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Sustaining an intimate and sexually fulfilled marriage or partnership in older adulthood with a disability: perspectives of social workers
- Authors:
- LINTON Kristen F., WILLIAMS Lela Rankin
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 29(8), 2019, pp.1026-1035.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The American portrayal of sex is often left for only the young, attractive, and able-bodied. In contrast many studies have found that older adults with disabilities in marriages and intimate partnerships have sexual desire and sexually active lives. Social workers are often burdened with balancing the sexual intimacy desires of their older adult clients with disabilities, alongside the need to protect them from sexual abuse and exploitation, particularly among those who may lack the capacity to consent due to cognitive impairment. This phenomenological study aimed to understand the lived professional experience of social workers (N = 5) in supporting married and intimately partnered couples in which at least one person was an older adult with a disability to understand the clients’ needs and common social work practice methods used to address their needs. Inductive coding was used to identify themes and subthemes. Their role included helping their clients to learn about their ability to have sex, consenting to sex, negotiating accommodations for intimacy and sex with their spouses, and counselling those who took on caregiver roles for their spouses. Social workers reported that individual diagnosis, such as dementia, should not alone determine one’s ability to consent to sex. (Edited publisher abstract)
Building capacity and bridging the gaps: Strand 1: Social care practice with older people, people with learning disabilities and physically disabled people who use alcohol and other drugs: final report
- Authors:
- DANCE Cherilyn, ALLNOCK Debbie
- Publisher:
- University of Bedfordshire. Tilda Goldberg Centre for Social Work and Social Care
- Publication year:
- 2013
- Pagination:
- 68
- Place of publication:
- Luton
This report conveys the findings of one part of a three strand project which set out to examine the current state of training to work with alcohol and other drug problems (AOD) in social work and social care. This strand highlights the experiences and needs of social work and social care practitioners when encountering AOD problems in their work with older people, adults with learning disabilities and physically disabled adults. Drawing on quantitative and qualitative data from a survey undertaken in 2010-11, this secondary analysis has identified that practitioners in these areas encounter AOD problems relatively infrequently (compared with child protection or adult mental health fields), but that significant challenges are faced when they do so. Many practitioners in these fields feel under-prepared for this work; and they struggle with a lack of confidence in their knowledge about AOD, and with balancing their duty of care with respect for an individual’s right to self-determination, each of which affects their sense of entitlement to discuss AOD issues with service users. The current mode of service delivery, case management, focuses on signposting and referring on, and thus limits the perceived opportunities for practitioners to develop the sort of relationships with service users which would permit meaningful discussion of their AOD use. In addition, there is a lack of clarity about what is, or should be expected of adults’ social practitioners with respect to problematic AOD use. While the focus of the new Health and Well Being Boards is yet to be established, it is hoped that by bringing together health and social concerns under one body responsible for strategic planning and commissioning of services might offer the opportunity for tackling some of these issues. The project was funded by Alcohol Research UK. (Edited publisher abstract)
The role of professional education in promoting the dignity of older people
- Author:
- ASKHAM Janet
- Journal article citation:
- Quality in Ageing, 6(2), July 2005, pp.10-16.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This paper considers the education of social and health care professionals who work with and care for older people. It asks whether education can promote the dignity of older people, how this may be done, what factors may ease or impede the promotion of dignity within professional education, and what part eduation plays alongside other influences on care practices. Beginning with consideration of research on the nature of professional education, the paper reviews principles of professional education, cultures and methods of teaching and learning and processes of practical apprenticeship. The paper argues that there are a number of challenges to the promotion of dignity within professional education, for example, inconsistencies in development of professional values, curriculum contradictions such as those between education for management and for direct care of older people, the balance between theory and practice and education for practice under changing real-world conditions.
Collaboration facilities and communities in day care services for older people
- Authors:
- BURCH Sarah, BORLAND Colin
- Journal article citation:
- Health and Social Care in the Community, 9(1), January 2001, pp.19-30.
- Publisher:
- Wiley
This article reports on the process of carrying out a randomised controlled trial of different models of day care for older people. The trial compared the outcomes of rehabilitation in a day hospital setting with social services day centres supplemented by visiting therapists. Focuses principally on the difficulties and opportunities encountered in the process of attempting to integrate health and social care provision in a day care setting. The day centre model had several problems, principally discharge policy, acceptability, facilities and attitudes of staff and regular attendees. Positive aspects of the day centre model, as well as successful rehabilitation, included shared skills, knowledge and resources. This article suggests that collaborative working in day centres requires multipurpose facilities.
Better placed - making the right choices
- Author:
- EVANS Peter
- Journal article citation:
- Professional Social Work, February 2000, p.6.
- Publisher:
- British Association of Social Workers
Reports on the results of a BASW survey on how social workers access sources for residential placements.
Infusing content on older people with developmental disabilities into the curriculum
- Author:
- KROPF Nancy P.
- Journal article citation:
- Journal of Social Work Education, 32(2), Summer 1996, pp.215-226.
- Publisher:
- Council on Social Work Education
Although older people with developmental disabilities (OPDD) are living longer than before and appearing more often as clients of social workers, this population has not been included in the growing effort to prepare social work students in the USA for practice with older clients. Explores the issues unique to OPDD and their families.
The essential social worker: an introduction to professional practice in the 1990's
- Author:
- DAVIES Martin
- Publisher:
- Arena
- Publication year:
- 1994
- Pagination:
- 237p.,bibliog.
- Place of publication:
- Aldershot
In 4 sections: part 1 is a framework for the 1990's; part 2 is on the theory and practice of maintenance; part 3 looks at dimensions of practice; and part 4 details the skills, knowledge and qualities required by the 'essential social worker'.
The implementation of the Fair Access to Care Services national eligibility framework within Essex: an exploration of practice issues by adult social care assessors
- Author:
- POUNTNEY Kay
- Publisher:
- Essex Social Care Services
- Publication year:
- 2005
- Pagination:
- 35p.
- Place of publication:
- Braintree
In April 2003 Essex County Council adopted the National Eligibility Framework for Fair Access to Care Services (adult social care). This piece of research was commissioned to look in more detail at the experiences of social work practitioners who were using FACS eligibility criteria in their everyday practice. Five in depth focus groups were held, one for each of the following specialisms: Older People, Learning Disability, Occupational Therapy, Physical and Sensory Impairment, and Social Care Direct (telephone referrals). Participants represented teams from across Essex, and included social workers of different levels of experience, and with different roles. The number of participants involved in the research was twenty seven. Some differences in interpretation of the bandings were noted by practitioners, and it was felt that the experience and training of the assessor would influence their banding decision. Regarding how practitioners, and particularly new team members, gained an understanding of how to use FACs, it was found that there is currently an emphasis on informal learning from colleagues, although senior practitioners and team managers also give guidance. Practitioners were concerned that information on a person’s needs was not always being adequately recorded at initial referral and after assessment, thereby making it difficult to apply the FACS criteria. There was considerable uncertainty among the practitioners in relation to the recording of low and moderate levels of need. The main suggestions to arise from the research were: to provide clear guidance to adult social care teams and referrers on what information about a person’s needs should be recorded, in what detail, and where to ensure that low and moderate level needs which do not currently meet the criteria for a service are consistently recorded in a form that they can be analysed for planning purposes; to provide training on how FACS is used, as part of a standard induction programme or rolling training programme for new team members who are undertaking assessments.
Integrated practice: using narratives to develop theories in social care
- Author:
- HIGHAM Patricia
- Publisher:
- Venture Press
- Publication year:
- 2001
- Pagination:
- 90p.,bibliog.
- Place of publication:
- Birmingham
This book argues that examples from research, practice and education provide threads of evidence that orient the student and practitioner to selected theoretical concepts. The book seeks to show how social care workers can use particular approaches to be more effective in practice. Examples are taken from research in older people in residential homes, people with learning difficulties and their families, and the Sure Start programme.
Promoting positive human-animal interaction: the role of the social worker in the multidisciplinary team
- Authors:
- van HEERDEN M., du PREEZ M.S.E.
- Journal article citation:
- Social Work Maatskaplike Werk, 38(2), June 2002, pp.91-104.
Social work focuses, among other things, on the bond between people and their environment. Discusses the role of companion animals in people's lives, and how human-animal interaction can be used in social work interventions. Makes recommendations on how the social worker can promote positive human-animal interaction through multidisciplinary co-operation.