Digital Commons Network^™

Consumer Involvement In Medicaid Nursing Facility Reimbursement: Lessons From New York And Minnesota For State Policymakers, Edward Alan Miller, Cynthia Rudder

Gerontology Institute Publications

Medicaid is the major purchaser of nursing home care in the United States. State governments design their methods of reimbursing nursing homes to achieve desired policy objectives related to facility cost and quality, access to care, payment equity, service capacity, and budgetary control.

Often, participation in the process of developing Medicaid payment policy is limited to state agency officials and providers of care and, occasionally, union representatives and state legislative staff. Invited less frequently to reimbursement policy discussions are consumer representatives. Lack of consumer involvement in the development of state rate setting systems has the potential to result in the …

Senior Transportation Abstracts: A Focus On Options, Helen Kerschner, Nina M. Silverstein

Gerontology Institute Publications

This collection of abstracts represents a publication of importance for understanding the needs, challenges, solutions, and/or every day issues related to senior transportation services. While several of the abstracts include information about senior driver safety, the collection’s primary purpose is to present a holistic approach to transportation options for older adults. Such a collection is timely because, although the practice of providing transportation to older adults is not new, research and preparation of practical informational and technical materials related to older adult transportation service needs and service delivery are quite recent.

Gerontology Newsletter, September 2011, University Of Northern Iowa. Gerontology Program.

Gerontology Newsletter

Inside this issue:

-- Rural Aging Conference
-- Congratulations Graduates
-- Webiner
-- New Website
-- Recent Cuts to the State Budget

Coming Of Age In Marshfield: A Needs Assessment Of Aging Services, Jan Mutchler, Sandra Mccoskrie Blanchette

Gerontology Institute Publications

The purpose of this needs assessment is to investigate the needs, interests, and opinions of mature residents of Marshfield, Massachusetts, relating to their aging experiences and needs for age‐related services. On behalf of the Marshfield Council on Aging (COA), this assessment was conducted by the Collins Center for Public Management and the Gerontology Institute of the McCormack Graduate School at UMass Boston. The focus of this report is on Marshfield residents aged 60+ (referred to here as “Seniors”) and residents aged 45‐59 (referred to here as “Boomers”). Information about these two age groups was obtained both through the U.S. Census …

Massachusetts Senior Legal Assistance Project Needs Evaluation: Current Demand For Legal Services, Alison Gottlieb, Lauren A. Martin, Ellen A. Bruce

Gerontology Institute Publications

The Gerontology Institute at the University of Massachusetts Boston was contracted to conduct a statewide needs assessment for the MSLAP. As agreed upon by the MSLAP Advisory Board, the focus of this assessment was to analyze the demand for services Massachusetts legal service providers have experienced recently as a means to understanding the legal needs of Massachusetts elders (age 60 and older). A second needs assessment was conducted by the Massachusetts Executive Office of Elder Affairs. That needs assessment surveyed home care workers and other elder agency personnel to gauge their assessment of elders’ legal needs in Massachusetts. Read together, …

The Anthropology And Sociology Of Proponent And Opponent Worldviews In Central Arkansas Regarding Same-Sex Issues And Constitutionally Protected Rights: An Interdisciplinary Perspective, Rohn Muse

Theses and Dissertations

This thesis autoethnographically examines divergent worldviews, specifically with respect to the contentious issues of same-sex marriage and adoption/foster-parenting of children by unmarried cohabitating couples in Arkansas. Moral panics and moral politics are central to current debates about each. This thesis integrates and synthesizes interdisciplinary perspectives and insights while deconstructing and unpacking dissimilar beliefs and behaviors found in this Bible-belt state. Selected GLBTQQ/SGL narratives, interwoven with my story, compare left-leaning liberalism with ultraconservative cognitive framing utilized to oppose gay rights. Vicious targeting of gays prevails in absolute opposition to gay issues when strictly based in faith and resolute religious dogma. Humanism …

Net Worth Accumulation By Different Quintiles Of Older Adults Approaching Retirement Age And 10 Years Later, Martha N. Ozawa, Yeong H. Yeo

The Journal of Sociology & Social Welfare

The shift in responsibility for income security from the government to individuals makes the accumulation of net worth a vital issue. We investigated the rate of net worth accumulation for people aged 51 to 61 in 1991 (N=7,544) and 61 to 71 in 2001 (N=5,711) using the RAND Health and Retirement Study. We found that the rate of net worth accumulation by the fifth (top) quintile was extremely high in 1991, and the distribution of net worth became more skewed in favor of the wealthy in 2001. Older adults in the first and second quintiles are unable to face the …

Primetimes Newsletter, Fall 2011, Office Of Lifespan Studies

PrimeTimes Newsletter

PrimeTimes is the newsletter of the Office of Lifespan Studies in the College of Science at Coastal Carolina University.

Protecting Your Retirement Savings From Potential Creditors, Pension Action Center, Gerontology Institute, University Of Massachusetts Boston

Pension Action Center Publications

State and federal laws provide strong protections to New England residents to shield their retirement savings from creditors. The particular protections available depend on whether you have filed for bankruptcy, how your retirement savings are kept, and where you live.

Philosophical Roots Of Classical Grounded Theory: Its Foundations In Symbolic Interactionism, Khaldoun M. Aldiabat, Carole-Lynne Le Navenec

The Qualitative Report

Although many researchers have discussed the historical relationship between the Grounded Theory methodology and Symbolic Interactionism, they have not clearly articulated the congruency of their salient concepts and assumptions. The purpose of this paper is to provide a thorough discussion of this congruency. A hypothetical example about smoking among college students is included in this paper to illustrate this relationship. This paper will be useful for qualitative researchers who seek a fuller understanding of how the assumptions and concepts provided by Symbolic Interactionism can inform the researcher who adopts a Grounded Theory methodology to investigate human behaviour. The relevance of …

Promoting Healthy Diet To Hostel Residents In University Via Integrated Learning Program With A Built-In Research For The Prevention Of Non-Communicable Diseases (Ncds), Hiu Yan, Fanny Chan, Pui Yee, Phoebe Tang

Asia-Pacific Regional Conference on Service-Learning 亞太地區服務研習會議

No abstract provided.

From University To Community : Through Knowledge Transfer & Sl, Cheung Ming, Alfred Chan, Pui Yee, Phoebe Tang

Asia-Pacific Regional Conference on Service-Learning 亞太地區服務研習會議

No abstract provided.

Students' Development In Service-Learning And Research Scheme At Lingnan University, Weimin, Vic Cui, Amy Anh Hoang Dinh

Asia-Pacific Regional Conference on Service-Learning 亞太地區服務研習會議

No abstract provided.

Primetimes Newsletter, Summer 2011, Office Of Lifespan Studies

PrimeTimes Newsletter

PrimeTimes is the newsletter of the Office of Lifespan Studies in the College of Science at Coastal Carolina University.

Chronic Disease Self-Management Programs: Relevance For Persons With Dementia, Nina M. Silverstein, Alison S. Gottlieb

Gerontology Institute Publications

The context for this study is the work of the Healthy Brain Initiative. The CDC has established a cooperative agreement with the Alzheimer’s Association to develop and implement a multifaceted approach to look at cognitive health as a public health issue. Late in 2010, the Association commissioned a review of the major chronic disease prevention programs from a systems approach to begin to understand the source of findings that Medicare beneficiaries with Alzheimer’s and related disorders are much higher cost than those simply with a single chronic disease and no AD. This led to the conclusion that Chronic Disease Self‐Management …

Residents' Perceptions Of Social Interaction And Social Activity In An Affordable Assisted Living Facility, Elena Garcia

Honors Scholar Theses

This study is a qualitative study looking at the social interactions and social activities in an assisted living facility, based on the residents’ perceptions. In this study I interviewed 20 residents of an affordable assisted living facility. The participants were male and female, 65 or older, and any ethnicity. Inclusion criteria include: (1) Residing in the assisted living facility at least 6 months and no more than 2 years; and (2) being mentally competent to give informed consent. I recruited the participants based on a list of who was eligible from the facilities administration and then asked the eligible participants …

Stressful Life Events And Behavior Change: A Qualitative Examination Of African American Women's Participation In A Weight Loss Program, Tiffany L. Cox, Christie Zunker, Brooks C. Wingo, Wendy K. Jefferson, Jamy D. Ard

The Qualitative Report

We qualitatively assessed how life stressors affected African American women's participation in a weight reduction program. A sample of 9 women, who completed a behavioral lifestyle intervention, participated in individual, structured, in-depth interviews. Life stressors, ranging from personal illness to changes in employment status, had varied effects on participation. Some women coped with life stressors by using them as a motivational tool to improve their own health, while others reported limited ability to devote time to attend meetings or engage in the prescribed lifestyle changes due to life stressors. A critical key to improving weight loss outcomes for African American …

Mixed Methods Research Of Adult Family Care Home Residents And Informal Caregivers, Guy C. Jeanty, James Hibel

The Qualitative Report

This article describes a mixed methods approach used to explore the experiences of adult family care home (AFCH) residents and informal caregivers (IC). A rationale is presented for using a mixed methods approach employing the sequential exploratory design with this poorly researched population. The unique challenges attendant to the sampling strategy with this population, and an iterative approach of data collection and data analysis are discussed. A summary of the data integration process and outcome is presented.

Metabolic Control, Marital Conflict, Caregiver Burden And Psychological Control In Parents Of Children With Type 1 Diabetes, Ann P. Jubber

Theses and Dissertations

Using data from a purposive sample of 78 parents of children with type 1 diabetes, relationships were examined between the level of metabolic control of the child with diabetes (as measured by the HbA1c percentage), parents' marital conflict, caregiver burden, and use of psychological control. Also explored were family income and the education levels of mothers and fathers. Differences between mothers and fathers were also considered. Better metabolic control (lower HbA1c) was related to lower levels of fathers' caregiver burden. Marital conflict was also associated with mothers' and fathers' caregiver burden. Finally, mothers' caregiver burden predicted mothers' use of psychological …

Dimensions Of Aging And Belonging For The Older Person And The Effects Of Ageism, Laurence C. Nolan

Brigham Young University Journal of Public Law

No abstract provided.

Journal Of Sociology & Social Welfare Vol. 38, No. 1 (March 2011)

The Journal of Sociology & Social Welfare

TABLE OF CONTENTS

• PROTECTING OLDER WORKERS: THE FAILURE OF THE AGE DISCRIMINATION IN EMPLOYMENT ACT OF 1967 - Jessica Z. Rothenberg and Daniel S. Gardner
• ATTITUDES, BEHAVIOR, AND SOCIAL PRACTICE - Harris Chaiklin
• SHOULD I STAY OR SHOULD I GO? WHY APPLICANTS LEAVE THE EXTENDED WELFARE APPLICATION PROCESS - Marci Ybarra
• U.S. IMMIGRATION POLICY AND IMMIGRANT CHILDREN'S WELL-BEING: THE IMPACT OF POLICY SHIFTS - David K. Androff, Cecilia Ayón, David Becerra, Maria Gurrola, Lorraine Salas, Judy Krysik, Karen Gerdes, and Elizabeth Segal
• ANALYZING THE POVERTY REDUCTION EFFECTIVENESS OF THE CANADIAN PROVINCES: DO POLITICAL PARTIES MATTER? - Robert D. Weaver, Nazim …

Protecting Older Workers: The Failure Of The Age Discrimination In Employment Act Of 1967, Jessica Z. Rothenberg, Daniel S. Gardner

The Journal of Sociology & Social Welfare

A growing number of older adults are finding that retirement is no longer affordable and they must work well into their later years. Unfortunately, over 42 years after passage of the Age Discrimination in Employment Act (ADEA) of 1967, age discrimination in the workplace continues to present serious impediments to employment in later life. Using a critical gerontology perspective, this paper reviews the history of work-related age discrimination and analyzes the ADEA and its limited effectiveness at protecting the civil and economic rights of older workers. The authors discuss implications and suggest policy alternatives that would support the employment and …

Exploratory Study Of Neglect Among Elderly In Hong Kong : A Family Perspective, Asia-Pacific Institute Of Ageing Studies, Lingnan University, The Central Policy Unit, Hong Kong Sar Government

APIAS Research Report 研究報告

Elder neglect, instead of abuse, forms an obvious focus in studying changes before irreversible damages are made to the families over time to examine the family cohesion factors as well as to identify interpersonal or helping relationships among elder parents and adult children, in particular during the time of sickness when an older person requires intensive care. Such occasions reveal the impacts of family dynamic on the vulnerability of elder neglect. It is under this background, Family Council and Central Policy Unit, commissioned the Asia-Pacific Institute of Ageing Studies of Lingnan University to undertake the study, in April 2010, with …

Validating The Mexican American Intergenerational Caregiving Model, Socorro Escandón

The Qualitative Report

The purpose of this study was to substantiate and further develop a previously formulated conceptual model of Role Acceptance in Mexican American family caregivers by exploring the theoretical strengths of the model. The sample consisted of women older than 21 years of age who self-identified as Hispanic, were related through consanguinal or acquired kinship ties to an elder, and had provided at least one intermittent service (without pay at least once a month). A comparative analysis method was used to test the existing theory, which consists of four phases: (a) Introduction/Early Caregiving Experiences, (b) Role Reconciliation, (c) Role Imprint, and …

Fun With Numbers: Disclosing Risk To Individual Investors, Christian A. Weller

Gerontology Institute Publications

This paper discusses the need for better information on investment risks. The information should be relevant, concise, and accessible to individual investors. More and better information on factors that are likely to influence an investment’s performance and investors’ decisions should eventually lead to better investment decisions – more savings and higher retirement incomes. This paper presents a number of ways to disclose risk to individual investors. There are three numerical and three visual representations to risk. The discussion centers on the pros and cons of each risk representation. All risk descriptions show relevant information, are concise, and more or less …

Massachusetts’ Home Care Programs And Reasons For Discharge Into Nursing Homes, Cathy M. Wong, Nina M. Silverstein

Gerontology Institute Publications

Home and community-based services (HCBS) are a range of long-term care services intended to enable older adults and persons with disabilities to “age in place” in their own homes and communities. Previous studies well document that older adults prefer receiving HCBS rather than institutional care at a nursing home. One study concluded that 84 percent of older Americans, aged 50 years and older, want to remain in their homes for as long as possible. Medicaid is a major source of funding for long term care. Currently, a large proportion of Medicaid funds in most states has been spent on institutional, …

The Spiritual Dimension Of Aging And Forgiveness, Darlene Faye Olson

Master of Arts Theses

No abstract provided.

Baby Boomers At Work: Growing Older And Working More, Eve M. Brank

Nebraska College of Law: Faculty Publications

In the current chapter, I will first detail the legal framework for workplace age discrimination and court case examples that have largely mirrored race and gender discrimination law. Next, I will discuss the psychological research that details the consequences of age discrimination with a particular focus on the combined effects of stereotype assimilation and notions of deservingness of respect. Last, I will suggest that until we know the causes of age discrimination, we cannot legitimately address its consequences the same way we have addressed other forms of discrimination. Specifically, I will argue that legislating against age discrimination is inherently different …

Can Social Workers Recognize Depression In The Elderly?, Teresa Ramon, Monica Maria Wettengel

Theses Digitization Project

The purpose of this study is to explore whether social workers can recognize depression in the elderly. The elderly who are experiencing depression usually do not seek treatment from mental health professionals. Instead they go to primary care personnel in medical settings. Yet, social workers are employed in medical settings and are part of the primary care personnel. But, often the medical and/or mental health communities' lack of recognition of late life depression results from the attitude that old age is innately a downward spiral into limitations, weakness, helplessness, and burdensome existence.

Motivation For Paticipation In The Senior Peer Counseling Program, Stephanie Auld Kleppe

Theses Digitization Project

This study looked at the Senior Peer Counseling Program to see what motivated these seniors to volunteer. Much research has been done on voluteering and the older adult population, much of it showing the benefits of volunteering on the health and well-being of the seniors that volunteer. The San Bernardino County Department of Behavioral Health's Agewise program has has a Senior Peer Counseling Program in effect since 1987 and increased it through MHSA (Mental Health Services Act) funding in 2007.