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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.
Today, nearly one of every eight Americans is 65 or older, and by 2030, over 20% of the population will be in this age group. Are you prepared to work with this vastly diverseand rapidly growingpopulation? This single source is designed to help social service professionals provide effective services to America’s vastly diverse and rapidly growing elderly population. Diversity and Aging in the Social Environment explores the impact of race/ethnicity, gender, sexual orientation, and geographic location on elders’ strengths, challenges, needs, and resources to provide you with a more complete understanding of the issues elders face. In order to be more responsive to older adults, social workers and other human service professionals need to enhance their knowledge of the aging population and the factors that impact the way seniors interact with society, organizations, community resources, neighborhoods, support networks, kinship groups, family, and friends. Diversity and Aging in the Social Environment examines differences in race, ethnicity, geographical location, sexual orientation, religion, and health status to help current and future human service professionals provide culturally competent services to the diverse range of elderly people they serve. In addition, it addresses the wide disparity that exists for older Americans in terms of income and assets, number of chronic conditions, functional and cognitive impairment, housing arrangements, and access to health care. This book provides a context for the examination of diversity issues among older adults by describing and discussing several theoretical perspectives on aging that highlight important aspects of diversity. Next, you’ll find thoughtful examinations of: issues and challenges faced by lesbian, gay, bisexual, and transgender eldersand the strengths they bring into later life the impact of gender, race, and sexual orientation on prevalence rates, risk factors, methods of disease contraction, and mortality rates among older adults with HIV/AIDSalong with a discussion of the psychosocial issues they face diverse characteristics of custodial grandparentsand the influence of the caregivers’ gender, race, age, and geographic location on methods of care and available caregiver support differences in caregiver characteristics, service utilization, caregiver strain, and coping mechanisms among several racial/ethnic groups of adults who care for elderly, disabled, and ill persons cultural/religious factors that influence interactions between health care personnel and Japanese-American elders the relationship between acculturation and depressive symptoms among Mexican-American couples life challenges facing Jewish and African-American elderswith a look at each group’s coping mechanisms differences in religious/spiritual coping skills among Native American, African-American, and white elders psychological well-being and religiosity among a diverse group of rural elders
This volume is divided into five parts and fifteen chapters that address these topics by examining ethnogeriatric foundations, research issues, clinical care in ethnogeriatrics, education and policy. Expertly written chapters, by practicing geriatricians, gerontologists, clinician researchers and clinician educators, present a systematic approach to recognizing, analyzing and addressing the challenges of meeting the healthcare needs of a diverse population and authors discuss ways in which to engage the community by increasing research participation and by investigating the most prevalent diseases found in ethnic minorities. Ethnogeriatrics discusses issues related to working with culturally diverse elders that tend not to be addressed in typical training curricula and is essential reading for geriatricians, hospitalists, advance practice nurses, social workers and others who are part of a multidisciplinary team that provides high quality care to older patients.
In the 1990s providing mental health services to the elderly and particularly to elderly Native Americans had been an issue of some concern for the last several decades. Despite this, many public decisions made at the time were based on inadequate data. Due to this lack of data, there had been little research devoted to determining the factors associated with mental health among elderly Native Americans. Instead, the growing body of mental health research had "been based on limited samples, primarily of middle-majority Anglos." Originally published in 1994, the purpose of this research was to utilize existing data to close the gap in our understanding of mental health among elderly Native Americans.
First multi-year cumulation covers six years: 1965-70.
An in-depth, meticulously documented exploration of the ecological wisdom of Native Peoples from around the world Arranged thematically, Wisdom of the Elders contains sacred stories and traditions on the interrelationships between humans and the environment as well as perspectives from modern science, which more often than not validate the sacred, ancient Wisdom of the Elders. Native peoples and environments discussed range from the Inuit Arctic and the Native Americans of the Northwest coast, the Sioux of the Plains, and the Pueblo, Hopi, and Navajo of the Southwest to the Australian Outback, to the rich, fecund tropics of Africa, Malaysia, and the Amazon. “Our technological civilization is speeding toward a violent collision with nature, and we are threatening the ability of the Earth—our home—to support life as we know it. Suzuki and Knudtson’s extraordinary work powerfully reminds us that we are indeed one with the Earth. We are truly indebted to them for charting for us the course toward a healthy and sustaining relationship with our planet.”—Vice President Al Gore
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
The building of the Kinzua Dam abrogated one of the oldest Indian Treaty with the United States, the 1794 Pickering Treaty. The dam flooded 10,000 acres of Seneca land and damaged the way of life of the Senecas and their elders. The stories of their loss are distressing. The Senecas survived this traumatic event but not without significant cultural change and loss. This is the story of the dislocated Seneca Elders of the Allegany Territory.