"Aging Public Policy: Bonding the Generations" is presented in three parts. Part One describes the policy process as a response to human needs through the laws of our country. Part Two explores the national policy development on behalf of older persons. Part Three describes the major public policies on behalf of the elderly that include Social Security, Medicare, The Older Americans Act, institutional care, employment and retirement policies. The final chapter discusses the advocacy process in the field of aging.

This important work offers the first detailed analysis of recent changes in health care for the elderly. The contributors examine primary care in urban, suburban, and rural settings and show what makes each of these successful care-providers.

Contents:
Preface. Acknowledgments. Part I: Introduction to Leadership. Leadership: Challenge of a New Age. Leadership in Retirement -- Who's in charge now? Prelude to Organizational Change. Mapping the Structure of an Organization. Part II: Portraits of Leaders and Leadership-in-Action. Carnegie Hall - Portraits of Power. Centennial Center - Portraits of Power. Three Leaders and How They Found Their Feet. Part III: The Practice of Leadership. The Revolution - From Power to Empowerment. Transforming Leadership. Back to New Basics. References.

This is the first large-scale study of suicide in a population of institutionalized older adults. From their findings, the authors identify the most "at risk" groups and highlight the major factors contributing to suicide in older adults in institutions. The study described in this work employed a sample survey design. More than 1000 administrators of long-term care facilities in the United States were randomly selected and surveyed about their staff and facilities, and the incidence and type of suicidal behaviors which occurred among residents in 1984 and 1985. Results of the study confirmed that suicidal behavior occurred in approximately 20 percent of the facilities who responded. High risk groups of residents included white males and the "old-old" (75 years and older). The survey reveals that certain environmental factors such as the size of the facility, staff turnover rate, per diem cost, and auspices (public, private, and religious) were related to the occurrence and outcome of suicidal behavior. Suggestions for suicide prevention, based on these findings, are also presented. The book is divided into three parts. Part One examines various types of long-term care facilities, including skilled nursing facilities, intermediate care facilities, and adult homes. Part Two highlights design, methodology, and findings from the national study of suicide in long-term care facilities. Case profiles of suicidal residents are included to provide a more personal account of suicide behavior, and to illustrate important factors in the older individual's decision to end her/his life. Case profiles of four institutions are also included to highlight environmental factors related to suicidalbehavior. Part Three focuses on suicide prevention. Suggestions on the treatment of depression in the elderly, suicide prevention techniques, and the ethics of suicide are discussed in detail. This book makes valuable reading for professionals involved in the care of the elderly.

Seeking to assist professionals and care providers looking to develop culturally-based techniques for the care of dementia-afflicted elders, this book first presents the need for culturally sensitive care, and then describes how this method of care may be utilized, developed, approved, and evaluated. The book includes numerous case studies, and highlights the authors' model.; Dealing with facets of intercultural practice, Part 1 of the text centres around the professional or provider already engaged or seeking to engage in day-to-day contact with ethnically diverse clientele. The emphasis is on highlighting those skills which serve the practitioner to establish intercultural rapport on their daily cross- ethnic assignments. The central tenet of this section is that the worker's attention has to be on maintaining both the dementia-affected elders' and the ethnic family members' cultural dignity.

'The best piece of nature writing since H is for Hawk, and the most powerful work of biography I have read in years' Neil Gaiman 'Wonderful - I can't recommend it too highly' Helen Macdonald 'One of those rare, enchanted books' Isabella Tree 'Beautiful - it made me cry' Simon Amstell 'I was entranced' Cathy Rentzenbrink This is a story about birds and fathers. About the young magpie that fell from its nest in a Bermondsey junkyard into Charlie Gilmour's life - and swiftly changed it. Demanding worms around the clock, riffling through his wallet, sharing his baths and roosting in his hair... About the jackdaw kept at a Cornish stately home by Heathcote Williams, anarchist, poet, magician, stealer of Christmas, and Charlie's biological father who vanished from his life in the dead of night. It is a story about repetition across generations and birds that run in the blood; about a terror of repeating the sins of the father and a desire to build a nest of one's own. It is a story about change - from wild to tame; from sanity to madness; from life to death to birth; from freedom to captivity and back again, via an insane asylum, a prison and a magpie's nest. And ultimately, it is the story of a love affair between a man and a magpie.

This book presents an up-to-date comparative analysis of domiciliary care policies for the older populations of Denmark, the United States and Germany with a particular focus on similarities and differences between these care regimes. The authors extend their discussions to include issues of welfare state classification, the changing role of the state as the provider of social care services, the recommodification of the care labour force and the increased emphasis placed on both informal care-giving and consumer power. The book makes an important contribution to the debate about the future care of older people and provides an informative and insightful analysis of the provision of publicly funded domiciliary care services from a cross-national perspective. Home Care for Ageing Populations will be of particular interest to academics working in the fields of social policy, social care, gerontology and public/employment policy and will prove a useful source for researchers conducting comparative analysis of social care systems. It will also be of interest to those within the community services / social care arena and public servants responsible for the coordination and delivery of homecare systems, as well as social workers, general practitioners, occupational therapists, and a host of other specialist staff working with older people.

Social Services for Senior Gay Men and Lesbians is an important new reference that provides those in the helping professions with practical information on how to work with the older gay and lesbian population. Although older gays and lesbians are the same in many ways as their heterosexual counterparts, they have an extra "layer" of concerns that are unique to their sexual orientation, including "coming out" to family and medical professionals, fear of discrimination, isolation, and loneliness. This new book helps social service providers address these and other concerns of the aging homosexual.Social Services for Senior Gay Men and Lesbians examines the history of homosexuality and how practitioners have developed ways to better serve this population. The book features case studies of topics that face practitioners and their older gay clients, including: housing needs of older gay and lesbian adults group therapy for older gay males long-term care dilemmas for older lesbians counseling an older gay male who is "coming out" staff development for non-gay social service providers historical review of gay and lesbian issuesBecause so little information exists in these and other areas, Social Services for Older Gay Men and Lesbians is an excellent resource for social workers, psychologists, nurses, counselors, and physicians.

Thirty years ago, when compared to the U.S., England, France, and Sweden, Japan had the lowest life expectancy for males and females. Today, Japan has the highest life expectancy and is the world's most rapidly aging society. Public Policy and the Old Age Revolution in Japan captures the vitality of Japanese policymakers and the challenges they face in shaping a modern society responding to its changing needs. The rapid transition to an aging society poses a set of complex policy and resource dilemmas; the responses taken in Japan are of great value to policymakers, professionals, and students in the fields of gerontology, Asian and Japanese studies, sociology, public policy, administration and management, and anthropology in other industrial aging societies. Readers of Public Policy and the Old Age Revolution in Japan will discover the array of social and economic implications that comes with an increasingly aged society. Such a change in demographics affects pension expenditures and pension contributions, capital formation and savings rates, health costs, service systems, tax bases, labor pools, career counseling, training, advertising, and marketing. This book does not stop with these topics, however. Readers also learn about: how older Japanese workers are staying employed and employable policies in Japan for a smooth transition from work to retirement Japan's Silver Human Resource Centers the new direction of health services in Japan the Japanese financing system for elderly health care the expansion of formalized in-home services for Japan's aged Japanese housing policy and the concept of universal design the Gold Plan, a comprehensive ten-year plan to promote health care and welfare for the aged the concept of ikigai--promoting feelings of purpose and self-worth in the agedPublic Policy and the Old Age Revolution in Japan is one of only a handful of books prepared in English by American and Japanese authors for an international audience about aging and social policy in Japan. The book's recent collection of articles by leading scholars on the subject makes it a unique and timely source of information. Above all, Public Policy and the Old Age Revolution in Japan makes it clear that the rest of the world has many valuable lessons to learn by studying Japan's approach to its rapidly aging society.

This authoritative text offers the first comprehensive analysis of intergenerational relations and social welfare. It examines both the micro-sociological relations within the family and the social contract which forms the backbone of the welfare state.; This book is intended to appeal to undergraduates and postgraduates in sociology, social policy and medicine and it will also be particularly useful for professional courses such as nursing, social work and gerontology.

This pertinent book assists occupational therapists and other health care providers in developing up-to-date psychogeriatric programs and understanding details of treating the cognitively impaired elderly. There exists a significant demand for occupational therapy in psychogeriatrics now. As the elderly population increases, especially elderly requiring rehabilitative care, the need for occupational therapy in psychogeriatrics will increase markably. Evaluation and Treatment of the Psychogeriatric Patient emphasizes the expertise of leading psychogeriatric occupational therapists, focusing on transitional programming, treating cognitive deficits, and recognizing the malignant cultural myths which continue to disenfranchise and denigrate the elderly.Appropriate diagnosis and management of the elderly population is vital to their ability to function independently. Through detailed, operationally useful descriptions of current geriatric day care hospitals and psychogeriatric transitional programs, this book will be an invaluable aid for social workers, nurses, geriatric counselors, and physical therapists. These helping professionals will be better equipped to develop up-to-date psychogeriatric programs and will better understand the details involved in treating the mentally impaired elderly.

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First published in 1989. Routledge is an imprint of Taylor & Francis, an informa company.

Spending the final chapter of your life in a nursing home is considered, by many, a fate worse than death. Others, however, have found that through enlightened, imaginative care even the frailest of lives can flourish. The key to such a transformation is to replace the constricting custodial centres of the past with a more informed, research-based approach. This book is timely, responding to evidence of the urgent need for change described in the Australian Royal Commission into Aged Care Quality and Safety Final Report: Care, Dignity and Respect and its predecessor subtitled Neglect. In this book, the author proposes a model of care that places the whole person at its centre, sidestepping the constraints of a reductionist funding model that focusses on residents' deficits - and the proprietor's financial gain. Aged care requires a comprehensive research-based guide to fulfil this aim. Narratives are included throughout the book to reinforce the fact that nursing home care is about individual residents and their unique lives. Topics explored in various chapters include: * Ageing in a Changing Community * Social, Gerontological Care * A Palliative Approach * Community Expectations Ageing in a Nursing Home: Foundations for Care takes a realistic approach that draws on contemporary research and narratives from the unique lives of older Australians who, despite their frailty, teach us how to care. Such knowledge informs and influences their future. The book is a resource intended for all who have a stake in the provision of best practice residential aged care, and all who benefit from such care. Its academic appeal will include those who design and teach courses in aged care: gerontology, general practice medicine, nursing, attendant care, allied health, and chaplaincy. Academics and teachers will find useful, well-referenced material for their courses, together with ample scope for researchers.

Loneliness in Later Life concerns the personal and social changes associated with aging, a topic that is becoming increasingly popular with both professionals and those in the Third Age themselves. The nature of loneliness is analyzed and clearly distinguished from solitary living, which need not be an unpleasant state. Through an examination of material drawn from literature and modern research, including the author's own experience, the book arrives at the happy conclusion that older people are not, in general, lonelier than when they were younger.

Five years after the publication of Eldercare 101, it's time to update and revise this important toolbox of critical resources and guidance that assists families and eldercare professionals with the navigation of the advanced aging of loved ones and/or clients based on the Six Pillars of Aging WellbeingTM. In this second edition, Mary Jo Saavedra adds salient new content that reflects the ever-changing landscape of aging in today's culturally-shifting, technological, and pandemic world. The book's online resources have been updated and supplemented with many new tech products on the market that support elders, including Saavedra's forthcoming holistic digital platform. Eldercare 101, Updated Edition will include input from six returning collabroators and twenty new contributors, ensuring that this essential content is up-to-date and accurate.

Mary Moore Free presents a new perspective on the literature of aging with her study of the rich, old, cognitively intact, powerful, formally retired, elite elders whose needs do not include nursing care. Living in a small private retirement home in urban Texas, the residents of The Hermitage continue to retain the power that they exercised in their active years by manipulating their environments, controlling inheritances, casting absentee ballots, and medicalizing their old age by forming partnerships with their doctors, thus relieving themselves of the personal responsibility of being old. In the expanding genre of retirement home ethnography, there is little on wealthy elders. Many who are able to give cogent life stories are unwilling to trade privacy for support of investigative studies. It is to Free's credit that she was able to win the residents' confidence and elicit another dimension of what institutionalized retirement can be like.

This book provides an underexplored view of ageing, one that conceives older people as valuable resources in their communities, as active citizens with both voice, and an agency that includes the capacity for resistance. It acknowledges that becoming old with dignity means also paying attention to caring, good health services and the possibility of good death. The book defines age and ageing as multiple, culturally and historically constructed phenomena that are only loosely connected to the years of one's life. In focusing on the peripheral North located in the Nordic, Canadian and Russian north, it highlights important questions and viewpoints that can be found and adapted to other rural areas. The book answers the following questions: What is the relevance of legislation and international legal agreements in ensuring the rights of elderly people under political and economic changes? What challenges do geographic isolation, changing age structure, and cultural and ecological transformations pose to possibilities for meeting older people's needs for engagement in society as well as for their care? As such this book will be of interest to all those working in population aging.

Nations around the world are experiencing a spectacular increase in longevity. Society as a whole is being challenged by issues arising from this revolution in longevity. Although the specter of the loneliness and existential suffering of older citizens is such that some people under the age of 65 find it difficult to conceive of a long-term future, persons over 85 have proven that aging does not necessarily preclude a healthy and productive life. Extraordinary progress in both curative and preventive medicine justifies optimism about the quality of life and state of well-being that can be enjoyed even in great old age. We should look to professionals in diverse fields to develop creative solutions to the inevitable issues that will arise with aging. Governments must prepare for the future health of their citizens by making long-term investments to educate all sectors of society in the value of good nutrition, exercise, and lifestyles that enhance well-being throughout life. Also, governments should realize that the main cause of health care expenditure is serious illness which occurs in persons of all ages, and not predominantly in older people. Early detection can help save lives, as well. Health and longevity of life will ultimately end as a political issue. What is needed is long-term government investments necessary for a viable health policy. The question arises: will world leaders be able to commit to such a policy? Two major socioeconomic phenomena may have a regulating effect on this issue. The first is the emergence of pressure groups that have come into being in response to a particular health issue, such as AIDS. The second is the emergence of ethics committees in developed nations that deal solely with health issues.

This book is a major contribution to regulatory theory from three members of the world-class regulatory research group based in Australia. It marks a new development in responsive regulatory theory in which a strengths-based pyramid complements the regulatory pyramid. The authors compare the accomplishments of nursing home regulation in the US, the UK and Australia during the last 20 years and in a longer historical perspective. They find that gaming and ritualism, rather than defiance of regulators, are the greatest challenges for improving safety and quality of life for the elderly in care homes. Regulating Aged Care shows how good regulation and caring professionalism can transcend ritualism. Better regulation is found to be as much about encouragement to expand strengths as incentives to fix problems. The book is underpinned by one of the most ambitious, sustained qualitative and quantitative data collections in both the regulatory literature and the aged care literature. This study provides an impressive evidence base for both theory development and reassessment of policy and practitioner responses in the field. The book will find its readership amongst regulatory scholars in political science, law, socio-legal studies, sociology, economics and public policy. Gerontology and health care scholars and professionals will also find much to reflect upon in the book.

This book explores the concept of relational care, what it feels like for older people and for carers, why it makes life happier and how those involved in residential or community care can make it work. Relational care is gaining traction as its benefits to individuals and society become recognised. This accessible book, based on real-life models and in-depth interviews, explores fresh ways that relational care can be facilitated in a variety of settings. It looks at practice in terms of team management, support for care workers, technology, design and architecture, intergenerational and multidisciplinary models, and their implications for resilience, wellbeing, policy and future funding. Chapters are arranged by theme and provide descriptions, learning points and resources for each model, as well as incorporating a wealth of interviews giving insights into the lived experience of relational care. This is a lively book full of realistic ideas and information for everyone who wants to find out more about, access or implement the best in care - the best for older people, their families, care workers, management and society.

Giving voice to the lived experiences of people with dementia across the globe, including Australia, Canada, Sweden and the UK, this critical and evidence-based collection engages with the realities of life for people living with dementia at home and within their neighbourhoods. This insightful text addresses the fundamental social aspects of environment, including place attachment, belonging and connectivity. The chapters reveal the potential and expose the challenges for practitioners and researchers as dementia care shifts to a neighbourhood setting. The unique 'neighbourhood-centred' perspective provides an innovative guide for policy and practice and calls for a new place-based culture of care and support in the neighbourhood.

Known for a tradition of Confucian filial piety, East Asian societies have some of the oldest and most rapidly aging populations on earth. Today these societies are experiencing unprecedented social challenges to the filial tradition of adult children caring for aging parents at home. Marshalling mixed methods data, this volume explores the complexities of aging and caregiving in contemporary East Asia. Questioning romantic visions of a senior's paradise, chapters examine emerging cultural meanings of and social responses to population aging, including caregiving both for and by the elderly. Themes include traditional ideals versus contemporary realities, the role of the state, patterns of familial and non-familial care, social stratification, and intersections of caregiving and death. Drawing on ethnographic, demographic, policy, archival, and media data, the authors trace both common patterns and diverging trends across China, Hong Kong, Taiwan, Singapore, Japan, and Korea.