The Black Elderly and the Social Service Delivery System: A Study of Factors Influencing the Use of Community-Based Services

Spence, Susie A.; Atherton, Charles R.

doi:10.1300/j083v16n01_03

Cited by 25 publications

(13 citation statements)

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“…First, in accordance with previous studies (Spence and Atherton 1991;Ozawa and Tseng 1999;Borrayo et al 2002), the analysis showed that the use of LTC models is indeed explained by predisposing, enabling and need factors. Responding to our research question, the results showed that the use of the different models was related differently to the three components.…”

Section: Discussionsupporting

confidence: 89%

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Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care

Chou

Kröger

Pu³

2014

Eur J Ageing

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The four main models of long-term care (LTC) for older people in Taiwan are institutional care, community and home-based care, live-in migrant care and family care. This study aims to examine the factors associated with the four above-mentioned LTC models, using the Andersen model as its framework for analysis. Data were from the 2005 National Taiwanese Health Interview Survey ( = 30,680), and in this study, 592 over 65-year-old persons who require personal care in daily life were included. The findings showed that the majority of older people with care needs lived with family and were cared only by their family. The second largest group was those older people who were cared by migrant care workers, and the third group used institutional care. Only a very small proportion used community/home-based care services. If older people had intensive care needs, they either hired migrant care workers or used institutional care, depending on social and economic backgrounds. Multinomial logistic regression results showed that the way how disabled older people use different LTC models was affected by three components of the Andersen model: their needs (level of ADL and IADL), predisposing factors (age, education) and enabling factors (family networks). Results suggest that there is a need for LTC policies in Taiwan to provide more available and accessible community/home-based care services, particularly for older people with intensive care needs, in order to support their 'ageing in place' and to decrease the use of migrant care workers.

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Section: Discussionsupporting

confidence: 89%

“…Spence and Atherton 1991;Ozawa and Tseng 1999;Borrayo et al 2002;Babitsch et al 2012) or LTC services (Calsyn and Roades 1993;Bradley et al 2002). It explains the use of health services by predisposing (e.g.…”

Section: Introductionmentioning

confidence: 99%

Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care

Chou

Kröger

Pu³

2014

Eur J Ageing

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“…This ®nding is similar to that observed in a crosssectional study of service users on a census day in a neighbouring psychogeriatric service (Redelinghuys and . Assuming similar prevalence and severity of mental illness in the ethnic and indigenous groups, these results do not support the traditional belief that ethnic individuals do not access psychiatric services adequately (Barker, 1984;Beliappa, 1991;Karseras, 1991;Manthorpe and Hettiaratchy, 1993;Spence and Atherton, 1991;Lindesay et al, 1997a;Shah and DigheDeo, 1997;Jagger, 1998). This psychogeriatric service may have been particularly accessible to elders of Indian subcontinent origin because both the consultants and several other clinical sta members were from the same ethnic group and the department has a research interest in transcultural psychiatry.…”

Section: Service Accessmentioning

confidence: 55%

“…This increase in the ethnic elderly population may also increase the quantity of psychiatric morbidity and utilization of psychogeriatric services. The use of psychogeriatric and social services by ethnic elders with mental illness has only been sparsely studied (Barker, 1984;Karseras, 1991;Spence and Atherton, 1991;Redelinghuys and Shah, 1997;Lindesay et al, 1997a). Moreover, ethnic elders newly referred to a psychogeriatric service have not been studied.…”

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confidence: 99%

The characteristics of Indian subcontinent origin elders newly referred to a psychogeriatric service

Odutoye

Shah

1999

Int. J. Geriat. Psychiatry

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“…Research reveals that these older people as a group within society are more likely to have high levels of unmet needs that require fulfillment in order to support an acceptable quality of life (Jackson, 1978, andWolf, Breslau, Ford, Zeigler, andWard, 1983;Conrad and Hernandez, 1997). Yet, on the average, they underutilize existing social and community services (Reed, 1990;Spence and Atherton, 1991). When other social factors combine with age, like race and poverty, the need for advocacy becomes even stronger.…”

Section: Introductionmentioning

confidence: 99%

The Logic of Personal Advocacy with Older Adults and Its Implications for Program Management in Community-Based Gerontology

Moxley

Hyduk

2004

Administration in Social Work

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As personal advocacy programs become more prevalent in the field of aging policymaking, administrators, practitioners, and recipients themselves will be interested in how to approach their design, development, implementation, and management. The authors identify the basic attributes of personal advocacy programs, distinguish them from other forms of assistance in the field of aging, and address how they can operate in practice to produce outcomes of stress reduction, empowerment, self-health care and quality of life. The authors identify relevant strategies for program management and highlight feasibility, quality management, service utilization, appropriateness, and ethical concerns, as well as organizational context and funding options of personal advocacy programs as a variant of empowerment-oriented social work practice.

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The Black Elderly and the Social Service Delivery System: A Study of Factors Influencing the Use of Community-Based Services

Cited by 25 publications

References 0 publications

Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care

Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care

The characteristics of Indian subcontinent origin elders newly referred to a psychogeriatric service

The Logic of Personal Advocacy with Older Adults and Its Implications for Program Management in Community-Based Gerontology

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