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Handling the dilemma of self-determination and dementia: study of case managers’ discursive strategies in assessment meetings
- Authors:
- OSTERHOLM Johannes H., LARSSON Annika Taghizadeh, OLAISON Anna
- Journal article citation:
- Journal of Gerontological Social Work, 58(6), 2015, pp.613-636.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In assessment meetings concerning care services for people with dementia, Swedish case managers face a dilemma. On the one hand, according to the law, the right to self-determination of every adult citizen must be respected, but on the other hand cognitive disabilities make it difficult to fulfil obligations of being a full-fledged citizen. In this article, the authors examine 15 assessment meetings to identify discursive strategies used by case managers to handle this dilemma. The authors also examine how these affect the participation of persons with dementia, and indicate implications of their study for social work practice and research. (Edited publisher abstract)
Care managers' experiences of cross-cultural needs assessment meetings: the case of late-in-life immigrants
- Authors:
- FORSSELL Emilia, TORRES Sandra, OLAISON Anna
- Journal article citation:
- Ageing and Society, 35(3), 2015, pp.576-601.
- Publisher:
- Cambridge University Press
Research on care managers' experiences of the needs assessment process is scarce even though the literature on needs assessment practice is relatively extensive. This study examines the ways in which care managers experience the challenges that are presumably posed by increased ethnic, cultural, linguistic and religious diversity among prospective elder care recipients. It is based on a project that aims to shed light on care managers' experiences of the needs assessment process in general and cross-cultural needs assessment meetings in particular. The data are constituted of focus group interviews with care managers in Sweden (N=60). This article focuses on care managers' experiences of needs assessment with older people who have immigrated late-in-life, who come from cultures considered different from the Swedish one and who have not mastered the Swedish language. This was the group of older people that the care managers mostly thought of when asked to describe their experiences of cross-cultural needs assessment meetings. The interviewed care managers discussed the challenges that these meetings present, which were related to communication due to language barriers, different demands and expectations, insecurity regarding what is customary in such meetings, as well as perceived passivity among late-in-life immigrants. The article discusses the contributions of the findings to research on care management practices in general, as well as to needs assessment practice in particular. (Edited publisher abstract)