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Older people’s views on what they need to successfully adjust to life with a hearing aid
- Author:
- KELLY Timothy B.
- Journal article citation:
- Health and Social Care in the Community, 21(3), 2013, pp.293-302.
- Publisher:
- Wiley
This article reports a study exploring what older people believe would enable them to adjust to and gain maximum benefit from wearing a hearing aid. A mixed methods approach was employed during 2006 involving interviews with key stakeholders, a survey across three Scottish health board areas and focus groups. Nine key stakeholders from six national and local organisations were interviewed about the needs of older people being fitted with hearing aids. In total, 240 older people belonging to three different types of hearing impaired older people were surveyed: long-term users of hearing aids, new hearing aid users, and those on a waiting list from urban and rural areas (response rate = 24%). A series of eight follow-up focus groups with 31 audiology patients was held. Health professionals appeared to neglect appropriate provision of information and overly rely on technological interventions. Of 154 older people already fitted with hearing aids, only 52% of hearing aid users reported receiving enough practical help post fitting and only 41% reported receiving enough support. Approximately 40% reported not feeling confident in the use of their aids or their controls. Older people wanted more information than they received both before and after hearing aid fitting. Information provision and attention to the psychosocial aspects of care are key to enabling older people to adjust and optimise hearing aid benefit. (Publisher abstract)
Group work for people touched by HIV/AIDS yesterday and today
- Author:
- KELLY Timothy B.
- Journal article citation:
- Social Work with Groups, 33(4), October 2010, pp.282-287.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article recounts the experience of a support group in the early days of the AIDS pandemic. It provides a personal reflection of the power of groups. In the early 1980s, a grass-roots organisation called AID Atlanta began to offer a support group for people living with AIDS and their partners and caregivers. This article identifies the personal, interpersonal, and environmental issues that were part of the work of this early support group, listing themes and issues that the group helped with. The article then reflects on how far the world has come in addressing people's needs around HIV/AIDS. The importance of group work in working at personal and political levels is highlighted.
Mutual aid groups for older persons with a mental illness
- Author:
- KELLY Timothy B.
- Journal article citation:
- Journal of Gerontological Social Work, 44(1/2), 2004, pp.111-126.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Older adults with a mental illness face many life stressors as they cope with aging and mental illness. Mutual aid groups represent a particularly potent source of support, and this article explores some of the unique practice issues and themes associated with group work for this vulnerable population. Group beginnings, authority, and intimacy themes are highlighted.
Mutual aid groups with mentally ill older adults
- Author:
- KELLY Timothy B.
- Journal article citation:
- Social Work with Groups, 21(4), 1999, pp.63-80.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There is a growing body of literature that describes the theory of and practice with mutual aid groups. This abstract attempts to particularise mutual aid theory to groups practice with mentally ill older adults. Mutual aid themes that are unique to older persons with a mental illness are explored.
'Risk is king and needs to take a backseat!' Can social workers' experiences of moral injury strengthen practice?
- Authors:
- FENTON Jane, KELLY Timothy B.
- Journal article citation:
- Journal of Social Work Practice, 31(4), 2017, pp.461-475.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper considers the idea that moral injury may result from social workers being exposed to sustained ethical stress – the stress experienced when workers cannot base their practice on their values. It is suggested that a particularly salient feature of agency working which might contribute to the experience of ethical stress is risk aversion. This paper is based on a study of one hundred criminal justice social workers in Scotland, who were questioned on their experiences of ethical stress and risk aversion. Quantitative and qualitative data were collected and analysed using standard multiple regression and inductive thematic analysis, respectively. Findings demonstrated that how risk-averse an agency was contributed in a unique and significant way to the worker’s experience of ethical stress. Qualitative comments illustrated why this relationship might exist, but also demonstrated that a variety of views were held by social workers and that ethical stress was not experienced by all. The findings are discussed in terms of moral injury and its links with risk aversion, bureaucracy, neoliberal hegemony, notions of ‘underclass’, personal moral codes and professional integrity. Explicitly exploring these related concepts in social work education might impact on the new generation of social workers and strengthen the profession. (Publisher abstract)
Preventing Crisis for Carers: a Princess Royal Trust for Carers' programme funded by the Moffat Charitable Trust: final evaluation report
- Authors:
- KELLY Timothy B., et al
- Publisher:
- Princess Royal Trust for Carers
- Publication year:
- 2010
- Pagination:
- xii, 71
- Place of publication:
- London
An independent evaluation of the Crisis Prevention Programme, which comprised four individual pilot projects operating in four NHS board areas in Scotland and aimed to get support and advice for carers at an early stage, offer them a carer's assessment, reduce the pressure on their health, get them involved in discharge planning and train health and social care professionals in carer awareness. The evaluation found that the programme resulted in many improvements in hospitals, including: professionals were more likely to identify carers at an early stage and put support for them in place at an earlier stage; there were changes to ways of working which benefited carers; carers reported feeling that professionals had more recognition of their expertise in caring and understood their needs as a carer; carers felt more able to have a say in shaping the services they, or the person they cared for, received; and carers were provided with more information, such as being told of their right to a carer's assessment. The evaluation recommended that funding for carer support workers in hospitals continues and that carer awareness training should be mandatory for all healthcare professionals. (Edited publisher abstract)
The use of online groups to involve older people in influencing nursing care guidance
- Authors:
- KELLY Timothy B., et al
- Journal article citation:
- Groupwork, 16(1), 2006, pp.69-94.
- Publisher:
- Whiting and Birch
The drive to involve service users in policy and practice decisions is occurring on an international basis, yet meaningful involvement is not as commonplace as it should be. There are numerous barriers to meaningful involvement of service users, and groupwork offers a potentially empowering approach to helping service users influence the policy and practice decisions that impact their lives. This paper describes a model of service user involvement based on an online communities of practice approach. Twenty-one older people and carers were recruited to take part in a project aimed at influencing the policy and practice of nursing older people on a national level in Scotland. Participants were taught IT skills and worked as an online group to articulate what they thought constituted good nursing care of older people. Together they produced two statements concerning prevention of depression and ensuring adequate nutrition for older people in care. This paper reports on one aspect of a larger evaluation of the project, namely the role of groupwork in the involving model. Content analysis of the groupwork records highlights the importance of groupwork and mutual aid in achieving group goals. The combination of groupwork, service user involvement, and interactive computer technology has much potential.
Ethical decision-making in the helping profession: a contextual and caring approach
- Authors:
- KELLY Timothy B., HORNER Robert
- Journal article citation:
- Journal of Religion and Spirituality in Social Work, 26(1), 2007, pp.71-88.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In this article the authors examine several of the more prominent theoretical approaches in ethics (the utilitarian, absolute rule, principle based, and ethics of care approaches) and find the principle-based, common morality approach, and the ethics of care approach to be the two approaches that are most relevant to the types of ethical decisions practitioners characteristically are confronted with in a social work setting. They then propose combining these two approaches, taking into consideration the advantages and drawbacks of each, such that in application these two approaches can be seen to complement one another. Two brief hypothetical cases are then used to show how the combined approach can be used to guide practitioners' ethical decision-making in real life situations. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Advancing stages of group development: the case of a virtual nursing community of practice groups
- Authors:
- KELLY Timothy B., LOWNDES Andrew, TOLSON Debbie
- Journal article citation:
- Groupwork, 15(2), 2005, pp.17-38.
- Publisher:
- Whiting and Birch
A qualitative study was undertaken on the stages of group development in an on-line group. The group was a nursing 'community of practice' taking part in the Gerontological Nursing Demonstration Project. Together the nurses worked to develop and implement best practice across Scotland. Through content analysis of 27 on-line group sessions, the authors identify the group tasks, the character of the group system and member behaviour, the skills of the groupworker, the dynamics of mutual aid occurring in the session and the stages of group development. Findings challenge the dominant paradigm of group development represented by Tucker and Garland, Jones and Kolodny. The group did become more productive and mature, but did not experience a power and control/storming stage of development.
The folder feedback system: making research content more understandable, enjoyable, and usable
- Authors:
- KELLY Timothy B., BRONSTEIN Laura R.
- Journal article citation:
- Social Work Education (The International Journal), 22(3), June 2003, pp.261-270.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper describes the use and evaluation of the folder feedback system. The folder feedback system is a useful teaching tool based in principles of adult learning. It is designed to help organize student learning, increase communication with the instructor, insert an element of fun into the class, and assist with student/teacher relationship building. An evaluation of the teaching tool produced mixed results. The treatment group received higher grades than the comparison group, yet in all other measures no differences were found.