Integration of Supportive Psychotherapy with Case Management for Older Adults with Borderline Personality Disorder

This article attempts to demonstrate how supportive psychotherapy may serve as a companion therapeutic modality for case management activities with older adult clients suffering with borderline personality disorder (BPD). Justification for this approach is provided and techniques and interventions are identified. Three case examples demonstrating the modalities integration are provided.     

Medical and housing needs of older part-time migrant workers and the role of government: the Linyi model in China

The political, social and academic attention on migrant workers in China has been focused on the full-time worker while those who seek part-time work are rarely studied. We explore the effect of part-time day-labour employment of older migrants in an odd-job market in Linyi City. The medical, housing needs and available services for them are analysed. The Linyi government pioneered a program providing comprehensive services to part-time migrant workers, allowing this study to explore the strengths and weakness of the model. Building the appropriate social service industry competencies demands a joint effort from the government, community, organizations, researchers and enterprises.     

Out-of-Pocket Expenditures and the Financial Burden of Healthcare Among Older Adults: By Nativity and Length of Residence in the United States

Newly arrived older immigrants in the United States tend to be greatly affected by increasing out-of-pocket healthcare expenditures due to their limited insurance options. To examine such disparities in the out-of-pocket expenditures, this study analyzed the Medical Expenditure Panel Survey by immigrant status. Major findings of this study indicated that although recent immigrants had lower total healthcare expenditures, they spent much higher proportions of their annual income on out-of-pocket medical payments, compared with their US-born counterparts. Dramatically higher out-of-pocket burdens among recent immigrants represent a barrier to necessary healthcare, which needs to be addressed from both public health and economic perspectives.     

Rules for Aging

In qualitative interviews and focus groups, older informants articulated "rules" for aging, Lhat is, principles for responding to age-related changes. Analysis of these rules distin- guished three basic types: those advocating resistance to aging; those urging acceptance and accommodation; and those encouraging con- lrol of one's thinkine: to sidesteo oainful reactions lo chanee and loss. Each type implies different assumptions about old age.     

The Application of Family Systems Theory to Geriatric Hospital Social Work

Integrating and applying Family Systems Theory principles into the assessment and treatment process of families of hospitalized high risk elderly is an area that has received little attention in health care literature. The multigenerational approach is a model that can be used as a clinical framework for guiding the social workers in developing intervention strategies when working with hospitalized high risk elderly and their families. This approach can be extended to clinical assessment techniques and psychosocial rationales for discharge planning. Three case examples are presented to illustrate how Family Systems Theory can be integrated into social work practice resulting in effective interventions for hospitalized high risk elderly and their families.     

A Comparison of Rural and Urban Older Adults in Iowa on Specific Markers of Successful Aging

This study examines the differences between rural and urban older adults on level of life satisfaction and depressive symptoms, focusing on the effect of social support. Data were collected through structured interviews at senior centers and senior meal sites in eastern and southeastern Iowa. The Duke Social Support Index (DSSI), the Life Satisfaction Index-Z (LSI-Z), and the Geriatric Depression Scale 15 (GDS15) were used. Correlations (Pearson's r), independent sample t-tests, and multiple regression were computed. Findings indicated that urban residents reported more depressive symptoms, as compared to rural residents. Subjective level of social support was a stronger predictor of life satisfaction and was more negatively related to depressive symptoms among rural than among urban older adults. Results suggest that social workers who work with aging people need to be aware of rural–urban differences in mental health. Furthermore, social workers need to have knowledge of older adults' social networks and work to ensure greater opportunity for social interaction.     

Geriatric Social Work Career Tracking: Graduates of the Hartford Partnership Program for Aging Education (HPPAE)

Despite a growing need for geriatric social workers, there is a question as to whether MSW graduates who are gerontologically prepared actually enter the workforce to serve older adults. By tracking MSW graduates who had special training in aging, this study aims to explore their job search and career experience. Findings show that most graduates located aging-related jobs 4 months postgraduation and remained committed to the field 1 to 2 years later. The majority were working in direct service provision in clinical settings. Their salaries compare favorably with those of generic social workers. Implications for geriatric social work education are discussed.     

Caregiver's Spirituality and Its Influence on Maintaining the Elderly and Disabled in a Home Environment

ABSTRACT

This study examined the role that faith-based organizations play for caregivers in maintaining the elderly and disabled in their homes. The study explored if persons who use religious beliefs and practices cope with caregiver stress better than those who do not use religious beliefs and practices. The study also explored the role of religious coping as a factor affecting decisions to institutionalize, and the role that faith-based practices and organizations play in helping caregivers maintain the elderly and disabled in their homes.     

Lifelong Resiliency Learning: A Strength-Based Synergy for Gerontological Social Work

The significance of the synergy between promoting resiliency and the strengths-based perspective is well established in gerontological social work. This article reports on qualitative research that suggests another potentially productive synergy, one that can result from the interaction between the capacities for resiliency and lifelong learning. These findings emerged from a qualitative study involving 12 older women (ages 64–72) participating in the Osher Lifelong Learning Institute at the University of Southern Maine. Lifelong learning is defined as a cognitive process by which individuals continue to develop their knowledge, skills and attitudes over their lifetime. The implications of the data are considered from a multidisciplinary perspective that includes gerontological social work, educational gerontology, and adult learning. Specific social work research and practice initiatives that could confirm and operationalize this synergy are suggested.