Social work theory advanced the formulation of the construct of the sandwich generation to apply to the emerging generational cohort of caregivers, most often middle-aged women, who were caring for maturing children and aging parents simultaneously. This systematic review extends that focus by synthesizing the literature on sandwich generation caregivers for the general aging population with dementia and for veterans with dementia and polytrauma. It develops potential protective mechanisms based on empirical literature to support an intervention resilience model for social work practitioners. This theoretical model addresses adaptive coping of sandwich- generation families facing ongoing challenges related to caregiving demands.
Using a social capital and social cohesion lens, we reposition the concept of civic engagement among older adults to examine pathways for building age-friendly communities. We analyzed data drawn from a Community-Based Participatory Research study in the Southern U.S. that explored lived experiences of older adults, age 55 and above, who participated in individual interviews (n = 15) and six focus group discussions (n = 45) to examine their perceptions of social identity, social connectedness, and civic engagement geared toward an age-friendly city. Findings indicated that several older adults had access to social networks and socially invested resources, thereby having opportunities for civic engagement and building age-friendly neighborhoods. However, social, cultural, linguistic, and structural barriers were more evident among certain diverse ethnic populations. Marginalized low-income minorities and immigrants, such as Hispanic participants, felt the lack of social cohesion among the larger society limited their ability to give back, thus decreasing their civic engagement activities. In contrast, Caucasian and African-American older adults were able to contribute to the political process through more civic participation activities. We provide implications for examining the role of social capital and social engagement to bolster civic engagement among older adults in building age-friendly communities.
The term “emerging elders” has surfaced in age-friendly community assessment tools to denote a subset of older adults; however, limited guidance is provided on its application to aging populations. The goal of this study was to develop a data-driven conceptualization of “emerging elders” as part of an age-friendly community assessment. Adults, aged 55 years and above, were asked about their subjective meaning of “emerging elder” within the context of a larger study of aging well in a large U.S. metropolitan city. Using inductive and deductive methods, the researchers analyzed qualitative data (N = 38) collected from individual interviews with homebound older adults (n = 15) and participants of three focus groups (n = 23). Four themes suggest that emerging elderhood is related to chronological age, functional ability, transitions, and self-identity. Findings suggest that the term emerging elderhood may foster negative images of older adults consistent with Western cultural discourse, despite the positive connotations associated with “emerging elder” in indigenous and spiritual communities. Findings underscore the need to further refine age-friendly community assessments that take into account the social constructions ascribed to older adults and need for strategies to engage emerging elders in future research of age-friendly communities.
The National Association of Social Workers' (NASW's) Code of Ethics urges social workers to engage in political action. However, little recent research has been conducted to examine whether social workers support this admonition and the extent to which they actually engage in politics. The authors gathered data from a survey of social workers in Austin, Texas, to address three questions. First, because keeping informed about government and political news is an important basis for action, the authors asked what sources of knowledge social workers use. Second, they asked what the respondents believe are appropriate political behaviors for other social workers and NASW. Third, they asked for self-reports regarding respondents' own political behaviors. Results indicate that social workers use the Internet and traditional media services to stay informed; expect other social workers and NASW to be active; and are, overall, more active than the general public in many types of political activities. The comparisons made between expectations for others and their own behaviors are interesting in their complex outcomes. Social workers should strive for higher levels of adherence to the code's urgings on political activity. Implications for future work are discussed.
Increased longevity of veterans and the continuing increase overall in numbers of veterans over age 65 are likely to increase the numbers of informal caregivers (i.e., family) and the need for formal caregivers beyond current rates associated with typical aging, as well as increasing the challenges of both those caregiving roles. The study objective was to identify protective factors for veteran and family outcomes in the veteran caregiving matrix as a basis for future development of a resilient caregiving model for trauma-exposed aging veterans. An exploratory systematic review was performed to identify which care matrix patterns are perceived by all 3 parties (formal caregiver, informal/family caregiver, and aging veteran care recipient) as optimal for resilient outcomes for the veteran and family caregiver. Of 747 research reports identified, 8 met study inclusion criteria. Data were extracted by 2 independent coraters, and were synthesized to identify caregiving matrix protective factors from literature with implications for aging veterans in need of care. Identified elements of a resilient caregiving matrix had relevance for trauma-exposed aging veterans receiving care whether from veteran or private health delivery systems/providers. Future research is needed to develop a model incorporating these findings and addressing additional matrix factors such as the gender of the caregivee and caregiver and the balance between formal and informal caregiving.
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