Long-Term Care Preferences Among Older Adults: A Moving Target?

ABSTRACT

This study investigates long-term care preferences across three hypothetical scenarios and over one year of time among a sample of disabled older women receiving informal care (n?=?420). Unpaid or paid help in one's home was preferred, given scenarios of instrumental activities of daily living (IADL) and activities of daily living (ADL) needs; nursing home care was most preferred for dementia care. While aggregate preferences for long-term care were relatively stable, there was considerable fluctuation in individuals' preferences over time, with just 52.5%, 44.4%, and 44.6% of participants retaining their initial first choice across IADL, ADL, and dementia scenarios, respectively. Implications of study findings are discussed.     

Work–life Balance: Is it Now a Problem for Management?

In Western Australia (WA) there is substantial interest by public sector management in work–life balance (WLB) as a strategy to address labour supply problems. This article considers whether the positioning of WLB as a problem for management provides the opportunity for change resulting in an improved quality of working life in the public sector. We report on the implementation of WLB policies in four WA public sector agencies and conclude that managers are ‘managing’ WLB in a limited way, and largely in an individualized manner, at a level that does not disrupt the usual way of organizing work and employment. For many managers, employees' requests to access WLB policies are perceived as being in conflict with operational goals. The findings highlight the inadequacy of much of the WLB discourse that obscures the tension between, on the one hand, the imperative for managers to implement WLB more effectively and, on the other, organizational practices and the broader social, political and economic context in which management and the organization are located.     

Resolving Accountability Ambiguity in Nonprofit Organizations

Accountability is a much studied subject in the social sciences and is known for its complexity, context dependence, and ambiguity. By conducting a comprehensive literature review and analysis across nonprofit, public, and private sector literatures, this article identifies the causes of ambiguities present in many accountability frameworks and describes the trend toward understanding accountability as a constructed concept combining both instrumental and interpretive elements. The relationship between legitimacy and accountability is considered. The authors develop a holistic accountability framework that facilitates defining and implementing accountability in complex, multi-stakeholder environments, by providing a means to operationalize commonly encountered but ambiguous accountability goals through a social process of deliberative dialogue. The authors conclude by summarizing limitations of the approach and describing future research needed.     

Impact of retirement type on income for people with disabilities

The purpose of this paper is to investigate the impact of involuntary retirement on the economic security of persons with a disability. Very little research examines the economic consequences to forced retirement and no research focuses on persons with disabilities who have a higher rate of involuntary retirement than the general population. Analysing the 2006 Canadian Participation and Activity Limitation Survey, we find that persons with a disability who involuntarily retire have lower median personal and household incomes and they are more likely to be under the low-income cut-off point than those who retire voluntarily. When socio-demographic, socio-economic and geographical characteristics are controlled; those who retired involuntarily are more likely to be under the low-income cut-off point than those whose retirement was voluntary. Further, those who retired involuntarily are more likely to receive disability benefits whereas those who retired voluntarily are more likely to receive retirement income. The authors argue for employers and governments to implement accommodation in the workplace and flexible employment opportunities so that more persons with disabilities are able to continue in their employment for as long as possible.     

Do Caregivers Benefit More From Educational and Volunteer Activities Than Their Noncaregiving Peers?

Informal caregivers are a critical component of the US long-term care system, but caregivers often experience poor physical and mental health as a result of strain from the caregiving role. Engagement in community-based educational and volunteer activities contributes to older adult well-being, but previous studies have not assessed whether the effects of these types of engagement are different for older adults who are also caregivers. Using a sample of participants in educational and volunteer activities sponsored by a national nonprofit organization, we find that participants who are caregivers report more benefit from these community-based activities than their noncaregiving counterparts. Connecting caregivers to existing community-based activities may be an efficient strategy for improving caregiver well-being.     

Hoarding in the Community: A Code Enforcement and Social Service Perspective

ABSTRACT

Hoarding behaviors endanger individuals and their communities. Although there is a growing literature on clinically referred and elderly hoarders, there is limited information about hoarding behaviors beyond these contexts. This study examines the frequency, characteristics, and outcomes of cases involving hoarding encountered by code enforcement officials and social service staff. Prior to an in-service training, 236 social service staff members completed a 43-item survey about their experiences with cases involving hoarding. Respondents reported encountering between two and three cases per year. Although these hoarding cases were estimated to cost more than $3,700 in cleaning fees, 83% of respondents reported having received no prior training on dealing with hoarding. Survey responses suggested that hoarding situations were difficult to resolve and involved multiple community agencies. Collectively, hoarding behaviors appear to be a problem regularly encountered by social service members, who often serve as the initial point of contact. Along with increased training, future research is needed to develop and evaluate collaborative interagency protocols to manage this multifaceted problem. Empirically informed interagency protocols may facilitate the timely referral of community hoarders to mental health professionals and may lead to improved outcomes.     

Social Work Students' Perceived Knowledge of and Preparation for Group-Work Practice

ABSTRACT

The purpose of this study was to identify factors relevant to social work students' perceived knowledge of and preparation for group-work practice. In addition, the experiences of students in the classroom and in the field are discussed in relationship to these variables. Although classroom and field experiences were significant, exposure to group in the field placement was a much stronger predictor of group-work knowledge. Students reported feeling most knowledgeable about the concepts of mutual aid, diversity, group culture, and group phases. Reported gaps in learning were related to research and legal issues associated with group work.     

Older Men in the Homeless Shelter: In-Depth Conversations Lead to Practice Implications

This article reports on the themes generated by face-to-face interviews conducted with 10 men over the age of 50, currently homeless and residing in an overnight homeless shelter. In-depth interviews were conducted asking these men to tell their stories, talk about their lives in the shelter, and speak about their needs, hopes, and dreams. Based on an analysis of interviews, the following themes emerged and were presented: Talk of Work, Barriers to Housing are Overwhelming, Family Estrangement, and Coping Strategies. Discussion of these themes is presented and practice, administrative and research implications are suggested.