The second edition of this landmark textbook is distinguished by its pioneering approach to encompassing disability and aging policies under one umbrella, in response to the newly developed Administration on Aging and Disability. It addresses policy changes impacting health and disability services resulting from the Affordable Care Act (ACA) and other new legislation, and offers a pioneering approach to transforming policy into practice applications. New to the second edition is current census data and new legislative mandates from the ACA and other policy organizations impacting aging adults and/or disabled populations. Also included is new coverage on Social Media, Motivational Interviewing, Health Literacy, Underrepresented Groups, LGBT, and Rural Communities. Podcasts, available as downloads, present the messages of advocates, lobbyists, policy experts, and consumers who address various aspects of relevant policies and policy development. Unlike other texts, the book focuses on triangulating skills, policies, and programs for graduate students in social work, public health, gerontology, and rehabilitation. It aims thus to enhance understanding of policy development through a critical analysis and review of policy framework, and promotes development of skills in shaping programs and implementing policy. The text lays out tools that facilitate policy and program development to include the media, coalition building, the use of an evidence base, and how each mandated policy addresses these programs and services. Chapters include learning objectives, case studies, review/discussion questions, and resources for additional information. An Instructor's Manual, Test Bank, and PowerPoint slides facilitate the teaching process. New to the Second Edition: Addresses both disability and aging policies Includes updated census data Presents new legislation and mandates for the ACA, Veterans and the Military, Caregivers/Caregiver Support Act, Alzheimer's Support, Health Lifestyles, Aging and Disability Resource Centers, Elder Justice Act, and Substance Use and Misuse Provides new coverage on Social Media, Motivational Interviewing, Health Literacy, Minorities, Incarcerated Individuals, Immigrants/Refugees, LGBT, and Rural Communities Offers podcasts of interviews with key consumers and policy experts Key Features: Lays out tools that facilitate policy and program development Examines major service areas for older adults Addresses philosophical, historical, and demographic challenges Enhances understanding of policy development through critical analysis Includes learning objectives, case studies, review questions, and instructor package

Population ageing is an important trend which will be experienced in industrialized countries in the early years of the next century. This significant book examines aspects of population ageing and pensions, with an emphasis on the design and use of simple economic models to focus on particular aspects of a very broad problem. The analysis of pensions presents many complex problems. A major aim of this book is to demonstrate how reasonably simple economic models can be designed and used to shed some light on the issues involved in population growth and pension provision. The basic analytics of population growth and pension structure are first explored. Projections for Australia are examined and used to model ageing and social expenditure and to estimate the 'burden' of aged care on future workers. The author goes on to investigate pensions and pension finance, and examines several types of economic model before turning to the analysis of alternative pension arrangements using a lifetime simulation model. The results of the study suggest that both lower contribution rates and a universal pension encourage a later retirement age. This book will prove invaluable to students and scholars of public sector economics, welfare economics, social economics and public finance.

The two phenomena are occurring side by side: a rapidly growing elder population and a burgeoning tech sector. Where a few years ago these worlds would not have met, a new generation of older adults has grown comfortable with technology and open to its possibilities for improving their lives as they age.

"Technologies for Active Aging" offers novel answers to a range of aging issues, from safety and mobility to cognition and continence. Written for the non-technical reader, the book examines the potential of information and communicative technologies such as pervasive computing, smart environments, and robotics to enhance seniors' quality of life and encourage independent living, better care and self-care, and social participation.

Diversity is emphasized here, in terms of the life areas addressed, the perspectives of elders and caregivers, and the global reach of those working toward solutions. This state-of-the-field volume looks ahead to future research and the next wave of innovations to help all seniors, regardless of health or ability. Among the topics featured: Promoting technology use by people with dementia.Wheelchair mobility in older adults.Intelligent systems for assessing age-related changes using home-based technology.Measuring the effectiveness of assistive technologies in community and home settings.Technology for the prevention of fall-related injuries.Tele-health in chronic disease management.

A comprehensive mix of theoretical developments and emerging realities, "Technologies for Active Aging" serves a variety of professionals, including gerontologists, sociologists, health and cross-cultural psychologists, and public health policymakers.

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This book examines the many economic and budgetary aspects of aging, and of an aging population, exploring the welfare state and incentives to retire, the macroeconomic and fiscal implications of aging and the long-run effects of government spending on the elderly. There is also an examination of the changing patterns of retirement behaviour, economic well-being and gender disparities among the elderly, the interaction between private and public provisioning, and aspects of retirement security.

This collection on researching later life and ageing critically reflects upon the qualitative methods used in gaining knowledge of under-researched groups of older people and sets out future research agendas.

In caring for America's aging population, emphasis is frequently given to maintaining elders in the community, preferably in their own homes, with appropriate supportive services. But what of those older persons who are at home and without a network of relatives or friends who are aware of the often life-threatening problems they face every day? What of elders who are undernourished, under- or over-medicated, visually handicapped, hard of hearing, or otherwise disabled? Many of these older people may be unaware of their need for help, or are well aware of their specific circumstances but deliberately hide their needs from others for fear of being "a burden" or of losing their freedom. This important new book brings together a variety of authors who seek to assist family and friends in recognizing the danger signs that surround an at-risk elder, while making vital distinctions between those types of behavior that give cause for worry and those that can best be described as idiosyncratic. The essays offer thoughtful suggestions for appropriate assistance by caregivers and interested parties while at the same time respecting the autonomy and independence of the elderly.

The transition from central planning in Central and Eastern Europe has resulted in a decline in social security. Transformation of Pension Systems in Central and Eastern Europe provides an in-depth examination of systems of social protection for the elderly. The authors begin by analysing the urgent measures required to respond to a changing economic system. They also consider the fundamental questions of redesigning old-age financial security which is embedded in an international debate on pension reform, taking into account the political and economic factors from a comparative perspective. Covering the Baltic states, Poland, the Czech and Slovak Republics and Hungary, the development of pension security is traced from the late 1980s to the end of the 1990s. Using local pension experts with academic and administrative backgrounds, the country studies are characterized by a detailed and interdisciplinary perspective, and provide an economic, political, legal and institutional approach to pension systems development.

Between longer life expectancies and declining birth rates, Europe's elder population is growing into a sizable minority with considerable impact on nations, health systems, and economies-in other words, global implications as well as local and regional ones. Those investing in the health of older adults need a double perspective: the social and clinical complexity of aging and the larger forces shaping these experiences.

"Aging in European Societies" examines aging trends across the continent, analyzing individual and collective variables that affect the lives of older adults, and drawing salient comparisons with other parts of the world. An interdisciplinary panel of experts provides theory, research, and empirical findings (with examples from the UK, Cyprus, Sweden, and others) in key areas such as family and social supports, physical and cognitive changes, dependence and autonomy issues, and living arrangements. The book's wide-net approach offers insights into not only aging, but aging well. And of particular importance, it details approaches to defining and measuring the elusive but crucial concept, quality of life. Included in the coverage:

The potential for technology to improve elders' quality of life.Dementia and quality of life issues.Changes in functional ability with aging and over time.Family networks and supports in older age.Factors influencing inequalities in quality of life.Late-life learning in the E.U.

Gerontologists, sociologists, health and cross-cultural psychologists, and public health policymakers will welcome "Aging in European Societies "as a springboard toward continued discussion, new directions for research, and improvements in policy and practice."

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".

Older people are, like younger people, citizens in the communities of the nations in which they live. This book sees ageing as a life journey that incorporates a process of citizening, in which people build their identity as part of their family and community. But the social experience of illness, frailty, disability and reaching the end of life may de-citizen older people by devaluing the social identity that comes from continuing social engagement. We de-citizen older people by emphasizing dependence on services and their cost to public expenditure instead of valuing the interdependence of participation and mutual respect. This book argues that older people retain full citizenship for the whole of their lives, up to the moment of death; but what does this mean for health and social care? In this groundbreaking book, Malcolm Payne argues that social work with older people must build re-citizening practice strategies to value both the common and the special aspects of the citizenship of older people. Current models of social care and social work create dependency, rather than relying on values of participative interdependence. The failure to recognize the end of life as a crucial element in all social care and social work for older people means that the lessons learned in providing palliative and end-of-life care in healthcare have not been transferred to social care, and the priorities of end-of-life care have not been adequately encompassed in social work with older people.

America urgently needs innovative housing and care solutions for our growing population of older persons. For those who do not require or cannot afford costly, full-time nursing care, yet find it increasingly difficult to live alone, board and care residential facilities may be the most practical and attractive alternative. What are board and care homes, and how do they operate? How are they managed and regulated? How can older persons, caregivers, and family members decide which are the best facilities?"Between Home and Nursing Home" suggests what to look for when choosing a facility, how to monitor the care offered, and the kinds of supervision and services that should be available. For residents and caregivers alike, the authors offer valuable suggestions and illustrate activities that contribute to total mental and physical well-being. This book includes valuable appendices that feature important facts about retirement facilities and tips on how to evaluate a residential care facility. Families and professionals will find this book to be a valuable guide to one of the fastest-growing housing and health care options available to the aged.

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.

Stressing the importance of communicating effectively, understanding the needs of older persons, and developing trust at all levels of service, this is a valuable sourcebook that places special emphasis on maintaining the integrity, independence, and individuality of older persons. Contributors include specialists in the fields of medicine, therapy, communication, psychology, environmental planning, activities planning, law, ethics, human sexuality, and death and dying. Questions for discussion and select bibliographies enhance this important collection. In the decades ahead, many careers will be directly or indirectly linked to providing services for the elderly and/or their families. This versatile volume will prove essential for all those who serve our nation's older population - and those who are for the first time considering the fulfilling field of ageing.

This book offers the first full examination of the legal role of public guardianship in 25 years, comparing current conditions to those when the last study was published in 1981. Public Guardianship: In the Best Interests of Incapacitated People? is written to advance public understanding of what happens to disabled and elderly adults when no family member or friend is available to be a caregiver or guardian should it become necessary. It is the first major study on this critically important issue since 1981. Conducted by experts in gerontology, social work, public policy, and public health, it finds that, although progress has been made, guardianship programs around the country still are hampered by limited staff and resources. Public Guardianship analyzes the full range of state statutes governing guardianship, including guardian eligibility, investigation, due process, rights, powers, costs, and monitoring. The authors report their case studies of public guardianship programs, marshaling and comparing field data from their surveys of stakeholders in ten states. The book concludes with a variety of recommendations for improving guardianship programs, including the authors' Model Public Guardian Act. Includes case studies on public guardianship programs in ten different states Offers bibliographic listings of works cited in the text Presents tables and charts showing important data

This unique project explores one of the increasingly popular policies for long-term care: the provision to care users of cash, rather than services so that they can employ their own caring labour directly. The authors are scholars from Austria, France, Germany, Italy, the Netherlands, the USA and the United Kingdom in the fields of social policy and gerontology. The book includes introductory and concluding chapters by the editors, which develop new theories of care commodification and present a comparative overview of these important policy trends.

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.

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.

This book assesses the diversity of policies and programs for older people in six contrasting European countries. Using a common descriptive and analytical framework, the book examines how the organization and delivery of care are shaped by the larger welfare system. Detailed case studies illustrate key features of social care in Britain, Italy, Greece, Ireland, Denmark, and Norway. The authors conclude by showing how the concept of social exclusion can inform service development.

This book, now in paperback, revisits Peter Townsend's classic study of residential care for older people in Britain conducted in the late 1950s. It provides not only a fascinating account of residential care for older people over the last 50 years but is also an important contribution to the literature on research methods.

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.

One measure of public program response to rapidly expanding older populations is the approach to old-age pensions under social insurance, social assistance, and provident fund systems. Social insurance is clearly the preferred method of meeting the income needs of the elderly, but historical, as well as current social and economic conditions are forcing many nations to reevaluate the characteristics of viable and sustainable social insurance programs. This has led to a variety of innovations in old-age pension programs development, including revised benefit formulas, raised retirement ages, increased income testing, and expanded reliance on private occupational supplemental programs.

The essays in this new international handbook analyze the impact of the economic, social, and cultural effects of aging populations on government social insurance policies. They offer a perspective on how twenty different countries have approached income maintenance programs for the elderly. Collectively, the contributors demonstrate how governments, non-governmental entities, communities, and families respond to changes in traditional income and social service support systems. They provide not only descriptions of existing programs, but also a better understanding of the factors that gave rise to their distinct characteristics. This important new collection will be required reading for everyone involved in elderly services.

'Incredible. One of those rare books that should be dispensed on prescription to every household.' - Lucy Easthope, author of When the Dust Settles 'Hilarious, bitter, poignant and profound . . . like an existential soap opera - only with more laughs.' - Philip Hoare, author of Leviathan It was the kind of phone call we all dread. Your elderly father has been admitted to hospital. Your even older mum is now at home alone. The answer? Simple. Drop everything, go back and help. The reality? Not so straightforward. Suddenly, you're a kid again, stranded in the overheated house you grew up in. Soon they need you 24/7. And you want to help, of course you do. But now your own life starts to unravel almost as quickly as their health. And then there is nowhere else to go. In between bouts of washing, feeding, cooking and fighting there are times that test you, days where everything goes wrong and moments when everyone, miraculously rises to the occasion. And amidst all of that, this strange second childhood offers up a shot at redemption - if you can just stop everyone from falling down. Irresistibly funny, unflinching and deeply moving, this is a love letter to family and friends, to carers and to anyone who has ever packed a small bag intent on staying for just a few days. This is a true story of what it really means to be a carer, and of the ties that bind even tighter when you least expect it. This is The Reluctant Carer.

This literature review was undertaken in order to determine what caregivers needed to know about elderly sexuality, to determine the needs of elderly people related to their sexuality, and to determine how caregivers could best assist them in meeting those needs. In selecting materials to be annotated for this book, the first priority was given to empirical studies. Also included were articles by prominent practitioners and researchers interested in elderly sexuality, literature reviews, and books written for the lay population which are often cited in the professional literature. In addition to seeking knowledge about elderly sexuality and understanding attitudes about sexuality, this literature review sought information about measurement issues and measurement instruments frequently used in research within elderly populations. Also of interest were investigations of educational and training programs involving caregivers.

Despite the rapid aging of the population and the tremendous growth in ethnic and racial diversity among the elderly in our society, empirical studies on long-term care needs and service use of minority elders have been lacking. Based on two national datasets, this is the first comprehensive analysis of long-term care needs, patterns, and determinants of in-home, community-based, and nursing home service utilization and informal support among African American and Hispanic elders, as compared to those of their non-Hispanic White counterparts. The authors also compare caregiver burden within the three groups and present recommendations for ethnic-sensitive long-term care policy and practice for minority elders.

This most timely, authoritative, and insightful book provides a new framework for understanding the circumstances currently surrounding America's elderly. It establishes the important foundation of three key forces which are changing the national perspective on the aging. They are: generational claims on the government to respond to social needs; diversity in aging populations; and increasing longevity. Torres-Gil provides a context, supported by informative background material, for recognizing the significant demographic changes being experienced in the United States. The work considers the policy issues, decisions, controversies, and choices now associated with aging and demonstrates how the perception of the elderly has changed from the 1960s and 1970s to today. It asks what is fair in the allocation of public and private resources to the elderly. How does the nation pay for services? How do we make and implement the political and economic decisions with which a government and a society are now faced?

Torres-Gil examines the ability of the government and the active labor force to support a large elderly population and urges a change in the current delivery of services and benefits. He addresses all the essential issues necessary to avoid inter-generational conflict--including comprehensive planning, the building of social consensus, and inter-generational coalitions.