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The Handbook of Rural Aging goes beyond the perspective of a narrow range of health professions, disciplines, and community services that serve older adults in rural America to encompass the full range of perspectives and issues impacting the communities in which rural older adults live. Touching on such topics as work and voluntarism, technology, transportation, housing, the environment, social participation, and the delivery of health and community services, this reference work addresses the full breadth and scope of factors impacting the lives of rural elders with contributions from recognized scholars, administrators, and researchers. This Handbook buttresses a widespread movement to garner more attention for rural America in policy matters and decisions, while also elevating awareness of the critical circumstances facing rural elders and those who serve them. Merging demographic, economic, social, cultural, health, environmental, and political perspectives, it will be an essential reference source for library professionals, researchers, educators, students, program and community administrators, and practitioners with a combined interest in rural issues and aging.
Research documents that rural elders are poorer, live in less adequate housing, and have far fewer health and service options available to them than their urban counterparts, yet there is a critical lack of current and detailed information on the problems facing rural elders and on the professional practices that serve this population. This text fills this gap by introducing readers to rural areas and their residents and discussing the issues, programs, and policies designed to meet their needs. Through a multidisciplinary lens, it examines and defines specific competencies required for successful work with older adults and their families in these communities. The text presents a research-driven, competency-based approach for the health and human service professionals who work with older rural residents. It discusses both the problems facing older adults and their families and evidence-based solutions regarding policy and best practices. Key issues examined include health and wellness, transportation, housing, long-term care, income, employment, and retirement, along with the needs of special populations (ethnic minorities, immigrants, and the LGBT population). Case examples reinforce an interdisciplinary model that addresses practice with rural elders that encompasses professional competencies, values and ethics, and the roles of a spectrum of health and human service professionals. The text also examines current policies affecting health and social services to rural elders and recommendations for policy change to build an effective health and human service workforce in rural communities. Links to Podcast interviews with scholars and respected professionals working in the field and "Spotlight" excerpts from the text reinforce information. In addition, the text provides discussion questions, PowerPoint slides, a test question bank, and suggested activities and exercises. Key Features: Fills a vacuum regarding information on health and social services for rural elders Provides current and comprehensive knowledge about issues besetting this population and programs and policies designed to meet their needs Examines and defines specific competencies required for effective health and social services Based on a research-driven, competency-based, interdisciplinary approach to policy and best practice Includes links to Podcast interviews with scholars and respected professionals in the field
As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
This book provides the first foundation of knowledge about the intellectual traditions, contemporary scope and future prospects for the interdisciplinary field of rural gerontology. With a focus on rural regions, small towns and villages, which have the highest rates of population ageing worldwide, Rural Gerontology is aimed at understanding what it means for rural people, communities and institutions to be at the forefront of twenty-first-century demographic change. The book offers important insights from rural ageing studies into today’s most pressing gerontological problems. With chapters from more than 65 established and emerging rural ageing researchers, it is the first synthesis of knowledge about rural gerontology, harnessing a burgeoning interdisciplinary scholarship on the rural dimensions of ageing, old age and older populations. With a view to advancing a critical understanding of rural ageing populations, this book will have an overreaching impact across the social sciences by drawing on advancements in understandings of rural ageing from social, environmental, geographical and critical gerontology to facilitate a comprehensive exploration of the diversity, complexity and implications of the ageing process in rural settings. Bringing together valuable international perspectives, this book makes a timely contribution to gerontology, rural studies and the social sciences, and will appeal to scholars and researchers across USA and Canada, UK and Ireland, Australia and New Zealand, Europe, China and countries in Africa, South America and South-East Asia.
"This book discusses the aging populations in rural Japan. The plan of the book is as follows: In Chapter 1, we describe how rural Japan has changed socially and demographically. We explain how rural depopulation has led to political consolidation, and how the welfare system in Japan is placing more responsibility and autonomy on the municipalities. Some rural towns in Japan, such as Kawanehonchō, are actively responding to the demographic challenges initiated by municipal governments that have the advantage of developing unique programs reflecting the voices of local residents. Chapter 2 describes Kawanehonchō, explains how it became a rural depopulated town, and discusses why the town provides an important example to understand and discuss rural aging comparatively. In Chapter 3, we review theoretical frameworks (collective efficacy theory and social capital) to understand the inseparability of successful aging from the quality of neighborhoods and communities. We explain our research methods in Chapter 4. In Chapter 5, we examine Kawanehonchō with secondary data. Chapter 6 summarizes the findings based on observations of activities provided for the elderly in this town, and Chapter 7 sheds light on rural aging through the eyes and words of its leaders. Chapter 8 presents our findings from our survey of elders participating in two community programs developed locally and specifically for them. Finally, in Chapter 9, we discuss the possibility of net inmigration of older adults to Kawanehonchō, and Chapter 10 includes discussions on challenges in rural depopulation and healthy aging"--
America's rural areas have always held a disproportionate share of the nation's poorest populations. Rural Poverty in the United States examines why. What is it about the geography, demography, and history of rural communities that keeps them poor? In a comprehensive analysis that extends from the Civil War to the present, Rural Poverty in the United States looks at access to human and social capital; food security; healthcare and the environment; homelessness; gender roles and relations; racial inequalities; and immigration trends to isolate the underlying causes of persistent rural poverty. Contributors to this volume incorporate approaches from multiple disciplines, including sociology, economics, demography, race and gender studies, public health, education, criminal justice, social welfare, and other social science fields. They take a hard look at current and past programs to alleviate rural poverty and use their failures to suggest alternatives that could improve the well-being of rural Americans for years to come. These essays work hard to define rural poverty's specific metrics and markers, a critical step for building better policy and practice. Considering gender, race, and immigration, the book appreciates the overlooked structural and institutional dimensions of ongoing rural poverty and its larger social consequences.
This book describes a wide-ranging set of research approaches which have been used to study the health care problems of adults living in rural areas. It shows how these approaches can be used to define health care problems, measure levels of illness and health, and evaluate health care practices. For each approach, contributors provide a theoretical background from the health care delivery literature, details of how it can be carried out in the field, its strengths and weaknesses, and illustrative examples from both the literature and their own work.
This important book addresses a growing international interest in 'age-friendly' communities. It examines the conflicting stereotypes of rural communities as either idyllic and supportive or isolated and bereft of services. Providing detailed information on the characteristics of rural communities, contributors ask the question, 'good places for whom'? The book extends our understanding of the intersections of rural people and places across the adult lifecourse. Taking a critical human ecology perspective, authors trace lifecourse changes in community and voluntary engagement and in the availability of social support. They illustrate diversity among older adults in social inclusion and in the types of services that are essential to their well being. For the first time, detailed information is provided on characteristics of rural communities that make them supportive to different groups of older adults. Comparisons between the UK and North America highlight similarities in how landscapes create rural identities, and fundamental differences in how climate, distance and rural culture shape the everyday lives of older adults. Rural ageing is a valuable resource for students, academics and practitioners interested in communities, rural settings and ageing and the lifecourse. Rich in national profiles and grounded in the narratives of older adults, it provides theoretical, empirical and practical examples of growing old in rural communities never before presented.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.