8 Assessment, care planning and decision making
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Anna Olaison
Abstract
In many European countries a climate of austerity and cuts to health and social care budgets, alongside issues of population ageing, are creating particular challenges in the provision of services for older people in the community (Lymbery and Postle, 2015; Donnelley, Begley and O’Brien, 2018). The introduction of neoliberalism into many European welfare states since the late 1990s has also meant challenges in terms of the reorganisation of social work policy and practice (Milner, Myers and O’Byrne, 2020). Budget cuts have taken place and standardisation has become commonplace, which has impacted on changing legislative and policy drivers for gerontological social work (Ray, Bernard and Phillips, 2018). Social workers have a key role to play in ensuring the participation of all older people in assessments, care planning and decision making in ways that uphold human rights, autonomy and self-determination. The application of a critical gerontological lens is particularly important in a context of neoliberalism and scarce resources, where social workers are increasingly reliant on informal caregivers, mainly family members, to provide care and support to older people, creating challenges and ethical dilemmas in practice situations.
Abstract
In many European countries a climate of austerity and cuts to health and social care budgets, alongside issues of population ageing, are creating particular challenges in the provision of services for older people in the community (Lymbery and Postle, 2015; Donnelley, Begley and O’Brien, 2018). The introduction of neoliberalism into many European welfare states since the late 1990s has also meant challenges in terms of the reorganisation of social work policy and practice (Milner, Myers and O’Byrne, 2020). Budget cuts have taken place and standardisation has become commonplace, which has impacted on changing legislative and policy drivers for gerontological social work (Ray, Bernard and Phillips, 2018). Social workers have a key role to play in ensuring the participation of all older people in assessments, care planning and decision making in ways that uphold human rights, autonomy and self-determination. The application of a critical gerontological lens is particularly important in a context of neoliberalism and scarce resources, where social workers are increasingly reliant on informal caregivers, mainly family members, to provide care and support to older people, creating challenges and ethical dilemmas in practice situations.
Chapters in this book
- Front Matter i
- Contents vii
- List of figures and tables viii
- Notes on contributors ix
- Acknowledgements xiii
- Preface xv
- Social work and critical gerontology: why the former needs the latter 1
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Critical gerontology as guiding principles for social work with older people
- The lifecourse and old age 19
- Human rights and older people 35
- Agency and autonomy 51
- Poverty and late-life homelessness 66
- Sexuality and rights in later life 81
- Ethnicity, race and migrancy 97
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Applying the critical gerontological lens to social work research, policy and practice
- Assessment, care planning and decision making 115
- Elder abuse 130
- Dementia: a disability and a human rights concern 146
- User involvement 161
- Opportunities and future prospects for gerontological social work with a critical lens 177
- Index 192
Chapters in this book
- Front Matter i
- Contents vii
- List of figures and tables viii
- Notes on contributors ix
- Acknowledgements xiii
- Preface xv
- Social work and critical gerontology: why the former needs the latter 1
-
Critical gerontology as guiding principles for social work with older people
- The lifecourse and old age 19
- Human rights and older people 35
- Agency and autonomy 51
- Poverty and late-life homelessness 66
- Sexuality and rights in later life 81
- Ethnicity, race and migrancy 97
-
Applying the critical gerontological lens to social work research, policy and practice
- Assessment, care planning and decision making 115
- Elder abuse 130
- Dementia: a disability and a human rights concern 146
- User involvement 161
- Opportunities and future prospects for gerontological social work with a critical lens 177
- Index 192
