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Journal of Gerontological Social Work

Kevin J Mahoney, Ellen K Mahoney, Carmen Morano, Andrew DeVellis
Unmet need for long-term services and supports has been linked to a variety of harmful health outcomes. One suggested strategy for ameliorating unmet need is to give participants control of a budget and let them construct individualized plans. The evaluation of the Cash and Counseling controlled experiment (CCDE) documented a marked reduction in unmet need when compared to traditional agency-based solutions, but it also showed significant unmet needs remained. This paper reanalyzes 76 case studies from the CCDE to, for the first time gain an understanding of what those unmet needs are, who sees them, and what participants, caregivers and support brokers think might reduce this problem...
March 20, 2018: Journal of Gerontological Social Work
Jennifer S Dunkle
This qualitative study examined: 1) What older lesbians and gay men know about OAA-funded services; 2) attitudes towards the services; 3) experiences utilizing the services; 4) how current needs are met; and 5) plans for care as they age. Focus groups were conducted from June-August 2016. Purposive and snowball sampling yielded a sample size of 31. Five focus groups were conducted, and analysis used Grounded Theory. Four themes emerged: 1) low expectations of a welcoming environment, 2) the importance of being out, 3) need for LGBT-specific services, and 4) how to create inclusive services...
March 15, 2018: Journal of Gerontological Social Work
Skye N Leedahl, Alicia Sellon, Rosemary K Chapin
A variety of terms and measures have been used in the literature to denote being socially integrated, and many studies of older adults focus on only social networks or social support and often only include those living in the community. The purpose of this study was to assess multiple constructs of social integration (i.e., social networks, social capital, social support, and social engagement) for older adults in nursing homes. Data were collected from 140 older adults at 30 nursing homes in Kansas. We interviewed older adults' in-person using a survey questionnaire, and used multilevel confirmatory factor analysis to analyze the data...
March 15, 2018: Journal of Gerontological Social Work
Bethany M Breck, Cory B Dennis, Skye N Leedahl
Reverse mentoring is a means to address the social work Grand Challenge of social isolation. Among older adults, reverse mentoring can improve social connection by increasing the digital competence of older adults so they can use technology for social benefit, and by facilitating intergenerational connections with young adult mentors. In this paper, reverse mentoring is examined within an intergenerational program that serves older adults and utilizes the native technological knowledge and skills of young adults who mentor older adult participants...
March 12, 2018: Journal of Gerontological Social Work
Mark Sciegaj, Nancy R Hooyman, Kevin J Mahoney, Casey DeLuca
The Partnerships for Person-Centered (PC) and Participant-Directed (PD) Long-Term Services and Supports (LTSS) Project (Partnerships Project) was a three-year effort funded by the New York Community Trust to develop and implement social work curriculum that would better prepare students for the changing practice demands of the aging and disability services network for self-directed LTSS (SD-LTSS). This article first describes the growth of SD-LTSS and the need for trained social workers on this service delivery model...
March 5, 2018: Journal of Gerontological Social Work
Xiaoling Xiang, Sheria G Robinson-Lane, Walter Rosenberg, Renae Alvarez
This qualitative study analyzed the experience of community-based organizations (CBOs) implementing and sustaining the Bridge Model of Transitional Care, a social work-based health service intervention for reducing hospital readmissions. We conducted semi-structured interviews with clinical supervisors from 13 CBOs that received Bridge Model training between 2012 and 2015. CBOs faced significant challenges implementing and sustaining transitional care programs, particularly related to building effective and sustainable partnerships with hospitals...
February 28, 2018: Journal of Gerontological Social Work
Emily A Greenfield
Age-friendly community initiatives (AFCIs) foster efforts across stakeholders to make localities more supportive and inclusive of older adults, and potentially better for residents of all ages. This study drew on in-depth interviews with leaders of nine newly forming AFCIs in northern New Jersey to develop an empirically based logic model for the initiatives in the early planning phase. The results obtained from a conventional content analysis indicated three main activities in the early planning phase: assessing the community; meeting; and communicating with stakeholders; and facilitating communitywide communications...
February 16, 2018: Journal of Gerontological Social Work
Dwight L Norwood, Brenda Kurz
The public is encouraged to engage in socially responsible behaviors such as helping people get needed services, possibly by referring them. However, referral behavior is little researched. Informed by the Theory of Planned Behavior, intent to refer older adults in need to the Connecticut's Gatekeeper Program (GP) which identifies elders at risk and connects them with community resources was studied and the Social Service Agency Referral Scale (SSARS) was developed. Senior center attendees, seniors who received GP training, and referrers to the state's GP were involved...
February 1, 2018: Journal of Gerontological Social Work
Deepika Kandasamy, Annie C Harmon, Thomas M Meuser, David B Carr, Marian E Betz
OBJECTIVES: To examine attitudinal readiness for mobility transition (e.g., driving retirement) in a healthy older driver sample. METHODS: 301 older (≥65 years) adults who were not cognitively impaired and were currently driving, recruited from three internal medicine clinics, completed the short-form Assessment of Readiness for Mobility Transition, a previously-validated tool. Total scores were compared by demographic and other participant characteristics. RESULTS: Median age was 72 (range: 65-93)...
January 31, 2018: Journal of Gerontological Social Work
Eleanor Bantry-White
Walking outdoors supports health and well-being but some people living with dementia are at increased risk of getting lost and of harm while missing. Electronic monitoring can potentially play an important preventative role by enabling the person's location to be continuously monitored by caregivers. However, there are considerable ethical concerns arising from electronic monitoring. This paper explores these thematically, drawing attention to its implications for autonomy and liberty; privacy; dignity; the rights and needs of caregivers and families; beneficence and non-maleficence...
January 30, 2018: Journal of Gerontological Social Work
Haley B Gallo, Bijan Karimi, Maya Abdulridha, Jessica L Howard, Hanna Kiani, Japheth R Maico, Mackensie V Peace, Jonathan Yoo, Kathleen Wilber
No abstract text is available yet for this article.
January 30, 2018: Journal of Gerontological Social Work
Marie A Brault, Amanda L Brewster, Elizabeth H Bradley, Danya Keene, Annabel X Tan, Leslie A Curry
BACKGROUND: The social environment influences health outcomes for older adults and could be an important target for interventions to reduce costly medical care. We sought to understand which elements of the social environment distinguish communities that achieve lower health care utilization and costs from communities that experience higher health care utilization and costs for older adults with complex needs. METHODS: We used a sequential explanatory mixed methods approach...
January 30, 2018: Journal of Gerontological Social Work
Manoj Pardasani
Senior centers in the United States play a vital role in the aging continuum of care as the focal points of a community-based system of services targeting independent older adults to promote their social integration and civically engagement. Although several studies have evaluated the diversity of senior center programs, demographic characteristics of participants, and benefits of participation, very few have explored motivations to volunteer among participants. Many senior centers rely on a cadre of participants who volunteer there to assist with programs and meal services...
January 29, 2018: Journal of Gerontological Social Work
Rebecca L Jones, Kathryn Almack, Rachael Scicluna
There is a growing social work literature about lesbian, gay, bisexual, and transgender (LGBT) older people. However, research and guidance are predominantly based on the experiences of older gay men and, to a lesser extent, older lesbians. There is little to help practitioners work with older bisexual people. The Looking Both Ways study aimed to contribute to this gap in knowledge. We undertook in-depth purposely sampled qualitative interviews with 12 people aged over 50, all of whom have bisexual relationship histories and half of whom also currently identify as bisexual...
January 29, 2018: Journal of Gerontological Social Work
Julia T Robinson, Amy B Murphy-Nugen
Life review writing produces numerous psychosocial benefits for older adults, who are at risk for isolation and depression. This article shares findings from a study that examined the experiences of older adults participating in a life review writing group. The impact of gender composition on the group dynamic was also explored. Using interpretative phenomenological analysis, this study explored the experiences of six women and one man who participated in a life review writing group. Six unifying themes emerged from the research findings: 1) legacy, 2) connecting with others, 3) reflection, 4) vitality, 5) structure of the group, and 6) gender dynamics...
January 16, 2018: Journal of Gerontological Social Work
Meredith L Stensland, Sara Sanders
Chronic low back pain (CLBP) is the most common pain complaint among older adults. Despite its prevalence, very little research has qualitatively examined the diverse consequences of living with CLBP in later life. As part of a larger study aiming to understand the experience of CLBP among older adults, the objective of this manuscript is to understand how older adults experience CLBP and its impacts on the functioning of older adults. Guided by van Manen's phenomenological method, 23 semi-structured interviews with 21 pain clinic patients aged 66-83 were conducted...
January 16, 2018: Journal of Gerontological Social Work
Michelle Putnam
No abstract text is available yet for this article.
January 4, 2018: Journal of Gerontological Social Work
Michelle Putnam
No abstract text is available yet for this article.
February 2018: Journal of Gerontological Social Work
Penelope Ann Shaw
No abstract text is available yet for this article.
January 2018: Journal of Gerontological Social Work
Lesley M Harris, Charles A Emlet, Christina Pierpaoli Parker, Charles Furlotte
BACKGROUND: Despite the growing population of older adults living with human immunodeficiency virus/ acquired immune deficiency syndrome (HIV/AIDS), few studies have examined this population in terms of timing of HIV diagnosis. This study explores resilience and protective factors among HIV-positive older adults, 17 of whom were diagnosed prior to the development of highly active antiretroviral therapy (HAART), and 13 of whom were diagnosed after the development of HAART. METHODS: We explored the concepts of resilience and protective factors in 30 older adults living with HIV in Ontario, Canada...
January 2018: Journal of Gerontological Social Work
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