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Effective social work with older people
- Authors:
- KERR Brian, et al
- Publisher:
- Scotland. Scottish Executive. Social Research
- Publication year:
- 2005
- Pagination:
- 4p.
Older people do not require social work support simply because of their age. They are not an homogenous group with a single set of needs. This study has highlighted the potential limitations of categorising older people as a separate service user group, as if different from other adults. Many people come to social workers’ attention for the first time following the onset of illness or frailty in old age. Others may have experienced difficulties during adult life which are exacerbated, or combine with adverse circumstances, as they grow older. As part of the 21st Century Social Work Review, the Scottish Executive asked the Social Work Research Centre at the University of Stirling to review the evidence base for effective social work with older people. This short piece of work (conducted during July and August 2005) involved a review of various key texts and recent research.
Geriatric enrichment in social work education: lessons learned from the GeroRich projects
- Authors:
- SANDERS Sara, DORFMAN Lorraine T., INGRAM Jerry G.
- Journal article citation:
- Journal of Gerontological Social Work, 52(4), May 2009, pp.354-376.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
It is expected that one in five Americans, or almost 70 million individuals, will be aged 65 by 2030, with the fastest-growing segment of older adults being those over the age of 85. The authors note that despite this demand, a national shortage of social workers willing to work with older adults continues to exist. The Geriatric Enrichment in Social Work Education (GeroRich) initiative was designed to infuse geriatric content into the social work foundation curriculum, with 67 institutions selected to participate in this programme which began in 2002 and ended in 2004. This study analysed the lessons learned by participating institutions about the curriculum enrichment efforts, using qualitative analysis of GeroRich final reports. The five themes that emerged were: obtaining faculty buy-in and faculty development, increasing student interest and engagement, developing community partners, developing interdisciplinary linkages, and facilitating institutional commitment and sustainability.
I can't place this place at all: working with people with dementia and their carers
- Author:
- MARSHALL Mary
- Publisher:
- Venture Press/British Association of Social Work
- Publication year:
- 1996
- Pagination:
- 107p.,list of orgs.,bibliog.
- Place of publication:
- Birmingham
Aims to provide a practical introduction to work with people with dementia and their carers for anybody in the social care field.
Frailty and social care: over- or under-familiar terms?
- Authors:
- MANTHORPE Jill, et al
- Journal article citation:
- Social Policy and Society, 17(1), 2018, pp.23-33.
- Publisher:
- Cambridge University Press
Definitions of frailty are much debated. The focus of this article is on the representation of frailty; who employs the terms ‘frail’ or ‘frailty’ in social care, about whom and with what meanings? The authors report secondary analysis of interview data from two waves of a longitudinal study starting in 2008. Study participants were 240 social care managers/practitioners working in four English localities. Social care managers and practitioners did not talk at length about frailty as characterising the increasing needs of care users. The minority who talked about frailty used the term in three ways: describing a physical state not including dementia; describing a stable state, as distinct from those dying; and as a combination of physical and mental disabilities (i.e. dementia). Differences among the participants in this study about the meaning of frailty could have implications for policy makers and for communication with other staff, health professionals, older people and their relatives. (Edited publisher abstract)
When the clients can choose: dilemmas of street-level workers in choice-based social services
- Authors:
- COHEN Nissim, BENISH Avishai, SHAMRIZ-ILOUZ Aya
- Journal article citation:
- Social Service Review, 90(4), 2016, pp.620-646.
- Publisher:
- University of Chicago Press
To examine the question of how increased use of choice-based management strategies in social services influences the behaviour of street-level workers, this article provides an analytical framework for understanding street-level logic in choice-based environments. It then looks at home-nursing care in Israel to examine how choice plays out in street-level workers’ day-to-day practices. By relying on 34 interviews with social workers working in home-care agencies, the authors illustrate how street-level workers’ jobs have expanded beyond implementing public policy to include the “new job” of recruiting and retaining clients. The article shows how a choice-based environment gives higher priority to clients’ preferences, while at the same time these preferences are subordinated to the economic interest of the providers. It also demonstrates how market pressures may push street-level workers to develop new practices and coping strategies that go beyond, but often also counter to, formal policy. (Edited publisher abstract)
Professional stances and personal values in the realm of transnational family reunification with older parents: social work practice in an emerging field
- Authors:
- VUILLE Marilene, BOLZMAN Claudio, DURRETT Elisabeth Hirsch
- Journal article citation:
- European Journal of Social Work, 16(3), 2013, pp.407-426.
- Publisher:
- Taylor and Francis
National rules for family reunification take place in an increasingly transnational context. Social workers in Switzerland, whether they work in services for migrants or for elders, are confronted with requests for transnational family reunification with older parents. While relatively rare, such requests elicit responses which must be viewed as largely founded on professionals' values and norms regarding the care of older people, family cohabitation and the influence of cultural factors. These requests must also be examined against a backdrop of increasing suspicion of motives for migration, especially in fields where migration issues have not been at the forefront of professional debate and practice. The militant stance of some services for migrants can thus be contrasted with the relative inexperience of professionals active in social services for older people, who rarely encounter recent migrants. The latter are more likely to reflect their own private—and unexamined—views when advising clients in a field characterised by complexity and instability. The authors interviewed social workers and families in two Swiss cantons. Their results point to ways in which distinct professional cultures could enrich each other, and provide social workers with tools to critically analyse their own practice in a very difficult field, the contours of which remain largely unexplored. (Edited publisher abstract)
Positions of social workers’ views about residential care for people with dementia
- Authors:
- HAVRDOVA Zuzana, JIRI Safr, STEGMANNOVA Ingrid
- Journal article citation:
- Social Work and Society: International Online Journal, 10(2), 2012, Online only
- Publisher:
- University of Bielefeld
Reform of the social services in the Czech Republic faces numerous obstacles in individual care, mainly in residential services. Many different professions participate in these services provided to care recipients. To show how social work may contribute to reforms in this area, the authors present the views of social workers about the care provided within a team of different professionals. A questionnaire survey was used to study the respondents’ readiness to apply the person-centred approach in a group of 560 professionals working in a number of residential facilities for the elderly. The results show that regardless of the organisational context, social workers tend towards the client-centred approach more often than other professionals. The organisational context influences however the perspectives of other professionals. (Publisher abstract)
How budget cuts are affecting eligibility thresholds for care: survey report from The College of Social Work
- Author:
- COLLEGE OF SOCIAL WORK
- Publisher:
- The College of Social Work
- Publication year:
- 2013
- Pagination:
- 9
- Place of publication:
- London
The Government's Care Bill is intended to effect a fundamental change in social care creating a new system of rights and entitlements linked to services that actively promote people's wellbeing instead of responding only in a crisis. This report is based on a joint survey of social workers conducted by Age UK and The College of Social Work. It reveals a gulf between the aspirations of the Care Bill and the fact that the majority of local authorities are freezing or reducing spending on adult social care. The report advocates that the national eligibility threshold be set at "moderate" rather than "substantial" otherwise the Bill's basic principles will be radically compromised.
Social work with older people - reducing suicide risk: a critical review of practice and prevention
- Authors:
- MANTHORPE Jill, ILIFFE Steve
- Journal article citation:
- British Journal of Social Work, 41(1), January 2011, pp.131-147.
- Publisher:
- Oxford University Press
Although suicide remains an uncommon event among older people in most developed countries, suicide rates do increase with age, mainly accounted for by the higher incidence among older men. This review draws on four existing reviews and a further search of the literature using a critical interpretive synthesis methodology that emphasises practitioner perspectives. It reveals three problems: a scarcity of research that takes a system-wide approach to suicide prevention in later life; a dearth of evidence about the social work contribution to reducing the risk of suicide in later life; and a noticeable absence of reference to social work practice in national guidelines for mental health practitioners. This absence of social work services from studies about later life suicide arises partly from concentration on medical, nursing and psychological literature and partly from the use of a hierarchy of evidence that grades research by quality of the science and stands to miss accounts of practice, let alone the experiences of older people. This article suggests that emphasis should be given to guideline development, and to improving sub-optimal care and support.
Case managers' perspectives on consumer direction
- Authors:
- KUNKEL Suzanne R., NELSON Ian M.
- Publisher:
- Springer Publishing
- Publication year:
- 2006
- Pagination:
- 10p.
- Place of publication:
- New York
The basic philosophy of consumer direction is that people with disabilities (including older people) have the capacity and the right to assess their own needs, to determine how, when, where and by whom those needs should be met, and to continuously assess and improve the quality of the services they are receiving. Noting that there has been a considerable growth in consumer direction as a model of service delivery for older people in the US over the past decade, and that integrating the consumer direction approach into existing case managed programmes presents a significant challenge, this paper presents data from a survey of case managers about their views on consumer direction undertaken in association with the Consumer-Directed Care project introduced in southern Ohio, which offered the consumer-directed option to clients in the Elderly Services Program. The findings included that before the programme began two thirds of case managers felt that the benefits of consumer direction would not outweigh the risks to clients, but that after the option had been in place for several months case managers were more convinced about the benefits of consumer self-direction.