published_or_final_version / Gerontology / Master / Master of Social Sciences

Thesis (M.A.)--The Master's College, 2008. / Includes bibliographical references (leaves 104-107).

Few institutions for the elderly have counselors of any kind and the question was raised to whom the elderly could seek advice or counsel. A study of the literature confirmed that even though the number of elderly persons was increasing, few counselors, psychologists, or psychiatrists had persons over 65 as clients. The problems of elderly persons cover a wide range of concerns, (physical, psychological, social) and it is obvious that a holistic approach to assist this population is necessary. Existential psychology, one of the holistic psychological theories, begins with the existing experience of the individual and proceeds to consider anything within the experience which might cause anxiety or conflict. The problems of the elderly and the concepts of existential psychology reveal a complementarity. The problems facing aging individuals were the very conflicts faced by existential counselors, e.g. fear of death, of loneliness, of freedom and responsibility, of meaninglessness in life. A systematic analysis of the complementarity between the concerns of the aged and those of existential psychology provided the foundation on which to articulate existential psychology as an ontological groundwork for counseling elderly clients. Of the few gerontological counselors, there are many who employ methods and techniques designed for younger populations, often trying to isolate problems from the client's total experience. Existential psychology considers this compartmentalization to be unrealistic for each individual exists as a whole, and is affected by the whole of one's existence. To “treat" one part of an individual's existence without regard for the whole would be unprofitable and might cause further problems. An ontological groundwork for counseling is suggested from the existential psychological point of view, and recommendations are made for carrying out such a counseling regimen. Research suggestions are delineated for future studies. / Ed. D.

This study investigated older persons' perception of the negative impact of ill health, retirement, and widowhood in relation to the mobilization of relevant coping mechanisms. In addition, the relationship of coping mechanisms and dissatisfaction with current gender-role identity to seeking counseling was studied. A distributed questionnaire package provided demographic data as well as information pertaining to satisfaction in various areas of life, impact of live events, and coping style. Subjects were 54 males and 67 females aged 50 to 92. Safeguards were taken to ensure complete confidentiality and anonymity of response. Stepwise multiple regression (listwise deletion of data), multivariate and univariate analysis of variance and bivariate correlational analyses of the data were performed, suggesting that perception of negative impact of the events measured (ill health, widowhood, retirement) was related a) to employing numerous useful coping strategies, b) to low dyadic satisfaction, and c) to low life satisfaction. Analyses also suggested that variables which distinguished those in the sample who sought counseling were a) identity discrepancy (wherein Ideal exceeded Real) on the Masculine and Androgynous dimensions, b) employing fewer Coping with Health strategies, and c) employing more Coping with Retirement strategies. These variables also distinguished males who sought counseling, but only the variable Age, distinguished females, who sought counseling from those who do not.

This study examined the effects of volunteer counselor training (empathy training versus information only) and age of volunteer (senior citizens versus adolescents) upon depression level of nursing home residents. Results showed that residents who received a volunteer counselor significantly improved (p < .01) in level of depression compared to the no volunteer control group. The empathy trained counselors were not significantly more effective than the information only group. The age of the. volunteer counselor was found not to be a significant variable.

This thesis reports on the perspectives and experiences of policymakers, advocates, agency supervisors, and experts in the field of gerontology, about the development of Aging and Disability Resource Centers (ADRC) programs and Options Counseling (OC). By examining the foundations upon which ADRCs and OC are built, this study sought to inform future research about the effectiveness of existing practice, increase understanding of best practices, and clarify whether these emerging services are accomplishing original goals. ADRCs and OC intend to address long-term care issues and healthcare needs by providing a single entry point to the social service system. ADRCs offer information, assistance, and OC to people of all ages, incomes, and disabilities, and promote long-term care options that honor independence and respect for the needs and preferences of individuals, their families, and caregivers. They are the latest iteration of policymakers' efforts to provide affordable home-and community-based care for older persons and their caregivers. A total of fifteen qualitative interviews were conducted and analyzed using grounded theory methods. Key persons interviewed included experts in the area of aging, aging policy, and aging. Participants were recruited through referrals suggested by Portland State University's (PSU) Institute on Aging (IOA) staff. In addition, several key experts known to the researcher through affiliation with PSU's IOA agreed to be interviewed. Snowball sampling was then used to locate additional key experts. Interview participants were classified as advocates, state decision makers, policy makers, or academicians. Advocates included national and state directors of agencies that promote the development and management of effective services to aging adults. State decision makers included state directors, ADRC directors and supervisors, and program analysts. Policy makers interviewed were national program directors responsible for shaping the future of developing programs to assist older adults. Academicians who participated in the study have been instrumental in developing and researching practices that promote well-being for the aging and the aged. These key experts were selected based on their knowledge and ability to inform the strengths, weakness, and development of ADRCs and Options Counseling. Many have been instrumental in health and aging policy and service development and research, and possess insider knowledge not available to the general public regarding attitudes and interests motivating the actors. Findings indicate that ADRCs and OC are designed to manage within existing social service systems. They can benefit some individuals by providing more options and support in accessing public and private services. It remains to be seen whether they have the capacity to ameliorate some existing system-level problems. Findings highlight program strengths and weaknesses, sustainability issues, and policymakers, state decision makers', and providers' commitment to sustaining ADRCs and OC.