Aging Well in an Intentional Intergenerational Community

Power, Martha Bauman; Eheart, Brenda Krause; Racine, David; Karnik, Niranjan S.

doi:10.1300/j194v05n02_02

Cited by 14 publications

(3 citation statements)

References 15 publications

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“…A report published by the Intergenerational Center at Temple University detailed outcomes of decreased isolation and an increased sense of purpose for older adult volunteers in schools (Henkin et al, 2012). Additionally, benefits of holistic well-being have been documented for an intentional intergenerational community focused on purposeful engagement (Power et al, 2007).…”

Section: Literature Reviewmentioning

confidence: 99%

A Review of participant, agency, and community outcomes of non-familial intergenerational programs

Steward

Hasche

Greenfield

et al. 2021

Journal of Social Work

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Summary: Social workers are uniquely qualified to administer intergenerational programs, which offer a long-standing and promising way to improve the lives of children, youth, older adults, and communities. Existing reviews of intergenerational programming include a relatively limited time period and do not include agency and community outcomes. This scoping review was conducted with two primary objectives: (1) to synthesize a more comprehensive understanding of intergenerational program outcomes, organized by program type, and (2) to clarify gaps related to agency and community-level outcomes. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR) guidelines, we searched 18 databases for articles published between 1981 − 2019. Quantitative, qualitative, and gray literature were included that focused on formal, non-familial intergenerational programs and incorporated clear research methods. A two-cycle coding process identified six program types, five participant outcome domains, three agency-level outcomes, and four community-level outcomes. Findings: 217 articles met inclusion criteria after a first (title/abstract) and second (full-text) review. Quality appraisal of the articles found the studies to have “fair” quality overall, with a limited number of randomized controlled trials or sustained outcomes greater than six months. Approximately 12% of studies identified agency or community outcomes. Findings indicate strong psycho-social outcomes for older adults and increased inclusivity, capacity, and engagement at agency and community levels. Applications: Future program development and research efforts should address best practices for the implementation and scalability of intergenerational programs to enhance capacity and age-inclusivity at agency and community levels.

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Section: Literature Reviewmentioning

confidence: 99%

A Review of participant, agency, and community outcomes of non-familial intergenerational programs

Steward

Hasche

Greenfield

et al. 2021

Journal of Social Work

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show abstract

“…Conceptual analysis is not empirical research or synthesis. Some of this evidence does, likely, exist within various case studies and could be identified with careful execution beyond the scope of this analysis (Including: Chan and Chan, 2003; Eheart, Power and Hopping, 2003; Power et al , 2007; Glass, 2009, 2014). We cannot draw conclusions about the merits of symbiotic care, and although we do not attempt to hide our enthusiasm for future research in this area, we are also aware of the potential risks – which may be exacerbated if this model of care is improperly understood and implemented.…”

Section: Limitationsmentioning

confidence: 99%

“…One common focus, and increasing trend in Canada, is on promoting intergenerational groupings; some cultures and societies have done this more consistently than others (Vestbro and Horelli, 2012; Yang, 2013; Labit and Dubost, 2016). Evidence shows that mixing population needs, abilities, ages or backgrounds can create more socially dynamic environments and bonds (Arentshorst et al , 2019; Eheart et al , 2003; Power et al , 2007). Furthermore, diversity within the SIH setting means that residents may be more able and likely to perform reciprocal exchanges of tasks and services, and indeed sometimes provide substantial physical and psychological care to each other (see model case description, Box 1).…”

Section: Introductionmentioning

confidence: 99%

Symbiotic care between residents in service-integrated housing

Meyer¹,

Martin

Funk

2019

HCS

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Purpose Sustainable solutions for meeting the physical, emotional and social health care needs of individuals may be realized by shifting the care landscape; for instance, through innovative models of service-integrated housing (SIH). By diversifying populations in these settings, care recipients can choose to engage their skills and abilities toward assisting co-residents, and vice versa as a form of symbiosis. The purpose of this paper is to define attributes of the concept and practice of symbiotic care. Design/methodology/approach The authors drew on firsthand field experience and secondary data from a literature review to conduct a conceptual derivation and analysis, using Walker and Avant’s methodology. The term symbiotic mutualism was derived from the field of biology as an analogy for care exchanged between non-peer co-residents. Attributes, antecedents and consequences of symbiotic care were identified and illustrated using model, borderline and contrary case descriptions. Findings Four defining attributes of symbiotic care were identified: first, cohabitation: care recipients live closely together in SIH settings. Second, non-peer: co-residents have distinct, complementary needs and abilities. Third, mutualism: co-residents experience mutually significant benefits as a result of the activities of their co-residents. Fourth, agency-sponsored: the professional SIH agency or organization attends to unmet resident needs. Research limitations/implications Symbiotic care is a relatively rare phenomenon for which little research exists. This analysis provides a starting point for empirical research, policy and program development and critical evaluation. Originality/value This paper fills a wide gap in the research literature and offers important terminology. It is the first to define the attributes of symbiotic care.

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Should Clinicians Medicate against Structural Violence? Potential Iatrogenic Risks and the Need for Social Interventions

Hock¹,

Karnik²

2017

AMA Journal of Ethics

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This paper examines how a child psychiatrist might approach treatment of aggression in foster care youth. We argue that a multimodal approach is best. Physicians should weigh not only the iatrogenic risks of off-label antipsychotic medications but also the possible consequences of failing to treat complicating social factors at hand. Advocates must address structural violence and failures of imagination in their efforts to improve mental health equity among vulnerable youth. CaseJordan threw himself down on Dr. Eitel's couch. He stared into the distance with a scowl on his face. Anger and frustration emanated from him-he was in no mood to talk. Jordan had once again gotten into a fight at school resulting in a five-day expulsion. Although the police had been called, thanks to the school's misconduct policy, an official arrest had not been made with the understanding that the school would handle the situation. Nevertheless, this was no victory for Jordan. "He knew exactly how to piss me off!" Jordan yelled at Dr. Eitel, "He did it on purpose. He was trying to push me over the edge because he knew this was my last shot!" A string of muttered expletives followed. The principal had warned him that one more misdemeanor would meet criteria for permanent expulsion from the school. Following his five-day expulsion, Jordan would have to attend a committee meeting to determine whether he would be allowed to remain at St. Joseph's Academy. Dr. Eitel felt bad for Jordan-she knew that he had been trying hard to stay out of trouble. He was making an effort, but it just was not good enough. Jordan's demeanor changed to one of resignation and defeat. "Whatever, I heard the alternative school makes you wear jumpsuits. It'd be nice, like wearing pajamas all day," he joked.Jordan had not been dealt an easy hand in life. At the age of eight he had been placed in the foster care system and was presently in his third foster home. His current foster family seemed to take a greater interest in Jordan than his prior placements, but Dr. Eitel could sense that even their patience was running thin. They had worked hard to get Jordan placed in this school and Jordan knew that his poor behavior had disappointed them.

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Aging Well in an Intentional Intergenerational Community

Cited by 14 publications

References 15 publications

A Review of participant, agency, and community outcomes of non-familial intergenerational programs

A Review of participant, agency, and community outcomes of non-familial intergenerational programs

Symbiotic care between residents in service-integrated housing

Should Clinicians Medicate against Structural Violence? Potential Iatrogenic Risks and the Need for Social Interventions

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