"Many Helping Hands": A Review and Analysis of Long-term Care Policies, Programs, and Practices in Singapore

Using the political economy perspective to examine key long-term care policies and provisions, we uncover some ideological underpinnings of policy-making in Singapore. Family involvement, an inherent part of the long-term care system, is overtly reinforced by legislations and policy imperatives. Further, the government encourages and expects the participation of nonstate actors in the provision of services as part of its Many Helping Hands approach to welfare provision. In our analysis, we argue that the government's emphasis of certain ideology, such as self-reliance and cultural exceptionalism, allows it to adopt a residual and philanthropic approach in support of its macro-economic and legitimacy concerns.     

Selection,Optimization, and Compensation: Strategies to Maintain,Maximize, and Generate Resources in Later Life in the Face of Chronic Illnesses

This qualitative study of 45 older adults examines how they allocate their resources in the face of chronic health conditions. Participants were recruited from 2 senior centers and interviewed about their repertoire of activities, any changes in those activities in later life, and meanings they ascribed to those changes. The Selection, Optimization, and Compensation model guided our analysis and interpretation of participants' responses. The findings demonstrate the complexity of participants' responses to age-related changes, particularly in how they adapted and negotiated both their perception and life goals when faced with changing social landscapes. We discuss some implications and nuances of our findings.     

Foreign Domestic Workers and Eldercare in Singapore: Who Hires Them?

In Singapore, policy makers expect families to remain actively involved in the care of their frail older relatives, as manifestly expressed in its Many Helping Hands approach to long-term care. To enable families to fulfill this expectation, the government has enacted policies that encourage the hiring of foreign domestic workers (FDWs) to complement or supplement informal caregiving efforts. Using the Andersen Behavioral Model, we were interested in identifying caregiver and care receiver characteristics that might predict the hiring of FDWs. With data from a convenience sample of 488 informal caregivers, we ran logistic regression regressing the hiring of an FDW on various predisposing, enabling, and need factors. Of interest, enabling factors such as household income, housing type, and educational level were predictive of hiring an FDW in the home. Only one need factor, time spent in caregiving, was predictive of the increased likelihood to hire an FDW. Policies that encourage the marketization of care are likely to favor those with financial means and inadvertently ignore the caregiving burdens of lower income families. In addition, we suggest research and policies to ensure the well-being and protection of FDWs who have become a key component of the long-term care policy and practice in Singapore.     

Social Support and Self-Rated Health of African American Women Informal Caregivers: Urban and Rural Differences

In this study, we examined how geographic location might differently influence social support and self-rated health for rural and urban African American women caregivers. We used cross-sectional data from 253 urban and 263 rural women primary caregivers. Controlling for key demographic factors, we regressed caregivers’ self-rated health on social engagement, structural, and functional aspects of social support for urban and rural caregivers separately. The perception of family functioning was positively associated with urban and rural caregivers’ self-rated health. Urban caregivers reported having significantly more contact with their family and more informal helpers compared to rural caregivers. Furthermore, church attendance, a measure of social engagement, was significant for urban caregivers’ self-rated health, but not rural caregivers. Our findings affirmed the importance of foregrounding context and disaggregating social support, and point to the need for interventions targeting family functioning and paying attention to geographic location.     

The application of the Olmstead decision on housing and eldercare

This article reviews the Supreme Court's interpretation of Title II of the Americans with Disabilities Act (ADA) and discusses its application for the frail older person. The parallels and differences between the societal ideas about, and the development of, community-based housing programs for younger populations of people with disabilities and for aging populations will be examined. This article explains how frail older people may be included in the ADA's definition of persons with disabilities. It then explains the Supreme Court's interpretation of discrimination in Olmstead v. L.C. ex rel Zimring (1999). Lastly, it examines the implications of the Olmstead decision for long-term care as it relates to housing for older people.     

《福乐智慧》中所反映的早期苏非

对于一个正在谋求发展的政权,苏非的避世苦修、清心寡欲、淡泊名利、不问世事并不值得提倡,正如11世纪新疆喀喇汗王朝的著名文学作品《福乐智慧》所提到的日出国王统治的国度,伊斯兰教正统派信仰盛行并以积极的态度参与国家治理。当时苏非已经出现,处于发展的初期阶段,属于个人行为,未形成大的苏非教团,但显然在社会和统治阶层中得到了一定程度的认同。究其原因,苏非神秘主义以其虔诚的独特的思想体系和修行方式为穆斯林的宗教生活增加了直觉体验和宗教情感,是对穆斯林宗教生活的合理补充。     

A MADM justification of a budget reduction decision

In 1988, a significant budget reduction at the University of Wyoming left the Athletic Department nearly $700,000 short on operating funds compared to the previous biennium. In order to make the necessary monetary cuts, the Athletic Department eliminated the men's and women's varsity ski teams from University sponsorship, thus removing one of the most successful and popular programs from the athletic family. A protest of this action quickly spread throughout the state and the Athletic Department received harsh criticism. However, through the cardinal preference techniques of Multiple Attribute Decision Making, it was determined that the criticism of the Athletic Department for dropping the ski programs was unfounded. But in light of the politics of the situation, after several months of deliberation, the ski programs were eventually reinstated with a greatly reduced budget and the team committed to raise a certain percentage of their monetary requirements through their own fund raising efforts.     

语言意识形态和语言秩序:全球化与美中两国的多语(教育)战略

全球化给美国和中国的多语教育带来什么挑战?美中两国采取何种语言战略应对全球化挑战?这些都是全球化时代大国在政治斗争和软实力较量中不可回避的问题.针对这些问题,本文提出语言意识形态和语言秩序两个概念,并以这两个概念为理论框架,对美中两国的语言意识形态、语言秩序及语言战略的历史和现实做出初步分析.全球化正在改变美中两国的语言意识,并重组两国的语言秩序,从而给多语教育带来挑战和机会.     

Prevention of Elder Mistreatment in Nursing Homes: Competencies for Direct-Care Staff

Existing training on elder mistreatment in nursing homes focuses on detection and reporting of abuse, with little training specifically targeted toward prevention of mistreatment before it occurs. We used qualitative interviews with nursing home staff, policy makers, and related professionals to identify training needs. Based on participant accounts, we drafted a number of competencies essential for caregiver training to prevent mistreatment in nursing homes. Competencies include those dealing with definitions and policies, risks for mistreatment, communication and respect in relationships with residents, and development of a cooperative work environment. Competencies are discussed along with illustrative examples, and implications for practice and policy are addressed.     

Implementing a Gero-Infused Curriculum in Advanced-Level MSW Courses in Health,Mental Health and Substance Abuse: An Evaluation

This article presents evaluation results from a curricular innovation aimed at increasing the capacity of social work graduates to serve older adults in health, mental health, and substance abuse settings. Working as a team, faculty developed, incorporated, and evaluated gerontology-infused syllabi and teaching modules in multiple sections of the 3 courses, with 2 sections serving as a comparison group. Results indicated that students exposed to the gero-infused curriculum increased their age-related knowledge and self-competence from pre- to posttest, and achieved a greater increase in knowledge than did the comparison group. Implications of the findings to social work education are discussed.