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1.
Health Soc Work ; 2022 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-36473056

RESUMO

This study examined the association between depressive symptoms and self-rated health (SRH) and whether and how such association varies by education among older adults with cancer. Data came from the 2019 National Health Interview Survey. A total of 2,470 participants aged 65 or older who had been diagnosed with cancer by a doctor or other health professional were included in this study. Ordinal logistic regression was used to examine the association between depressive symptoms and SRH and whether and how such association varies by education among older adults with cancer. More depressive symptoms were associated with worse SRH. Such association became stronger with higher education among older adults with cancer. Findings confirm the associations between depressive symptoms and SRH among older adults with cancer. The differential impact of education on SRH and on the association between depressive symptoms and SRH highlights the importance of considering patients' educational attainment in a more comprehensive way when working with older adults with cancer. When conducting distress screening among cancer survivors, oncology social workers should be aware of the complex relationship between education and depression in relation to cancer survivors' SRH.

2.
Artigo em Inglês | MEDLINE | ID: mdl-35460286

RESUMO

OBJECTIVES: To examine (1) the association between perceived discrimination, including everyday perceived discrimination and major lifetime perceived discrimination, and cognitive function and (2) the mediating role of depression between discrimination and cognitive function among older Puerto Ricans. METHODS: Data came from the Boston Puerto Rican Health Study, collected from 562 Puerto Ricans aged 60+. Structural Equation Modelling was used to examine the association between discrimination and cognitive function and the mediating effect of depression. RESULTS: Everyday perceived discrimination was negatively associated with cognitive function, which was fully mediated by depression. Major Lifetime perceived discrimination was not associated with cognitive function. CONCLUSIONS: The findings contribute new information regarding the impact of perceived discrimination on cognitive function among older Puerto Ricans and underscore the importance of assessing experiences of discrimination to prevent depression and cognitive decline in this population.


Assuntos
Disfunção Cognitiva , Depressão , Cognição , Depressão/psicologia , Hispânico ou Latino , Humanos , Discriminação Percebida , Porto Rico
3.
J Gerontol Soc Work ; 65(8): 822-831, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35272582

RESUMO

The COVID-19 pandemic and associated restrictions pose a significant health threat to older adults. Fear of COVID-19 is associated with increased disease transmission and numerous psychosocial health challenges. While social support has been studied extensively in gerontological literature, there is a gap in understanding how social networks influence fear of COVID-19. This study drew from a convenience sample of 239 adults 60+ years of age in the United States who completed a 20-min survey. Regression results indicate that higher social network was significantly associated with decreased fear of COVID-19. Identifying as female and as an ethnic minority were associated with increased fear of COVID-19. These findings document the need for social workers to promote enhanced social networks in reducing fear of COVID-19 among older adults and attend to disparate levels of fear among older women and people of color.


Assuntos
COVID-19 , Feminino , Estados Unidos/epidemiologia , Humanos , Idoso , COVID-19/epidemiologia , Pandemias , SARS-CoV-2 , Etnicidade , Grupos Minoritários , Medo , Rede Social
4.
J Trauma Dissociation ; 21(2): 158-171, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31762391

RESUMO

Despite nationwide housing challenges that might lead to the exploitation of older adults' housing resources, exploitation of older adults' residences has not been a focus of measurement in the rapidly developing field of elder abuse and neglect. Rather, measures of older adult abuse and exploitation used in the research literature emphasize specific property, money, or resources being taken. Two composites are used to illustrate exploitation of older adults' residences by trusted others on whom the older adults depended with potentially serious implications for environmental safety and ultimately the older adults' housing stability. As part of a larger study on older adult maltreatment, police reports were coded for abuse and financial exploitation as well as misuse of the older adult's residence that threatened the older adult's housing security and/or exerted control over the older adult. Nearly one in ten (9.2%) police reports involving older adult victims and known/trusted perpetrators described exploitation of residences. Residence exploitation was separable from financial exploitation and less likely to co-occur with neglect. Considering the importance of housing stability to older adult well-being, consequences of maltreatment by a known/trusted other, and a national housing crisis, we propose that exploitation of older adults' residences warrants further measurement and practice attention. Findings are relevant to advancing theory in older adult maltreatment (e.g., application of white-collar crime versus betrayal trauma and family violence theories).


Assuntos
Abuso de Idosos/economia , Habitação , Idoso , Cuidadores , Vítimas de Crime , Violência Doméstica , Feminino , Fraude , Humanos , Masculino , Fatores Socioeconômicos , Roubo , Estados Unidos , Populações Vulneráveis
5.
J Elder Abuse Negl ; 31(4-5): 307-324, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31647382

RESUMO

Forensic center multidisciplinary teams (MDTs) have emerged to address older adult maltreatment; however, little research is available on this approach. The current study employed a randomized-control design to test the impact of a victim-focused, forensic center MDT relative to usual care (UC) on older adult victim and criminal justice outcomes. Cases of abuse, neglect, and/or financial exploitation involving a perpetrator in a position of trust were randomly assigned to MDT or UC. Outcomes were assessed via interviews with older adult victims, system-based advocates' surveys, and administrative data. According to system-based advocates, MDT had a better prognosis, higher across-agency coordination, and more types of engaged services relative to UC. Administrative data indicated low rates of APS case openings and prosecution. Findings provide support for continued use of MDTs following older adult maltreatment and highlight difficulties engaging older adults given the complex social and material circumstances often related to maltreatment.


Assuntos
Vítimas de Crime , Direito Penal , Abuso de Idosos , Equipe de Assistência ao Paciente , Idoso , Humanos
6.
J Gerontol Soc Work ; 58(3): 272-88, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25587880

RESUMO

A lack of clarity on how and where case management for older adults is delivered persists, even as evidence supports its use to respond to depression. We used in-depth interviews with managers (n = 20) and staff surveys (n = 142) from 17 service agencies to explore the provision of case management services in adult day services, homecare, senior centers, and supportive housing. Limited case management services were found. Barriers included limited time and resources, especially for senior centers and supportive housing. Results revealed a concern about the role, feasibility, and availability of case management for older adults within these settings.


Assuntos
Envelhecimento/psicologia , Administração de Caso , Depressão/terapia , Acessibilidade aos Serviços de Saúde/normas , Adulto , Idoso , Continuidade da Assistência ao Paciente/normas , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
7.
Adm Policy Ment Health ; 41(5): 687-96, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24072560

RESUMO

This manuscript details potential benefits for using a research-practice partnership to adapt collaborative depression care for public community long-term care agencies serving older adults. We used sequential, multi-phase, and mixed methods approaches for documenting the process of adaptation within a case study. Systematic adaptation strategies are described, such as leveraging long-term research-practice collaborations, consulting with multiple stakeholders across all levels and disciplines, and balancing demands to monitor treatment fidelity, clinical outcomes, and implementation results. These examples demonstrate that researchers interested in implementation science need skills to negotiate the competing demands that arise from both the research and practice settings.


Assuntos
Centros Médicos Acadêmicos/organização & administração , Serviços Comunitários de Saúde Mental/organização & administração , Depressão/terapia , Assistência de Longa Duração/métodos , Idoso , Serviços Comunitários de Saúde Mental/métodos , Comportamento Cooperativo , Humanos , Relações Interinstitucionais , Assistência de Longa Duração/organização & administração , Avaliação de Resultados em Cuidados de Saúde , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/organização & administração , Estados Unidos
8.
Aging Ment Health ; 17(4): 461-9, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23227913

RESUMO

OBJECTIVES: This study extends existing knowledge regarding the continuum between major depression (MD) and subthreshold depression (SD) by examining differences in symptomology and associative factors for a subpopulation of older adults with functional disability. METHOD: Our sample consisted of clients age 60 and above entering public community long term care derived from the baseline survey of a longitudinal study (315 non-depressed, 74 MD, and 221 SD). We used the Diagnostic Interview Schedule to establish diagnoses of MD, the Center for Epidemiological Studies Depression Scale (CES-D) to assess SD, and other self-report measures to explore potential associative factors of demographics, comorbidity, social support, and stressors. RESULTS: No differences in CES-D identified symptoms occurred between the two groups. MD and SD were both associated with lower education, poorer social support, more severe medical conditions, and higher stress when compared to non-depressed older adults. Younger age and being female were associated solely with MD; whereas, worse perceived health and more trouble affording food were associated solely with SD. The only associative factor significantly different between MD and SD was age. Those with MD were more likely to be younger than those with SD. CONCLUSION: Our findings of symptom profiles and associative factors lend support to the continuum notion of depression. Identification of only older adults within the community long-term care service system who meet criteria for MD would leave many older adults, who also face multiple comorbidities, high levels of stress and social isolation, and substantial depressive symptoms undiagnosed and untreated.


Assuntos
Depressão/diagnóstico , Transtorno Depressivo Maior/diagnóstico , Avaliação Geriátrica/estatística & dados numéricos , Atividades Cotidianas , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Depressão/epidemiologia , Transtorno Depressivo Maior/epidemiologia , Feminino , Avaliação Geriátrica/métodos , Humanos , Entrevistas como Assunto , Modelos Logísticos , Assistência de Longa Duração , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Instituições Residenciais , Fatores Sexuais , Apoio Social , Fatores Socioeconômicos , Estresse Psicológico , Estados Unidos/epidemiologia
9.
Am J Geriatr Psychiatry ; 18(6): 544-53, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20220587

RESUMO

OBJECTIVE: To compare outcomes of mortality, institutionalization, physical and mental quality of life, overall life satisfaction, and satisfaction with living arrangements, for depressed and nondepressed clients after 1 year of community long-term care (CLTC) services. DESIGN: Prospective cohort study with repeated assessments at 6 and 12 months. SETTING: A publicly funded CLTC agency that coordinates in-home care such as meal delivery, personal care, and nursing care to functionally disabled and low-income adults throughout a Midwestern State. PARTICIPANTS: Adults aged 60 years and older, starting CLTC services with minimal or no cognitive impairment (N = 551). MEASUREMENTS: Outcomes included the Medical Outcome Study's Short-Form for physical and mental quality of life and single items for life satisfaction and satisfaction with living arrangements. Diagnostic Interview Schedule and the Center for Epidemiologic Studies Depression Scale determined clients' depression status. RESULTS: Depressed clients (N = 266) had significantly worse scores for all outcomes than nondepressed clients (N = 285), but mortality and institutionalization were not significantly related to depression. Depression was significantly associated with more positive change in mental health (mean change: depressed group = 4.60, standard deviation [SD] = 14.0; nondepressed group = -1.50, SD =11.2) and overall life satisfaction (mean change: depressed group = 0.10, SD = 1.1; nondepressed group = -0.10, SD = 0.8). CONCLUSION: After 1 year of CLTC services, depressed clients experienced more improvement in quality of life and life satisfaction, but their outcomes remained significantly lower than nondepressed clients. Depression was consistently and negatively associated with quality of life and satisfaction outcomes.


Assuntos
Depressão/psicologia , Assistência de Longa Duração/estatística & dados numéricos , Qualidade de Vida/psicologia , Idoso , Estudos de Coortes , Serviços de Saúde Comunitária , Efeitos Psicossociais da Doença , Depressão/mortalidade , Feminino , Serviços de Assistência Domiciliar , Humanos , Institucionalização/estatística & dados numéricos , Assistência de Longa Duração/psicologia , Masculino , Satisfação do Paciente/estatística & dados numéricos
10.
Res Soc Work Pract ; 19(3): 340-350, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-24244078

RESUMO

Grant writing is a necessary skill for becoming an independent and successful social work researcher. Since social work dissertation grants are a relatively new trend, students face many challenges in identifying, preparing, and submitting dissertation grants. Lack of resources and experiences, difficulties in protecting time for grant writing, and the uncertainty of success can hinder work on dissertation grants. Thus, this article provides an overview of dissertation grants, including a review of grant mechanisms, suggestions for preparing grants in the context of program milestones, and identifying institutional infrastructure to facilitate submissions. Strategies discussed include how to learn about funding priorities, how to establish timelines to account for grant deadlines, and how to use peer reviews to guide the revision process.

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