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From despair to integrity: using narrative therapy for older individuals in Erikson’s last stage of identity development
- Authors:
- GOODCASE Eric T., LOVE Heather A.
- Journal article citation:
- Clinical Social Work Journal, 45(4), 2017, pp.354-363.
- Publisher:
- Springer
- Place of publication:
- New York
Adults aged 65 and over are a growing population in the United States today. This population is underrepresented in the mental health literature despite the high rates of depression and suicide. Additionally, the newest generation of older individuals is more likely to seek therapy than past generations, furthering the need for mental health professionals to be prepared for treating older individuals. Erikson in Childhood and society, Norton, New York, (1950) describes this time period as being critical in terms of the final identity crisis, integrity versus despair. Integrity is marked by a positive evaluation of the individual’s entire life, less anxiety about death, and a feeling of gaining wisdom. Individuals who do not resolve this crisis can manifest despair in a number of ways, including depression, anger, and regret. This model proposes utilising Narrative therapy (White in Maps of narrative practice, Norton, New York, 2007) to understand how elderly individuals evaluate their lives in reference to their environment. The model utilises externalisation, unique outcomes, and re-membering conversations to unlock subjugated stories and promote integrity. (Publisher abstract)
Occupational therapy for stroke patients: a survey of current practice
- Authors:
- WALKER M.F., et al
- Journal article citation:
- British Journal of Occupational Therapy, 63(8), August 2000, pp.367-372.
- Publisher:
- Sage
This survey was carried out in order to ascertain the treatment approaches used in stroke care by senior I occupational therapists in the Trend Region of the United Kingdom. The two most common approaches identified ware the functional approach and the Bobath approach. The main indications for the choice of approach were the age of the patient, progress with other approaches and discharge date. Of concern in the current climate of evidence-based practice was the high number of occupational therapists who were unfamiliar with standardised assessments and unable to describe adequately the theoretical basis for the treatment used.
Family treatment of older adults who misuse alcohol: a strengths perspective
- Authors:
- PERKINS Kathleen, TICE Carolyn
- Journal article citation:
- Journal of Gerontological Social Work, 31(3/4), 1999, pp.169-185.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Using the strengths perspective, this article assists practitioners in their work with families, informal and formal supports, and social and health services, to help with the misuses of alcohol. In using the strengths perspective, clients focus on their strengths and adaptive capacities.
Helping elderly victims: the reality of elder abuse
- Authors:
- WOLF Rosalie S., PILLEMER Karl A.
- Publisher:
- Columbia University Press
- Publication year:
- 1989
- Pagination:
- 198p.,tables,bibliog.
- Place of publication:
- New York
Analyses 328 cases of elder abuse and neglect, assesses a number of model projects, and looks at a case controlled study of 42 victims. Compares different intervention programmes and profiles victims, perpetrators and the abuse situation. Concludes with a review of the implications for practice and policy.
Evolution of Eden
- Author:
- THOMAS William H.
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(1/2), 2003, pp.141-157.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The American Nursing Home is in the center of a “perfect storm” as a result of financial, workforce and liability issues. To date, conventional approaches to quality improvement have been ineffective at fundamentally changing our notions of care and treatment for our Elders. Begun in 1992 as an effort to transform life in a single New York State nursing home, The Eden Alternative has, a decade later, more than 5000 Eden Associates and 200 organizations as members. Its impact has been international. Building on the principles of Eden and its direct response to loneliness, boredom and helplessness, the Green House concept has subsequently evolved. This is more than an iteration or improvement on the Eden Alternative. Rather, its premise is that change, however well intentioned and profound, in our current system of long-term care is inadequate.
Trauma among older people: issues and treatment
- Authors:
- HYER Leon Albert, SOHNLE Steven James
- Publisher:
- Brunner-Routledge
- Publication year:
- 2001
- Pagination:
- 354p.,bibliog.
- Place of publication:
- Philadelphia, PA
This bock resents an integrative model of treatment that considers current theories of treatment in light of special considerations relating to elderly patients. The book provides case studies, and discussions, and demonstrates the importance of considering the personality, memory, and familial history of an elderly individual who has suffered a trauma.
Best practice: the On Lok model of geriatric interdisciplinary team care
- Authors:
- KORNBLATT Susan, CHENG Sabrina, CHAN Susana
- Journal article citation:
- Journal of Gerontological Social Work, 40(1/2), 2002, pp.15-22.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
On Lok Senior Health Services provides community-based comprehensive care for the frail elderly and is the prototype of the PACE (Programme of All-Inclusive Care for the Elderly) model of care. Comprehensive care includes all aspects of acute care and long term care under one capitated health delivery system. The cornerstone of care at On Lok is the interdisciplinary team that performs a comprehensive assessment of all participants at intake and at regular intervals after enrollment. The team consists of physician, social worker, nurse, physical therapist, occupational therapist, dietitian, home care nurse, geriatric aide, driver, recreation therapist and other specialists as needed. The team uses standardized instruments, develops treatment plans for each participant and meets at least four times per week to discuss cases. The case presented illustrates the benefits of the On Lok model of interdisciplinary care through the end of life of a frail elderly person.
elder abuse: risk factors and use of case data to improve policy and practice
- Authors:
- DUNLOP Burton D., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 12(3/4), 2000, pp.95-122.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study analyses local elder abuse case data to estimate the incidence of elder abuse, neglect and exploitation and to measure the risk factors, including co-locations of other forms of abuse, that predict elder abuse in a county in Florida. The authors also compare models of intervention to best practice models that incorporate elements of domestic violence treatment models. Also presents a series of recommendations for improving local abuse data-collection, analysis, and training so that local policy makers, planners, and practitioners can make proactive, community specific, culturally-sensitive preventive efforts effective.
Alcohol, social work and community care
- Authors:
- COLLINS Stewart, KEENE Jan
- Publisher:
- Venture Press/British Association of Social Workers
- Publication year:
- 2000
- Pagination:
- 256p.,bibliog.
- Place of publication:
- Birmingham
Examines practices in the assessment and management of alcohol problems within the context of community care development. considers the roles of social workers as providers of both social care and counseling help. covers a range of different theories and models that can be used in working with those experiencing problems with drink, especially psychological interventions such as social learning and cognitive behavioural approaches, There are chapters on young people, elderly people, black communities and offenders.
A model for community-based mental health services for older adults: innovative social work practice
- Authors:
- BLACK Janet, MINDELL Marcia
- Journal article citation:
- Journal of Gerontological Social Work, 26(3/4), 1996, pp.113-127.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Presents a model developed in the United States for the delivery of comprehensive mental health services to older adults in their own homes, based on sound clinical practice, and incorporating a cross-cultural perspective coupled with a strong social and community support base.