Adult Day Care

Adult day care is a developing concept in the United States. Many consider it a viable alternative to institutionalization for older Americans who are incapacitated. When considering the predicted number of Americans age 80 and over to be 8 million by the year 2000, provisions must be developed to cope with this group and their specific needs. The English experience in adult day care represents a successful and cost effective program. A variety of models are functioning well. Model I and Model II Programs are currently in existence in the United States. Growth is slow but steady. The Subcommittee on Health and Long-Term Care of the House Select Committee on Aging, in 1980, recommended the establishment of a national policy on day care, with funds for planning, and a comprehensive restructuring of funds to better implement the day care concept. Recent legislation, in the form of the Economic Recovery Act, effective January I , 1982. and the 1981 Omnibus Budget Reconciliation Act, represents a beginning as far as economic incentives for day care are concerned. The political climate will undoubtedly effect the future of adult day care, and studies are urgently needed to document its cost effectiveness.     

A Definitional Discussion of Elder Maltreatment

Currently, there is no one uniform accepted or acceptable definition of elder maltreatment. As an important first step in the continued understanding of elder maltreatment, a differentiation is made between legal and social work definitions and a classification system for defining elder maltreatment from a social work orientation is suggested as a guide for assessment and intervention. Distinctions within each of three major categories of elder maltreatment (elder neglect, elder abuse and violation of the elder's rights) is presented.     

Kinship Foster Care and Its Impact on Grandmother Caregivers

Summary

Kinship foster care programs are designed to address the needs of relatives, usually grandparents, who have taken in children who have been removed from their homes voluntarily, or following a substantiated report of neglect and/or abuse. The author reviews the history of kinship foster care nationally and examines related research. Reported are findings on a survey of kinship foster care programs nationwide and from qualitative interviews with nine grandmothers from New York City who were kinship foster care providers. Particular attention was paid in these surveys to the impact of kinship foster care on families caring for children with disabilities.     

Needs and availability of support among care‐leavers: A mixed‐methods study

Data are scarce on the long‐term needs of care‐leavers and on the support resources that are available for them in the years after leaving care. This mixed‐methods study presents data on the needs and availability of support of 222 Israeli care‐leavers, suggesting that the most urgent needs of care‐leavers are a lasting need for a stable and available support figure and assistance with educational issues. For some care‐leavers, these needs are fulfilled by their mentors. Parents and other familial figures were found to be the most common support resource for care‐leavers, which highlights the need for the intervention of social workers to improve relationships within families while the children are still in care. Due to high rate of young people who have no support resources and a low rate of services utilization, social services should provide a platform to support this group, using mentors and other supporters. The longitudinal data of up to 4 years after leaving care indicated that the availability of various types of informal support improved over the years, and the reports on difficulties in relationships of the care‐leavers with their parents were significantly fewer 4 years after leaving care than on the verge of leaving care.     

论构建新实学之路

当今时代是和平与发展的新时代,新时代需要新哲学,新实学就是人类在新时代需要的新哲学。构建新实学有四个维度,即中国和东亚的实学思想优秀传统;现代西方哲学解构形而上学关注现实的新努力;马克思主义的实践唯物主义新世界观;人类当前现实的历史的伟大社会实践。这四个维度在本质上是一条理论与实践相结合的道路,沿着这条大道努力奋斗,我们就一定能成功构建当代人类需要的新实学。