Social Work Commons^™

Stress Of The Caregiver: Effective Management Of Dementia Patients In Hospital And Community Settings, Ruth E. Dunkle, Michael Nevin

The Journal of Sociology & Social Welfare

This study explores the management problems among elders with dementia and their medical and family caregivers. Twenty-five patients were interviewed as well as professional health care personnel and a family member. Findings indicated that professional assessment facilitates home caregiving but has little bearing on successful coping by the caregiver. Variability of coping relates to the strategy employed.

Retirees As Technoguides: A New Role As Shapers And Makers Of The Future, Arthur B. Shostak

The Journal of Sociology & Social Welfare

Retirees nowadays serve in many out-of-the-home roles that make astute use of their maturity, their discretion time, and their flexibility about compensation: Large numbers help as paid or voluntary aides in day care centers, health fairs, home health care, hospice programs, nursing homes, and the vital like.

A brand new role that might appeal to many would have them learn and practice the craft of technology assessment and the process of technology diffusion: With these tools retirees could serve as technoguides, or paid or voluntary aides in the testing, evaluating, and adapting of new products and services to the needs …

Health And Social Welfare Needs Of The Elderly: A Preliminary Study, Baxter Wright, Bruce A. Thyer

The Journal of Sociology & Social Welfare

In a period of shrinking fiscal resources it is especially important that budgetary decision-making processes be based upon empirical data relating to the actual health and social service needs of the elderly. The present study consisted of a comprehensive survey of the social service needs of a random sample of 75 normative elderly citizens drawn from a multi-ethnic population. The results provide a preliminary data-base for administrative and policy-making bodies to allocate scarce social service resources.

In an era of shrinking fiscal resources and drastic cuts in the provision of human services, funding decisions and budgetary allotments are often made …

Tracing The Conception And Meaning Of The Age Discrimination In Employment Act: Where Are We With Mandatory Retirement?, Monica Ferrelli

The Journal of Sociology & Social Welfare

This paper addresses the political development of the Age Discrimination in Employment Act. The historical origin, amendments, and arguments for or against the act are also presented. The implications of social work practice with our vastly increasing retired and aging population is finally discussed.

Pre-Retirement Attitudes And Financial Preparedness: A Cross-Cultural And Gender Analysis, John H. Behling, Esther S. Merves

The Journal of Sociology & Social Welfare

The purpose of this research was to examine the differences between males and females across three different cultures in terms of financial resources for retirement years and pre-retirement attitudes and intentions.

Anticipatory Socialization Toward Occupational Retirement, Yael Kremer, Itzhak Harpaz

The Journal of Sociology & Social Welfare

The willingness of older workers to participate in a retirement planning program served as an indicator of their anticipatory socialization toward retirement. Six independent variables were introduced in order to examine their effect on the workers' attitude toward pre-retirement counseling (dependent variable). A path analysis revealed that intention to continue working after retirement had a significant negative effect on the dependent variable. The most significant positive effect was that of Educational Level. In the discussion of the findings it is shown that the desire of pre-retirees to continue working is interpreted as un-realistic anticipatory socialization, indicating their reluctance to assume …

Understanding Gay And Lesbian Aging, Philip M. Kayal

The Journal of Sociology & Social Welfare

Studying the aging process of "gay men" and "lesbians" is problematic because it assumes that sexual orientation as such is a valid ontological concept and research category. As a master status, sexual orientation by itself is not a particularly useful explanatory variable. Objectivity is further limited by the sexism and homophobia of both the sociological profession and its "in-house" researchers and theoreticians. Perceptions of gay/lesbian aging are particularly colored by the heterosexist emphasis on family life. Arguments are made that institutionalization of the elderly is really the political manifestation of personal and social values which are insensitive to the needs …

Social Work Intervention With The Aged: Toward A Change In The Institutionalized Thought Structure, Shimon S. Gottschalk, Michael Frumkin, Allan V. Kaufman

The Journal of Sociology & Social Welfare

The social problems associated with aging are viewed as derived from a series of socially defined meanings in the areas of: (1) power/authority,(2) responsibility, (3) productivity/work, (4) dependence/ independence,and (5) knowledge/rationality. A parallel series of alternative meanings is proposed which make possible the creation of alternative institutional forms which hold promise for making contemporary problems substantially obsolete. An era of post-professinalism is envisioned in which helping agents become political activists committed to social change on the cognitive, as well as the material level.

Long Term Care Advocacy Delivery Systems: State And Local Responsibilities, Abraham Monk, Lenard W. Kaye, Howard Litwin

The Journal of Sociology & Social Welfare

This paper reports the results of a national comparative study of nursing home ombudsman programs for the institutionalized elderly. Of recent origin, patient representative programs have received little critical assessment as to their success in improving the quality of life of America's most vulnerable aged. At the same time, anticipated increases in the number of institutionalized aged coupled with current austerity measures in the health and human services underscores the present and future need to design effective and efficient monitoring/advocacy mechanisms to prevent abuses in long stay institutions. The paper focuses on a description of the current configuration of state …

Reagan, Pickle And Pepper: The Benefit Reduction Versus Voluntary Approach To Encouraging Later Retirement, Eric R. Kingson

The Journal of Sociology & Social Welfare

The degree to which benefit reduction and voluntary approaches to encouraging later retirement maximize four different and often conflicting policy objectives is assessed as are costs and benefits of these approaches to healthy and unhealthy older workers, minorities and women. While both approaches encourage later retirement, there are clear differences in the approaches in terms of meeting the goal of financing Social Security versus adequacy and social equity

Adult Foster Care: Its Tenuous Position On The Care Continuum, Ruth E. Dunkle

The Journal of Sociology & Social Welfare

Frequently any move away from independent living for an elderly person is viewed as a downhill road to the nursing home and ultimate death. Adult foster care has been viewed as one such step closer to institutionalization. Service provision to the elderly needs to be viewed on a continuum where the elderly are seen as being capable of moving in and out of supportive living arrangements when the need arises. Barriers to providing this care are identified with future needs highlighted.

A Comparison Of Social Service Workers' And The Public's Views Of Nursing Home Characteristics, Lucinda Lee Roff

The Journal of Sociology & Social Welfare

Using the determinant attribute model, this study examined and compared the criteria which 277 social service workers and 842 members of a general population would employ in selecting a nursing home. The results suggested substantial differences between the two groups in selection criteria. Implications of these results and of the use of the determinant attribute model as an aid to practice are discussed.

The Needs Of Older People As Seen By Themselves And Support Providers, Sarah Movius Schurr

Dissertations and Theses

This study compares perceptions of older people's needs from two vantage points: needs as seen by the older people themselves, and the needs of the elders as seen by their family support group. Two hypotheses were examined. The first hypothesis was that the elders and the support people would disagree on the needs of the elders. Secondly, the disagreement would be strongest on more abstract needs, like life satisfaction and contact with the opposite sex.

Growing Old In Changing Micronesia, Leonard Mason

Pacific Studies

No abstract provided.

Special Problems Faced By The Elderly Victims Of Crime, J. David Hirschel, Karen B. Rubin

The Journal of Sociology & Social Welfare

Recently, increased attention has been paid to the problems faced by the elderly within our society. One of the most pressing problems is the threat of crime, This article examines the actual risk of criminal victimization among the elderly, the physical, financial, and psychological consequences of victimization, and the special problems faced by the elderly as they attempt to deal with the criminal justice system. Finally, their fear of crime, which in itself constitutes a very real form of victimization, is explored.

Inside And Outside The For-Profit Nursing Home: Some External Determinants Of Inside Power Relations, Cedric Herring

The Journal of Sociology & Social Welfare

This paper offers a conceptual model for understanding how and in what ways externally determined factors affect power arrangements within a for-profit nursing home setting. Specifically, this paper links the activities of nursing homes as profit seekers to federal legislation and the activities of strategically structured interests which seek to socialize their costs. Additionally, it shows how social distinctions and other factors which have their origins external to the nursing home setting have consequences for what takes place inside. The model posits that it is those people who are members of society's more privileged groups (professional white males) who will …

Community Representation And Empowerment In Long Term Care Settings: The Case Of The Nursing Home Patient Ombudsman, Abraham Monk, Lenard W. Kaye

The Journal of Sociology & Social Welfare

It is widely recognized that regulatory efforts outside of the nursing home have had relatively limited success in monitoring patient care complaints (New York State Moreland Act Commission, 1975; Weatherby, 1975). As a result, the public at large and an increasing number of policy analysts have aggressively called for the initiation of alternative long term care monitoring strategies (Regan, 1977; Linnane, 1977; Vladeck, 1980). One such recently developed administrative ameliorative, with direct ties to the local community, is the nursing home patient ombudsman. The ombudsman program, when serving as a complaint redress mechanism for the institutionalized aged, is believed to …

Aging And The Milieu Of Social Policy, Roger A. Lohmann, Nancy Lohmann

Faculty & Staff Scholarship

One facet of the new conservatism, which is drawing so much interest but not much information currently is the proposal for converting a large number of social service programs (including the Administration on Aging) into a single community block grant program. Even without the Reagan Administration and its new conservatism, however, the case for substantial--if less dramatic--changes in the network of services and programs which benefit the aged has been growing for some time. In this chapter, wel review some of the broader implications of current social policies for the aged, and some of the criticisms raised among gerontologists, concentrating …

Factors Affecting The Economic Status Of Elderly Chicanos, Alejandro Garcia

The Journal of Sociology & Social Welfare

This paper identifies and discusses factors affecting the economic status of elderly chicanos. These factors include historical factors, labor force participation, familial support systems, and human services utilization. Implications for policy are addressed.

Community Service Opportunities And Older Americans, Zev Harel, Ruth Ellen Lindenberg

The Journal of Sociology & Social Welfare

Contemporary society has brought about a situation where older Americans have limited opportunities for contributory roles. They have limited involvement in the development and provision of services aimed to promote their own well-being and the welfare and well-being of others. This article examines the importance of contributory roles and functions in light of theoretical perspectives, social work values, and research evidence which indicates that life satisfaction and psychological well being of older persons is related to continued productivity and the opportunity to carry substantive social roles. This article reviews and discusses contributory opportunities for older persons as part of community …

Social Work Practice With The Rural Aged, Nancy Lohmann, Roger A. Lohmann, Ellen Netting

Faculty & Staff Scholarship

Approximately 27 percent of America’s aged live in rural areas. Despite similar problems, however, there are substantial differences in the nature of human services designed to meet these needs in cities and rural areas. This chapter examines rural problems and services in health, income, housing and social integration. In addition, unique rural issues of community outreach and professional relationships in rural areas are examined.

The Economic Status Of The Elderly: Is The Problem Low Income?, John B. Williamson

The Journal of Sociology & Social Welfare

The thesis of this paper is that poverty among the elderly is increasingly becoming a problem of relative as opposed to absolute economic deprivation. Many of the elderly (persons age 65 and over) are oppressed by the absolute poverty they must endure, but for most of those for whom inadequate income is a source of concern, the real problem seems to be relative economic deprivation. If present trends continue this will be increasingly the case in future years.

Informal Support Systems For The Aged: Limitations And Issues, Marjorie Buckholz

The Journal of Sociology & Social Welfare

The need for community social services to enable older persons to remain in their homes has been well documented (Gold, 1974; Lohman, 1978; Atchley, 1977; Blenkner, 1977). Inspite of a growing service industry and professional corps of helpers, it does not reach the growing numbers of elderly, especially the older-elderly who are most likely to be frail (Gold, 1974; Lohmann, 1978; Heyman and Polansky, 1977). The aged share of the population has grown relative to the younger age group. In 1900, 6.4% of the U. S. population was 60 years or older; in 1975, it had increased to 14.8% (U. …

Age, Race, Life Conditions, Use Of Social Welfare Services And The Morale Of The Elderly, Mary L. Waring, Jordan I. Kosberg

The Journal of Sociology & Social Welfare

Although concerned professionals such as Kutner (1956), Cumming (1961), and Lawton (1972), have made strong beginnings in researching the psychological functioning of the elderly, only a few have explored the social and medical conditions of the aged, and especially their use of social welfare services, as these relate to a sense of well-being. Streib (1956) and Maddox (1968) were among the first to relate life-long patterning of social activity to later social activity and life satisfaction. Carp (1966), in a controlled study of housing, reported that housing did not affect the morale of low and middle income elderly. Lawton and …

Preparing Social Work Practitioners To Work With And In Behalf Of Older Adults, Margaret E. Hartford

The Journal of Sociology & Social Welfare

Practice in the field of social gerontology is one of the developing frontiers in social work. Now and in the foreseeable future, services with a population that is growing older will be a rapidly expanding field of practice. Many of the programs for older adults are multidisciplinary and demand collaboration among several professions and services. In some instances social work is and will be the central organizing force assuming administrative responsibility. In other instances social workers are collateral with several professions, and in still others social work services are an adjunct to another service profession, such as medicine nursing, urban …

Differential Aspects Of Assessment And Intervention In Social Work Practice With The Elderly And Their Families, Barbara Silverstone

The Journal of Sociology & Social Welfare

So much in our society separates the rest of us from the old that a discussion of the differential aspects of practice with the elderly and their families (many of whom are aging) runs the risk of being redundant as well as a concealed endorsement of the professional biases which afflict us all. The truth of the matter is that important differences do exist between social work practice with the old and with younger generations, differentials which emanate from a sound gerontological knowledge base. Although the similarities far out-weigh the discrepancies, failure to recognize or delineate these differences has resulted …

Home Support Services And The Ecology Of Aging, Abraham Monk

The Journal of Sociology & Social Welfare

Home support services for the aged are emerging as a primary concern in the Title XX planning proposals put forth by states and localities. This is not surprising when one considers that Title XX guidelines require the setting of priorities among non-cash benefit programs that help insure the individual's self-sufficiency within his or her normal environment.

All services under Title XX must relate to one or more of five objectives for the individual client: economic independence; self care; prevention or remedy of neglect, abuse or other conditions which lead to dependence; intermediate community based care and, as a last resort …

Organizational Analysis Of Institutions For The Aged, Zev Harel

The Journal of Sociology & Social Welfare

Institutions for the aged represent an organized effort on the part of society and various individuals., groups, and organizations to provide for and capitalize on the service needs of elderly persons no longer able to live independently in the community. These settings have been brought into existence and are maintained by various commercial, civic, voluntary, government, and other interest groups. The motives and interests of such groups vary; nevertheless, these settings offer services to consumers, provide employment to members of various professional and occupational groups, provide an arena for the involvement of various scholastic disciplines and professional associations, and benefit …

Volunteer Support For The Institutionalized Elderly, Harold Zepelin, Janet Stutzman

The Journal of Sociology & Social Welfare

A neglected topic in discussions of services for the institutionalized elderly seems to be the question of whether the residents of nursing homes are receiving adequate support from volunteers. Undoubtedly, voluntarism is playing an important part in the provision of services and emotional support for the aged population, among them the elderly that are institutionalized. But because of the child-centeredness and youth-orientation of American society, it is possible that work with the elderly may not be attracting volunteers in proportion to the needs of this population. This may be especially true of the elderly in institutions because work with this …

Policy Analysis And Older People: A Conceptual Framework, John E. Tropman, Jane Mcclure

The Journal of Sociology & Social Welfare

The policy sciences, says Harold Lasswell, require "clarification of goals, analysis of conditions, project of future developments, and invention, evaluation, and selection of alternatives."1 This rocess is imbued with values and often these values lie unrecognized.3 Both personal values of the individual analyst and social values of the Society can be and often are involved. The purpose of this paper is to illustrate four policy problems involved in analyses concerning the elderly, and to suggest some additional considerations which would bring these problems into the open and aid in specification and focusing of policy research in this area. While only …