Japan is aging rapidly, and its government has been groping with the implications of this profound social change. In a pioneering study of postwar Japanese social policy, John Creighton Campbell traces the growth from small beginnings to an elaborate and expensive set of pension, health care, employment, and social service programs for older people. He argues that an understanding of policy change requires a careful disentangling of social problems and how they come to be perceived, the invention (or borrowing) of policy solutions, and conflicts and coalitions among bureaucrats, politicians, interest groups, and the general public. The key to policy change has often been the strategies adopted by policy entrepreneurs to generate or channel political energy. To make sense of all these complex processes, the author employs a new theory of four "modes" of decision-making--cognitive, political, artifactual, and inertial. Campbell refutes the claim that there is a unique "Japanese-style welfare state." Despite the big differences in cultural values, social arrangements, economic priorities, and political control, government responsibility for the "aging-society problem" is broadly similar to that in advanced Western nations. However, Campbell's account of how Japan has taken on that responsibility raises new issues for our understanding of both Japanese politics and theories of the welfare state.

Originally published in 1992.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

Healthy Ageing and Aged Care takes an inter-disciplinary approach to supporting older people within the community and in care. It represents current Australian policies and practices and takes a holistic view of the older person, and emphasises the positive aspects of the ageing process, maintaining that people age in healthy ways and continue to be an integral part of their families and communities. This is one of the rewarding aspects of working with older people-assessing accurately and collaboratively putting in place strategies that can maintain the person's quality of life. The goal is for students to be able to develop those skills by engaging with the material in this book.

This book outlines a framework for art therapy with older adults rooted in a belief in the autonomy and self-efficacy of older adults, including those with dementia or other diseases of later life. Advocating for a more collaborative approach to art-making, the author presents approaches and directives designed to facilitate community engagement, stimulate intellectual and emotional exploration, and promote a sense of individual and collective empowerment. Relevant to community, assisted living, skilled nursing and dementia-care environments, it includes detailed case studies and ideas for using art therapy to tackle stigma around stroke symptoms and dementia, encourage increased interactions between older adults in care homes, promote resilience, and much more.

While other retirement guides tend to concentrate on financial planning alone, Abraham Monk's authoritative reference work discusses all of the important issues and decisions that affect retirees in the 1990s. The Columbia Retirement Handbook - the first comprehensive general handbook for retirement professionals and academics, written by a multi-disciplinary team of experts - contains the most up-to-date information on the retirement process and offers nuts-and-bolts help by providing lists of relevant books, helpful organizations, and knowledgeable professionals, complete with addresses and telephone numbers. This convenient volume is the one source professionals will want handy for information on retirement and the American woman, Social Security and social insurance benefits, the job market after retirement, age discrimination, health care options for the elderly, housing options for the independent or dependent retiree, social networks and support groups, legal issues in retirement, economic challenges of retirement, and new directions in retirement. The Columbia Retirement Handbook includes an index, bibliography, charts, and pertinent statistics.

Today's world is aging at a great speed, and although increased longevity represents one of the greatest achievements of the last century, the extension of life expectancy does not necessarily correspond to an extension of healthy lives. Aging populations, particularly those with a high percentage of the oldest old, are often burdened with chronic conditions that require extended long-term care. Deciding who provides said care, and in what forms, are key problems that will soon affect a growing number of post-industrial high- and mid-income countries. iCaring for a Livingr contributes to this debate by exploring the organization of long-term care in Italy, a country already in the midst of an eldercare crisis. There, the answer to this problem has taken the shape of home eldercare assistance, an arrangement whereby long-term care services are bought in the market in the form of private and individualized assistance by families sometimes with economic support provided by the State. The providers of these services, commonly known as "badanti" (minders), are, for the most part, im/migrant women coming from different areas of the world. iCaring for a Livingr analyzes the emergence and development of this arrangement and the role that the state, Italian families, and workers themselves play in shaping and in defining it. The author provides timely insights on: the nature of long-term care and its requirements; the specific needs of families facing this issue; the changing role of the neoliberal State; and the ways in which global political and economic processes influence and shape an apparently individually based solution to long-term care. This book is ideal for graduate courses in sociology and anthropology, specifically in courses related to gender and migration, work and women, social inequality, and immigration studies.

This sensitive and compassionate book provides older people who are nearing the end of life and their loved ones, as well as the professionals who work with them, with a greater depth of understanding of spiritual issues surrounding death and dying. Illustrated with the experiences of many older people, it explores important themes such as grief and loss; fear; pain, distress and suffering; acceptance; transcendence; prayer; the healing of relationships; and intimacy, and shows that the final journey towards death can be one of the most spiritually meaningful times in the life of an older person - a time in which there is still hope, and in which the person who is dying and their loved ones can grow spiritually, strengthened by the difficult times they face together. Spiritual issues for older people with dementia who are nearing the end of life are also explored, as are ethical and moral issues in death and dying, and the ways in which bereaved partners and relatives may come to terms with the loss of a loved one. This concise and accessible book will be a valuable resource for those in the caring professions and a rich source of guidance and support for older people who are nearing the end of life and their families.

For a shockingly high number of elderly people, growing older is not the media's soft-focus vision of fun times and fond grandchildren, but a journey of loss: loss of work and the opportunity to contribute, loss of health and well-being, loss of family and friends. Over two million older people are stuck in persistent poverty. The diseases and disabilities associated with growing older multiply with the dramatic ageing of the population, yet the response of communities and care systems is often inadequate and ageism still abounds. Countless seniors feel that society has left them behind and that their lives have been reduced to survival. Unequal Ageing is for all those with a serious interest in the unprecedented challenge of our ageing society. This powerful book provides strong evidence of the scale of current disadvantage in the UK and suggests actions that could begin to change the picture of unequal ageing. Written by leading experts in the field, it analyzes the vital dimensions

Creative activities can support people with dementia, leading to moments of reconnection and joy. This book shows how the Montessori method - with its arts-based, person-centred and positive focus - can help caregivers connect to people with dementia. Drawing on 20 years of experience, Tom and Karen Brenner explain the philosophy of the Montessori method, provide clearly-written steps to follow when applying it, and share a wealth of case studies and stories from their personal work using this method with people with dementia. This includes reading circles, art programmes, drum circles, poetry, and video diaries. Supported by research of the importance of creativity and the arts in dementia care, it is made clear throughout how every aspect of the Montessori method can help those with dementia to rediscover the world around them, maximising the opportunities they have to reconnect with their peers, family, friends, and support staff.

Can traditional arts improve an older adult's quality of life? Are arts interventions more effective when they align with an elder's cultural identity? In The Expressive Lives of Elders, Jon Kay and contributors from a diverse range of public institutions argue that such mediations work best when they are culturally, socially, and personally relevant to the participants. From quilting and canning to weaving and woodworking, this book explores the role of traditional arts and folklore in the lives of older adults in the United States, highlighting the critical importance of ethnographic studies of creative aging for both understanding the expressive lives of elders and for designing effective arts therapies and programs. Each case study in this volume demonstrates how folklore and traditional practices help elders maintain their health and wellness, providing a road map for initiatives to improve the lives and well-being of America's aging population.

Reminiscence is a vital way to stimulate communication and promote confidence and self-worth in people with dementia. This practical guide is designed to give those who care for people with dementia a clear sense of how reminiscence can be used to greatly improve their quality of life. The book explores how reminiscence can contribute to person-centred dementia care and contains detailed descriptions of activities that can be used in a group setting, for one-to-one reminiscence at home or in a variety of care settings. Based on ideas developed and tested internationally over a period of ten years, the book offers imaginative approaches to reminiscence and a wealth of resources for use in a wide range of situations. The book includes advice on organising a reminiscence project and provides a useful planning tool for group sessions. Remembering Yesterday, Caring Today highlights the value of reminiscence for those with dementia and is an essential guide to good practice for family and professional carers.

This book introduces a process-based, patient-centered approach to palliative care that substantiates an indication-oriented treatment and radical reconsideration of our transition to death. Drawing on decades of work with terminally ill cancer patients and a trove of research on near-death experiences, Monika Renz encourages practitioners to not only safeguard patients' dignity as they die but also take stock of their verbal, nonverbal, and metaphorical cues as they progress, helping to personalize treatment and realize a more peaceful death. Renz divides dying into three parts: pre-transition, transition, and post-transition. As we die, all egoism and ego-centered perception fall away, bringing us to another state of consciousness, a different register of sensitivity, and an alternative dimension of spiritual connectedness. As patients pass through these stages, they offer nonverbal signals that indicate their gradual withdrawal from everyday consciousness. This transformation explains why emotional and spiritual issues become enhanced during the dying process. Relatives and practitioners are often deeply impressed and feel a sense of awe. Fear and struggle shift to trust and peace; denial melts into acceptance. At first, family problems and the need for reconciliation are urgent, but gradually these concerns fade. By delineating these processes, Renz helps practitioners grow more cognizant of the changing emotions and symptoms of the patients under their care, enabling them to respond with the utmost respect for their patients' dignity.

Spiritual Growth and Care in the Fourth Age of Life explores the spiritual dimension of ageing and investigates the role of pastoral and spiritual care in helping the frail elderly cope with end-of-life issues. Focusing on the experience of nursing home residents and anecdotes gathered in interviews, MacKinlay sensitively presents the struggles facing older people in need of care, such as loss of independence and privacy. Her findings show that despite ill health, loneliness and depression, older people near the end of their lives find meaning and support in (re)discovering their spirituality, and that this is not just the experience of those in care facilities, but of older people more generally. The book includes a useful chapter on spiritual assessment, providing carers with information on how to recognise the need for care. This book will be of interest to nurses, care workers, pastoral support professionals and anyone else working with older people.

This practice-focussed resource shows dementia care professionals how to harness resilience in their daily practice when working with people living with dementia. Nurturing and developing resilience can hugely improve quality of life for people living with dementia, and as such it is an important tool for practitioners to provide targeted, meaningful support that fits into the lives of people with dementia and care partners. This book guides readers through the key concepts of resilience within the context of dementia and explains the unique challenges and opportunities of developing resilience in this situation. It also provides real-world examples of resilience in dementia assessment and care and suggests clear frameworks for applying resilience in daily practice, as well as template assessment sheets. A practical and accessible resource, this book helps professionals ensure that people with dementia are treated as individuals actively engaged in their own lives and in the care which they receive.

The author has specialised in working with adult abuse and the manual is set out in the way she recommends that training be presented. There are chapters on older people, black and minority ethnic people and younger adults, as well as on investigations and case conferences.' - Nursing Standard 'Working with Elder Abuse is a forthright and detailed training manual - the manual is a blend of theory, exercises, and further readings and it is anticipated that it will be used by staff trainers providing formal training as well as by supervisors who will work through it with their staff teams. The manual is clearly written, practical and realistic without being condescending. It clearly benefits from being written by someone who is herself a full time staff trainer on elder abuse and has tested and honed the suggested training materials through frequent use. The emphasis on experiential learning, drawing upon the experience of the training participants and exploring attitudes as well as knowledge is evident. This approach allows the potential user to feel comfortable with replicating the training modules and adpating them to fit other situations and content... Working with Elder Abuse is an excellent training guide. The care that has been taken in detailing all training steps, without burying the reader/trainee in duplicative content, makes one eager to utilize the manual immediately. This manual belongs on every trainer's shelf. It can be used equally well both as a self-training guide and to train large groups, and offers much that can be adapted for use with other content areas.' - Journal of Teaching in Social Work 'This book achieves its stated aim. As a manual for use in training, it provides a wealth of well presented material that may be used by trainers who have a background knowledge in the field. The material is presented in a logical and user friendly way. It can be recommended to those who have to raise awareness of this issue among the staff groups in the title.' - Registered Homes 'Pritchard (a well known and highly regarded contributor to the field) draws on her experience as a trainer to facilitate the empowerment of so called unqualified staff in confronting their own feelings when facing `victims and abusers'... Of all writers on elder abuse, she is grounded in practicability, underpinned by a clear grasp of the training needs of front-line staff. This handbook successfully integrates theory and exercises and should be on the shelves of all trainers. It will be indispensable for staff groups.' - Community Care 'This book pulls no punches. It discusses sensitive issues, such as sexual abuse, frankly in everyday language and is essential reading for managers and assistants about abuse. NVQ students will find it useful and NVQ assessment centres would be well advised to buy copies.' - Nursing Times 'A welcome addition to the available texts on elder abuse. Working with Elder Abuse by Jacki Pritchard is beautifully presented and easily accessible - large well spaced print, eye-catching headings, and interesting symbols signalling training tools such as handouts. The language is clear and fluid.' - Action on Elder Abuse Bulletin 'The language is clear and definitions and exercises are easy to understand. The text is well laid out, and there is a lack of jargon -This will be a very helpful book for all who are concerned about elder abuse and should contribute towards the reduction of such abuse in the future as well as giving confidence to trainers, managers, care staff and all who are involved in care of the elderly.' - Christian Council on Ageing 'Jacki Pritchard has produced a valuable addition to the training literature... For the beginner, this book is highly recommended.' - Baseline `The training manual is long overdue. The A4 format of the book and the permission to photocopy certain pages as handouts is very welcome... Residential and day-care issues are well covered with plenty of exercises... The straightforward language and the way that practical issues are addressed is effective... The manual is an excellent resource which managers, supervisors and trainers will find invaluable.' - Ageing and Society This practical training manual is written for home care, residential and day care staff, who need to be able to recognise elder abuse, but may not be trained to do so. Its large format, range of exercises and photocopiable worksheets makes it a valuable source of training material not only for training teams, but also for managers who train staff and teams on site. Each chapter contains exercises, a reading list and a simple discussion of the theory behind each of the key areas covered by the manual. These include: defining elder abuse recognizing elder abuse what to do when working with elder abuse case conferences long term work with victims and abusers abuse in institutions issues for managers case studies

Slow and delay the symptoms of Alzheimer's disease and other forms of dementia, from memory loss to disorientation, with this practical activity book. Using step-by-step ideas designed to stimulate and entertain, dementia care specialist Helen Lambert explains how engaging in a variety of simple activities can benefit different parts of the brain and help to keep your mind fitter for longer. What's more, everyone can join in: each activity contains hints and tips that not only show you how to do it, but also include ways to adapt the various physical exercises, games, and craft projects for different abilities, or to include family and friends. Dive straight in to discover: -Over 50 activities to choose from accordingly relating to mood, ability and energy level -Panels include a range of advice and highlight the reactions activities may trigger and how to deal with them -Includes general guidance on the nature of memory loss and dementia and how to interact with the condition -Suitable for people with Alzheimer's, Vascular dementia and other types of cognitive impairment. Whether your interests are in music, art, gaming, or gardening, The Memory Activity Book has activities to suit, as well as ideas to inspire anyone looking for guidance on how best to interact with people affected by memory issues, Alzheimer's, or other forms of dementia. Whatever your involvement - friend, relative, partner, or patient - The Memory Activity Book offers a valuable resource for everyone living with dementia.

Longer life expectancy, the aging baby boom population, and increasing numbers of older adults with chronic health conditions who want to remain at home are generating an urgent need for providers who possess specialized knowledge and skills in home heath care. Answering the urgent call for a textbook that deals with specifically with adults in this setting, Goldie Kadushin and Marcia Egan synthesize empirical research to extract practical applications for practice, emphasizing the "how to" of gerontological home health care by discussing the field's most relevant issues. The authors include chapters on home health care policies and funding, cultural and diversity issues, the contemporary challenges of the social work role in home health care, the development of a relationship, the client's role in helping with care, practice evaluation, and individual and social system assessment and intervention. They provide detailed case studies and directions for accessing rapid assessment instruments throughout the text. The also include programs, resources, and corresponding websites that link to appropriate services.

Can traditional arts improve an older adult's quality of life? Are arts interventions more effective when they align with an elder's cultural identity? In The Expressive Lives of Elders, Jon Kay and contributors from a diverse range of public institutions argue that such mediations work best when they are culturally, socially, and personally relevant to the participants. From quilting and canning to weaving and woodworking, this book explores the role of traditional arts and folklore in the lives of older adults in the United States, highlighting the critical importance of ethnographic studies of creative aging for both understanding the expressive lives of elders and for designing effective arts therapies and programs. Each case study in this volume demonstrates how folklore and traditional practices help elders maintain their health and wellness, providing a road map for initiatives to improve the lives and well-being of America's aging population.

Japan is aging rapidly, and its government has been groping with the implications of this profound social change. In a pioneering study of postwar Japanese social policy, John Creighton Campbell traces the growth from small beginnings to an elaborate and expensive set of pension, health care, employment, and social service programs for older people. He argues that an understanding of policy change requires a careful disentangling of social problems and how they come to be perceived, the invention (or borrowing) of policy solutions, and conflicts and coalitions among bureaucrats, politicians, interest groups, and the general public. The key to policy change has often been the strategies adopted by policy entrepreneurs to generate or channel political energy. To make sense of all these complex processes, the author employs a new theory of four "modes" of decision-making--cognitive, political, artifactual, and inertial. Campbell refutes the claim that there is a unique "Japanese-style welfare state." Despite the big differences in cultural values, social arrangements, economic priorities, and political control, government responsibility for the "aging-society problem" is broadly similar to that in advanced Western nations. However, Campbell's account of how Japan has taken on that responsibility raises new issues for our understanding of both Japanese politics and theories of the welfare state. Originally published in 1992. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

Music is an essential tool in dementia care. This accessible guide embraces ways in which music can enhance the daily lives of those with dementia. It draws on the expertise of practitioners regularly working in dementia settings, as well as incorporating research on people with dementia, to help anyone, whether or not they have any musical skills or experience, to successfully use music in dementia care. Guiding the reader through accessible activities with singing, percussion, sounding bowls and other musical tools, the book shows how music may can be used from the early to late stages of dementia. This creative outlet can extend to inspire dance, movement, poetry and imagery. The chapters include creative uses of technology, such as tablets and personal playlists. The book also covers general considerations for using music with people living with dementia in institutional settings, including evaluating and recording outcomes. Living Well with Dementia through Music is the perfect go-to guide for music-based activities with people living with dementia.

This volume presents contributions from academics, practitioners and researchers who reflect on aging and argue that while the financial impact of aging appears to be receiving increased attention, the more personal, familial and communal consequences of aging must also be examined. This collection delves further into the topic of aging as both personal and social phenomenon. The perspectives the papers engage with range from theoretical to applied. This demonstrates how those perspectives can and must engage with each other. From the invisibility of aging persons, to the manner in which discourses of aging-well rely on normative assumptions, to the ways in which we engage with persons with dementia, to the responsibility of providing care locally and across borders, this collection endeavours to advance aging as a positive challenge that can enrich us all.

Dementia is a particularly cruel and teasing disease for which there is no known cure. No vaccine... and no escape, once it takes a hold. My book is a personal, yet hopefully objective, and sociological, reflection on all aspects of caring for my much-loved Mum throughout the steadily worsening stages of her final (5) years of life... until the Dementia finally reeled in its 'prey.' If it makes a positive difference to just one sufferer, it will not have been written in vain.

A massive restructuring of health care in virtually all the wealthy nations of the West has offloaded services and costs from governmental responsibility into home care services and onto families -- a burden borne primarily by women. This restructuring has profoundly altered not only the practice of social work but also its representation in language and theory. As this volume demonstrates, many of the consequences social workers must face are made more difficult by the dominance of a market discourse that excludes a social justice framework.

The authors aim not to prescribe specific guidelines for practice but "to challenge current arrangements and explanations" in order to open the discourse and generate alternatives so that people receiving care might have fuller and more satisfying lives. Written by social work theorists and specialists from the U.S., Canada, and New Zealand, the chapters focus on topics of long-term care as they affect vulnerable groups -- women in particular -- as they age. Subjects include constructing community support, aging and caregiving in culturally diverse families, changing demographics of widowhood, and the new millennium's challenges for social work on aging and disability.

Essential information for the design of senior living facilities

"Building Type Basics for Senior Living, Second Edition" is your one-stop reference for essential information you need to plan and successfully complete the design of residential care environments for seniors on time and within budget.

Primary authors Bradford Perkins and J. David Hoglund and their Perkins Eastman colleagues--all experts in senior living design--share firsthand knowledge to guide you through all aspects of the design of senior living communities, including independent living and assisted living apartments, and skilled nursing facilities.

This edition features new examples of completed projects and is up to date with the latest developments in senior living design, including coverage of sustainable design, renovation and reinvention, international opportunities, operations, and project financing.

This new edition offers: Numerous photographs, diagrams, and plans A new chapter on issues, trends, and challenges for the senior living industry in the next decade A new chapter devoted to sustainability strategies and considerations Up-to-date coverage of new technologies being implemented in senior living facilities New space programming standards and sample programs

Like every Building Type Basics book, this conveniently organized quick reference provides authoritative, up-to-date information instantly and saves professionals countless hours of research.