Multidimensional life satisfaction,stressful events and social support network of Brazilian children in out‐of‐home care

In 1990, the Child and Adolescents' Statute was passed in Brazil which led to important changes in shelter homes for children who have been removed due to child maltreatment. However very few studies have been conducted on this population since this policy change; the goal of this study is to assess the multidimensional life satisfaction, stressful life events and social network of children living in shelters compared with those living with their families. The sample consists of 155 children ages 7–16 years living in shelters and 142 children living with their families. Data were collected using a structured interview, the Multidimensional Life Satisfaction Scale, the Stressful Life Events Inventory and the Five Field Map. The shelter sub‐sample had many at‐risk characteristics; they also had significantly greater average scores on stressful life events and social support network, while they had lower than average scores on multidimensional life satisfaction. Factors that significantly contributed to predicting life satisfaction were stressful life events, social support network and conflicts with family members. The findings highlight differences between children living in shelters compared to those living with their families; this article also discusses the policy implications of these findings for child welfare practice in Brazil.     

Breaking the Walls. The Representation of Domestic Space in Hungarian Panel-Films

The paper investigates how socialist architecture – both as location and visual text – functions as tool of political criticism in the late socialist cinema of Hungary. Through the textual analysis of the living space in the socialist bloc in Péter Bacsó’s A Pianino in Mid-Air (Zongora a levego”ben, 1976), Béla Tarr’s Family Nest (Családi tu”zfészek, 1977) and Prefab People (Panelkapcsolat, 1982), Péter Gothár’s A Priceless Day (Ajándék ez a nap, 1979) and György Szomjas’s Wall Driller (Falfúró, 1985), the study dwells on the elimination of domestic space in the films which, as argued below, corresponds to the families’ disintegration and so to the failure a coherent, socialist society.     

A federal survey deficiency citation is needed for resident-to-resident aggression in U.S. nursing homes

Resident-to-resident aggression (RRA) in nursing homes is a prevalent and concerning public health problem. A rapid growth in the number of research studies has led to advancements in understanding and awareness of these incidents. However, no state survey deficiency citation (F-Tag) currently exists to capture RRA in a structured way in the Centers for Medicare & Medicaid Services’ (CMS) nursing homes F-Tags Coding System. This omission represents a major barrier to State Survey Agencies, CMS, consumers, and care advocacy organizations’ efforts to keep vulnerable and frail residents safe and free from psychological harm. The commentary makes the case for development and implementation of a new RRA-specific F-Tag by identifying 20 problem areas and the ways in which this F-Tag could address them. The new F-Tags Coding System (part of the new Federal Nursing Home regulations) represents a rare and time-sensitive opportunity to bridge this major gap in practice, research, and policy.     

Case Management in the Law Office

Abstract

This study examines the assumption that including Black-Americans with larger samples of White-Americans produce an accurate picture of the predictors of nursing home use by Black-Americans. Using the Longitudinal Study of Aging (1984-1990), Cox proportional hazard models are estimated for Black-Americans and White-Americans. This study finds that in fact the models for Black-Americans are not the same as for White-Americans. For Black-Americans, living below the poverty line, problems of functional status, age, and not having the potential for care for a few weeks from relatives (in or out of the home) are predictive of a higher risk of nursing home use while, for White-Americans, age, lower versus higher income, being female versus male, poor evaluation of self health care, poor functional status, lower levels of community activity, and living alone compared to living with a spouse or children were predictive of a higher risk of nursing home admission. The implications for policy and case management practice are discussed regarding these findings.     

Chapter 7 Sexual Abuse of Older Women Living in Nursing Homes

Abstract

Aggregated data from APS case files of sexually abused older women between the agesof70 and 89living in nursing homes were collected over a five-year period, yielding a total of 50 substantiated cases. The most common types of sexual abuse involved instances of sexualized kissing and fondling and unwelcome sexual interest in the women's body. All alleged perpetrators were male; they typically were 70 years of age and older and residents in the nursing home. In only three cases was the alleged offender prosecuted in court and only one of these cases was the offender convicted. Implications of these data for future practice and research are discussed.     

Continuing Care Retirement Communities:

No abstract available for this article.     

Life Space Over the Life Span

Much of the literature in gerontology has focused on the objective paramters of age, and the narrow causal links between behavior and environment. This has reduced the multi-layered experience of aging to stage-specific taxonomies of a disengagement process which depict behavioral units and overt operational actions, or alternately a developmental-biological paradigm that presents aging as a progressive deterioration of physical and cognitive copmetence. A more wholistic and open perspective of 'topophilia', or i.e., the relations, perceptions, attitudes, values and world view that affectively bond people and place was chosen. An oral history interview method was selected where elderly informants were invited to trace their environmental biographies over their life span. In this way the investigators were able to treat their informants' place memories as experiential data and analyzed the content of their remembrances for significant and recurring themes about space and place. This approach yielded importance insights into fundamental life themes of autonomy, privacy, environmental mastery, and sense of place.     

Chain Reaction

Abstract

This paper reports on an exploratory study of nursing home bankruptcy. From state and industry data regarding nearly 1,000 California facilities, it was possible to identify 155 homes in five chains (multi-facility organizations) that were operating in bankruptcy in 2000. When compared with facilities in non-bankrupt chains, while the bankrupt chain facilities had significantly worse financial liquidity, higher administrative costs, and higher payables to related parties, they also had more Medicare residents, fewer Medicaid residents, better solvency, and were located in less competitive county markets and in areas with higher Medicaid reimbursement rates. These findings indicate that, rather than facility characteristics and local market factors, strategic decisions taken at the corporate (chain) level are the major determinants of nursing facility bankruptcy status.     

社区互助养老与村办敬老院可持续运营——以福建省晋江市萧下村敬老院为例*

社区互助养老是指在社区组织动员下,社区居民本着志愿互助原则以无偿或低偿形式提供场所、资金与劳务,以支持社区养老事业的发展。本文以晋江市萧下村敬老院为个案,介绍社区互助养老机制在村办敬老院的实践情况,有效降低运营成本,实现村办敬老院可持续发展。萧下村敬老院由村老年协会管理,老年协会与宗祠管委会重合,社区资源动员能力强。     

The Effect of Financial Incentives and Access to Services on Self-funded Admissions to Long-term Care

With the growth in the numbers and proportion of older people in the population the funding and incentive structures around long‐term care are of international concern. A study of the circumstances of self‐funded admissions to care homes allowed the comparison of self‐funders with publicly funded admissions to care homes in the UK, the influences on self‐funders in their decision to move into a care home and resources on which they were able to draw. These findings contribute to our understanding of the impact of current policy on self‐funders and our thinking about the way that future policy and practice changes could improve the way we use society's resources in the provision of long‐term care.