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Irene Gutheil - Work With Older People: Challenges and Opportunities

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The increasing need for trained and knowledgeable service providers to work with the aging has been well documented in recent studies. Gutheil writes in her introduction, growth in the number and proportion of older persons is one of the most dramatic and influential developments of this century, and we must anticipate and address the needs of this burgeoning older population. One anticipated result of the increasing numbers of older persons, especially the oldest old, is an unprecedented demand for support services for older people and their families.By bringing together practitioners and educators active in the field of elder care, this book examines current concerns and practice issues. Several topics now receiving considerable attention in the fields of aging and social work such as elder abuse, ethical issues in long-term care, the challenges of interdisciplinary teamwork, and the impact of our current economic environment on social agencies, are brought together for the first time in this volume. Timely chapters incorporate current thinking on concerns professionals struggle with on a daily basis. The chapters reflect the remarkable diversity of the challenges and opportunities in work with older people. Some of these challenges are frustrating, some invigorating - there are many opportunities for stimulating and gratifying practice. A valuable tool for both classroom use and for professionals in direct practice, the book contains two sections, the first provides foundation knowledge essential for work with older people and their families; the second examines current issues in the field of aging. There are the kinds of complex issues that confront professionals in social work, gerontology, counseling, and other fields with a commitment to serving older people and their families.

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title Work With Older People Challenges and Opportunities author - photo 1

title:Work With Older People : Challenges and Opportunities
author:Gutheil, Irene A.
publisher:Fordham University Press
isbn10 | asin:0823215075
print isbn13:9780823215072
ebook isbn13:9780585146942
language:English
subjectSocial work with the aged--United States.
publication date:1994
lcc:HV1461.W67 1994eb
ddc:362.6/0973
subject:Social work with the aged--United States.
Page iii
Work with Older People
Challenges and Opportunities
Edited by
IRENE A. GUTHEIL
Work With Older People Challenges and Opportunities - image 2
Fordham University Press
New York
Page iv
Copyright 1994 by Fordham University Press
All rights reserved
LC93-22670
ISBN 0-8232-1506-7 (hardcover)
ISBN 0-8232-1507-5 (paperback)
First paperback printing 1995
Reprinted 1998
Library of Congress Cataloging-in-Publication Data
Work with older people: challenges and opportunities/edited by
Irene A. Gutheil
p.cm
Includes bibliographical references
ISBN 0-8232-1506-7 (hardcover); ISBN 0-8232-1507-5
(paperback)
1. Social work with the aged United States. I.
Gutheil, Irene A.
HV1461.W67 1994Picture 3Picture 4Picture 593-22670
362.6'0973 dc20Picture 6Picture 7Picture 8CIP
Printed in the United States of America
Page v
CONTENTS
Introduction
Irene A. Gutheil
1
Part I: Setting The Stage
1. Practice with Older Persons: Challenges and Opportunities
Barbara Silverstone
9
2. Developmental Theories in the Second Half of Life
Lynn M. Tepper
29
3. Family Relationships in Later Life
Lynn M. Tepper
42
Part II: Issues in Practice and Service Delivery
4. Cultural Diversity and Practice with Older People
Elaine Congress and Martha V. Johns
65
5. Elder Abuse: Policy and Practice for Social Workers
Patricia Brownell
85
6. Social Work and Bioethics: Ethical Issues in Long-Term Care Practice
Bart Collopy and Martha C. Bial
109
7. Interdisciplinary Teams in Geriatric Settings
Eileen R. Chichin and Ilse R. Leeser
139
8. Case Management: A Pivotal Service in Community-Based Long-Term Care
Sally Robinson
162

Page vi
9. Impact of the Environment on Agencies Serving Older Adults
Roslyn H. Chernesky
182
Afterword: Aging in the 1990s
Steven R. Gambert
212
About the Contributors
217
Page 1
INTRODUCTION
Irene A. Gutheil
THE NUMBER OF OLDER PEOPLE in the United States is growing far more rapidly than the rest of the population. In sheer numbers, the aged 65 and older cohort is impressive it is larger than the entire population of Canada (U.S. Senate, 1988). Demographers have predicted that the numbers of persons over 65 years old will increase dramatically, absolutely and as a percentage of the population, during the next 50 years. Today, the elderly represent approximately 12% of the total population of the United States. Current projections indicate that early in the 21st century, when the postwar "baby boom" generation grows old, about one in five Americans will be over 65 years of age. The oldest old, individuals 85 years of age or older, constitute the fastestgrowing segment of this country's population (U.S. Senate, 1988). The growth in the number and proportion of older persons is one of the most dramatic and influential developments of this century, and we must anticipate and address the needs of this burgeoning older population.
One anticipated result of the increasing numbers of older persons, especially the oldest old, is an unprecedented demand for support services for older people and their families. Although technological advances may reduce the length of time people experience chronic disability, the incidence of chronic illness and the need for assistance with activities of daily living does increase with age. Approximately 31% of persons over the age of 85 need some assistance with activities of daily living compared to less than 3% of persons 65 to 74 years old (U.S. House of Representatives, 1987).
In addition to demographic trends, changes in family structure such as high divorce rates and the aging of primary caregivers may result in greater reliance on the social service
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