Resident-to-Resident Abuse in Nursing Homes as Reported by Nurse Aides

Information on the scale and scope of resident-to-resident abuse, including verbal, physical, material, psychological, and sexual abuse, is presented. Nursing homes (n = 249) from ten states were used, with a total of 4,451 nurse aides in these facilities returning the questionnaire. Most nursing homes experienced verbal, physical, material, and psychological abuse, but sexual abuse was less common. Our findings clearly show that both the scale and scope of resident-to-resident abuse is high in nursing homes. Resident-to-resident abuse is common enough to be considered an issue of concern impacting the quality of life and safety of many residents.     

Gambling Behaviors Among Oxford House Residents: A Preliminary Investigation

ABSTRACT

The present study investigated the prevalence of gambling behaviors among 71 individuals recovering from substance-dependent disorders and living in self-run recovery homes (Oxford Houses). Residents were given the South Oaks Gambling Screen to assess gambling behaviors and pathological gambling, and 19.7% of the sample was identified as having probable pathological gambling. These residents reported proportionately more involvement in a variety of gambling behaviors than other residents. Engagement in various gambling activities was consistent with previous investigations and suggested that self-run recovery homes such as Oxford Houses might be suitable referral sources for recovering persons who have comorbid gambling problems.     

Discharge Planning

Discharge planning services have become very important to older adults who are subject to shortened hospital stays due to the prospective payment form of reimbursement based on diagnostic related groups (DRGs). A study of older adults discharged from three acute care hospitals in New York City shows a direct association between patients' satisfaction with their discharge plan and the number of services arranged by discharge planners. Patients told, "your DRGs are up" as the reason for their discharge, needed the greatest amount of help with activities of daily living. Implications for social workers offering discharge planning services are addressed.     

A Good Death for Residents of Long-Term Care

Abstract

Little research has been done on the topic of end-of-life care in long-term care settings to identify important themes regarding end-of-life care structures, processes, and outcomes. This study utilized data gathered in a stratified, random sample of 437 family members of residents who died in 31 nursing homes (NHs) and 199 residential care/assisted living facilities. Structural components of care including staffing adequacy, training, and consistence as well as facility environment and size were important factors for family members interviewed. “Being there” and manner of care delivery (e.g., staff attitudes/empathy) were major elements in the process of care. These factors were mentioned more than direct care, Hospice, or resident preferences. Family members identified themes of [dying at] home and being comfortable and clean as important outcomes of care. These identified structural components, processes, and outcomes have implications for the role of social workers in these settings despite that social work support is notably absent in these findings.     

Aging of Indian Women in India: The Experience of Older Women in Formal Care Homes

The feminization of aging is a process that has begun in India but is not occurring uniformly throughout India. Older women are more likely to be widowed, poor, and suffer vulnerability to adverse outcomes like poor health. With the changing social landscape of India, middle-income older women are increasingly opting for ‘pay and stay homes’, an emerging type of old age home in India. Majority of the 97 women residents of ‘pay and stay’ homes reported being widowed (68%), and 25% were childless. Childlessness and widowhood were important considerations in the decision to relocate to an old age home. Older women reported higher degrees of psychological closeness and contact with daughters than sons, and the overall social network size was small. High prevalence of diabetes rates among older women carries implications for potential functional disability. Strong advocacy measures for empowering older women in India should be a priority policy directive.     

Assessment of multiple constructs of social integration for older adults living in nursing homes

ABSTRACT

A variety of terms and measures have been used in the literature to denote being socially integrated, and many studies of older adults focus on only social networks or social support and often only include those living in the community. The purpose of this study was to assess multiple constructs of social integration (i.e., social networks, social capital, social support, and social engagement) for older adults in nursing homes. Data were collected from 140 older adults at 30 nursing homes in Kansas. We interviewed older adults’ in-person using a survey questionnaire, and used multilevel confirmatory factor analysis to analyze the data. The final model that included the four constructs had acceptable fit (χ² = 174.71; df = 112; p < .01; CFI = .93; RMSEA = .06; SRMR-W = .06; SRMR-B = .12). The results showed that the proposed model was supported at the individual level. At the between-level, social networks and social support were supported. Study results have methodological and practice/policy implications for the study of older adults in long term care settings. In particular, this study contributes to understanding how to operationally define and differentiate social integration variables in studies of older adults, particularly when study data are hierarchical.     

Does what happens in group care stay in group care? The relationship between problem behaviour trajectories during care and post‐placement functioning

Residential programmes for youth may improve youth behaviour during placement, but it is not clear whether there is an association between a youth's behaviour pattern during placement and post‐placement outcomes. Life course perspective has been used to understand longitudinal patterns and pathways, and new statistical methods have been developed to identify latent trajectory groups. This study used administrative data from a family‐style group care programme to assess whether a youth's externalizing behaviour trajectory while in placement can significantly predict delinquency and adjustment outcomes at discharge and 6‐month follow‐up. Findings from multinomial logistic regression revealed a statistically significant relationship between a youth's behaviour trajectory class and outcomes. Behaviour pattern during care was a stronger predictor of outcome than cross‐sectional measures such as other demographic factors, placement history or mental‐health need indicators.     

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.     

流动与家庭--农民外出就业与家庭关系研究综述

农民外出就业,对农民的家庭以及家庭关系的变迁产生巨大的影响.大多数家庭夫妻关系稳定,但有些男性则因经济收入和职业地位变化而产生家庭危机.流动农民的孩子,特别是父母双方均外出的孩子的学习成绩一般不理想甚至很差.留在农村的老人经济上的供养提高了,但抚养孩子、沉重的家务以及田间劳工往往使老人疲惫不堪.     

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.