EPDF and EPUB available Open Access under CC-BY-NC-ND licence. The COVID-19 pandemic has made unpaid care more visible through its absence, while also increasing the need for it. Drawing on a range of research projects covering Canada, Germany, Norway, Sweden, the UK and the US, this book documents a broad spectrum of unpaid work performed by residents, relatives, volunteers and staff in nursing homes. It demonstrates how boundaries between paid and unpaid work are flexible, varying considerably with conditions, time, place and intersectional populations. By examining the complex labour process within nursing homes, this book provides insight and understanding which will be critical in planning for nursing home care post-pandemic.

Productive Ageing is the involvement of older adults in society through employment, volunteering, caregiving, education and skill building. In 2020 there will be 248 million people in China aged 60 and over. At the same time, the birth rate continues to drop and family structures are being transformed. In the face of such pressing demographic challenges, the productive engagement of older adults is a clear-cut strategy to strengthen families and communities while simultaneously promoting the health of older adults. From a human capital perspective, an ageing population represents resources to address societal needs; and the active engagement of older adults can enhance and maintain the physical, mental and cognitive health of the older adults. The challenge is to develop policies that support productive engagement and implement evidence-based programs that create opportunities for older adults in active engagement in the community. Contributions of older adults will be necessary for social and economic development of families, communities, and society. Productive Engagement in Later Life covers the 2009 China conference on productive aging and discusses how to initiate and build productive aging agenda in China and around the globe. This book was originally published as a special issue of China Journal of Social Work.

Social work in geriatric services deals with the care of the elderly in many facets. This new book addresses many of the important topics in social work with the elderly, including the prevalence of chronic disease in the elderly, conducting research with older people, cognitive functioning and social integration, exercise for the elderly, suicide and depression in the elderly, smoking cessation for elderly clients, health screening, and more.

Drawing on the author's first-hand experiences with families, this book provides crucial, accessible information and answers the difficult questions that often arise when a family member with an intellectual disability is diagnosed with dementia. Linking directly to policy and practice in both dementia and intellectual disability care, this book takes an outcome-focussed approach to support short, medium and long-term planning. With a particular emphasis on communication, the author seeks to ensure that families and organisations are able to converse effectively about a relative's health and care. The book looks at how to recognise when changes in the health of a relative with an intellectual disability could indicate the onset of dementia, as well as addressing common concerns surrounding living situations, medication and care plans. Each chapter is structured to identify strategies for support whilst working towards outcomes identified by families as dementia progresses.

Make sure your practice skills are up-to-date with the changes brought on by managed care As a result of escalating costs, the focus of health care in the United States has shifted from inpatient, hospital-based care to outpatient care in the community. Social Work Practice in Community-Based Health Care is a comprehensive guide to the knowledge and skills needed to provide effective and efficient practice within a managed-care context that's focused on a diversified, aging consumer population and high-risk health conditions. This unique book examines the essential elements of community health practice, including logic modeling for planning and evaluation, interdisciplinary collaboration, and the use of technology and telemedicine in social work practice. Social Work Practice in Community-Based Health Care presents practical information for social workers in the wake of the insertion of managed care as a "third party" to the relationship between physicians and their patients, and advances in medical care that are transforming previously acute and life-threatening illnesses to chronic conditions. The book offers a critical analysis of available research and model service delivery innovations, applying evidence-based practice to case studies in a style that's easily accessible to practitioners, administrators, supervisors, and social work students. The book also includes glossaries at the end of each chapter and appendices that analyze online resources and address cultural background assessment questions. Topics discussed in Social Work Practice in Community-Based Health Care include: the revolution in funding and delivery evolving trends and healthcare needs of the consumer population a conceptual framework for culturally competent practice the nature of social work in ambulatory health a brief history of healthcare social work emerging practice settings the use of new communication technologies in practice methods for evaluating direct practice ethical considerations current community-based programs for culturally diverse and at-risk populations and much more Social Work Practice in Community-Based Health Care is an important resource for social work practitioners, academics, and students.

Make sure your practice skills are up-to-date with the changes brought on by managed care As a result of escalating costs, the focus of health care in the United States has shifted from inpatient, hospital-based care to outpatient care in the community. Social Work Practice in Community-Based Health Care is a comprehensive guide to the knowledge and skills needed to provide effective and efficient practice within a managed-care context that's focused on a diversified, aging consumer population and high-risk health conditions. This unique book examines the essential elements of community health practice, including logic modeling for planning and evaluation, interdisciplinary collaboration, and the use of technology and telemedicine in social work practice. Social Work Practice in Community-Based Health Care presents practical information for social workers in the wake of the insertion of managed care as a "third party" to the relationship between physicians and their patients, and advances in medical care that are transforming previously acute and life-threatening illnesses to chronic conditions. The book offers a critical analysis of available research and model service delivery innovations, applying evidence-based practice to case studies in a style that's easily accessible to practitioners, administrators, supervisors, and social work students. The book also includes glossaries at the end of each chapter and appendices that analyze online resources and address cultural background assessment questions. Topics discussed in Social Work Practice in Community-Based Health Care include: the revolution in funding and delivery evolving trends and healthcare needs of the consumer population a conceptual framework for culturally competent practice the nature of social work in ambulatory health a brief history of healthcare social work emerging practice settings the use of new communication technologies in practice methods for evaluating direct practice ethical considerations current community-based programs for culturally diverse and at-risk populations and much more Social Work Practice in Community-Based Health Care is an important resource for social work practitioners, academics, and students.

The growing focus on performance review and monitoring means that awareness and use of performance indicators has increased throughout a number of public services. Set within a national context, this book reviews the historical development and measurement issues of performance indicators within social care and the public sector for older people. It then provides an approach to effective local performance measurement in services for older people and an organizing framework within which organizations can arrange their performance appraisal for older people's services. The development of performance review in social care of older people is examined, as is the process of developing local performance measures and engaging staff in enquiry and quality management. The book also reviews the process of developing performance indicators and their utilization at an agency level. Performance Indicators in Social Care for Older People will be of particular interest in the UK for local service providers who are developing approaches for local performance review. It will also be of interest internationally, especially in countries where services for older people are currently developing in a similar direction.

Learn how public policies can help families provide the care their elderly relatives need Family and Aging Policy examines how public initiatives to assist the elderly in the United States, Canada, Singapore, Denmark, and Sweden can impact families who provide them with long-term care. For the majority of older people, the aging experience involves their families directly and indirectly, affecting income security, housing, and health care. This unique book addresses the aging issues that matter most to families struggling to deal with the demands of care giving and provides answers on how the public sector can help. As the traditional nuclear family becomes a memory and the notion of extended family disappears, the need for public interventions to help the elderly increases. A significant number of people grow old without families they can depend on. Others have families who want to help, but lack the financial means or the housing needed to provide care. Family and Aging Policy offers options on how families and formal services can share responsibilities, including how families can juggle jobs and care giving, the effects of the Family and Medical Leave Act, consumer-directed service options, community-based care programs, accessory dwelling units and zoning ordinances, and provisions for caregiver support in each of the 50 United States and the District of Columbia. Family and Aging Policy examines: extensive welfare programs in Sweden publicly funded home care programs in Denmark family-oriented social policies in Singapore shared responsibilities of families and formal services in Canada the Administration on Aging's National Family Caregiver Support program in the United States California Caregiver Resource Centers and much more! Family and Aging Policy is an invaluable tool for researchers and policy analysts working in family policy issues and as an essential supplemental text for course work in gerontology, sociology, family relations, and social work.

Affordable, easy-to-use, and flexible transportation options are vital to older adults' quality of life. Community Mobility: Driving and Transportation Alternatives for Older Persons provides physical and occupational therapists with recent research findings on older driver assessment, remediation/rehabilitation, and the use of alternatives to the car in the event that older adults need to "retire" from driving. This unique book addresses changes in driving patterns over time, the impact of climate conditions on driving, mental and physical health issues, self-regulation by drivers, and driver safety. Community Mobility addresses changes in driving patterns over time, the impact of climate conditions on driving, mental and physical health issues, self-regulation by drivers, and driver safety. This unique book also includes summaries of recent consensus conferences held in the United States and Canada to determine the best approaches to therapist services and counseling. Community Mobility examines: the effect of alternative forms of transportation on drivers in declining mental and physical health safety interventions the relationship between chronic illness and an elderly driver's "home range" road conditions versus driving patterns factors that can act as predictors in mobility patterns self-regulation and adaptation strategies effective remediation techniques a comprehensive driving evaluation (CDE) and much more!Community Mobility is an essential resource for anyone working with elderly drivers who face the loss of independence and the decreased access to social activities, medical services, and other basic needs that accompany "retirement" from the driver's seat.

Affordable, easy-to-use, and flexible transportation options are vital to older adults' quality of life. Community Mobility: Driving and Transportation Alternatives for Older Persons provides physical and occupational therapists with recent research findings on older driver assessment, remediation/rehabilitation, and the use of alternatives to the car in the event that older adults need to "retire" from driving. This unique book addresses changes in driving patterns over time, the impact of climate conditions on driving, mental and physical health issues, self-regulation by drivers, and driver safety. Community Mobility addresses changes in driving patterns over time, the impact of climate conditions on driving, mental and physical health issues, self-regulation by drivers, and driver safety. This unique book also includes summaries of recent consensus conferences held in the United States and Canada to determine the best approaches to therapist services and counseling. Community Mobility examines: the effect of alternative forms of transportation on drivers in declining mental and physical health safety interventions the relationship between chronic illness and an elderly driver's "home range" road conditions versus driving patterns factors that can act as predictors in mobility patterns self-regulation and adaptation strategies effective remediation techniques a comprehensive driving evaluation (CDE) and much more!Community Mobility is an essential resource for anyone working with elderly drivers who face the loss of independence and the decreased access to social activities, medical services, and other basic needs that accompany "retirement" from the driver's seat.

Learn how to make a more positive impact with your social work with the aged Religion is an important coping mechanism for many aging adults. Religion, Spirituality, and Aging: A Social Work Perspective presents the latest research that shows how religion and spirituality can improve quality of life for elders. Respected social work researchers and scholars provide insight and practical methods for fostering positive aging while also considering how spirituality and religion can affect practitioners themselves. The full range of advantages and ethical implications are discussed in clear detail from a social work viewpoint. Case studies plainly illustrate the positive impact that the inclusion of spirituality and religion in an aging person's life may have on their physical and mental welfare. Organized social work in the early twentieth century actively tried to distance itself from its roots as a form of religious charity in favor of becoming a scientific and professional endeavor. Religion, Spirituality, and Aging once again bridges the gap between social work and spiritual matters by presenting penetrating articles that discusses the issues of the aging soul while examining ways to improve care. Creative strategies are offered to contribute to the spiritual side of aging while considering every implication and ethical question. The compilation is extensively referenced and includes helpful figures and tables to clearly illustrate data and ideas. Religion, Spirituality, and Aging discusses: the latest social work trends and attitudes toward spirituality prayer, meditation, and acts of altruism as interventions an empirical study of how social workers use religion and spirituality as an intervention ethical considerations and best practices religion and spirituality during long-term care the Postcards to God project dreams and their relationship to the search for meaning in later life a spiritual approach to positive aging through autobiography dementia and spirituality creating new rituals for sacred aging spiritual master Henri Nouwen's principles of agingand his approaches to caring for older people an interview study on elders' spirituality and the changes manifested in their views of religion Religion, Spirituality, and Aging is a remarkable reminder that elders are our future selves. This erudite, well-reasoned examination of aging and spirituality from a social work perspective is crucial reading for social workers, human service professionals who work with the aged, and gerontology scholars.

Learn how to make a more positive impact with your social work with the aged Religion is an important coping mechanism for many aging adults. Religion, Spirituality, and Aging: A Social Work Perspective presents the latest research that shows how religion and spirituality can improve quality of life for elders. Respected social work researchers and scholars provide insight and practical methods for fostering positive aging while also considering how spirituality and religion can affect practitioners themselves. The full range of advantages and ethical implications are discussed in clear detail from a social work viewpoint. Case studies plainly illustrate the positive impact that the inclusion of spirituality and religion in an aging person's life may have on their physical and mental welfare. Organized social work in the early twentieth century actively tried to distance itself from its roots as a form of religious charity in favor of becoming a scientific and professional endeavor. Religion, Spirituality, and Aging once again bridges the gap between social work and spiritual matters by presenting penetrating articles that discusses the issues of the aging soul while examining ways to improve care. Creative strategies are offered to contribute to the spiritual side of aging while considering every implication and ethical question. The compilation is extensively referenced and includes helpful figures and tables to clearly illustrate data and ideas. Religion, Spirituality, and Aging discusses: the latest social work trends and attitudes toward spirituality prayer, meditation, and acts of altruism as interventions an empirical study of how social workers use religion and spirituality as an intervention ethical considerations and best practices religion and spirituality during long-term care the Postcards to God project dreams and their relationship to the search for meaning in later life a spiritual approach to positive aging through autobiography dementia and spirituality creating new rituals for sacred aging spiritual master Henri Nouwen's principles of agingand his approaches to caring for older people an interview study on elders' spirituality and the changes manifested in their views of religion Religion, Spirituality, and Aging is a remarkable reminder that elders are our future selves. This erudite, well-reasoned examination of aging and spirituality from a social work perspective is crucial reading for social workers, human service professionals who work with the aged, and gerontology scholars.

Stay up-to-date with the latest innovative methods of meeting the spiritual needs of the elderly Spiritual Assessment and Intervention: Current Directions and Applications examines current state-of-the-art efforts in the development and implementation of spiritual interventions for older adults. Academics and practitioners working in social work, social welfare, medicine, and mental health and aging present innovative approaches to meeting major challenges in the field of gerontology, including elder abuse, dementia, care giving, palliative care, and intergenerational relationships. The book provides practical methods for dealing with the problems and pitfalls of starting and evaluating interventions of a spiritual nature in a variety of community-based and institutional settings. Spiritual Assessment and Intervention: Current Directions and Applications provides you with an overview of current and future methods and means of providing spiritual support to the elderly as they struggle with the problems and possibilities of aging in today's complex world.Growing interest in the positive effects that religiousness and spirituality can have on life stress has created a growing need for research and practice models that strengthen, reinforce, or promote the spiritual well-being of older adults. This collection first presented in 2003 at the 56th Annual Scientific Meeting of the Gerontological Society of America addresses the important care giving and practice issues involving the physical and psychological health of older adults.Spiritual Assessment and Intervention: Current Directions and Applications examines: how older adults use narrative therapy to manage adversity and maintain self-efficacy how faith-based communities can be enlisted as important social resources a pilot government-funded project to raise awareness of elder abuse in faith communities an intergenerational project involving a preschool and a retirement community spiritual activities for adults with Alzheimer's disease the Creating Alternative Relaxing Environment (CARE) Cabinet intervention Spiritual Assessment and Intervention: Current Directions and Applications is an essential resource for gerontological practitioners from the biological, clinical (including physicians, physician assistants, nurses, and dentists), behavioral and social sciences (including anthropologists, psychologists, social workers, sociologists, and researchers), and for health care administrators.

Get up-to-date information and research on elder abusefrom international authorities! Elder Abuse: Selected Papers from the Prague World Congress on Family Violence is an invaluable collection of the most important presentation papers from the Prague World Congress on Family Violence. This comprehensive book presents the latest research and detailed information on the difficult issues surrounding elder abuse around the world. International experts use a multidisciplinary approach to provide ideas and insights to help provide researchers, educators, and practitioners with practical strategies for dealing with the numerous facets of this disturbing issue. Different types of abuse are explored in detail, including physical, financial, and emotional. This comprehensive source is richly referenced, with helpful tables to clearly explain data valuable to all law and health professionals involved in the issues of elder abuse. Elder Abuse: Selected Papers from the Prague World Congress on Family Violence discusses: grandparents raising grandchildren the elder abuse of custodial grandparents combating financial abuse of elders by others a study of elder abuse within diverse cultures forensic medical examination form for improved documentation and prosecution of elder abuse elder abuse in faith communities older women, domestic violence, and elder abuse elder abuse risk indicators elder abuse multidisciplinary teams Elder Abuse: Selected Papers from the Prague World Congress on Family Violence is essential reading for researchers, educators, practitioners, and policymakers in the fields of aging, health, mental health, social services, adult protective services, domestic violence, law, and criminal justice.

Today, nearly one of every eight Americans is 65 or older, and by 2030, over 20% of the population will be in this age group. Are you prepared to work with this vastly diverseand rapidly growingpopulation? This single source is designed to help social service professionals provide effective services to America's vastly diverse and rapidly growing elderly population. Diversity and Aging in the Social Environment explores the impact of race/ethnicity, gender, sexual orientation, and geographic location on elders' strengths, challenges, needs, and resources to provide you with a more complete understanding of the issues elders face. In order to be more responsive to older adults, social workers and other human service professionals need to enhance their knowledge of the aging population and the factors that impact the way seniors interact with society, organizations, community resources, neighborhoods, support networks, kinship groups, family, and friends. Diversity and Aging in the Social Environment examines differences in race, ethnicity, geographical location, sexual orientation, religion, and health status to help current and future human service professionals provide culturally competent services to the diverse range of elderly people they serve. In addition, it addresses the wide disparity that exists for older Americans in terms of income and assets, number of chronic conditions, functional and cognitive impairment, housing arrangements, and access to health care. This book provides a context for the examination of diversity issues among older adults by describing and discussing several theoretical perspectives on aging that highlight important aspects of diversity. Next, you'll find thoughtful examinations of: issues and challenges faced by lesbian, gay, bisexual, and transgender eldersand the strengths they bring into later life the impact of gender, race, and sexual orientation on prevalence rates, risk factors, methods of disease contraction, and mortality rates among older adults with HIV/AIDSalong with a discussion of the psychosocial issues they face diverse characteristics of custodial grandparentsand the influence of the caregivers' gender, race, age, and geographic location on methods of care and available caregiver support differences in caregiver characteristics, service utilization, caregiver strain, and coping mechanisms among several racial/ethnic groups of adults who care for elderly, disabled, and ill persons cultural/religious factors that influence interactions between health care personnel and Japanese-American elders the relationship between acculturation and depressive symptoms among Mexican-American couples life challenges facing Jewish and African-American elderswith a look at each group's coping mechanisms differences in religious/spiritual coping skills among Native American, African-American, and white elders psychological well-being and religiosity among a diverse group of rural elders

Learn the skills you need to work with geriatric populations in rural areas! Gerontological Social Work in Rural Towns and Communities provides a range of intervention and community skills aimed precisely at the needs of rural elders. This book fills a gap in the literature by focusing on the specific practice concerns for social workers assisting older adults in rural areas, including the aging experience, social worker skills, professional functions, working with special populations, and health and long-term care concerns. This valuable resource will benefit social workers, gerontologists, allied health professionals in rural areas, health and human services administrators and managers. Gerontological Social Work in Rural Towns and Communities explores the challenges social workers need to overcome when working with the elder community in rural areas. This book's significance to social workers will only increase as more adults choose to live and grow old away from the cities. Experts in the field suggest strategies to overcome barriers in planning and providing services such as: a longer distance for the elderly to travel to use social service centers a narrower range of available services in the local area increased poverty levels for the elderly a stronger dependency by elderly on family rather than public assistance This book is divided into five sections: Rurality and Agingintroduces the concept of rurality and examines the demographics of aging from a rural perspective Practice Dimensions of Social Work with Rural Eldersincludes clinical practice models, intervention and advocacy techniques, program planning, and marketing approaches Special Populationsgives attention to four special population groups: indigenous elders, African-American older adults, elderly Latinos, and disabled elders Special Issues Pertaining to Rural Elderscovers five essential issues for rural gerontological social workers: health promotion, older workers and retirement preparation, aging in place, specialized housing, and ethical practice Training and Policy Recommendationsfuture training and education recommendations for social workers are explored, as well as service capacity building, the aging network, and the future of long-term care While a variety of theoretical perspectives are explored in Gerontological Social Work in Rural Towns and Communities, the book's empowerment orientation and strengths-based approach will enhance your abilities to improve quality of life for elderly individuals in rural communities. Each chapter contains a comprehensive review of the literature on the subject it addresses, and several chapters include tables and graphs to further establish their revealing empirical findings. An appendix provides additional sources to turn to for more information.

The Last Years of Long Lives is a unique account of that period of old age which precedes death. Based on 400 complete individual histories and covering a twenty-year period, it looks at the experiences of people over eighty years old in three important areas: disability, family life and health care. Using the life-course approach to research, it reveals rich data about the contributions of formal and informal care and how life expectancy and experiences of disability interact with experiences of care.

The reader is invited to conceptualise these phenomena as processes in continuous time - processes that are sometimes long and complex, sometimes short and simple - and learns about the four types of disability career before death. At the same time, the author presents a three-stage model of informal care and examines the main patterns of formal service use.

The Last Years of Long Lives presents a new way of looking at old age for students, researchers, practitioners and policy makers and gives a comprehensive picture of what has been called 'the fourth age'.

s your gerontological social work program as comprehensiveand as well attendedas it could be? Advancing Gerontological Social Work Education will help you develop courses that effectively prepare social work students and practitioners to work with the ever-increasing older population. It clearly presents the rationale for geriatric/gerontological preparation and defines the current status of geriatric/gerontological education. With fascinating case studies, detailed curricula, and a review of the skills and knowledge competencies necessary for effective geriatric social work practice, this book also describes a variety of courses and teaching programs in detailnoting the problems that other educators have encountered and offering practical suggestions to help in replicating the programs in other institutions. This book is especially useful because it not only examines the issues surroundingand need forincreased gerontological education for social workers, but because it follows this with specific, concrete descriptions of educational approaches and curricula. It provides you with both the framework and the specifics to develop your own gerontological social work education program at the graduate or undergraduate level. Helpful charts and tables make the information easy to access and understand. Advancing Gerontological Social Work Education is divided into three sections, each of which will increase your knowledge and understanding of this vital area of social work education. The first section examines: the historical development of gerontological social work education the CSWE/SAGE-SW Competencies Project the importance of interdisciplinary teamworkand the educational basis for interdisciplinary team training, highlighting organizational context, team structure, team process, and team outcomes ways to increase students' interest in this vital area of social work In the second section of this well-referenced book, you will examine school-based initiatives, focusing on: the development and implementation of the John A. Hartford Foundation Geriatric Social Work Initiative the recruitment of students into geriatric social workwith an examination of a fellowship program the relationship between the aging population of the United States and the growing demand for geriatric social workers-and how that need can be met through graduate-level social work training developing a field training rotation model a doctoral fellowship program and its dissertation support, mentorship, and leadership development The third section of Advancing Gerontological Social Work Education features: an empirical study exploring the potential for a limited curriculum module to enhance MSW and BSW students' gerontological practice-related knowledge, attitudes, and interest an overview of the history and rationale of service learning in elder care a description of the varied service learning in elder care programs an experiential exercise that was used successfully to assist graduate students in integrating and applying their knowledge about geriatric assessment the results of interviews with MSW students about the appropriateness of their preparation for medical social work with an aged populationconducted at the beginning, midpoint, and end of their field placements a report on incorporating intergenerational service learning into an undergraduate introductory gerontology course the use of the family study, which exposes teams of students for 20 weeks to a family that includes an older adult

This book's main goal is to examine the concept of residential care from a psychological perspective. The chapter authors espouse a psychological approach to long-term residential care and an effort is made throughout the text to present a model of care that encompasses the whole individual. Since psychologists are being increasingly asked to provide consultation to long-term residential care facilities, the need for psychologically-based care models has become apparent. This text offers assistance in developing and maintaining residential care environments that maximize quality of life and personal well-being in the presence of declining physical and emotional resources that are associated with the vicissitudes of living into advanced aging.
"Geriatric Residential Care" is divided into four parts. Part I addresses psychological and social issues facing the frail elderly who are candidates for, or are living in residential care settings. Part II addresses issues in the assessment of individuals in residential care. Part III highlights the design and execution of intervention strategies in residential care. Part IV addresses how organizational aspects of residential care contexts can optimize the quality and meaningfulness of care.

Good design helps to make the environment more understandable, resulting in huge benefits for everyone. The 25 case studies illustrated in this book demonstrate the principles of good design for people with dementia. The examples are drawn from nine countries across Northern Europe, North America and Australia. This book is an invaluable resource for anyone committed to improving the built environment for people with dementia: from chief executive officers and directors of service providers, through to officials from regulatory authorities, home managers and staff, architects and interior designers, as well as nursing, medical and related professions.

In an era of changing demographics and values, this volume provides a cross-national and interdisciplinary perspective on the question of who cares for and about the elderly. The contributors reflect on research studies, experimental programmes and personal experience in Japan and the United States to explicitly compare how policies, practices and interpretations of elder care are evolving at the turn of the century.

eBook available with sample pages: 0203464478

"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.

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 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.