In Their Own Words: Participants' Perceptions of the Impact of Adult Day Services

Despite the growth in the number of adult day services programs providing long-term care in the United States, researchers have struggled to consistently identify the benefits of the services to older adult participants. Instead of identifying participant outcomes driven by administrative databases, funding requirements or accreditation expectations, this study attempted to identify outcomes through the lived experiences of the older adult participants through one-on-one interviews after 3 months of attendance. The purpose of this qualitative study was to gain an understanding of the experiences of older adult participants and to build theoretical understandings that connect experiences with outcomes. Twenty-eight semistructured interviews were conducted with older adults attending 4 day health programs administered by 1 organization in a large mid-west City. Three main program experiences were identified: social connections with participants, empowering relationships with staff, and participation and enjoyment of activities and services. These experiences seemed to be associated with perceived improvements in psychosocial well-being and a perceived decrease in burden or dependence on the caregiver. The findings provide theoretical connections that are helpful for exploring the impact of adult day services based on participant perspectives. Results suggest a need for further examination of the role social workers play in supporting psychosocial services within adult day programs.     

State Variations in Nursing Home Social Worker Qualifications

ABSTRACT

This is the first published account of state administrative code variations in nursing home social worker qualifications. It is important to review state codes because the majority of nursing homes in the U.S. have fewer than 121 beds and therefore are not required by the federal government to employ at least one full-time qualified social worker. States have the option of extending the federal regulations to homes with 120 or fewer beds, or strengthening the federal requirements in other ways. Findings indicate enormous variation in state requirements for qualifications of nursing home social workers, and even when states define a qualified nursing home social worker (not all do), they often exempt facilities from employing one. Seven states were found to be out of federal compliance. Research describing the qualifications of people employed in nursing home social services is called for, as well as research documenting effective psychosocial interventions, especially as they relate to resident quality of life. Ten recommendations for enhancing nursing home social work services are included.     

Boomers' Prospective Needs for Senior Centers and Related Services: A Survey of Persons 50–59

The future service needs of baby boomers are unclear. A survey addressing work/retirement, family, civic engagement, health, caregiving, leisure, and perceptions of senior services was mailed to 800 addresses randomly selected from a upper Midwestern county voter registration list. The response rate was 28%. Fifty-three percent of the respondents (N = 225) intended to work and increase civic engagement. They expected more time for hobbies and friends, and to travel more. Family will continue to be their highest priority. These findings will be useful to service providers who are invested in providing services that are attractive to boomers.     

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.     

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.     

Developing a Community-Based Social Service Program for the Elderly

This article describes the development and implementation of a community-based social service program for the elderly. The problems encountered as a new professional unit within the municipality are analyzed and the role of the social worker in resolving those problems is described. The local community is the primary focus of change and strategies of intervention include reaching out and involving members from all levels of the community in the social service program, from members of the client group to individuals with political influence in the governmental system. Planning considerations for social work practice are posed including the relationship of the private, nonprofit sector to the public sector, the demands for service and difficulties establishing program stability.     

Social Ties and Life Satisfaction of Older Persons:

Social ties, including family relationships, friendship ties, and community involvement are expected to inhance the life satisfaction of older people. But relationships among the social ties and the relative importance of these ties to life satisfaction remain unclear. To examine these relalionships, we analyzed data from more than 2,300 small-town Iowa respondents who were 50 years of age or older. Our results tended to support those reported in a previous article in this journal, particularly on the success of friendship ties and the failure of family relationships to predict life satisfaction. We found an even stronger relationship between community involvement and dissatisfaction with life, however. In addition, we analyzed data from four communities separately and found relationships varying substantially among them, thus influencing our conclusions.     

Post Acute Care of the Elderly in Singapore What Factors Influence Use of Services?

This research focused on understanding the factors associated with utilization of post-acute care services in Singapore and how these are woven into family care as well as the lived experience of elderly persons and their families. The multi-method study applied Andersen's model and the quantitative results of the 299 elderly Singaporeans surveyed showed medical and physical conditions, perceived health and utility, knowledge and previous use of service, ethnicity, family size, paid help, housing type, and living arrangement as significant factors. Qualitative results from interviews of a subsample of 13 elderly and their family members and focus group discussions of providers consistently pointed affordability of services as an important factor. Findings surfaced the question of service accessibility and its implications on practice, policy, and research.     

Implications of Large Burial Sites of Songze Culture

江苏省张家港市东山村崧泽文化早中期大墓的发现, 证明长江下游在距今 五千七、八百年以前已存在明显的社会分化, 初级王权已经产生, 社会已进入“古 国” ¹ 1 “古国” (guguo), a concept put forward by Su Bingqi, literally means “ancient state.” This literal translation is adopted in this paper. However, the author believes that in Su’s theory, guguo is roughly equivalent to “chiefdom” in the West. 阶段。在中国古代文明演进过程中, 率先开始社会重大转型的不是黄河中游的 中原地区, 也不是以古长城地带为中心的北方地区, 而是崧泽文化所在的长江下游地 区。该遗址的发现还表明, 在文明化进程中, 中国古代最早出现的 “古国” 的性质和 表现形式并不完全一样, 有的是神权至上, 有的是王权至上, 从而导致其发展方向和 发展前途的不同。

关键词: 崧泽文化 社会分化 王权

The discovery of large burial sites belonging to the early and middle stages of Songze Culture at Dongshan Village, Zhangjiagang, Jiangsu Province, shows that distinct social polarization had already emerged in the lower reaches of the Yangtze River 5,700 or 5,800 years ago, when the initial stage of kingly power had taken shape and society had entered the stage of the “ancient states.” In the course of the evolution of ancient Chinese civilization, this area—rather than the Central Plains in the middle reaches of the Yellow River or the northern area centered around the ancient Great Wall—was the first to experience significant social transformation. This discovery also indicates that when the “ancient states” first appeared, they varied in form and character: some took the form of theocracies while others were dominated by kingly power. These differences meant that they developed in different directions and had different outcomes.