Aging in Rural Places

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Aging in Rural Places

SKU# 9780826198099

Programs, Policies, and Professional Practice

Author: Kristina Hash PhD, MSW, Elaine Jurkowski MSW, PhD, John Krout PhD

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Description 

Research documents that rural elders are poorer, live in less adequate housing, and have far fewer health and service options available to them than their urban counterparts, yet there is a critical lack of current and detailed information on the problems facing rural elders and on the professional practices that serve this population. This text fills this gap by introducing readers to rural areas and their residents and discussing the issues, programs, and policies designed to meet their needs. Through a multidisciplinary lens, it examines and defines specific competencies required for successful work with older adults and their families in these communities.

The text presents a research-driven, competency-based approach for the health and human service professionals who work with older rural residents. It discusses both the problems facing older adults and their families and evidence-based solutions regarding policy and best practices. Key issues examined include health and wellness, transportation, housing, long-term care, income, employment, and retirement, along with the needs of special populations (ethnic minorities, immigrants, and the LGBT population). Case examples reinforce an interdisciplinary model that addresses practice with rural elders that encompasses professional competencies, values and ethics, and the roles of a spectrum of health and human service professionals. The text also examines current policies affecting health and social services to rural elders and recommendations for policy change to build an effective health and human service workforce in rural communities. Links to Podcast interviews with scholars and respected professionals working in the field and "Spotlight" excerpts from the text reinforce information. In addition, the text provides discussion questions, PowerPoint slides, a test question bank, and suggested activities and exercises.

Key Features:

  • Fills a vacuum regarding information on health and social services for rural elders
  • Provides current and comprehensive knowledge about issues besetting this population and programs and policies designed to meet their needs
  • Examines and defines specific competencies required for effective health and social services
  • Based on a research-driven, competency-based, interdisciplinary approach to policy and best practice
  • Includes links to Podcast interviews with scholars and respected professionals in the field

    Product Details 

    • Publication Date September 08, 2014
    • Page Count 336
    • Product Form Paperback / softback
    • ISBN 13 9780826198099
    • EISBN 9780826198112

    About The Author(s) 

    Kristina M. Hash, LICSW, PhD, is Associate Professor, School of Social Work and Director, Gerontology Certificate Program, West Virginia University. She is an expert trainer and consultant for the Council on Social Work Education’s National Center for Gerontological Social Work Education, was one of 15 participants chosen nationally for the National Institute of Aging (NIA) First Annual Institute on Aging and Social Work, and has been an investigator for four geriatric education grants funded by the John A. Hartford Foundation and the DHHS/HRRSA/Bureau of Health professions. She was a recipient of the Outstanding Principal Investigator Award from the New York Academy of Medicine’s Social Work Leadership Institute, the David Z. Morgan Award for Excellence in Geriatric Education from the West Virginia Geriatric Education Center and the West Virginia Geriatrics Society, and the Judith Gold Stitzel Award for teaching and leadership from the West Virginia University Center for Women’s Studies. Her practice background includes positions in home health care, social work continuing education, and research and program evaluation. Additionally, she has been involved in several volunteer activities with community-based agencies serving older adults. Dr. Hash’s work has been published in theJournal of Gerontological Social Work, Journal of Gay and Lesbian Social Services, Clinical Social Work Journal, and Geriatric and Gerontology Education, as well as in edited books.

    Elaine T. Jurkowski, MSW, PhD, is Professor and Interim Director, Southern Illinois University Carbondale's School of Social Work, where she holds a joint appointment with the Department of Health Education. Her published research articles have focused on the topics of health disparities, access to mental health and health care services, aging, and disability issues. Her research has been funded by the National Institutes of Health, HRSA, The Hartford Foundation, the Health and Human Services Administration, the Administration on Aging, and the Illinois Department on Aging. Dr. Jurkowski has held elected offices in the American Public Health Association (APHA), National Association of Social Workers (NASW), the Gerontological Society of America (GSA), and the Illinois Rural Health Association (IRHA). Her work experiences have included consultation within settings in West Africa, Hong Kong, India, China, Russia, and Egypt. She is the author of Policy and Program Planning for Older Adults (Springer Publishing Co., 2008), and Culture Change: Benchmarks Management and Practice in Long Term Care (Springer Publishing Co., 2013), and Managing co-Editor of Handbook for Public Health Social Work (Springer Publishing Co., 2013), Managing co-Editor of Aging in Rural Places (Springer Publishing C0., 2015) as well as numerous book chapters and professional articles. Dr. Jurkowski's community service includes serving as a member of the Board of Directors for various not-for-profit health care agencies within the Southern Illinois area, and funding allocations member for the United Way of St.Louis’s Senior Services Panel, and journal reviewer for numerous academic journals. She is also an advisor to the Southern Illinois Pioneer Coalition Advisory Board.

    John A. Krout, PhD,is Professor Emeritus of Gerontology at Ithaca College, where he served as Professor of Gerontology and Director of the Gerontology Institute from 1993-2011. The author of six previous books, he has also written some 75 book chapters and journal articles and has made over 125 presentations at national and state conferences. Dr. Krout has received approximately 20 grants to support a research program on rural aging, community-based services, relocation and housing, and service learning. While heading the Gerontology Institute at Ithaca he: initiated the college’s intergenerational partnership with Longview, a multi-level residential care facility for elders, received over $2 million in external funding to support faculty and student research, initiated and headed the Linden Center for Creativity and Aging, and developed Ithaca’s partnership with the federally funded Finger Lakes Geriatric Education Center, as well as other programs to provide education and training to practitioners across Upstate New York. Dr. Krout is Past-President of the State Society on Aging of New York (SSA), a Fellow of the Gerontological Society of America (GSA) (where he was the Founding Chair of the Rural Aging Interest Group at GSA), and a Charter Fellow of the Association of Gerontology in Higher Education (AGHE). He served on the board of AGHE where he also worked on the Public Policy, Program of Merit and K-12 committees. Dr. Krout received several awards from theNational Council on the Aging for his work on rural aging and senior centers. Other honors include the Walter M. Beattie award from SSA and the Mildred Seltzer Distinguished Service Recognition from AGHE.

    Table of Contents 

    List of Contributors

    Preface

    Foreword by Graham Rowles

    Acknowledgments

    PART I: INTRODUCTION
    1. What is Rural?: Introduction to Aging in Rural Places

    An Aging World
    Definitions of Rural
    Spatial Distribution of the Older population
    Rural Population Change and Variation
    Plan of the Book
    Conclusions
    Useful Websites

    2. Who are Rural Elders?

    Case Study

    Introduction

    Challenges for Rural Elders

    Opportunities and Strengths

    Diversity among Rural Elders

    Conclusions

    Useful Websites

    PART II: HEALTH AND HUMAN SERVICE NEEDS OF RURAL ELDERS
    3. Health and Wellness among Rural Elders

    Case Study

    Introduction

    Health Disparities

    Behavioral Health

    Screening Issues

    Access to Health Care

    Health Status

    Social/Familial Issues

    Environment

    Stoicism and Survival

    International Perspectives

    Policies

    Conclusions

    Useful Websites


    4. Housing, Poverty, and Transportation in Rural Places

    Case Study

    Housing

    Poverty

    Transportation

    Recommendations

    Useful Websites


    5. Work, Retirement, and Leisure in Rural Places

    Case Study

    Introduction

    Rural America

    Employment

    Retirement

    Leisure and Recreation

    Conclusions

    Useful Websites

    Part III: PROVIDING HEALTH AND HUMAN SERVICE NEEDS TO RURAL ELDERS


    6 Providing Services to Rural Elders

    Case Study
    Introduction
    Service Needs of Rural Elders
    Service and Service Utilization
    Barriers to Services for Rural Elders
    Conclusions
    Useful Websites


    7. Providing Services to Well Elders in Rural Areas

    Case Study

    Introduction

    Recreation

    Socialization

    Education and Lifelong Learning

    Work and Employment

    Conclusions

    Useful Websites


    8. Providing Services to Frail Elders in Rural Areas

    Case Study

    Introduction

    Acute Care

    Long-term Care

    End of Life Care

    Conclusions

    Useful Websites

    Part IV. COMPETENT PRACTICE IN RURAL AREAS


    9. Interdisciplinary Teams Caring for Rural Elders

    Case Study
    Introduction
    Models of Teamwork
    Health Literacy
    Recruitment and Training of Professionals in Rural Areas
    Conclusions
    Useful Websites


    10. Role of the Health Care Professional
    Case Study
    Introduction
    Health Care Practice with Rural Elders
    Professional Competency
    Conclusions
    Useful Websites


    11. Role of the Human Service Professional
    Case Study
    Introduction
    Social Work Practice with Rural Elders
    Professional Competency
    Competency and Evidence-based Practice for
    Geriatric Social Work in Small Towns and Rural Areas
    Conclusions
    Useful Websites

    Part V: CONCLUSIONS AND FUTURE DIRECTIONS


    12. Policies Impacting Rural Aging

    Case Study

    Introduction

    Older Americans Act

    Medicare

    Long-term Care

    Mental Health

    Caregiver Support

    Transportation

    Social Security Act

    Americans with Disabilities Act

    Affordable Care Act

    Food Subsidies

    Competencies to Improve Policies

    Conclusion

    Useful Websites


    13. Conclusion and Future Directions

    INDEX