scholarly journals CBOs’ Capacity and Resilience on Serving Older AA and NHPI Adults During the Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 937-938
Author(s):  
Eun Jeong Lee ◽  
KeliAnne Hara-Hubbard ◽  
Sonia Bishop ◽  
Jae Lim ◽  
Linda Ko
Keyword(s):  
Older Adults ◽  
Racial Discrimination ◽  
Asian American ◽  
Descriptive Analysis ◽  
Structured Interviews ◽  
Staff Members ◽  
New Public Health ◽  
Public Health Challenges ◽  
Personal Community ◽  
The Impact

Abstract Community-based organizations (CBOs) are essential settings for older Asian American (AA) and Native Hawaiian Pacific Islander (NHPI) adults for accessing culturally and linguistically appropriate services and connecting with and support each other. This study examined the impact of the COVID-19 pandemic on CBOs’ ability to serve older AA & NHPI adults. This mixed methods study (survey and semi-structured interviews) used a sequential exploratory design. We recruited 65 leaders and staff members from 40 CBOs serving older AA & NHPI adults nationally. Descriptive analysis was conducted with the survey data followed by thematic analysis of the interview data. Many CBOs were impacted by the increased demands for services (80%) and created new services (75%) while experiencing programming disruption (69%), decreased staffing (55%), and loss of revenue (38%). Some CBOs temporarily closed their organizations (38%), while others closed permanently (3%). To remain in operation, many CBOs (65%) increased their online presence, hired staff (52%), and recurred to financial reserves (20%). The semi-structured interviews identified four themes: 1) CBOs resourcefulness to acquire and share resources, 2) technology as a connector for CBOs and an isolator for older adults, 3) heightened racial discrimination against Asians, and 4) emergence of multi-level resilience (personal/ community/organizational). CBOs experienced disruption in their operation, and heightened racial discrimination during the pandemic. Yet, CBO’s ability to remain resilient was critical to continue to provide key programs for older adults. Future studies may want to examine evolving needs of CBOs as they adjust to new public health challenges during the pandemic.

Serving the People in Long Beach, California: Advancing Justice for Southeast Asian Youth through Community University Research Partnerships

2019 ◽  
Vol 16 (1-2) ◽  
pp. 1-34
Author(s):  
R. Varisa Patraporn
Keyword(s):  
Asian American ◽  
Research Work ◽  
Community Based Participatory Research ◽  
Youth Empowerment ◽  
Long Beach ◽  
Structured Interviews ◽  
Research Partnerships ◽  
Community Needs ◽  
The People ◽  
The Impact

Khmer Girl’s in Action is a nonprofit that successfully utilizes community-based participatory research (CBPR) with university partners to create social change for youth in Long Beach, CA. Based on semi-structured interviews and content analysis of news articles, I explore the impact and sustainability of this research work and the research partnerships. Findings highlight impacts such as youth empowerment, heightened awareness around community needs, policy change, and CBPR curriculum improvements in the field as impacts. Sustainability requires integrating research into program funding, utilizing a tailored training curriculum, building on community members prior relationships, and selecting partners that share common goals, levels of commitment, and flexibility. As funders demand more data to justify community needs, understanding more examples of such work in the Asian American community will be useful for informing future partnerships.

scholarly journals 1415. A qualitative study of intersectional stigma among older adults living with HIV who are victims of childhood sexual abuse

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S715-S715
Author(s):  
Chigozie A Nkwonta ◽  
Monique Brown ◽  
Titilayo James ◽  
Amandeep Kaur
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
South Carolina ◽  
Childhood Sexual Abuse ◽  
Hiv Disclosure ◽  
Structured Interviews ◽  
Public Health Programs ◽  
Intersecting Identities ◽  
Living With Hiv ◽  
The Impact

Abstract Background Intersectional stigma is based upon co-occurring and intersecting identities or conditions and occurs at multiple levels of influence. Intersectional stigma has been repeatedly associated with poor health behaviors and outcomes. The effect of intersectional stigma among older adults are particularly challenging due to issues related to ageism, loss of social support, and comorbidities. We examined the impact of multiple stigmas on older adults living with HIV who are victims of childhood sexual abuse. Methods Semi-structured interviews were conducted with a purposefully selected heterogeneous sample of 24 adults living with HIV who are 50 years and older in South Carolina. Interviews were audio-recorded, transcribed verbatim, and coded using thematic analysis. Results Participants shared experiences and perceptions of stigma and discrimination most commonly related to their HIV status and sexuality at the interpersonal/familial and community levels. Four themes emerged to explain the impact of intersectional stigma: depression, lack of HIV disclosure, limited support, and reduced intimacy. Conclusion The complexity of multiple stigmas profoundly shapes life experiences, opportunities, and mental health of older adults living with HIV. This study highlights that public health programs need to consider the impact of intersectional stigma in order to promote the wellbeing of and improve quality of life for older adults living with HIV. Disclosures All Authors: No reported disclosures

scholarly journals Not Just How Many but Who is on Shift: The Impact of Workplace Incivility and Bullying on Care Delivery in Nursing Homes

2020 ◽  
Author(s):  
Heather A Cooke ◽  
Jennifer Baumbusch
Keyword(s):  
Power Relations ◽  
Care Delivery ◽  
Participant Observation ◽  
Care Quality ◽  
Workplace Incivility ◽  
Workplace Relationships ◽  
Structured Interviews ◽  
Term Care ◽  
Staff Members ◽  
The Impact

Abstract Background and Objectives Much of the literature examining the staffing-care quality link in long-term care (LTC) homes focuses on staffing ratios; that is, how many staff are on shift. Far less attention is devoted to exploring the impact of staff members’ workplace relationships, or who is on shift. As part of our work exploring workplace incivility and bullying among residential care aides (RCAs), we examined how RCAs’ workplace relationships are shaped by peer incivility and bullying and the impact on care delivery. Research Design and Methods Using critical ethnography, we conducted 100 hours of participant observation and 33 semi-structured interviews with RCAs, licensed practical nurses, support staff and management in two non-profit LTC homes in British Columbia, Canada. Results Three key themes illustrate the power relations underpinning RCAs’ encounters with incivility and bullying that, in turn, shaped care delivery. Requesting Help highlights how exposure to incivility and bullying made RCAs reluctant to seek help from their co-workers. Receiving Help focuses on how power relations and notions of worthiness and reciprocity impacted RCAs receipt of help from co-workers. Resisting Help/ing outlines how workplace relationships imbued with power relations led some RCAs to refuse assistance from their co-workers, led longer-tenured RCAs to resist helping newer RCAs and dictated the extent to which RCAs provided care to residents for whom another RCA was responsible. Discussion and Implications Findings highlight ‘who’ is on shift warrants as much attention as ‘how many’ are on shift, offering additional insight into the staffing-care quality link.

The impact of intergenerational programs on children and older adults: a review

2017 ◽  
Vol 30 (4) ◽  
pp. 451-468 ◽  
Author(s):  
Maria Rosaria Gualano ◽  
Gianluca Voglino ◽  
Fabrizio Bert ◽  
Robin Thomas ◽  
Elisa Camussi ◽  
...  
Keyword(s):  
Older Adults ◽  
Positive Impact ◽  
Well Being ◽  
Staff Members ◽  
Intergenerational Programs ◽  
Short And Long Term ◽  
The Impact ◽  
Final Selection ◽  
Reporting Data

ABSTRACTBackground:Elderly are at particular risk of social isolation. This condition significantly affects health; on the contrary, social involvement can be extremely advantageous. In this context, intergenerational programs improve interactions between different ages. Then, we conducted a review regarding intergenerational programs, to summarize the effects of these activities on both elderly and children.Methods:Our review followed the PRISMA statements. We considered papers reporting data about intergenerational programs involving children (preschool and elementary) and elderly.Results:The final selection obtained 27 sources. Ten studies evaluated children's outcomes outlining the positive impact of intergenerational programs upon children's perception of elderly. The effects on older participants were variegated considering well-being, depression, self-reported health, and self-esteem. Moreover, the retrieved studies outlined the importance of a careful organization and of a specific training for all staff members. The staff involved in similar programs appeared, overall, highly satisfied.Discussion:The positive impact on children of intergenerational programs is proved at both short- and long-term. Moreover, despite the different outcomes considered and the variable results, these programs resulted overall beneficial on elderly participants. Finally, similar activities resulted feasible even in case of older adults with dementia.

scholarly journals Trauma and Religious Complexity in Later Life

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 415-415
Author(s):  
Rennae Wigton ◽  
Shannon Jones ◽  
Austin Prusak ◽  
Andrew Futterman
Keyword(s):  
Older Adults ◽  
New York ◽  
New England ◽  
Later Life ◽  
Severe Trauma ◽  
Great Distance ◽  
Structured Interviews ◽  
Personal Vulnerability ◽  
And Behavior ◽  
The Impact

Abstract The present study examines the impact of traumatic life events on religious complexity in later life. We anticipated that those older adults experiencing stressors that produce significant personal vulnerability (e.g., life threatening illnesses) demonstrate reduced complexity of belief and behavior (e.g., less belief with doubt). From a sample of 278 semi-structured interviews of older adults (aged 55-101 years-old.) from six New England and New York states, we analyzed 166 interviews using grounded theory (Strauss & Corbin, 1990). Individuals who experienced trauma related to war, close familial loss, and/or severe physical illness tended to be “true believers,” (i.e., adhere to rigid belief orthodoxy; Hoffer, 1950). By contrast, those who experienced less severe trauma (e.g., minor illness, job loss) were less apt to describe rigid belief. Temporal proximity of trauma was not consistently associated with greater complexity of belief and behavior, in the sense that with great distance from trauma, individuals were able to “work through” their experiences of trauma, and thereby increase complexity of belief and behavior. This is consistent with findings by Harris and Leak (2015), Krause and Hayward (2012), and Wong (2013) that suggest that trauma leading to personal vulnerability leads to long-term physical, mental, behavioral, and spiritual deficits that rigid religious belief and behavior help to offset. These findings are discussed in terms of psychological theories of grief resolution, personal coping, and terror management.

The intimate lives of older adults living with HIV: a qualitative study of the challenges associated with the intersection of HIV and ageing

2017 ◽  
Vol 38 (12) ◽  
pp. 2490-2518 ◽  
Author(s):  
ISABELLE WALLACH ◽  
SHARI BROTMAN
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Lived Experience ◽  
Structured Interviews ◽  
Specific Nature ◽  
Theoretical Approaches ◽  
Immunodeficiency Virus ◽  
Living With Hiv ◽  
The Impact ◽  
Shed Light

ABSTRACTOlder adults living with human immunodeficiency virus (HIV) are at risk of experiencing difficulties in their intimate lives due to the combined effects of HIV and ageing. To date, little research has focused on the lived experience of sexuality. This article seeks to fill in the gap by documenting the challenges faced by this population with respect to their intimate relationships and sexual lives. Based upon the results of a qualitative study conducted in Montreal (2010–2012) using semi-structured interviews with a diverse sample of 38 people aged 50–73 and living with HIV, this study revealed several difficulties, including those related to their social location, whereby HIV and ageing intersect with other social determinants (including gender, sexual orientation and drug use). Difficulties that were identified include lower sexual desire linked to ageing, erectile changes, difficulty in using condoms, stigma related to HIV and/or ageism, changes in appearance caused by HIV and/or ageing, along with the impact of their lifecourse experiences. Our results shed light on the specific nature of the difficulties experienced by older adults living with HIV with regard to their intimate lives, as well as on the importance of using an analysis that combines the theoretical approaches of intersectionality and lifecourse to enhance our capacity for understanding complex and unique experiences.

Working in a therapeutic community: exploring the impact on staff

2017 ◽  
Vol 38 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Anisha Vyas ◽  
Cathy Spain ◽  
David Rawlinson
Keyword(s):  
Personal Development ◽  
Therapeutic Community ◽  
Future Research ◽  
Therapeutic Communities ◽  
Structured Interviews ◽  
Emotional Instability ◽  
Policy Makers ◽  
Content Type ◽  
Staff Members ◽  
The Impact

Purpose The purpose of this paper is to explore the impact working in a therapeutic community (TC) has on staff practice and personal development. Design/methodology/approach Eight female members of staff who work in the TC participated in semi-structured interviews. Interviews were recorded and transcribed. Thematic analysis was used. Findings The findings of this paper show three superordinate themes: confidence gained within TC; the staff impact of the intensity of TC; and staff value for specific TC principles. Research limitations/implications Limitations include researcher bias as both authors work in the TC and/or in the service. Reasonable adjustments were made in order to account for this. Practical implications Implications for future research include understanding and supporting the needs of staff and further exploration of the impact of staff working within TCs for people diagnosable with emotionally unstable personality disorders. Originality/value The research was carried out at one of the longest running TCs for people with emotional instability in the country. It offers a unique opportunity to garner the views of staff members with up to 27 years of experience. Findings may be of value to practitioners, administrators, policy makers and researchers interested in therapeutic communities.

scholarly journals Evaluation Findings of a Community-Based Intervention for Older Adults With a History of Trauma

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 34-34
Author(s):  
Carmel Rabin ◽  
Karen Edell Yoskowitz ◽  
Barbara Bedney
Keyword(s):  
Older Adults ◽  
Traumatic Event ◽  
Holocaust Survivors ◽  
Physical Assault ◽  
Holocaust Survivor ◽  
Structured Interviews ◽  
Community Based ◽  
Local Leadership ◽  
Policies And Procedures ◽  
The Impact

Abstract Between 70% and 90% of Americans aged 65 and older have experienced at least one traumatic event such as a sexual or physical assault, disaster, illness, or terrorism. Trauma exposure in older adult populations is linked to physical, mental, and cognitive decline. A new approach to improve outcomes of trauma-affected older adults is Person-Centered, Trauma-Informed (PCTI) Care, which promotes the dignity, strength, and empowerment of trauma-affected individuals by incorporating knowledge about trauma into agency programs, policies, and procedures. The Administration for Community Living/Administration on Aging has awarded The Jewish Federations of North America (JFNA) a grant to develop innovative PCTI interventions for Holocaust survivors. This includes a community-based intervention whereby local leadership councils are developed to identify Holocaust survivor needs, distribute grant funding, train caregivers in PCTI care, and forge partnerships to advance community-led Holocaust survivor care. This program has been implemented in eight major US cities where 168 community leaders dispersed 25 grants serving approximately 500 Holocaust survivors. JFNA conducted an evaluation of the first six of the eight cities to determine the impact of this community-based model on participants and Holocaust survivors and investigate the process by which a community-based model can be replicated. This evaluation used surveys and semi-structured interviews to collect data on variables including understanding of PCTI care, awareness of Holocaust survivor needs, strength of community partnerships, and leadership council sustainability. This session will review evaluation findings including best practices for community-based models of PCTI care, and applicability of findings to other older populations.

Envy and Jealousy of Living apart Together Relationships in Continuing Care Retirement Communities: Perspectives of Staff and Residents

2020 ◽  
Author(s):  
Chaya Koren ◽  
Liat Ayalon
Keyword(s):  
Older Adults ◽  
Social Workers ◽  
Work Practice ◽  
Social Work Practice ◽  
Retirement Community ◽  
Retirement Communities ◽  
Continuing Care ◽  
Structured Interviews ◽  
Staff Members ◽  
Living Apart Together

Abstract Moving to a continuing care retirement community (CCRC) and living apart together (LAT) as a repartnering form represent new late-life beginnings. A large study on LAT relationships constructed in CCRCs identified envy and jealousy, yet they were not examined in-depth. Envy is wanting something we lack, whereas jealousy is fear of losing something that is ours to another. These emotions are rarely explored in the context of older adults’ relationships. Using Goffman’s framework of (semi)-totalitarian institutions, our aim is to heuristically examine experiences of envy and jealousy from the perspective of residents and staff. In total, thirty semi-structured interviews were conducted in three CCRCs in Israel with ten LAT residents, ten non-LAT residents and ten CCRC staff members, including social workers. Findings refer to kinds of envy, ignoring envy and the development and consequences of LAT-related jealousy and/or envy in CCRCs. The discussion and conclusions address how semi-totalitarian CCRC features influence envy and jealousy experiences. They include implications for social work practice with older adults and their family members regarding adjustment to life in the CCRC and may assist CCRC management and social workers in addressing possible consequences of envy and jealousy.

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