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Social protection of older people in Finland from the eighteenth to the twenty-first centuries: messages for current policy and practice from an historical analysis
- Author:
- TOPO Päivi
- Journal article citation:
- British Journal of Social Work, 41(5), July 2011, pp.876-893.
- Publisher:
- Oxford University Press
This article explores how social protection of the elderly has evolved in Finland since the eighteenth century, and examines the influence of historical developments on current policy. It highlights two inter-connected themes in particular – the shifting levels of paternalism and the cycle from early ‘annual auctions’ through state provision to increased privatisation and commissioning of services. The shifting levels of paternalism show that there has been a shift from strong to weak paternalism and from the duties to the rights of people in their old age. Recent developments, however, show distressing indications of leaving the most vulnerable old people to fend for themselves in a complex care system. With respect to increased privatisation and commissioning of services, statistics show that more severe problems of health and functioning are now required before gaining access at higher charge to services of a quality that may have deteriorated. Abuse and violence are understood in this article as an issue of structural discrimination associated with old age, living in poverty or suffering from severe problems of health and functioning without access to necessary care and assistance. The implications for social work policy balancing protection and personalisation are discussed.
Report on the use of the indicator of relative need (IoRN): a survey of Scotland's health and social work partnerships at April 2010
- Author:
- SCOTLAND. Scottish Government. Directorate for Health and Social Care Integration. Joint Improvement Team
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- Edinburgh
The Indicator of Relative Need (IoRN) tool is a set of questions and a classification system relating to the responses to these questions for assessing the needs of older people. Older people are classified into 1 of 9 groups based on their relative independence/dependence. In March 2010, a questionnaire survey was carried out in order to find out what progress local authorities and partner organisations had made in implementing and using the IoRN tool and what further action they would like to be taken nationally with the tool. This document provides a summary of the findings. In total, 33 separate returns were received; 31 from local authorities, and 2 from Community Health and Care Partnerships. Twenty five of these currently used the IoRN to some extent, 3 had used in the past, and 5 had never used it. Social work teams collected IoRN data in 26 authorities, with health staff also involved in only 5 of these 26. In 1 partnership the only health staff were using the tool. The findings relating to the use of the IoRN, suggestions for ‘wider uses’, and the need for further support are provided.
Specialized housing and rural elders
- Authors:
- BUTLER Sandra S., SHARLAND Donald W.
- Journal article citation:
- Journal of Gerontological Social Work, 42(3/4), 2003, pp.247-263.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The article begins with an examination of current living arrangements and housing conditions among the elderly in general and for rural elders in particular. The environmental press and empowermentoriented practice models provide readers with a framework for understanding the underlying tension between autonomy and security faced by rural elders and the social workers who assist them. Drawing from in-depth interviews with nine geriatric social workers working with elders in rural housing settings, we explore practice challenges, particular issues related to rurality, and innovative techniques and programmes. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Social work in geriatric home health care: the blending of traditional practice with cooperative strategies
- Author:
- ROSENGARTEN Lucille
- Publisher:
- Haworth Press
- Publication year:
- 2000
- Pagination:
- 124p.,bibliog.
- Place of publication:
- Binghamton, NY
This book addressesl issues involved in home health care for the elderly. It provides a clinical description of clinical social work interventions; it explains how to establish a cooperative home health care agency in coordination with medical, administrative, and policy professionals; and it guides readers in the training and supervision of teams of home health professionals, all with the goal of helping geriatric patients live independently. Rosengarten is the founder of a home care organization for the elderly.
Life strengths interview guide: assessing elder clients' strengths
- Authors:
- KIVNICK Helen Q., MURRAY Shirley V.
- Journal article citation:
- Journal of Gerontological Social Work, 34(4), 2001, pp.7-32.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
While standardisation of assessment tools in gerontological social work permits comparability across individuals, and within individuals across time paradoxically, this same standardisation eliminates from consideration those individual differences that may have most to do with client outcomes. This manuscript presents a theoretical and practical basis for assessing strengths in frail elder clients, and for utilising these strengths in designing and implementing individual case plans. Further introduces an assessment tool, in the form of a set of specific questions that may be utilised by practitioners in meaningfully gathering information about personal strengths and assets from frail elder clients.
The Lyngblomsten Care Center, St. Paul, MN
- Authors:
- MIKELSON Paul, JOHNSON Jane
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(3/4), 2003, pp.301-306.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Concluding that the medical model nursing home is going to disappear, at Minnesota organisation has created a new residential setting for dependent elderly while retaining nursing home licensure and certification. Based on the "service house" system currently used in Sweden, this model has a focus on autonomy and self determination by maintaining the aspects of daily life that are important to every individual. Residents have full apartments and have their own food for breakfast and supper, breaking the age-old facility problem, where mealtimes dictate your daily routine. Staff act as generalists, which allows greatly improved service with higher staff to client ratios. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Implementing the Eden alternative in Australia
- Author:
- MACKENZIE Susan
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(3/4), 2003, pp.325-337.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Many Aged Care facilities in Australia are continuing to operate in a traditional medical model, with elders being dependant, living in large institutions and living a life of mere existence. It is Australia's challenge to change the culture of ageing and the perceptions held by the community that elders are powerless and feeble. Australia needs to turn Aged Care facilities into homes, making them attractive for residents, families, and staff and to create a life worth living. In recent times some Aged Care providers have begun to research and implement new practices and philosophies such as the Eden AlternativeTM and culture change, believing that they can create an environment filled with animals, plants, and children. Australia has seen the positive results and data from the USA, and some homes in Australia are now beginning to gather base data and some comparative data, which in preliminary fashion indicate positive outcomes for staff and residents. Australia has to continue on the culture change journey, educating and spreading the awareness and positive changes nationally. Other Aged Care operators need to be aware of these new concepts in ageing, so that they can begin to practice self-determination; person-centred work and self-directed teams and leadership. Greater knowledge, awareness and Australian proactive data and results will assist and encourage others on the journey to culture change. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Pioneer network: changing the culture of aging in America
- Author:
- FAGAN Rose Marie
- Journal article citation:
- Journal of Social Work in Long-Term Care, 2(1/2), 2003, pp.125-140.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The Pioneer Network is an American grass roots network of individuals in the field of aging, working for deep systemic change through both evolutionary and revolutionary means, using Pioneer values and principles as the foundations for change. Pioneers are individuals who work in residential long-term care settings and community based settings, in government, research, advocacy and education whose goal is to seed and cultivate a new culture of aging. In-depth change in systems requires transformation of individual and societal attitudes toward aging and elders, transformation of elders' attitudes toward themselves and their aging, changes in the attitudes and behaviour of caregivers toward those for whom they care and changes in governmental policy and regulation. Pioneers refer to this work as culture change. While maintaining its work to recreate nursing homes, the Pioneer Network has expanded its vision, mission and focus to encourage and facilitate culture change values, principles and person-centered approaches across the whole continuum of aging services and elder living, from independent living at home to more traditional long-term care options. In its first six years, without a formal infrastructure and largely fueled by the Pioneers' volunteer activities, the Network has been a catalyst for positive change and outcomes in the aging field across the country.
Older people and access to care
- Author:
- TANNER Denise
- Journal article citation:
- British Journal of Social Work, 33(4), June 2003, pp.499-515.
- Publisher:
- Oxford University Press
At the heart of a number of New Labour health and social policy initiatives are stated concerns with supporting independence, preventing deterioration and extending access to services. This article examines the potential impact of these initiatives, including Prevention Grants, the National Service Framework for Older People, the Fair Access to Care Services Guidance , and the Single Assessment Process, on older people with 'low level' needs who have increasingly been excluded from services targeted at those in high risk categories. Key standpoints for this analysis are research findings indicating what older people themselves want from preventive services. Central messages, consistent with those from other service user 'groups', are the need for support services that enable older people to continue to exercise choice and control over their lives. New preventive measures are evaluated in the light of these findings and found wanting. It is argued that recent policy initiatives are likely to do little to widen access to support services for those with low intensity needs, and, moreover, that the processes involved in identifying those at future high risk will detract from rather than enhance citizenship. A more diffuse approach to prevention is advocated, based on mutuality, community development, and capacity-building.
Human welfare and technology: papers from the Husita 3 conference on IT and the quality of life and services held in Maastricht, June 1993
- Editor:
- GLASTONBURY Bryan
- Publisher:
- Van Gorcum
- Publication year:
- 1993
- Pagination:
- 290p.,bibliog.
- Place of publication:
- Den Haag
Papers from a conference focusing on the use of information technology in the human services. In 3 sections: setting the scene; quality of life; and quality of services. Includes the following papers: client information systems and their built-in values; community computing - linking health and human service resources to the community; supporting independent living through Adaptable Smart Home; an application of video telephones to maintain the quality of life of elderly people with special needs; new technologies and the Americans with Disabilities Act; networking; assessment and training of people with disabilities using new technologies; collecting accurate information about child abuse; issues within emergency planning in the United Kingdom; implementing case management technology; and in search of hidden knowledge - retrieve more information from your client database.