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Title: |
Consumer direction in long-term care policy: overcoming barriers to promoting older adults' opportunity for self-direction. |
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Reference: |
Journal of Gerontological Social Work, 55(2), February-March 2012, pp.146-159. |
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ISSN paper: |
0163-4372 |
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ISSN online: |
1540-4048 |
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Abstract: |
Long term care policy in the US is undergoing something of a culture change as consumer-direction comes to the fore. Under such a system responsibility for managing care and support services is transferred from agencies to care recipients, thus supporting clients' self-determination. The idea of CD appears to have been accepted as an option for younger individuals with disabilities but barriers persist to promoting older adults' autonomy through CD. This article reviews the incorporation of CD in long-term care policy, addresses the current barriers to providing older adults the right to self-direct, and makes recommendations for overcoming these barriers through social work practice, policy, and research. The barriers discovered include; resistance to self-direction, limited support to facilitate consumer voice and choice in family decision making, and a lack of advocacy for CD by older adults. The author suggests that social workers may have a key role to play in promoting older adults’ autonomy by refocusing their efforts towards consumer–centred practice that emphasises empowerment and self-advocacy for older adults with disabilities. |
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Format: |
article; |
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Topics: |
attitudes; disabled people; empowerment; long term care; older people; policy; self-advocacy; self-determination; self-directed support; user views; |
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Record ID: |
www.scie-socialcareonline.org.uk/profile.asp?guid=221f7e55-6a10-4f05-86cb-1c7496d4b794 |
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