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Being with a person in our care: person-centered social work practice that is authentically person-centered
- Authors:
- WASHBURN Allyson, M., GROSSMAN Melanie
- Journal article citation:
- Journal of Gerontological Social Work, 60(5), 2017, pp.408-423.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Person-centred care (PCC) has emerged over the last several decades as the benchmark for providing quality care for diverse populations, including older adults with multiple chronic conditions that affect daily life. This article critiques current conceptualisations of PCC, including the social work competencies recently developed by the Council on Social Work Education, finding that they do not fully incorporate certain key elements that would make them authentically person-centred. In addition to integrating traditional social work values and practice, social work’s PCC should be grounded in the principles of classical Rogerian person-centred counsellings and an expanded conceptualisation of personhood that incorporates Kitwood’s concepts for working with persons with dementia. Critically important in such a model of care is the relationship between the caring professional and the care recipient. This article recommends new social work competencies that incorporate both the relationship-building attitudes and skills needed to provide PCC that is authentically person-centred. (Edited publisher abstract)
Social work decision-making: need factors of older adults that affect outcomes of home- and community-based services
- Author:
- JOOSTEN Dawn Marie
- Journal article citation:
- Health and Social Work, 40(1), 2015, pp.34-42.
- Publisher:
- Oxford University Press
This study examines social work decision-making outcomes of home- and community-based services (HCBS) referrals provided to older adults with unmet physical and psychosocial needs discharged from acute care to a community setting, and to understand older adults' (N = 247) responses to receiving referrals for HCBS. Older adults with inadequately or marginally met basic needs was a statistically significant predictor of the number of HCBS referrals home health social workers provided to older adult clients. The adapted three-step models were statistically significant: activities of daily living model and instrumental activities of daily living model. Most older adults accepted the HCBS referrals provided to them at the time of the social work home visit. Implications for practice were suggested for clinical social workers and case managers providing HCBS referrals to older adults with unmet physical and psychosocial needs discharged from acute care or skilled care to community settings. (Edited publisher abstract)
Navigating conflict: a model for nursing home social workers
- Authors:
- ALLEN Priscilla D., et al
- Journal article citation:
- Health and Social Work, 32(3), August 2007, pp.231-234.
- Publisher:
- Oxford University Press
Nursing home social workers require a variety of skills, including skills in managing interpersonal conflict. The authors illustrate why it is crucial to prepare nursing home social workers to handle conflict. They then present a resident-centred conflict resolution model to help guide nursing home social workers.
An exploratory study in social work with older persons in Cuba: implications for social work in the US
- Author:
- STRUG David L.
- Journal article citation:
- Journal of Gerontological Social Work, 43(2/3), 2004, pp.25-39.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Assuring a satisfactory quality of life for Cuba's large and fast growing older population is a national challenge. Social work plays an important part in addressing this challenge through its role in Cuba's National Programme for the Care of Older Persons. This article explores the role of social work in Cuba's programmes for the elderly and its implications for social work practice in the US. The information was obtained from 25 qualitative interviews with policy makers, social work practitioners, and community members in Havana, Cuba in 2003. The community oriented and interdisciplinary nature of Cuban social work with older persons distinguishes it from social work in the US and has implications for social work in the US. Despite the differences between Cuba and theUS, the Cuban social work model provides important insights for social work in this country. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Specialism, genericism and others: does it make a difference? A study of social work services to elderly people
- Authors:
- FULLER Roger, TULLE-WINTON Emmanuelle
- Journal article citation:
- British Journal of Social Work, 26(5), October 1996, pp.679-698.
- Publisher:
- Oxford University Press
A previous paper in this journal by the authors described a preliminary feasibility study designed to investigate the effects of organising social work teams along specialist or generic lines. The main study which developed is reported in this article. The study, using modified case review forms, compares the way samples of referrals of elderly people were dealt with at an initial assessment and for up to a year subsequently by social work teams of contrasting organisational approaches. Sets out some of the measurable consequences of opting for the various models.
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)
Using network variation in practice: identification of support network type
- Authors:
- WENGER Clare G., TUCKER Ithwen
- Journal article citation:
- Health and Social Care in the Community, 10(1), January 2002, pp.28-35.
- Publisher:
- Wiley
Evaluates the use of a support network measurement instrument (PANT) in social work practice, focusing primarily on a study of the introduction and use of the instrument with social work teams. Describes practitioners responses during the training period and during the initial phases of using the instrument in practice. The findings show how growth in familiarity with the new tool and support from managers overcame early resistance and contributed to both practitioners confidence and understanding of the situations of older people. It allowed them to tailor interventions appropriately. It also contributed to understanding of differences between teams in the area and made it possible to create area profiles of older service users, their carers and their needs. The importance of network type for prediction of outcomes is stressed.
Community interventions for helping isolated and underserved elders
- Author:
- ELLIS James A.
- Journal article citation:
- Journal of Gerontological Social Work, 26(3/4), 1996, pp.145-157.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
An often overlooked but growing segment of our society consists of older people who live in isolation. This article focuses on the importance and critical role of the case manager, social worker, psychologist and other outreach workers who work with isolated older people. Looks in particular at depression due to loss, loneliness and isolation, feelings of hopelessness and uncertainty and personality dysfunction arising from difficulties with interpersonal relationships. Presents a counselling model designed to help clients and caregivers deal with the effects of dementia, but which can also be used effectively for helping isolated seniors.
Social work and case management in the UK: models of professionalism and elderly people
- Author:
- HUGMAN Richard
- Journal article citation:
- Ageing and Society, 14(2), June 1994, pp.237-253.
- Publisher:
- Cambridge University Press
Discrimination against old age and work with elderly people are evident in the practices and organisation of caring professions, of which social work may be taken as an example because of its central role in community care provision. This article examines the implications for the status of professional social work with elderly people of recent proposals to develop the role of care manager in place of the case management model developed in Kent and elsewhere. It is argued that such a move drives from managerial concerns, which ignore the likely consequences for retrenching ageism and other forms of discrimination in services for older people. It is concluded that more careful consideration will be required concerning the context in which new professional models are being developed if these discriminations are not to be reproduced and reinforced, as well as the benefits from case management systems being lost.
Intervening for success: strengths-based case management and successful aging
- Authors:
- SULLIVAN William Patrick, FISHER Bradley J.
- Journal article citation:
- Journal of Gerontological Social Work, 22(1/2), 1994, pp.61-74.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Looks at the concept of successful ageing and argues that if it is to be promoted then helping professionals must employ appropriate technology to assist this process. Describes a strengths-based model of case management that can be used in a variety of human service organizations.