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With the number of elderly persons needing long-term care expected to double to 14 million over the next two decades, assisted living has become the popular choice for housing or care. Assisted living represents a promising model of long-term care that blurs the sharp distinction between nursing homes and community-based care and reduces the gap between receiving long-term care in one's own home and in an "institution." Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly examines the evolving field of residential care and focuses on national issues of regulation, reimbursement, and staffing. The book is based on a four-state study of assisted living facilities and describes the facilities, the persons residing in them and their needs, and how the services vary by facility. Because one-third to two-thirds of residents in assisted living facilities have cognitive impairment, special attention is devoted to dementia care. The book also focuses on how today's long-term health care environment evolved, and it examines the future direction and implications of assisted living. Assisted Living: Needs, Practices, and Policies in Residential Care for the Elderly brings together a group of nationally recognized experts to help define the types of residential care that should be encouraged and sets guidelines for selecting an appropriate type of facility.
First published in 1977, Residential Work with the Elderly brings together theoretical and practical approaches of relevance to providing care for older people in residential homes and long-stay geriatric hospitals. He describes the kinds of use to which institutional care is commonly put, the effects of institutional living o individual residents and the ageing process. He also examines ways of using such care to the benefit of both individuals and the resident group, so that new, improved ways may be found of helping older people in care. Intended principally for residential workers in homes for the elderly, the book is also designed for nurses and other workers involved in long-term hospital care for older people. It will also be of value to those involved in day-care and special housing provision for the elderly.
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.
Find out how housing options for the elderly are changing—and not always for the better To maintain or improve their quality of life, many seniors in the United States will move to new locations and into new types of housing. Housing for the Elderly addresses the key aspects of the transitions they’ll face, examines how housing programs can help, and looks at the role social workers can play to ensure they remain healthy, happy, and productive as they age. Housing for the Elderly provides the tools to build a comprehensive understanding of how housing is changing to support the growing number of elderly persons in the United States. This unique resource examines a full range of housing options, including assisted-living communities, elder friendly communities, and homelessness; looks at the effects of the Olmstead Decision of 1999, which requires states to place persons with disabilities in community settings rather than in institutions; and summarizes current research on Naturally Occurring Retirement Communities (NORCs). The book also presents a historical perspective of housing issues for the elderly, with a special focus on the discrimination of African-Americans. Topics in Housing for the Elderly include: creating elder friendly communities homelessness among the elderly in Toronto housing disparities for older Puerto Ricans in the United States grandparent caregiver housing programs how the Olmstead Decision affects the elderly, social workers, and health care providers New York State’s experience with NORCs relocation concerns of people living in NORCs the integration of services for the elderly into housing settings-particularly low-income housing moving from a nursing home to an assisted-living facility assisted-living and Medicaid and much more! Housing for the Elderly is an essential resource for social work practitioners, administrators, researchers, and academics who deal with the elderly.
First published in 1990, Working in Residential Homes for Elderly People outlines the purposes and objectives of residential homes and what it is like to live and work in them. The author looks at the factors that make for a good quality of life, considering how these can be promoted and how staff can work with people, both individually and in groups, to help them get the best out of life. He reviews prevalent thinking about what happens to people as they grow older, and, at a practical level, he looks carefully at the day-to-day management of homes, suggesting how they should be organized in order to get the best out of the staff, buildings and resources. Unique in its coverage of the process of ageing, good practice, and good management, the book takes into account the differing needs of both residents and staff. With its emphasis on the various aspects of the flexible, individual support necessary in providing ‘a good home’, it will be invaluable to social work and social care students, residential workers, and their managers.
Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles have addressed the shameful problem that abusersâ€"and sometimes the abused themselvesâ€"want to conceal. Elder Mistreatment in an Aging America takes a giant step toward broadening our understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it. The book includes a discussion of the conceptual, methodological, and logistical issues needed to create a solid research base as well as the ethical concerns that must be considered when working with older subjects. It also looks at problems in determination of a report's reliability and the role of physicians, EMTs, and others who are among the first to recognize situations of mistreatment. Elder Mistreatment in an Aging America will be of interest to anyone concerned about the elderly and ways to intervene when abuse is suspected, including family members, caregivers, and advocates for the elderly. It will also be of interest to researchers, research sponsors, and policy makers who need to know how to advance our knowledge of this problem.
Biographical note: Sally Chivers is a Full Professor in the Departments of English and Gender & Women's Studies at Trent University in Peterborough, Ontario, and a founding executive member of the Trent Centre for Aging and Society. Ulla Kriebernegg is an Associate Professor at the Center for Inter-American Studies of the University of Graz, Austria, and chair of the European Network in Aging Studies.
Practical guide to making the right decision about long-term health-care
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.
Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.