Social Service Outreach Programs Using Elderly Korean Immigrants' Church Ties

ABSTRACT

This study examined how Protestant Korean-American churches and their pastors can serve as ties between Korean seniors and agencies that offer social services. Working in partnership with the North Central Texas Area Agency on Aging (NCTAAA) and 2-1-1 services at United Way, the researcher asked 53 Korean pastors in two counties in North Central Texas to participate in the study. Each was asked about his willingness to host an outreach program. Thirty telephone surveys and 11 face-to-face interviews inquired about current services and pastor willingness to serve as gatekeepers for seniors. Translation and transportation were the top social service needs. All pastors in the study agreed that their churches should be a vehicle to provide social service information to seniors. Indeed, five churches accommodated program outreach offered by the NCTAAA and 2-1-1 services. The host churches tended to have highly structured, regularly scheduled programs (e.g., ethnic senior schools) already in place. A total of 405 Korean seniors participated in the outreach events, and 28 seniors were assisted in benefit counseling by telephone. Altogether, the results suggest that social service agencies can use the church ties of Korean seniors for program outreach.     

Chapter 16. Future Training and Education Recommendations for Rural Gerontological Social Workers

SUMMARY

With the increasing number of older adults, social work students need to be prepared to work with this population in a variety of settings. Rural areas may have high concentrations of older adults including those who age-in-place, and those who relocate to retirement areas in small towns and rural communities. Within the curriculum, content on health care, economics, and leadership/decision making need to be included to prepare students for practice in these areas. In addition, programs need to actively seek students who have an interest in working within more rural practice settings.     

Providing Mental Health Services to Older People Living in Rural Communities

Summary

Rural dwelling elders who experience mental health problems often have difficulty finding help since rural communities often lack adequate mental health service providers. This paper reports on the initial phase of a 5-year, interdisciplinary clinical research study that is testing the effectiveness of providing a home delivered, therapeutic psychosocial intervention, aimed at improving the emotional well-being and the quality of life of medically frail elders who live in rural communities. In the early phases of this study, the clinical research team encountered a number of interesting and often unanticipated challenges as it attempted to recruit study participants and provide services to them. In this article, we examine these challenges and share what we have learned so far about providing mental health services to elderly persons living in rural environments.     

The Effects of Housing Costs on Nursing Home Diversion

Abstract

This article examines the effect of the housing market on nursing home diversion and/or transition. Prior evaluations of federally funded diversion/transition efforts indicate that lack of housing may be a significant impediment to diversion policy efforts. We test this charge by examining the transition rates in all 351 municipalities in Massachusetts, using a data set of over 15,000 individuals seeking to remain or transition home between 2010 and 2014 through Massachusetts' Options Counseling program and their relation to key indicators of housing quality and affordability, including housing burden, crowding, and incomplete kitchen and plumbing facilities. We also control for demographic indicators identified in previous findings, which are age, level of frailty, and whether seniors live alone. We do not find a significant relationship between housing affordability or quality and successful nursing home diversion. This fact suggests that consumers are not as sensitive to housing costs and conditions as previously expected. Future research should continue to investigate the economic and social conditions behind this fact in the context of home value appreciation, incidence of home ownership, and the ability of seniors to offset nursing home costs through accumulated home equity.     

Assessing Statewide Need for Older Adult Health Promotion Services: The Oklahoma Experience

ABSTRACT

The growing senior population and persistent poor health status of seniors in Oklahoma compels a fresh look at what health promotion services would be well received. Surveys were distributed to a list of registered voters aged 65 and older in Oklahoma with a total of 1,248 surveys returned (19.8%). Survey items asked about interests in services, classes, and activities, plus current barriers to accessing and/or engaging in such programs. To account for survey weighting, Rao-Scott Chi-Square Tests were performed to determine differences by demographic characteristics. We identified services, classes, and activities that were (and were not) of interest to seniors in Oklahoma with legal assistance (52.1%), exercise classes (46.6%), internet classes (40.7%), and indoor exercise activities (45.5%) receiving the highest level of interest. Barriers to interest in participating in programs included not wanting to go and not knowing availability of such services. The results of this survey provide useful data on health promotion gaps for seniors, interests and barriers to engaging in such activities, and guidance for statewide program development. Future program development needs to be focused on areas of interest for older adults, including legal assistance, exercise classes, and internet classes.     

The Value of Pets in Geriatric Practice

Abstract

A program designed to help elderly pet owners is succeeding in areas unrelated to pet care. The relationships that seniors establish with the coordinating social worker and participating volunteer create opportunities in other areas. The program establishes a social work connection which can be tapped in an emergency and enhances socialization through volunteer visits. Program participation may also reduce the severity of housing problems and provide a chance to discuss end-of-life issues. Implications for policy and practice are discussed, including the importance of acknowledging the central role of a pet in the lives of many elderly people.     

Developing Brokered Community Transportation for Seniors and People With Disabilities

Communities are exploring ways to increase transportation coordination to improve access for seniors. One such effort is a brokered transportation system in which one agency serves as the central point of contact for ride information or actually arranging transportation for clients of multiple programs by use of a combination of transportation services. A team of social work faculty and students from the University of New Hampshire (UNH) Social Work Outreach Center, a center that provides service learning opportunities to students, collaborated with a local coalition to investigate the specific transportation needs of the region's senior citizens. A total of 641 people participated in the survey. Results indicate that the study population experiences problems reliably meeting daily living needs due to inconsistent or unavailable private and public transportation options. Study findings also indicate the promising potential of brokered transportation systems, particularly for isolated seniors in rural and suburban areas with relatively limited public and private transportation options.     

Determinants of Perceived Safety Among the Elderly

Abstract

A survey of randomly selected elderly residents (N = 301) of a largely rural county in Northwest Ohio sought to explore the perception of the fear of crime victimization. Those who participated in the study were asked a series of questions about their community, actual experiences of crime victimization, perception of fear related to victimization, and social support. Logistic regression analyses were computed to explore perceptions of neighborhood safety. Most participants reported limited experiences of victimization. As expected, in this rural environment, there was more reliance on informal supports and limited use of existing formal services.     

Family conflict and future concerns: Opportunities for social workers to better support Chinese immigrant caregiver employees

ABSTRACT

This paper explores the experiences of Chinese immigrant caregiver employees (CEs) residing in Southern Ontario, Canada. Qualitative analysis of participant interviews with thirteen Mandarin Chinese immigrant CEs revealed family conflicts due to cultural differences and an intergenerational gap between CEs and their care recipients. CEs also had future concerns in regards to their own health and the lack of long-term care facilities that offer cultural services for immigrant seniors. These findings provide an opportunity for social workers to collaborate with other service providers to provide ethno-specific and culturally sensitive health, community. and employment services to immigrant ethnic minority CEs.     

Listening to Seniors

Summary

This paper provides guidelines for high quality data collection with community-residing older adults with illustrations drawn from the authors' practice. A mixed-method approach is described as a means to obtain the highest quality information from the sample. This approach combines focus groups and interviews along with mailed, closed-ended surveys to access both the ‘depth’ of the seniors' responses as well as the ‘breadth’ of responses; that is, the qualitative aspects provide the opportunity to identify and define relevant issues in the voices of respondents, while mailed surveys provide the kind of coverage necessary to make accurate predictions to the larger population of community-residing seniors.     

Attention to Rural Populations in Social Work's Scholarly Journals

ABSTRACT

Rural populations should be considered a vulnerable group within social work's social justice framework. However, the degree to which social work research and scholarship engage with questions of significance to underserved rural populations remains unknown. This study sought to determine how many articles in highly ranked social work journals give prominent attention to rural populations and issues. A search of the highly ranked social work journals selected from the Journal Citation Reports for the Social Sciences found only 71 articles that explicitly focus on rural populations among a total of 3,004 peer-reviewed articles in 14 top social work journals during the years 2004 through 2008. Possible reasons for the paucity of rural-focused articles within social work journals are posited. We discuss the relative contributions of these journals to development of a comprehensive and useful knowledge base within social work for addressing the needs of rural issues. Future recommendations are made for expanding attention to scholarship in this area.     

Chapter 17. Rural Mental Health

SUMMARY

Mental health services available in many rural communities are too limited in scope and availability to meet the needs of rural citizens. The future of mental health services for the rural poor will be impacted by state government decisions about Medicaid funding priorities. It is important that rural practitioners, especially those that work in the fields of mental health, health, and aging services, engage in advocacy for better coverage of the rural poor and low-income elderly persons. This chapter discusses issues of advocacy related to improving the provision of mental health services to older rural citizens as an important goal in the larger effort to expand and improve rural mental health service delivery throughout the nation.     

End-of-Life Care and Social Work Education

Summary

Social workers are major service providers to people who are facing end-of-life issues including the terminally ill and their families. Yet, exemplary models for social work education and intervention methods are limited in rural states. A statewide survey conducted in Kentucky found only two social work courses dedicated to end-of-life care currently being offered by accredited undergraduate and graduate institutions. Another statewide survey found that many hospice social workers are relatively inexperienced and have a need and desire for more education on death, dying and loss. Also, unique cultural, economic and geographic areas, such as Appalachia are enigmas when it comes to the provision of end-of-life care. This partnership provides a varied perspective on delivery of end-of-life care services with an emphasis on social work interventions and education.     

The Impact of Religiousness,Spirituality, and Social Support on Psychological Well-Being Among Older Adults in Rural Areas

Summary

This paper presents the results of a study on the impact of spirituality, religiousness, and social support on the psychological well-being among rural elderly. With a rural community sample of 215 older adults, hierarchical regression analyses found significant associations between dimensions of spirituality/religiousness, social support, and psychological well-being, with spirituality/religiousness inversely related to depression and social support, positively related to life satisfaction. Findings of this study suggest that practitioners need to develop programs or services that are congruent with religious/spiritual beliefs and practices in order to better enhance the psychosocial well-being and improve the quality of life among older persons in rural areas.     

Social capital and subjective well-being of rural women in China

ABSTRACT

Rural women in China are facing a difficult life situation. They are suffering from both physical and psychological pains. This addresses attention to their mental health and subjective well-being. Based on the Social Capital Theory, this study aims to present the subjective well-being of rural women in China, and explore the related factors. Using the CGSS 2015 survey data, 2355 rural female samples were extracted. T-test, Explanatory Factor Analysis, and stepwise analysis based on the ordered logistic regression model were used. The results showed that the interpersonal interaction factor in social network dimension, the overall trust factor and bonding trust factor in social trust dimension were significantly associated with subjective well-being. The social norms dimension had a weak correlation with subjective well-being. Furthermore, the study also explored the role of the sociodemographic variables and other potential factors. The results echoed to ‘happiness-income paradox’.     

Maintaining solidarity across generations in New Zealand: Support from mid‐life adult to ageing parent

Abstract

This paper establishes the key factors influencing functional solidarity—the material and emotional support mid‐life New Zealanders provide to an ageing parent or in‐law. Using the theoretical framework of intergenerational family solidarity, empirical analysis draws on the 1997 Transactions in the Mid‐Life Family survey of individuals aged 40–54. Results indicate that mature, adult children with no partner and living far from their parent are the least likely to provide emotional and in‐kind help and will be more hesitant to offer emotional support to in‐laws compared to their own parents. Adult children of Christian background, and possibly those who are homemakers and not employed, are more likely to provide in‐kind help, but those in rural areas are less likely. Surprisingly, ill health, a large household, being employed, and continuing to provide help to a young adult child who has left home do not necessarily hinder the respondent in helping an ageing parent. The argument that intergenerational relations are increasingly subject to compromise as mid‐lifers face unprecedented demands for support from other generations needs critical consideration. Further analysis should consider the cultural significance of intergenerational transactions, and how they may be influenced by the cognitive‐affective dimensions of intergenerational family solidarity.     

Wrestling with Legacy

Abstract

Those of us who are children of Holocaust refugees and survivors inherit a complex, multi-faceted legacy that manifests itself in various conscious and unconscious ways at different stages of our lives. In the following pages, I share my journey toward a better understanding and integration of my parents' Holocaust experiences, and of the losses they and their extended families suffered under Nazi rule. That understanding necessitated traveling to my father's place of birth, developing relationships with Germans currently residing there, and immersing myself in the details of the demise of the Jewish community of the small rural village of Roth, Germany.

Immersing myself in my father's Holocaust history was both daunting and healing. It provided me with an opportunity to wrestle with my legacy in a way that interrupted the cycle of intergenerational prejudice that I was passing on to my own children. It inspired me to create an educational exhibit that could teach the lessons of the Holocaust in a way that is personal and relevant to students, with the intent of helping visitors to understand their civic responsibility to actively protest against prejudice and social injustice.     

Discrimination by whom? : Unraveling the effect of experiences of discrimination on depression of multi-ethnic children and adolescents in Korea

ABSTRACT

Using the National Survey of Multicultural Families 2015, we examine the mediation effect of self-esteem and the effects of discrimination from different sources on young people’s depression, and we account for the importance of geographic area. The results indicate that peer discrimination has an adverse effect on depression among multi-ethnic children and adolescents in both urban and rural areas. Further, discrimination from neighbours affects self-esteem and depression among those in rural areas, and discrimination by strangers is strongly associated with depression among urban-residing children and adolescents. Based on such findings, implications for social work practice are provided.     

Navigating Housing Instability and Substance Use: Hidden Tensions Facing Youth in Small Town America

Abstract

Recent scholarship indicates that youth homelessness is a significant problem outside urban areas. However, previous studies have not examined how local contexts shape the experiences of youth who are homeless in rural areas and small towns with high rates of poverty and epidemic drug use. To address this gap, this analysis draws from two components of a large national study of homelessness among youth, using data collected in a small non-urban setting in the Northwest including (1) a subset of 41 (out of 215 nationally) in-depth interviews with youth and (2) a subset of 16 surveys (out of 523 nationally) with service providers. We explored availability of services and how youth navigate housing instability and the service landscape in small communities. We discovered that current or prior addictions sometimes posed risks to the safety of youth and compromised their ability to rely on family supports – a support proving critical in the absence of a formal service infrastructure. Our results suggest that youth experiencing housing instability in the context of high rates of drug use and limited formal services must often choose between meeting competing needs: a place to stay versus sobriety. We discuss the implications for policy, practice, and research.     

Turnover in the Child Welfare Workforce: A Different Perspective

ABSTRACT

Child welfare agencies across the country are experiencing a workforce crisis involving high staff turnover rates. The purpose of this study was to determine which of the organizational, personal, and supervisory variables identified in prior research on this topic are most associated with intent to leave among employees in urban and rural child welfare settings. Four-hundred-and-forty-seven employees in 13 child welfare agencies participated in a survey addressing organizational, personal, and supervisory factors related to turnover. ANOVA, logistical regression, and structural equation modeling were used in the data analysis. The organizational and supervisory variables identified as significant in the logistic regression, as in earlier research, were not significant when the data were subjected to structural equation modeling. Instead, findings suggest that career satisfaction and satisfaction with paperwork are the key determinants of workers' intention to stay.