured interview questions with each client. The four agencies consisted of: refugees (n?=?4), substance abuse (n?=?8), older adults (n?=?12), and maternal/child health (n?=?2), and the agencies varied in size, service goals, and clientele. The results of the study suggest that clients’ experience of these concepts was shaped by the actions of other clients, and these experiences were either mitigated or hindered by actions of the agency employees. Agency policies either supported or enhanced their experiences as well. The results also suggest that it was challenging for agencies to provide for all of the trauma-informed care (TIC) concepts at the same time. We discuss the implications of these findings for social service delivery in a range of agency types. Future research should examine the effects of trauma-informed policies on client experiences of each TIC domain.     

Overcoming barriers: Effects of entering vocational rehabilitation on labour market outcomes

Vocational rehabilitation aims at getting people with health problems or disabilities back into work. In Germany, the Public Employment Service is a central provider of vocational rehabilitation services targeted at unemployed people. Against this background, the study examined the labour market effects of vocational rehabilitation for people registered as unemployed with the Public Employment Service. A comparison of the accepted and the rejected applicants for vocational rehabilitation using inverse probability weighting based on propensity scores provides an insight into its effects. The results suggest that the employment prospects of persons who were accepted in the programme improved modestly after the third‐year following application. A subgroup analysis identified stronger re‐employment effects of acceptance into vocational rehabilitation in eastern Germany as well as for men and older individuals.