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A holistic approach to the provision of social care of the elderly can best meet their future needs for assistance. In this paper, the concept of social care is delineated, and a systemwide model presented. This model emphasizes the interrelatedness of the component parts--informal, mediating, and formal--and the need for well-articulated linkages among them. Trends affecting future demand for care, and the ability of family and community to respond, are discussed. Although the family will retain an important role, some of its functions may shift to formal care in the decades ahead. Within the proposed framework, a research and policy agenda is suggested.

This research presents empirical findings concerning the extent to which older people in the inner city neighborhoods of New York City have an informal network of friends and neighbors and the nature of the interactions which occur. The characteristics associated with individuals possessing extensive friend-neighbor networks are discussed, and the preferences of older people for assistance from kin versus nonkin in a variety of situations are explored. Several theoretical models concerning the operation of the informal support system are considered, and the author postulates a new model—the hierarchical-compensatory model-as best fitting the empirical data at hand. The findings are from the largest cross-cultural study of the elderly in urban poverty, The Elderly in the Inner City of New York with an N of 1,552, including 49% white, 37% black, and 13% Hispanic elderly.

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Social support becomes an increasingly important resource for people as they age. Research has shown that the needs of older gay men are no different than those of their heterosexual counterparts, nor are older gay men more isolated than older men in general. Research has shown gay men rely on friendship networks more often than on family while heterosexual men rely more on family for social support. Using the most conservative estimates, there are more than two million gay men over the age of 60 in the United States. Results from the first large-scale research project of caregiving in the gay and lesbian communities in NYC challenge the myth of the isolated aging gay man. Two hundred-thirty three gay men, ages 50-87, reported an average of five friends, with whom they were close. Thirty-six percent were partnered, and nearly 90% reported at least fair health and being at least somewhat satisfied with their lives, despite 30% reporting feelings of depression. Results dispel the myth that gay men are not involved with their biological families; when present, biological family members were close to and maintained contact with respondents. Yet relatives were much less likely to be called upon for help. Respondents were most likely to turn to partners, if available, followed by friends.