<p> This curriculum was designed for older adults and their caregivers. The curriculum begins with an overview of the issue and addresses aging issues through six 3-hour sessions. The design was deliberate in nature to bring to light the importance of a social worker. It focuses on competence to work with families who seek caregiver model options, realities, and expectations of both the older adult and the caregiver, and what to look for in assisted living or aging in place. The importance of understanding cultural and spiritual aspects and their meanings in the caregiving process is emphasized. An extensive literature review identified various stressors among older adults and their caregivers and identified effective interventions to address their psychosocial needs based on evidence-based and empirically based research studies. This curriculum was designed to provide information and to bring awareness of the importance of empowerment of older adults and their caregivers. </p>

<p> The purpose of this study was to explore the decision making of family caregivers who were considering transitioning an older adult family member from independent living to an assisted living facility (ALF). A total of 15 caregivers were interviewed; 12 (80%) decided to place the older adult in an ALF and 3 (20%) decided not to do so. </p><p> This study found that the decision to place an older adult in an ALF was primarily due to the declining health of the older adult and safety concerns. All of the twelve caregivers who placed their family member in an ALF reported that they continued to be involved in caregiving after placement. Caregiver support groups and self-care were two interventions that participants described as most effective to support them during their caregiver experience. More research is needed on how to support family caregivers who are considering placement in an ALF.</p>

<p> The purpose of this project was to write a grant to implement an educational program for healthcare professionals employed by Kaiser Permanente (e.g., physicians, nurses, and social workers) on older adult sexual health. Topics would include the increased transference of sexually transmitted infections among the older adult population. The professionals would also acquire the tools needed to enhance their comfort levels when engaging in sexual health discussions with older adult patients. </p><p> The goals are to increase (1) the professionals' knowledge of sexuality and sexual behaviors among older adults and (2) their comfort levels when discussing sexual health with their older adult patients. A total of 2,100 healthcare professionals would participate during the funding period. The program would be evaluated by means of pre/post-testing of knowledge and comfort levels, as well as a satisfaction survey. The actual submission and/or funding of this grant were not requirements for the successful completion of this project.</p>

<p> The purpose of this project was to develop a proposed program, write a grant proposal, identify a funding source, and select a host agency for an educational program to educate skilled nursing facility staff members on alternative treatment options for people with Alzheimer's disease. A literature review was conducted in order to examine the history of Alzheimer's disease, prevalence and symptomology of the disease, and past, current, and alternative treatment approaches. The educational program will be located at Community SeniorServ, Inc. Senior Serve in Anaheim, California. The program will provide skilled nursing facility staff members with education on the harmful side effects psychotropic medications have on patients with Alzheimer's disease, and on innovative techniques to treat the negative behaviors associated with the disease. The actual submission or funding of this grant was not a requirement for the successful completion of the project.</p>

<p> African American older adults have historically been identified as vital members of the African American family and community (Hill, 1972; Cox, 2002; Waites, 2008). Unfortunately, research has shown an increasing number of older African Americans are being admitted into nursing facilities (Paul, 2004; Feng et al., 2011). Between the years of 1998-2008, it was projected African Americans living in nursing homes increased by 10.8% (Feng et al., 2011). This study explores the intergenerational relationships of older African American adults with their grandchildren, family, and community through the lens of Intergenerational Family Systems Theory. By viewing this qualitative study through the lens of Intergenerational Family Systems Theory, changes in the older adults&rsquo; kinscripts were analyzed to obtain a greater understanding of affects associated with nursing home relocation and the older adults&rsquo; relationship with their grandchildren, family, and communities since being admitted. By utilizing a grounded theory approach, this study has found key areas to influence future social work practice and research.</p>

<p>Healthcare provider practices around older adult sexuality are increasingly the focus of scholarship. Researchers use available scales to study health worker knowledge and behavior in their research. This dissertation argues the need for a new scale, because the available measures are dated and do not account for changes in attitudes and medical advances over three decades. After a review of the increasing role of physicians, social workers, and other health workers providing care for sexual issues throughout history, I describe available scales for measuring knowledge and behaviors about older adult sexuality and review research that employs them. The purpose of the dissertation was to develop a contemporary measure regarding older adult sexuality practices among health workers. I utilized a two-phase plan following Bowen and Guo&rsquo;s 12-step mixed-method approach for scale development (2012). Phase I included a literature review and qualitative interviews with experts on older adult sexuality regarding the construct. Then I created a universe of items, reviewed them with the experts, and revised items. In Phase II, I tested the items with 155 healthcare providers and conducted analysis for reliability and validity. Based on the analysis, I culled items to create a shortened scale. I proposed a scale consisting of 52 items with three subscales: a 25-item Knowledge subscale, a 13-item Attitude subscale, and a 14-item Behavior subscale. The Knowledge subscale showed poor internal reliability (<i>KR-20</i> = .625). The Attitudes (&alpha; = .825), and Behavior (&alpha; = .837) subscales showed good internal reliability. I also evaluated content validity and criterion-related validity for the subscales. Flaws in the methods and analysis make the 52-item proposed scale conceptually unsound. Limitations in generating the pool of items, evaluating the items, and testing reliability and validity did not produce a viable scale. I analyze problems with the methodological approach and propose a redesign that corrects for flaws in the approach employed here. I will use an inductive, social justice model that expands scale development to include interviews with practitioners and older adults. I conclude with a number of research, practice, and policy implications that will result from a redesigned scale. </p>

<p> As people's life-expectancy prolongs with advanced medical treatments, numbers of individuals who experience widowhood in later life are expected to increase. As a result, grief work will be one of the common challenges that social workers and older adults will face. The purpose of this project was to develop a grant proposal for the Pathways Volunteer Hospice in Lakewood, California, and to identify funding sources for designing a mindfulness focused bereavement support group program for older widows who are age 60 years and over. With funding resources provided by the Weingart Foundation, the proposed program aims to educate participants on the principles of mindfulness and how they can integrate mindfulness principles and philosophy into their grieving process to better facilitate their coping with their loss. The proposed program will be based on empirically supported methods, such as, Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy. The actual submission, and/or funding, of this grant was not required for successful completion of this thesis.</p>

<p> Spirituality has been recognized as a positive factor in the lives of older adults, especially as it influences their emotional, mental, and physical well-being. This convenience sample study included 17 older adults residing at a faith based continuing care retirement community in Florida. The sample was represented by Caucasian older adults with an average age of 84 years, highly educated, majority Protestant and mostly female. Spiritual life reviews were conducted using spiritual life maps (Hodge, 2005) and semi-structured interview questions. Erikson's epigenetic stage of ego-integrity was used along with Butler's life review process and Tornstam's gerotranscendence as a conceptual framework for understanding late life development and spirituality in older adults. This mostly qualitative study used a hermeneutic phenomenological approach to analyze the responses to the open-ended interview questions about spirituality across the life-time. Ego-integrity was measured at the beginning and end of the spiritual life review study. </p><p> Paired t-tests found that participation in the spiritual life review did not influence the ego integrity scores of participants. Specifically, there were no statistically significant difference between the pre ego integrity score (M=82.94, SD= 8.235) and the post ego integrity score (M=84.47, SD= 7.551); t (16) = -.769 p= .453. However, in comparison, the qualitative analysis revealed that the spiritual life review does influence ego-integrity in some participants. Additionally, the spiritual life review confirms gerotranscendence and contributes to information about spiritual development in the lives of older adults. The conclusion offers a discussion about the study's limitations, strengths, implications for future research, and suggestions for clinical practice.</p>

<p> The purpose of this study was to explore how caregivers of patients with dementia are physically and mentally affected by their increase in responsibilities. The purpose of this project was to locate a potential funding source and write a grant to obtain funding for a caregiver support group for the Calabasas, CA community and its surrounding areas.</p><p> Caregiver intervention programs have been identified as a critical area of research by the Alzheimer's Association. Silverado Senior Living is a national organization that serves patients with dementia. The program consists of two support groups offering structure and flexibility through cognitive behavioral practices and a continuous feedback.</p><p> If funded and implemented, this program would add value to the body of research that exists for caregivers and drive awareness and change to current policy. In addition, Silverado would better serve its community and act as a model program for other Silverado locations.</p><p> The actual submission and/or funding of this grant was not a requirement for the successful completion of the project.</p>

<p> The purpose of this thesis was to conduct a policy analysis of Title III of the Older Americans Act of 1965 (P.L. 106-501 ). The policy was enacted to assist older adults in combating food insecurity and malnutrition. The policy specifies that federal funding be allocated to states, in order for the states to provide both congregate meal programs and home-delivered meal services to older adults. For this reason, a more in-depth analysis of Title III of the Older Americans Act was conducted in this project, in order to better understand the nutritional needs of older adults, and the need for nutritional services for the older adult population. This study utilized David Gil's policy analysis framework to analyze Title III of the Older Americans Act of 1965 and the analysis indicated that its implementation has not produced the policy's intended outcomes and has not produced its intended goals of reducing food insecurity within the U.S. older adult population. </p>