Nathalie McIntosh, Lara VandenBergh, Whitney L Mills
{"title":"The Impact of a Guardianship Social Worker on Inpatient Time-To-Guardianship and Costs: Preliminary Findings.","authors":"Nathalie McIntosh, Lara VandenBergh, Whitney L Mills","doi":"10.1080/01634372.2024.2424421","DOIUrl":"10.1080/01634372.2024.2424421","url":null,"abstract":"<p><p>Unrepresented patients who lack decision-making capacity can remain in hospitals for weeks awaiting guardianship and subsequent discharge, resulting in medically unnecessary and costly extended stays. The guardianship process is complicated and requires collaboration between the medical and legal systems. The Rocky Mountain Regional Veteran Affairs Medical Center created a guardianship social worker position to improve the guardianship process by developing subject matter expertise, infrastructure, and standardized procedures. In this brief report, we provide preliminary data on the impact of a guardianship social worker. Time to guardianship completion, mean lengths of stay (LOS), counts of completed guardianships, and cost estimates were compared before and after the guardianship social worker position was created. The mean time to complete guardianships decreased from 121.9 to 69.8 days (<i>p</i> = .13), the mean LOS for patients awaiting guardianship decreased from 129.8 to 117.2 days (<i>p</i> = .39), and the yearly counts of completed guardianships increased from 2 to 9 (<i>p</i> = .002). Estimated inpatient cost savings per patient was $56,244. While promising, these preliminary data are limited by small case numbers and the unknown impact of the COVID-19 pandemic on long-term placement. Creating guardianship-focused social work positions has the potential to create efficiencies in the guardianship process.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"269-278"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Successful Aging Through Financial Empowerment (SAFE): Financial Coaching with Older Adult Victims of Financial Exploitation.","authors":"LaToya Hall, Peter A Lichtenberg","doi":"10.1080/01634372.2024.2373288","DOIUrl":"10.1080/01634372.2024.2373288","url":null,"abstract":"<p><p>Financial exploitation (FE) of older adults is a growing public health problem. Current estimates of financial exploitation show between 5% and 11% of older adults are victimized each year. This study examined an empowerment-centered financial coaching intervention. Program records and participant baseline and follow-up assessment data were used to detail program dynamics and investigate participant outcomes. Most SAFE participants were very satisfied or satisfied (91%) with the services they received. Participants also reported significantly less stress at the six-month follow-up. These findings demonstrate that empowerment-centered financial coaching interventions can successfully address FE in older adult populations.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"151-171"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuan Cao, Gerald Shiu Yin Kwan, Zita Cho Kwan Tse, Karen Kit Sum Chow, Dilys Kwai Sin Kwan, Windes Wai Yin Lam, David Ho Keung Shum
{"title":"Managing Uncertainty and Loneliness: Protective and Risk Factors Impacting on Older People's Mental Health in Hong Kong.","authors":"Yuan Cao, Gerald Shiu Yin Kwan, Zita Cho Kwan Tse, Karen Kit Sum Chow, Dilys Kwai Sin Kwan, Windes Wai Yin Lam, David Ho Keung Shum","doi":"10.1080/01634372.2024.2423678","DOIUrl":"10.1080/01634372.2024.2423678","url":null,"abstract":"<p><p>This study investigated the roles of loneliness and prospective intolerance of uncertainty (IU-P) on mental health, and identified the sources of stress and joy during the COVID-19 in Hong Kong. Two thousand two hundred and fifty-eight older adults completed the survey. Older adults who had higher levels of loneliness and IU-P were more likely to have poor mental health. IU-P was found to partially and positively mediate the relationship between loneliness and mental health. Top stressors were contracting the virus, uncertainty about the future, and loneliness; while family/friends, peace of mind, and hobbies were identified as protective factors.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"234-255"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Steffi M Kim, Jordan P Lewis, Juanita-Dawne Bacsu, Jodi L Southerland, Matthew Lee Smith
{"title":"A Discourse Analysis of Cultural Influences on Alaska Native Successful Aging.","authors":"Steffi M Kim, Jordan P Lewis, Juanita-Dawne Bacsu, Jodi L Southerland, Matthew Lee Smith","doi":"10.1080/01634372.2024.2403976","DOIUrl":"10.1080/01634372.2024.2403976","url":null,"abstract":"<p><p>Geographical remoteness, limited resources, and socioeconomic disparities contribute to the migration of rural Alaska Native Elders to urban areas to access medical services and resources, improve economic situations, or reunite with family. We compared the discourse of 12 Elders in Anchorage who previously lived in four remote traditional villages in the Norton Sound region (ages 60-84) and 13 Elders in those villages (ages 48-80). Using Gee's discourse analysis framework, two patterns emerged detailing cultural effects on identity and Eldership, illuminating differences in the self-evaluation of successful aging based on cultural influences and the role of contextual factors.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"207-233"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceptions of Overall Health Differences Among Veterans Across Marital Statuses.","authors":"Rachel M Steinberg, Cory B Dennis","doi":"10.1080/01634372.2024.2423710","DOIUrl":"10.1080/01634372.2024.2423710","url":null,"abstract":"<p><p>We examined the relationship between substance use, marital status, and perceived overall health using national data from a sample of 1,506 retired active-duty veterans. We found that binge drinking and heavy alcohol use among widowed veterans have a negative effect on overall health compared to married veterans who did not use alcohol in the past month. We found that non-binge and binge drinking have a positive effect on perceptions of overall health among divorced or separated veterans compared to those who are married and did not use alcohol in the past month. We discuss these findings and address clinical implications.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"256-268"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sehyun Baek, Oejin Shin, Soobin Park, Ahra Ko, Sojung Park, Eun-Na Kang
{"title":"The Relationship between the Working Environment and Quality of Life among Home Health Aides: Focusing on the Mediation Role of Burnout.","authors":"Sehyun Baek, Oejin Shin, Soobin Park, Ahra Ko, Sojung Park, Eun-Na Kang","doi":"10.1080/01634372.2024.2372111","DOIUrl":"10.1080/01634372.2024.2372111","url":null,"abstract":"<p><p>As South Korea's population rapidly ages, there is an increasing demand for home aides. However, little is known about how the caregiving environment affects HHAs. Guided by the environment comfort model, we examined the association between care recipients' home environment and HHA's quality of life, focusing on how burnout mediates this relationship. Our data came from a national survey of home health aides in 2020 (N = 786). We conducted an exploratory factor analysis to identify six factors related to the care environment in three dimensions: physical (1. space; 2. indoor/outdoor conditions), functional (3. home appliances; 4. heating/air conditioning), and psychological (5. satisfaction with the home environment; 6. relationships with care recipients and their families). We then used a path analysis to examine the relationship between these factors, burnout, and quality of life. Our findings show that safe indoor/outdoor conditions and positive relationships with care recipients and their families are associated with lower levels of burnout, leading to a higher quality of life (p < .05). This highlights the importance of considering both physical and psychological aspects of the caregiving environment to prevent burnout and improve the quality of life for HHAs, ultimately contributing to high-quality services for care recipients.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"129-150"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141895184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Qualitative Study of Adult Protective Services Practitioners Responding to Allegations of Elder Abuse and Self-Neglect.","authors":"Andie MacNeil, Erin Salvo, David Burnes","doi":"10.1080/01634372.2024.2373289","DOIUrl":"10.1080/01634372.2024.2373289","url":null,"abstract":"<p><p>Adult Protective Services (APS) practitioners play an essential role in supporting older adults experiencing elder abuse and self-neglect (EASN), however, very little research has examined their experiences, from their perspectives. The purpose of this study was to examine the experiences of APS practitioners responding to allegations of EASN. Qualitative interviews were conducted with APS practitioners (<i>n</i> = 14) from the state of Maine. A descriptive phenomenological approach involving two independent assessors was used to code transcripts into themes. Two domains, each with various subthemes, were identified: (1) rewarding elements of role and (2) challenging aspects of role. The findings of this study emphasize how APS practitioners are motivated by their capacity to help elicit positive change in the lives of their clients and support the well-being of older adults experiencing EASN. However, APS practitioners must navigate numerous challenges and barriers in their role, including time constraints, high and complex caseloads, limited resources, and broader misconceptions on APS. These findings highlight the importance of addressing these stressors to support the well-being of APS practitioners, which, in turn, can help support the vulnerable older adults they serve.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"172-188"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca L Mauldin, Rupal Parekh, Priyanjali Chakraborty, Jill T Messing, Stephen Mattingly
{"title":"Transportation, Routine Activities, and Unmet Travel Needs Among Older Vietnamese Immigrants in the United States.","authors":"Rebecca L Mauldin, Rupal Parekh, Priyanjali Chakraborty, Jill T Messing, Stephen Mattingly","doi":"10.1080/01634372.2024.2375757","DOIUrl":"10.1080/01634372.2024.2375757","url":null,"abstract":"<p><strong>Introduction: </strong>Transportation barriers can affect travel needs and quality of life.</p><p><strong>Methods: </strong>This survey examined transportation, routine activities, and unmet travel needs among older Vietnamese immigrants, focusing on gender differences.</p><p><strong>Results: </strong>Women were more likely to ride with others, less likely to drive, had fewer types of routine activities, and went out for activities less than men. Over 1/4 of the sample had at least one unmet travel need in the previous month (the most common was for visiting family and friends).</p><p><strong>Discussion: </strong>Interventions to enhance mobility should address age- and gender-based transportation differences and assess for unmet travel needs.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"189-206"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Community-Led Approach to Understanding How Service Providers Can Support 'Ageing well' for Older Aboriginal People in Australia.","authors":"Sacha Kendall Jamieson, Wendy Spencer, Virginia Robinson, Ruth McCausland, Melanie Andersen, Rona Macniven, Vanessa Hickey, Peta MacGillivray","doi":"10.1080/01634372.2025.2451730","DOIUrl":"https://doi.org/10.1080/01634372.2025.2451730","url":null,"abstract":"<p><p>Supporting older people to age well is a global policy priority, however the development and implementation of strategies to support ageing well for older Aboriginal people must be determined by the communities affected. This is necessary in colonial contexts, where socio-political structures impinge on Aboriginal rights and mainstream policy and practice creates and maintains health and social inequities. This article reports on research conducted in partnership with the Dharriwaa Elders Group, an Aboriginal Community Controlled Organisation. The research focus was how service provision can support Aboriginal people to age well in a remote community in New South Wales, Australia. Interviews were conducted with 11 staff members from health, aged care, and Aboriginal Community Controlled services. The analysis produced four themes: Ageing well is collective and a shared responsibility; Racism and discrimination are pervasive in mainstream services; Intersectional barriers and enablers to ageing in place; Trust and cultural safety are integral to service accessibility. Our discussion explores the cultural and socio-political context of these findings and highlights implications for policy and practice.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-28"},"PeriodicalIF":1.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juyoung Park, Kathleen H Wilber, Maria P Aranda, Shinyi Wu, Hans Oh, Yuri Jang
{"title":"Mental Distress Posed by the Co-Experience of Elder Mistreatment and Social Isolation: A Study with Older Korean Americans.","authors":"Juyoung Park, Kathleen H Wilber, Maria P Aranda, Shinyi Wu, Hans Oh, Yuri Jang","doi":"10.1080/01634372.2025.2455639","DOIUrl":"https://doi.org/10.1080/01634372.2025.2455639","url":null,"abstract":"<p><p>This study examined the concurrent effects of social isolation and elder mistreatment on mental distress in older Korean Americans (<i>n</i>= 2,122, Mean age = 73.4). Approximately 44% experienced mistreatment, with 32% exposed to a single type and 12% to multiple types (polyvictimization). Social isolation and mental distress rates were about 24% and 30%, respectively. Both factors independently affected mental distress, with a significant interaction observed. The odds of experiencing mental distress were substantially greater when polyvictimization occurred in social isolation. These findings underscore the importance of targeted interventions to support for those who are mistreated and lack social protection.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}