Empowerment refers to the ability to make informed choices, exercise influence, make continuing contributions to society, and take advantage of services. These privileges are taken for granted by most working-age adults, but often are not available to older persons for a variety of reasons, including poverty, poor health, low educational levels, lack of transportation and access to services, negative stereotypes about aging, and overt or subtle age discrimination. Yet empowerment is vital to the quality of life of older persons and the health of society on the whole if seniors are engaged and involved members of it. This book takes an international approach by presenting the work of 17 experts in aging. Countries represented by the contributors include Denmark, the Dominican Republic, Ireland, India, Japan, Mexico, Pakistan, South Africa, the United Kingdom, and the United States. While many works address the issue of empowerment, the aging perspective is relatively rare and the international perspective entirely lacking until now.

Empowering Older People presents views and research written by experts in aging from around the world. Contributions look at the need to ensure older people have control over their own lives and discuss any positive measures which are being taken to provide real opportunities and resources for the older populations. Empowerment is vital to older people's quality of life and to the health of any society, and an international perspective on the issue will inform all who work with older people. In this edited volume, the countries represented by contributors include Denmark, the Dominican Republic, Ireland, India, Japan, Mexico, Pakistan, South Africa, the United Kingdom, and the U.S.

Cogent, concise, and up-to-date, this comprehensive and multidisciplinary one-volume encyclopedia written by experts from many fields covers all the major aspects of home health care for the elderly in America today. Patients, health care providers, and concerned family members, as well as students, teachers, practitioners, and policymakers in the fields of medicine, nursing, health care, social work, psychology and psychiatry, therapy and rehabilitation, sociology, public policy, and public administration will find this information important to their work in caring for the elderly. The clearly written articles discuss common problems, home care measures, trends, key issues, groups, and agencies. The entries point to sources for further reading. An appendix linking related topics, descriptions of 37 key organizations with addresses, a lengthy bibliography, and a full index make this basic reference easily accessible for broad audiences of readers.

The growing number of homeless people over age 50 has reached epidemic proportions. It is important to recognize that this group has special needs and demands from health factors to safety. This book is a resource for professionals training and working with this homeless contingent.

Experts have made a state-of-the-art survey of sources that are important in counseling older persons, an increasingly important segment of the nation's population. The population over age 65 in the United States is 12.4% and soon will be 21.8%. This annotated compilation of 481 books, journal articles, dissertations, and documents is organized into nine topical chapters and various subsections dealing with the normative experiences of aging, persons with impairments, needs and services, special situations, counseling and counselors, ethics, practica and internships, and pharmacology. Author and subject indexes make the guide easy for academic and professional use in the fields of gerontology, psychology, and adult education.

Experts in gerontology, clinical psychology, and geriatric medicine provide an analytical survey and abstracts of the significant literature and research dealing with alcoholism and aging over the last 30 years. This research guide offers a general survey with sections dealing separately with the prevalence, precipitants, effects, diagnosis, prevention, and treatment of alcoholism in the older generation. The book also offers directions for future research. The narrative ends with a listing of references that have been assessed. The annotated bibliography gives abstracts for 301 sources that are arranged by types of works: bibliographies, overview articles, books and book chapters, empirical studies, and miscellaneous works. Cross-references and author and subject indexes make this guide readily accessible to students and teachers in the field of sociology, gerontology, psychology, medicine, and public health.

This broadly-framed bibliography deals with the many complex and diverse issues related to chronic illness and chronic care services. Following a brief introduction, the bibliography is arranged in topical chapters dealing with the history of long term care, institutional care, community services, administrative issues, noninstitutional care, housing, costs of long term care, minorities and special populations, ethics, public policy issues, and demographics. Author and subject indexes make the information easily accessible for students, teachers, policymakers, health care providers, and general readers to use in academic, institutional, and public libraries.

This annotated bibliography surveys the significant research from the last 20 years about the legal, medical, psychological, social, and economic aspects of the employment of the elderly. Rife identifies sources dealing with the demography of our aging work force, the characteristics and problems of older workers in different populations, training and placement programs, job searches, age discrimination, and future issues. Researchers, policymakers, students, teachers, and readers in public, business, and institutional libraries will find this unique and current guide to databases, periodicals, government documents, and a broad array of other source materials invaluable. This easy to use interdisciplinary guide offers an introductory overview, topically organized chapters, and full author and subject indexes.

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 international reference guide analyzes the role and structure of care of the elderly and describes available services in 32 representative countries around the world. Discussed is income maintenance and employment resources, health care, housing, support systems, leisure time resources, and advocacy and protective programs of different kinds. Chapters closely parallel each other in the information they provide, offering suggestions for methods that can be used to satisfy present and future needs of elderly populations. The guide is designed for students at undergraduate and graduate levels, teachers, scholars, and professionals (e.g. policymakers, programmers, or providers) in fields of gerontology, health, social work, or public policy.

In this period of upheaval of our nation's health care system, this timely work serves to increase awareness of and knowledge about the problems of societal living among the chronically disabled elderly. To meet the goal of optimal social functioning of the chronically disabled, past and present attitudes and practices of education, health care, and social service providers need to be examined and in many cases changed or discarded. Focusing on macro and micro contexts--and using examples to highlight actual experiences and processes--the need for a comprehensive approach to chronic disabling conditions is illustrated. This work has important implications for institutions of education in health and social sciences, policy makers in health care and social services, advocacy groups for the elderly and disabled, and individuals and families facing the care of the chronically disabled.

One of the few studies of how the elderly help others through formal and informal volunteerism. While a large number of studies focus on the help older people receive from relatives and friends, this work examines the many ways in which older people are involved in giving care to others. Written by a sociologist and based on a stratified sample of hundreds of individuals, this study assesses a number of dimensions of care giving. While much of this labor goes unnoticed, it is central to the building and maintenance of family and community ties, and reveals ways in which social life is organized around aging, gender, and marriage. Patterns of formal volunteerism and informal care are studied in relation to age, sex, marital status, and other important variables that affect this essential but underplayed aspect of American community life.

Many older people, indeed the majority, have many years of relatively good health after the usual retirement age. Contrary to widely accepted stereotypes, evidence indicates that those who wish to use their skills and abilities for productive contributions may encounter significant barriers.

Bass, Caro, and Chen and the experts who contributed to the volume provide an original reassessment of the current options available to older people. The authors argue that polices, practices, and societal messages help determine what choices are realistically open to older individuals. The attitudes and policies of family, workplace, and government as well as those of educational and religious institutions all contribute to defining what opportunities really are available for older people. The authors show, too, that considerations of gender and ethnicity are powerful in their impact on what those in the later years of life may or may not do. Although leisure is attractive to many in their elder years, the authors stress that it is but one of the number of choices that should be available. Employment, volunteering, and other new productive roles should not be denied to those who want to continue them and who, in the process, enrich their own and society's well-being. The authors provide authoritative analysis and new perspectives on aging.

By offering a comparative, institutional analysis of how state-supported pensions for the elderly developed in Britain, Canada and the United States, Anna Shola Orloff aims to make a contribution to understanding the growth of modern social welfare policies. It is not enough, Orloff demonstrates, to simply examine socioeconomic factors in the growth of the welfare state. She argues that welfare policies are also shaped by the political institutions and processes that are the legacy of state formation and expansion in particular nations. Orloff explains why, when and how poor relief was replaced by modern social insurance legislation and pensions for the elderly in the first three decades of the 20th century. She analyses the long-term social and political transformation that laid the basis for modern social politics: the spread of waged work, the development of new liberal ideologies and the expansion and transformation of state administrative capacities. Combining original historical research with the analysis of secondary sources, Orloff's work is an example of the use of comparative and historical methods in answering questions about macropolitical transformation, such as the origin of the welfare state. ""The Politics of Pensions"" outlines an original, interdisciplinary approach that should appeal to a wide variety of readers: political sociologists interested in the state, social workers and specialists in old age policy, and comparative researchers of all disciplines engaged in research on the welfare state.

Many older people, indeed the majority, have many years of relatively good health after the usual retirement age. Contrary to widely accepted stereotypes, evidence indicates that those who wish to use their skills and abilities for productive contributions may encounter significant barriers.

Bass, Caro, and Chen and the experts who contributed to the volume provide an original reassessment of the current options available to older people. The authors argue that polices, practices, and societal messages help determine what choices are realistically open to older individuals. The attitudes and policies of family, workplace, and government as well as those of educational and religious institutions all contribute to defining what opportunities really are available for older people. The authors show, too, that considerations of gender and ethnicity are powerful in their impact on what those in the later years of life may or may not do. Although leisure is attractive to many in their elder years, the authors stress that it is but one of the number of choices that should be available. Employment, volunteering, and other new productive roles should not be denied to those who want to continue them and who, in the process, enrich their own and society's well-being. The authors provide authoritative analysis and new perspectives on aging.

Elderly issues currently inspire a great deal of research, discussion, and public policy debate. Cox's informative, comprehensive, and sensitive consideration of an especially vulnerable elderly segment--the frail--makes a genuine contribution to the understanding of frailty that must guide support systems and public policy. Issues addressed in this work include not only the consequences of frailty but also its prevention. The forms of support or assistance which some older individuals require as their limitations increase are detailed. Mental health concerns, health care, housing, and caregiving, are discussed, with particular attention given to the needs of ethnic elderly. Community programs, many of them highly creative and effective, are reviewed. Insights are gained from experiences in other countries. The pressing need for a better understanding of what actually constitutes frailty is emphasized. Such understanding is seen as a prerequisite for more effective community response and improved national policy. This is a balanced, informed, and practical analysis of a socially compelling and broadly experienced issue and human condition.

Gerontology is a multidisciplinary field, and this bibliography provides a multidisciplinary perspective on research on aging. The volume begins with an introductory chapter that desribes the range of interests to be found in gerontology, discusses the core concepts, and directs the reader to appropriate journals and handbooks. The bibliographic chapters that follow provide information on the most important works related to particular areas of gerontological research. Included are bibliographies on caregiving and health care, rituals related to death and dying, sleep disorders, Alzheimer's Disease, coronary disease, and the use of growth hormone in aging research. The chapters reflect social, anthropological, biological, ethical, and medical views. Each chapter begins with a brief essay on the latest trends in the field, and each entry includes a citation and a descriptive and evaluative annotation. Detailed indexes add to the usefulness of the volume.

Heumann and Boldy define and analyze emerging programs to help the frail and low-income elderly stay out of institutions and age in place in their communities with proper support systems. The case studies presented describe the latest thinking and innovative public program solutions to aging in place in highly developed industrialized countries, including Australia, Canada, Great Britain, Israel, Japan, Sweden, and the United States. Heumann and Boldy link these studies and describe the conditions and constraints under which existing programs function.

Chapter 1 examines the benefits and limitations to aging in place policies and programs on the broadest level, including the economic trends that have created the urgency for new government policies. Chapter 2 presents the classification system of aging in place solutions so that the case examples can be viewed in a comparative context of approach and government commitment. Chapters 3-7 discuss subsidized housing solutions in the United States, Canada, Great Britain, and other developed countries. Chapters 8-12 review community support programs in Australia, Israel, Sweden, and Japan. Chapter 13 summarizes the case findings, adds data to the editors' overall classification model, and discusses how government assistance could and should evolve in the future. Aging in Place with Dignity is designed to help government and voluntary-service planners and providers at the federal and local levels deal with the complex and urgent problem of enabling the frail elderly to age in place.

This bibliography is a current source of information for researchers, practitioners, and planners interested in the older volunteer. The authors conducted an extensive search of material on the older volunteer, with emphasis on those works published between 1980 and 1991. After identifying approximately 700 sources, the authors selected nearly 400 for inclusion in this reference. The entries are grouped in seven topical chapters, and each entry includes a succinct annotation. Included are entries for books and articles on particular programs, characteristics of older volunteers, sources of statistical information, empirical research, and special population groups. Author and subject indexes conclude the work.

This comprehensive reference provides citations for more than 700 resources essential for planning, funding, initiating, implementing, facilitating, and evaluating a broad range of formal and informal older adult education programs. The work includes books, articles, reports, conference proceedings, government publications, dissertations, leadership guides, audiovisuals, computer programs, and curriculum materials. Each citation is accompanied by a succinct annotation, and the entries are arranged in topical chapters for ease of use. The book also lists aging network and resource organizations, databases, journals, and current laws. Author and subject indexes add to the utility of the volume. Everyone interested in older adult education will find this reference a useful guide to theoretical, managerial, and pedagogical materials.

Leutz and his colleagues offer the most practice-oriented and realistic assessment of how chronically ill elders are being served at the community level. They analyze options and opportunities open to policy makers and practitioners relative to long-term care in the community environment where so many elders want to be. In the process, the authors evaluate the range of needs, the importance of gender and cultural differences, and the effectiveness of Medicare and Medicaid as entitlement strategies.

Community care constitutes a major gap in the nation's health-care system. The authors show that there are many persuasive reasons to build, staff, manage, and pay for high quality community-care systems. Such programs are demonstrated to be affordable and to meet better the needs of a large percentage of elders who require long-term care. The authors set forth goals for community-care systems and criteria for assessment. This timely analysis, coupled with practical, socially compelling recommendations, responds effectively to the realities of an aging population and the great public policy and related fiscal concerns.

This thoughtful collection based on a highly successful conference held in Calgary, Alberta, combines the views of professional gerontologists, educators, health-care specialists, and policy makers to confront the issues affecting health care for older adults in both Canada and the United States. The contributors seek not only to inform but to inspire innovative responses from the private as well as the public sector. Experts in government, ageing, medicine, public administration, social service, counselling, and consulting focus their attention on vital areas of concern to elders who are in need of assistance, to the providers of these services, and to a public who seeks assurance that its resources are cost-effectively allocated to meet present and future demand. Included are essays on the current status of health-care policy in the United States and Canada, daily money management, caring for the non-compliant elder, long-term care as an emerging women's issue, lobbying government agencies and political leaders, the role of gerontology in resolving the crisis of long-term care, and "geroethics".

As the American population ages, health care for the elderly grows in importance. This bibliography overviews the most significant books and journal articles on the ethical issues related to health care for older Americans. The topics covered are of interest to practitioners and the general public alike, as well as to professionals from a wide range of fields. The author has provided more than five hundred bibliographic citations. These entries are arranged in eleven topical chapters to facilitate use by the reader. Each citation is accompanied by an annotation that concisely summarizes and assesses the contents of the work. The volume begins with an informative introductory essay on the ethical issues pertinent to health care for older adults. The chapters that follow are devoted to broad topics, such as financial considerations, treatment for the terminally ill, and decision-making by and for the impaired elderly. The work concludes with author and subject indexes that add to its utility. Researchers and practitioners from all fields will find this work an indispensable guide to the wealth of literature on the ethical aspects of health care for older Americans.

"Wages for Caring" examines policies and programs of compensation for family caregivers of the disabled elderly from a broad analytical perspective, weighing current policies of home care services against principles of access, equity, quality, and funding of long-term care. Linsk, Keigher, Simon-Rusinowitz, and England challenge widely held assumptions that currently hold the family responsible for care, and accept the government's role in deterring or delaying institutionalization. The authors focus on programs and policies that already exist which could be adjusted to include families and to promote support of family caregiving. In assessing the potential of broad implementation of wages for caring, they contend that if implemented appropriately, family compensation may offer benefits not available through any other kind of service system.

First, the authors review incentives to family care and services to families providing home care, and include an overview of attendance allowance and caregiver compensation programs in other developed countries. Next, they present several original studies in an integrated format to allow for the analysis of pros and cons of several compensated family care programs. Third, they examine provisions of Medicaid programs at the state level, as well as provisions of the aging network and their potential to complement family care. The focus is largely on poor clients and families, for whom the burden of care has the most relevant costs in terms of potential government liability. Finally, the authors develop consumer centered criteria to evaluate policy and program provisions, with special attention to the special needs of low-income elderly and their families. Wages for Caring will prove particularly useful to public policymakers, social workers, gerontologists, and researchers.

This reference book defines the work of major organizations in the United States concerned with public policies that affect 30 million elderly Americans today. In-depth analyses of the strategies, programs, and publications of eighty-three national non-profit and non-partisan groups give an overview of citizen work on behalf of the aging and the aged. A brief history of organizational development and a listing of pertinent national legislation provides important background information. Directories of other important organizations, a selected bibliography, a full index, and cross-references make this volume easy for students, professionals, and citizen activists to use.

Entries are arranged alphabetically--each entry contains sections on the origin and development of the group, its organization and funding, policy concerns and tactics, electoral activity, and publications and sources for further information. This volume joins a series of references that deal with the formation of public policy among different interest groups in the United States.

A lively account of life in a decent American nursing home, this book offers an in-depth look at American geriatric facilities. Using six years of anthropological research, Joel Savishinsky analyzes the lives and experiences of residents, staff members, and volunteers. He addresses the contradictory attitudes American society has shown towards geriatric facilities and the aging process itself: the tensions between caring and curing, morality and mortality, privacy and supervision, home and institution, and selfishness and altruism.

Savishinsky portrays the strengths and weaknesses of the nursing home in a humanistic way, emphasizing how the nursing home affects the individuals who live and work there. He also discusses inventive recreation programs, such as pet therapy, suggesting they can alleviate loneliness and provide meaningful opportunities for residents. Savishinsky challenges the stereotypic view of aging and institutional life, concluding that not all nursing homes are warehouses for the dying; he offers several recommendations for improving the quality of life and work in geriatric institutions. This book is presented in nontechnical language and is valuable to the general reader as well as to professionals in health, social science, social work, and gerontology.