The Experience of Social Service Provision to Older Adults With Schizophrenia in Housing Programs
DOI:
https://doi.org/10.61841/4qe8t552Keywords:
Burnout;, older adults, schizophrenia, phenomenology, service delivery issueAbstract
This article reports on themes generated through phenomenological analysis of semi-structured interviews with seven social service providers experienced in working with older adults with schizophrenia in housing programs. Their services assure housing stability, however attributes of their work experience may affect implementation of effective services. Understand- ing of their work experience can develop and improve social service provision. Findings identify three essential themes: Providers conceptualize older adults with schizophrenia as “survivors;” providers saw these survivors aging into yet further hardships; providers engaged in a parallel process of struggling and coping with their work with these survivors. Discus- sion of the themes is presented with consideration of practice and policy implications.
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References
Acker, G. (2010). The challenges in providing services to clients with mental illness: Managed care, burnout and somatic symptoms among social workers. Community Mental Health Journal, 46, 591-600. doi:10.1007/s10597-009-9269-5
Acker, G. (2011). Burnout among mental health care providers. Journal of Social Work, 1-16. Advance online publication. doi:10.1177/1468017310392418
Alley, D., Liebig, P., Pynoos, J., Banerjee, T., & Choi, I.H. (2008). Creating elder friendly communities. Journal of Gerontological So- cial Work, 49, (1-2), 1-18. doi:10.1300/J083v49n01_01
Ben-Zur, H. & Michael, K. (2007). Burnout, social support, and coping at work among social workers, psychologists, and nurses. Social Work in Health Care, 45(4), 63-82. doi:10.1300/J010v45n04_04
Bourassa, D.B. (2011). Compassion fatigue and the adult protective services social worker. Journal of Gerontological Social Work, 52(3), 215-229. doi:10.1080/01634370802609296
Caelli, K (2001). Engaging with Phenomenology: Is it more of a Challenge than it Needs to be? Qualitative Health Research, 11, 273-
281. doi: 10.1177/104973201129118993
Center for Urban Community Services (2011). Case management services curriculum: Supportive housing training. Available at: http://www.cucs.org/index.php?option=com_content&task=view&id=98&Itemid=129 Accessibility verified December 29, 2012.
Cohen, C.I., Pathak, R., Ramirez, P.M. & Vahia, I. (2009). Outcome among community dwelling older adults with schizophrenia: Res- ults using five conceptual models. Community Mental Health Journal, 45, 151-156. doi:10.1007/s10597-008-9161-8
Cohen, C.S., Mulroy, E., Tull, T., Bloom, C.C. & Karnas, F. (2007). Integrating services for older adults in housing settings. Journal of Gerontological Social Work, 49(1-2), 145-164. doi:10.1300/J083v49n01_09
Corporation for Supportive Housing & Hearth, Inc. (2011). Ending Homelessness among Older Adults and Elders through Permanent Supportive Housing: Revised Policy Paper Prepared for the National Leadership Initiative to End Elder Homelessness, December 2011. Retrieved from http://www.csh.org/resource/endinghomelessnessolderadults. Retrieval date: December 29, 2012.
Creswell, J.W. (2007) Qualitative Inquiry and Research Design: Choosing Among Five Approaches, 2nd Ed. London: Sage Publica- tions.
Cummings, S. & Kropf, N.P. (2011). Aging with severe mental illness: Challenges and treatments. Journal of Gerontological Social Work, 54(2), 175-188. doi:10.1080/01634372.2010.538815
Dane, B. & Chachkes, E. (2001). The cost of caring for patients with an illness. Social Work in Health Care, 33(2), 31-51. doi: 10.1300/J010v33n02_03
Duffy, B.; Oyebode, J.R. & Allen, J. (2009). Burnout among care staff for older adults with dementia: The role of reciprocity, self-effic- acy and organizational factors. Dementia, 8, 515-541. doi: 10.1177/1471301209350285.
Eckert, J.K., Carder, P.C., Morgan, L.A., Frankowski, A.C. & Roth, E.G. (2009). Inside Assisted Living: The Search for Home. Bal- timore: The John Hopkins University Press.
Eriksson, U.B.; Starrin, B. & Janson, S. (2008). Long-term sickness absence due to burnout: Absentees’ experiences. Qualitative Health Research, 18, 620-631. doi:10.1177/1049732308316024
Fleury, M.J., Piat, M., Grenier, G., Bamvita, J.M., Boyer, R., Lesage, A. & Tremblay, J. (2010). Components associated with adequacy of help for consumers with severe mental disorders. Administration and Policy in Mental Health, 37, 497-508. doi:10.1007/s100488- 010-0292-1
Glisson, C. (2007). Assessing and changing organizational culture and climate for effective services. Research on Social Work Practice, 17, 736-747. doi:10.1177/1049731507301659
Glisson, C. & Green, P. (2006). The effects of organizational culture and climate on the access to mental health care in child welfare and juvenile justice systems. Administration and Policy in Mental Health and Mental Health Services Research, 33(4), 433-448. doi:10.1007/s10488-005-0016-0
Harrison, R.L. & Westwood, M.J. (2009). Preventing vicarious traumatization of mental health therapists: Identifying protective prac- tices. Psychotherapy: Theory, Research, Practice, Training, 46(2), 203-219. doi: 10.1037/a0016081
Hanrihan, T. & Wagner, S. (2003). Developing the “support” in supportive housing: A guide to providing services in housing. Avail- able at : http://www.cucs.org/index.php?option=com_content&task=view&id=98&Itemid=129 Accessibility verified March 6, 2012.
Harvey, P.D. (2005). Schizophrenia in late life: Aging effects on symptoms and course of illness. Washington D.C.: American Psycho- logical Association.
Henwood, B.F., Stanhope, V. & Padgett, D. (2011). The role of housing: A comparison of front-line provider views in Housing First and traditional programs. Administration and Policy in Mental Health, 38, 77-85. doi: 10.1007/s10488-010-0303-2
Jenaro, C., Flores, N. & Arias, B. (2007). Burnout and coping in human service practitioners. Professional Psychology: Research and Practice, 38(1), 80-87.
doi:10.1037/0735-7028.38.1.80
Jeste, D.V. & Nasrallah, H.A. (2003). Schizophrenia and aging: No more dearth of data? American Journal of Geriatric Psychiatry, 11(6), 584-588.
Larrison, C.R., Schoppelrey, S., Hadley-Ives, E. & Ackerson, B.J. (2008). Organizational climate and treatment outcomes for African American clients receiving services at community mental health agencies. Administration in Social Work, 32(3), 111-138. doi:10.1080/03643100801922696
Lloyd, C., King, R., & Chenoweth, L. (2002). Social work, stress and burnout: A review. Journal of Mental Health, 11(3), 255-265. doi: 10.1080/09638230020023642
Parks, J., Svendsen, D., Singer, P. & Foti,M., (2006). Morbidity and mortality in people with serious mental illness. National Associ- ation of State Mental Health Program Directors (NASMHPD) Medical Directors Council, Alexandria, VA 22314. Available at: http://www.nasmhpd.org/general_files/publications/med_directors_pubs/Technical%20Report%20on%20Morbidity%20and%20Mor- taility%20-%20Final%2011-06.pdf Accessibility verified December 29, 2012.
Patton, M.Q. (1990). Qualitative Evaluation and Research Methods (2nd ed.). Newbury Park, CA: Sage.
Semmelhack D., Ende L., Gluzerman T., Farrell K., Hazell C. & Schultz T. (2010). Innovation in the Group Home Design: Applying ‘Group-as-a-Whole’ to a Fairweather Lodge. International Journal of Psychosocial Rehabilitation, 15(1), 5-17.
Sharpe, L. & Curran, L. (2006). Understanding the process of adjustment to illness. Social Science and Medicine, 62, 1153-1166. doi:10.1016/j.socscimed.2005.07.010
Taylor, S.E. & Stanton, A.L. (2007). Coping resources, coping processes, and mental health. Annual Review of Clinical Psychology, 3: 377-40. doi:10.1146/annurev.clinpsy.3.022806.091520
van Manen, M. (1990) Researching the Lived Experience: Human Science for an Action Sensitive Pedagogy. Albany: The State Univer- sity of New York.
Wertz, F.J. (2005). Phenomenological research methods for counseling psychology. Journal of Counseling Psychology, 52(2):167-177. doi: 10.1037/0022-0167.52.2.167
Wharton, T.C. (2008). Compassion fatigue: Being an ethical social worker. The New Social Worker, 15(1), 4-7.
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