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The Emotional Impact On Elderly Spouses Who Placed Their Loved Ones In Long-Term, Barbara Hunt

Walden Dissertations and Doctoral Studies

Aging may bring mental and/or physical decline. There may come a point when a loved

one needs long-term care in a nursing home. The purpose of this phenomenological study

was to examine the community dwelling spouses' emotional state. A study was

conducted with 10 individuals (5 men and 5 women) who had a spouse in long-term

nursing care. Inclusion criteria was to be at least 65-years old, have been married at least

30 years, and reside alone in his or her own home. The social emotional selectivity theory

and the construct of boundary ambiguity were applied to view the epoch. …

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This …

Health Status, Medicare Part D Enrollment, And Prescription Drug Use Among Older Adults, Jin Kim

The Journal of Sociology & Social Welfare

To account for potential selection factors in the observed relationship between Medicare Part D coverage and prescription drug use, this study uses data from the 2010 and 2012 waves of the Health and Retirement Study (HRS) to first examine the determinants of Medicare Part D enrollment, paying particular attention to the role of functional health status on the enrollment decision. Next, the study assesses whether and to what extent Medicare Part D coverage moderates the effect of functional health status on prescription drug use and monthly out-of-pocket spending among older adults. As prior studies indicate, the findings reveal that individuals …

The Impact Of Acculturation On Perceptions Of Elder Abuse And Help-Seeking Behaviors Among Elderly Polynesians, Myra Halaevalu Te’O Aukusitino

Theses and Dissertations

This applied dissertation was conducted to determine whether or not acculturation affects the process of help-seeking patterns and behaviors for Polynesian victims of elder abuse. The researcher utilized a quantitative correlation design to employ structured survey measures to collect statistical data to determine the impact of acculturation on perception of elder abuse and help-seeking behaviors among elderly Polynesians. Acculturation was measured using the Polynesian Self-Identify Acculturation Scale and the 13 case scenarios developed by Moon and Williams. The study looked at the extent to which elderly Polynesians perceived that the scenarios depicted abusive situations, and to what extent they indicated …

Aging In Rural Appalachia: Perspectives From Geriatric Social Service Professionals, Natalie D. Pope, Diane N. Loeffler, D. Lee Ferrell

Social Work Faculty Publications

This paper uses qualitative methodology to explore the experience of growing old in rural Appalachia. Given the growing population of older adults seeking and utilizing services, it is important to understand the challenges and specific needs related to aging. Within the context of rural Appalachia, these challenges and needs may be different than those in urban areas or areas outside of the region itself. From interviews with 14 geriatric service providers in rural southeast Ohio, the authors were able to identity three prevalent themes associated with aging in rural North Central Appalachia: scarcity of resources, valuing neighbors and family, and …

Upaya Perlindungan Anak Melalui Pelayanan Shelter Anak : Studi Deskriptif Rumah Peduli Anak Tenaga Kerja Indonesia, Dyah Susilowati, Sofyan Cholid

Jurnal Ilmu Kesejahteraan Sosial

This research discussed about the efforts of child protection through the implementation of shelter children service at Rumah Peduli Anak Tenaga Kerja Indonesia (RPA-TKI). The purpose of this research is to describe on the protection of and services provided by RPA-TKI to children who are vulnerable to the TKI neglect and child trafficking. This research is qualitative research with the kind of descriptive research. The results of this research described that the service which is provided by RPA-TKI is child protection services in the form of children’s shelter in order to meet the basic needs of TKI’s children. The service …

Human Sexuality As A Critical Subfield In Social Work, Emily Mccave, Benjamin C. Shepard, Virginia Ramseyer Winter

Publications and Research

Human sexuality is of vital importance to social work practitioners, educators, and scholars. Yet historically, the profession’s leadership around it has waxed and waned, impacting practice. This article discusses the importance of human sexuality as a critical subfield within social work. It suggests that the mechanisms, namely textbooks, journals, and national conferences, for stimulating human sexuality social work scholarship are limited. The authors assert that the taboo of human sexuality limits the advancement of a cohesive professional discourse and contributes to the continued oppression of marginalized populations. Recommendations for providing better support for those who study, teach, and practice in …

Housing With Services: Year 1 Evaluation, October 2014, Paula C. Carder

Institute on Aging Publications

This report describes the initial findings of an on-going evaluation of the Housing with Services project based in Portland, OR. Housing with Services was supported, in part, with funding from Oregon’s State Innovation Model (SIM) project grant from the Center for Medicare and Medicaid Innovations to Cedar Sinai Park.

Housing with Services, LLC is a collaborative model of supportive services delivered or made available to low-income residents of affordable housing. The SIM grant helped to establish the project and funded the evaluation of the program implementation and resident- and system-level outcomes.

The collaborative model includes partnerships between health plans, coordinated …

Senior Mental Health Specialist Investment, Diana L. White, Linda Dreyer, Julie Reynolds, Alice Updike Scannell, Serena Worthington

Institute on Aging Publications

Participants: Thirty-five informants were interviewed or completed a survey for this report. They represented the Budget Note Workgroup and others identified by workgroup members. Informants represented aging services, mental health, advocacy, and other sectors such as long-term care, quality improvement, and health/medical care. Both those with a statewide focus and those with a local agency or community focus participated, including people from rural areas of the state.

The Problem: According to informants, mental health needs of older adults are not being met because:

• Systems are fragmented. The organizations that could address these needs work in silos with different funding priorities, …

Social Work Students' Attitudes And Perceptions About The Affordable Care Act, Yvichess Goddard

HIM 1990-2015

Objectives: Few research studies have analyzed college students' attitudes of health reform caused by the Affordable Care Act (ACA). Specifically, no studies exist looking at undergraduate and graduate social work students' views on current health reform. The study will ask two questions: (1) What do Social Work students know about the components and potential impacts of the ACA, and (2) Are there any characteristics of students associated with their level of knowledge or attitudes about the Act? Methods: A 53-item survey questionnaire inquiring knowledge, attitudes, and perceptions related to health reform and the Affordable Care Act was dispersed to a …

Grandfamilies Outcome Workgroup’S (Grow) Review Of Grandfamilies Support Groups: An Examination Of Concepts, Goals, Outcomes And Measures, Kerry A. Littlewood

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

A support group is the most widely used intervention for grandparents and other relatives raising children. Support groups require few resources to establish and are relatively inexpensive to implement. Despite the popularity of support groups for grandfamilies, there is little evidence evaluating their effectiveness to improve the lives of its members. In response to this issue and to support outcome-based research in the field, the Grandfamilies Outcome Workgroup (GrOW) was established. This study highlights GrOW’s review of the literature on the effectiveness of support groups for grandfamilies. Next, the GrOW Inventory of Support Groups (GrOW Inventory) was developed to explore …

The Rewards Of Caring For Grandchildren: Black Canadian Grandmothers Who Are Custodial Parents, Co-Parents, And Extensive Babysitters, Esme Fuller-Thomson, Sarah Serbinski, Leanne Mccormack

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Grandparent caregiving is a growing phenomenon in both the United States and Canada. The burgeoning research on the topic has focused on custodial grandparents with an emphasis on negative aspects including poor physical and mental health outcomes for older adults. Less attention has been paid to the rewards of grandparent caregiving and to different intensities of caregiving provision. This grounded theory qualitative study of 16 Black Caribbean Canadian grandmothers sought to address this gap in the literature. We examined three types of grandparent caregivers: custodial grandparents (n=7), co-parent grandparents (n=5) and extensive babysitters (n=4). The average age of the children …

Cultural Sensitivity And Elder Abuse: Considerations For Social Work Practice, Katherine R. Bernardo

Electronic Theses, Projects, and Dissertations

The purpose of this study was to explore how social workers identify elder abuse, factors they find contribute to or protect from elder abuse, and cultural considerations they identify as important. The qualitative research approach was utilized, and an interview instrument was created to explore participants’ perceptions and generate recommendations for developing cultural sensitivity in practice. The study sample consisted of 10 social workers with experience working with the elderly population recruited by snowball sampling. Face-to-face interviews were conducted, audio-recorded, and transcribed for analysis. This study found that social workers are particularly knowledgeable about risk factors for elder abuse and …

Hospice Patient's Perception Of Family Support, Claudia Renteria

Electronic Theses, Projects, and Dissertations

This qualitative and quantitative study focused on exploring hospice patient’s perceptions of family support. Family support was conceptualized as which family member they expect to receive support from, types of support provided, frequency of support, family communication about medical illness, and type of support that is perceived to be most helpful. Fifteen partcipants between the ages of 70 to 98 were interviewed using purposive sampling. Findings showed that although participants found both physical and emotional support helpful, more than half reported perceiving emotional support as the most helpful. Recommendations for social work practice and research were discussed.

Pelaksanaan Program Children Educational Support Dalam Mengurangi Prevalensi Anak Jalanan Oleh Yayasan Indonesian Street Children Organisation (Isco) : Studi Deskriptif Di Sanggar (Isco) Kelurahan Kebun Melati, Tanah Abang, Wirda Amalia, Dwi Amalia Chandra Sekar

Jurnal Ilmu Kesejahteraan Sosial

This article discusses about the implementation of children educational support in reducing prevelance of street children by ISCO Foundation. Motivated by many poor children vulnerable to be street cause the difficulty of access to educational services. This research used a qualitative approach. Collecting data using observation and interview with 9 informant. The study results show that implementation of program has already ran fairly well characterized by reduced child beneficieris who took the streets due to provision of assistance in formal and non-formal education. This made the fulfillment of poor children needs to get an education from early age so the …

Grandparents As Parents: Investigating The Health And Well-Being Of Trauma-Exposed Families, Ginny Sprang, Moon Choi, Jessica Eslinger, Adrienne Whitt-Woosley, Rachel Looff

Center on Trauma and Children Reports

An excerpt from the introduction:

Over the past two decades, the number of grandparents serving as primary caregivers for their grandchildren has steadily increased. Nationally, 42% of all grandparents living with grandchildren function as the primary caregivers (U.S. Census, 2006).

In the southern region of the country, this phenomenon is particularly salient, and expected to continue, with estimates that range from 7% to 15% higher than in 2000 (U.S. Census, 2004). Kentucky is no exception, with 67,394 children living with their grandparents, 58.8% of those grandchildren fall under the responsibility of their grandparents (American Community Survey, 2005). In fact, Region …

Kajian Permasalahan Dan Potensi Perilaku Ibu Dalam Pemberian Makanan Bagi Anak Dalam Kaitannya Pada Kualitas Hidup Anak-Anak Yang Tidak Berkecukupan Gizi Di Keluarga Miskin Perkotaan, Getar Hati, Isbandi Rukminto Adi

Jurnal Ilmu Kesejahteraan Sosial

This article discusses about child welfare issues in a community related to mothers’ behavior child welfare issues of a community related to children of age 6-24 months with insufficient nutrition condition. It also describes about the factors which influenced to this condition that would be base of intervention design to solve the problems. This is an descriptive research. This research stated that parents, especially mother has the most important roles in determining their children’s life quality.

Strategi Strategi Penggalangan Dana Pada Organisasi Kemanusiaan Berbasis Agama : Studi Deskriptif Penggalangan Dana Di Dompet Dhuafa, Herlin Rahma Fauzia

Jurnal Ilmu Kesejahteraan Sosial

This study discuses about strategies of fundraising conducted by Yayasan Dompet Dhuafa with the supports and obstacles. This study used qualitative method and descriptive approach. The result of study show that Dompet Dhuafa have some strategies of fundraising. First, retail fundraising includes counter, Gerakan Donasi, Jemput Zakat and direct mail. Second is partnership with companies, another institutions and public

Evaluasi Program Wirausaha Pemula Di Kementrian Koperasi Dan Ukm Ri : Individualized Outcome Evaluation Terhadap Lima Peserta Program Wirausaha Pemula Di Dki Jakarta Tahun 2012, Andi Besse Ansar, Ety Rahayu

Jurnal Ilmu Kesejahteraan Sosial

The study discusses about individualized outcome evaluation of young entrepreneur program evaluation at ministry of cooperatives and small medium enterprises for five beneficiaries from Jakarta City in 2012. This research used a qualitative approach with evaluation research. While collecting data using in-depth interview with 7 informans which consist 5 beneficiaries program and 2 program staff. This result of study show that 4 beneficiaries has achieve an outcome program because of the trainee characteristics, training design, work environment, attitude and self concept and design entrepreneurship factors support and 1 beneficiaries has a barrier in work environment, attitude and self concept and …

Dementia Caregivers: An Exploration Of Their Knowledge, Beliefs, And Behavior Regarding Advance Care Planning For End-Of-Life Care, Mariette Klein

Theses and Dissertations

The purpose of this study is to explore what knowledge dementia caregivers have about advance care planning (ACP), how they learn to execute formal advance directives (ADs) or have engaged in an informal ACP process, and how they understand their roles as decision makers for the patients. Factors that contribute to the completion of an ACP process such as demographic, psychosocial, and situational factors are identified. From the grounded theory data analysis, a theory emerged about how ACP is accomplished and used by caregivers. Findings reveal that caregivers understand ACP as having the power to shape the dying process for …

In The Best Interest Of The (Adult) Child: Ideas About Kinship Care Of Older Adults, Tezra Jennings, Tam E. Perry, Julia Valeriani

Social Work Faculty Publications

This article uses a qualitative, ethnographic approach to examine the experiences older adults and their kin, as the older adult engages in relocation. Studies looking at caregiving by kin for older adults highlight burdens for the adult child. This study offers a life course perspective on kinship care, analyzing older adults’ decisions’ to move. It was found that many older adults are strongly influenced by the desire to not be cared for by their kin as well as to select housing near their existing social network, which might exclude kin. In conclusion, policy implications are discussed.

Relocation Remembered: Perspectives On Senior Transitions In The Living Environment, Tam E. Perry, Troy C. Anderson, Daniel B. Kaplan

Social Work Faculty Publications

The experience of aging may necessitate transitions in living environments, either through adaptations to current residences or relocations to more supportive environments. For over a half century, the study of these transitions has informed the work of researchers, health and mental health providers, policymakers, and municipal planners. In the 1970s and ‘80s, knowledge about these transitions advanced through Lawton & Nahemow’s ecological theory of competence and environmental press, Wiseman’s behavioral model of relocation decision-making, and Litwak & Longino’s developmental perspective on senior migrations. This paper revisits influential theoretical frameworks which contribute to our understanding of senior transitions in living environments. …

Ethical Guidelines For Social Work Supervisors In Rural Settings, Elizabeth T. Blue, Ann M. Kutzler, Suzanne Macron-Fuller

Contemporary Rural Social Work Journal

Little research literature exists integrating ethics, supervision, and rural/small community practice. This paper reports results of a study conducted by a joint student-faculty team. The study engaged supervisors in rural and small communities in two Midwestern states in semi-structured interviews. Interview data were then used to develop guidelines for BSW students about what constitutes ethical supervisory practice in rural environments.

Building University-Community Partnerships In Rural Settings Through A Community-Based Learning Assignment, Karen Rice Phd, Lsw, Acsw, Kathleen Walsh

Contemporary Rural Social Work Journal

Universities located in or near rural settings are uniquely positioned to partner with their community to offer invaluable resources often lacking within rural social service agencies. This teaching note describes a community-based research assignment implemented within an MSW advanced research methods course. The goal of this class was to teach students, through service learning, each phase of the evaluation process, and strategies to build and sustain rural community partnerships. Lessons learned and implications for social work practice and education are discussed.

Contemporary Rural Social Work - 2014 (Volume 6, Number 1)

Contemporary Rural Social Work Journal

Contemporary Rural Social Work - Fall 2014 (Volume 6, Number 1)

Full issue

Go To The Hospital Or Stay At Home? A Qualitative Study Of Expected Hospital Decision Making Among Older African Americans With Advanced Heart Failure, Faith Pratt Hopp, Christina Marsack, Jessica Camp, Shirley Ann Thomas

Social Work Faculty Publications

To address the need for more information concerning hospital decision making, we conducted in-depth interviews among African Americans with heart failure and their family caregivers (n=11 dyads). Using a case scenario, we asked participants about their anticipated hospitalization decisions. Most patients indicated that they would seek care to avoid further deterioration or death from their worsening condition. Many family caregivers anticipated having an active influence on hospitalization decisions. Findings suggest that social workers should encourage the development of adequate home-based services, recognize diverse communication styles, and use this information to facilitate medical decision making by these patients and …

Age-Friendly Environments And Self-Rated Health: An Exploration Of Detroit Elders, Amanda J. Lehning, Richard J. Smith, Ruth E. Dunkle

Social Work Faculty Publications

While a number of organizations and government entities have encouraged the development of more “age-friendly” environments, to date there has been limited research linking these environment features to elder outcomes. Using a representative sample of older adults living in Detroit, this study examined the association between age-friendly environment factors and self-rated health. Results indicated that access to health care, social support, and community engagement were each associated with better self-rated health, while neighborhood problems were associated with poorer self-rated health. Moreover, individual-level income and education no longer predicted self-rated health once age-friendly environment factors were taken into account. These findings …

Resident And Community Characteristics Report 2014: Assisted Living, Residential Care, Memory Care, Paula C. Carder, Jacklyn Nicole Kohon, Aubrey Limburg, Maximilian West, Amanuel Zimam, Kenneth Gordon Neal

Institute on Aging Publications

This report provides an overview of community-based care settings in Oregon. The results presented here are derived from surveys completed by 243 facilities serving 9,485 residents. Key changes between the 2008 OOHPR survey and 2014 include:

• Compared to 2008, the number of facilities increased by 13%, with the largest growth in MCCs (41%).
• The proportion of for-profit facilities and facilities managed by a third party increased from 2008 by 8%.
• The acuity level of residents increased on most measures compared to 2008.
• Compared to 2008, residents across all three community types required more assistance with ADLs and used more health …

Characteristics Of Medicaid Clients In Assisted Living, Residential Care, Memory Care, And Adult Foster Homes 2013-2014, Paula C. Carder, Jacklyn Nicole Kohon, Sheryl Dejoy Elliott, Maximilian West, Amanuel Zimam, Margaret B. Neal

Institute on Aging Publications

In collaboration with the Aging and People with Disabilities (APD) program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging generated this report of Medicaid clients living in community-based care (CBC) settings in the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information about these community-based care providers which will allow DHS, providers, and the public to better understand characteristics of Medicaid clients living in different CBC settings.

This report is based on an analysis of Medicaid data provided by DHS. The study goals were to:

• describe Medicaid clients’ health-related needs, service …

Gender Differences In Self-Employment Of Older Workers In The United States And New Zealand, Angela L. Curl, Deanna L. Sharpe, Jack Noone

The Journal of Sociology & Social Welfare

This study examined differences in self-employment of workers age 50+ in the United States (N = 3,948) and New Zealand (N = 1,434). Separate logistic regression analyses were conducted by country and gender. For both U.S. men and women, lower income, higher wealth, and having an employed spouse increased the likelihood of self-employment. Older age, lower income, higher wealth, and household composition increased the odds of being self-employed for men in New Zealand. Women in New Zealand were more likely to be self-employed if they were in a blue-collar occupation, had higher household wealth, higher education, and did not receive …