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Multidisciplinary teams’ practice strategies with older adult clients who hoard
- Authors:
- KOENIG Terry L., et al
- Journal article citation:
- Social Work in Mental Health, 12(1), 2014, pp.81-97.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Social workers are integral members of multidisciplinary teams designed to address older adults’ hoarding behaviours. However, few studies have examined practice strategies used by these teams. This qualitative study examined multidisciplinary teams’ use of a political approach that involved bargaining and coercion as practice strategies. Ten informants, as members of four multidisciplinary teams, described their practice strategies and client outcomes regarding older adult hoarding cases. Outcomes of these strategies resulted in a majority of elders being removed from their home. Implications include the need for teams to increase understanding of their roles in service delivery; and additions to the political approach for addressing hoarding behaviours (Publisher abstract)
Giving courts the information necessary to implement limited guardianships: are we there yet?
- Author:
- GIBSON Laura
- Journal article citation:
- Journal of Gerontological Social Work, 54(8), November 2011, pp.803-818.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Guardianship is a legal mechanism used to appoint substitute decision makers to assist vulnerable individuals who are unable to take care of their personal or financial needs. If a person has the capacity to function in some areas, a limited guardianship can be used to preserve rights in areas of strength. The aim of this study was to learn how interdisciplinary assessment teams in Kentucky contribute to the guardianship process for older adults and what kinds of information they are providing to the courts. A retrospective analysis of written court records and audiotapes of court testimony for adult guardianship cases was conducted. A total of 240 clinical assessments were reviewed for 80 court petitions. Guardianship assessments and court testimony were reviewed to explore the comprehensiveness of reports to the court, the consideration of less restrictive alternatives, and the use of limited guardianships. Ninety-seven percent of petitions were granted; 82% of these were full guardianships and 18% were limited. The findings indicate that more detailed information about functional abilities, as well as consideration of less restrictive alternatives, needs to be presented to the courts. Recommendations are given for ways in which social workers can improve the information given to the courts and advocate for elders in this situation.
The development in Ireland of social work in Psychiatry of Old Age
- Author:
- NOLAN Damien
- Journal article citation:
- Irish Social Worker, 22(1), Autumn 2004, pp.19-22.
- Publisher:
- Irish Association of Social Workers
Provides an account of the key elements of the social work role in Psychiatry of Old Age, a specialist psychiatric service for older people concerned with mental disorders arising in people over the age of 65.
The role of the social worker in interdisciplinary geriatric teams
- Authors:
- MELLOR M. Joanna, LINDERMAN David
- Journal article citation:
- Journal of Gerontological Social Work, 30(3/4), 1998, pp.3-7.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Provides an in-depth background to the role of the social work interdisciplinary geriatric teams in the USA.
Gerontological social work supervision
- Authors:
- BURACK-WEISS Ann, BRENNAN Frances Coyle
- Publisher:
- Howarth Press
- Publication year:
- 1991
- Pagination:
- 145p.,bibliog.
- Place of publication:
- New York
Practical text for those supervising professionals working with older people. Chapter 1 looks at the principles of gerontological social work practice; chapters 2 and 3 deal with stages and styles of helping, learning and teaching. Chapters 4 and 5 are on the teaching and application of practice skills, and chapters 6 and 7 look at educational and administrative supervision.
The social work role in reducing 30-day readmissions: the effectiveness of the Bridge Model of transitional care
- Authors:
- ALVAREZ Renae, et al
- Journal article citation:
- Journal of Gerontological Social Work, 59(3), 2016, pp.222-227.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The hospital experience is taxing and confusing for patients and their families, particularly those with limited economic and social resources. This complexity often leads to disengagement, poor adherence to the plan of care, and high readmission rates. Novel approaches to addressing the complexities of transitional care are emerging as possible solutions. The Bridge Model is a person-centred, social work-led, interdisciplinary transitional care intervention that helps older adults safely transition from the hospital back to their homes and communities. The Bridge Model combines 3 key components - care coordination, case management, and patient engagement - which provide a seamless transition during this stressful time and improve the overall quality of transitional care for older adults, including reducing hospital readmissions. The post Affordable Care Act (ACA) and managed care environment’s emphasis on value and quality support further development and expansion of transitional care strategies, such as the Bridge Model, which offer promising avenues to fulfil the triple aim by improving the quality of individual patient care while also impacting population health and controlling per capita costs. (Edited publisher abstract)
The evolving role of Geriatric Emergency Department social work in the era of Health Care Reform
- Author:
- HAMILTON Christine
- Journal article citation:
- Social Work in Health Care, 54(9), 2015, pp.849-868.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the era of Medicaid Redesign and the Affordable Care Act, the emergency department (ED) presents major opportunities for social workers to assume a leading role in the delivery of care. Through GEDI WISE—Geriatric Emergency Department Innovations in care through Workforce, Informatics and Structural Enhancements,—a unique multidisciplinary partnership made possible by an award from the Center for Medicare and Medicaid Innovation, social workers in The Mount Sinai ED have successfully contributed to improvements in health outcomes and transitions for older adults receiving emergency care. This article will describe the pivotal and highly valued role of the ED social worker in contributing to the multidisciplinary accomplishments of GEDI WISE objectives in this new model of care. (Publisher abstract)
Home and hospital; hospice and palliative care: how the environment impacts the social work role
- Author:
- LAWSON Robin
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 3(2), November 2007, pp.3-17.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Social workers play key roles within interdisciplinary hospice teams, which in the USA generally deliver care in the home, and in hospital-based oncology and palliative care teams. These different environments influence the role of the social worker, and the scope of care that is provided. This paper examines the similarities and differences between the two settings in the coordination of care and teamwork, and discusses collaboration between them in order to highlight opportunities for enhancing clinical social work skills and developing confidence in asserting social work expertise with colleagues from other disciplines. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Challenges to providing end-of-life care to low-income elders with advanced chronic disease: lessons learned from a model program
- Authors:
- KRAMER Betty J., AUER Casey
- Journal article citation:
- Gerontologist, 45(5), October 2005, pp.651-660.
- Publisher:
- Oxford University Press
This American study explored the challenges in providing end-of-life care to low-income elders with multiple comorbid chronic conditions in a fully "integrated" managed care program, and it highlighted essential recommendations. A case-study design was used that involved an extensive analysis of qualitative data from five focus groups with interdisciplinary team members, two in-depth interviews with administrators, and open-ended survey responses from social workers detailing death experiences of 120 elders. Seven major themes characterized primary end-of-life care challenges: (a) the nature of advanced chronic disease; (b) the incapacity of support systems; (c) barriers to honoring care preferences; (d) challenges with characteristics and needs of participants; (e) needs of complex family systems; (f) barriers with transitions; and (g) barriers with culture and language.
Setting priorities for gerontological social work research: a national Delphi study
- Authors:
- BURNETTE Denise, MORROW-HOWELL Nancy, CHEN Li-Mei
- Journal article citation:
- Gerontologist, 43(6), December 2003, pp.828-838.
- Publisher:
- Oxford University Press
An increasingly important task for all disciplines involved in aging research is to identify and prioritize areas for investigation. This article reports the results of a national Delphi study on setting research priorities for gerontological social work. Delphi methodology, a structured process for eliciting and correlating informed opinions from a panel of experts on a specific topic, was used. A national expert panel of 46 gerontological social workers completed three successive Web-based questionnaires with controlled feedback to delimit a set of high-priority research topics. There were 49 independent research topics identified, 16 of which attained high or highest priority and high or moderate consensus ratings. The top-priority topic was developing and testing psychosocial interventions across specific populations and conditions. Three additional topics on intervention research achieved similar ratings, as did all four topics on services research. The research priorities identified by expert panelists in this study represent critical knowledge needs for the social work profession in aging, and they overlap and complement the current research agendas of the National Research Council and the National Institute on Aging. They are thus expected to help guide the development and prioritization of social work and interdisciplinary research to improve practice and policies affecting older adults and their families.