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Monthly Archives: October 2010

 

The number of individuals with disabilities and family caregivers using Adult Day Service centers to address their care needs has nearly doubled in the last eight years—and 35 percent more ADS centers exist today, according to a recent study by the MetLife Mature Market Institute.

 

The study, produced in collaboration with the National Adult Day Services Association (NADSA) and The Ohio State University College of Social Work, reports ADS centers serve over a quarter of a million people—an increase of more than 100,000 since 2002. As reported in The MetLife Study of Adult Day Services: Providing Support to Individuals and Their Family Caregivers, there are more than 4,600 ADS centers nationwide, a 35 percent increase in eight years. Approximately, 29 percent of the centers have waiting lists, more than half of the participants are women (58 percent), and 30 percent are under age 65.

In the United States, ADS centers provide a wide variety of long-term care services including care planning, assistance with activities of daily living (ADL), chronic health condition treatment and management, nursing, physical therapy, occupational therapy, and meals.

 

The study, accompanied by a consumer guide, “The Essentials: Adult Day Services,” also found that centers have significantly increased the amount of medical and social services they provide; 80 percent now have a professional nursing staff, 50 percent have a social work professional, and 60 percent offer case management services. The ratio of direct care worker-to-participant is now 1:6, compared to 1:8 in 2002. Half provide physical, occupational, or speech therapy.

 

With nearly half of all ADS center participants having some level of dementia, approximately 90 percent of the centers offer cognitive stimulation programs, 80 percent have memory training, and 75 percent offer educational programs. Most facilities provide caregiver support as well, including education, respite, support groups, and individual counseling.

 

“We’re seeing that more and more ADS centers are becoming a staple in communities in recent years,” said Sandra Timmermann, Ed.D., director of the MetLife Mature Market Institute. “Older Americans, people with disabilities and family caregivers rely on them for the services they provide. ADS centers make it possible for people to continue to live in their homes and receive affordable care in a supportive, professionally staffed, community-based setting. They also benefit family caregivers by enabling them to remain in the workforce or receive needed respite and support services.”

 

There has also been an increase in disease-specific programs to address a higher level of chronic conditions such as hypertension, physical disability, cardiovascular disease, diabetes, mental illness, and developmental disability. With a heightened focus on prevention and health maintenance, nearly 80 percent of ADS centers offer physical activity programs to address cardiovascular disease and diabetes.

 

“In addition to providing needed long-term care services, ADS centers serve as an emerging provider of transitional care from the hospital to home, providing short-term rehabilitation following discharge from the hospital,” said Dr. Holly Dabelko-Schoeny of The Ohio State University College of Social Work, “Centers are also offering disease-specific programs to address chronic conditions and meet the needs of participants who have higher levels of chronic conditions and increasing physical disability.”

 

According to Timmermann, the passage of the Patient Protection and Affordable Care Act health care reform bill and an increasing focus on managing chronic illness within the Medicare program speak to the importance of care models such as ADS to meet the needs of a growing population of older Americans.

 

A snapshot of the typical ADS center in the U.S.:

  • Operates Monday through Friday from 6:30 a.m. to 6 p.m. in a 1,000–5,000 square foot facility; centers are administered by a professional in the business/health care administration, nursing, or social work field. Professional services are provided by a Registered Nurse (RN) or Licensed Practical Nurse (LPN) and recreational and therapy professionals. The typical direct care worker to program participant ratio is 1:6.
  • Fees average $61.71 per day and typically come from a public source, including Medicaid waiver, the Veterans Administration, state/local social services, or directly from a private-pay participant. Since the average daily cost of care is $68.89 per person, centers supplement revenue with grants and donations.
  • Though participants are diverse in age, ethnicity and ability, the average participant is a 65-plus-year-old white female with dementia, hypertension, or a physical disability requiring assistance with at least one ADL and medication management. She lives with an adult child or spouse, or lives alone, but primarily receives care from an adult child. 
  • The average length of enrollment in a program is 24 months.
  • The majority of the ADS centers (86 percent) reported they were state-certified or licensed, a 10 percent increase from 2002. 
  • The study reports an increase in the number of for-profit ADS centers, 27 percent today compared with 22 percent in 2002. 

For more information, contact Frankie Jones-Harris, Communications Director, The Ohio State University College of Social Work, at 614/292-3540 or jones-harris.1@osu.edu

 

Methodology and Background

The MetLife National Study of Adult Day Services, a collaborative partnership of the MetLife Mature Market Institute in conjunction with the National Adult Day Services Association (NADSA) and The Ohio State University College of Social Work, was conducted in 2010. Data was collected and analyzed from a representative sample of 557 Adult Day Services centers, focusing on the characteristics of adult day services, a profile of participants and the range of services offered. When possible the 2010 findings were compared with the findings from the first national study of adult day services conducted in 2002 by the Partners in Caregiving program and the Wake Forest University School of Medicine.

 

The MetLife National Study of Adult Day Servicesand the accompanying consumer guide, The Essentials: Adult Day Services, can be downloaded from www.MatureMarketInstitute.com. They can also be ordered by e-mailing MatureMarketInstitute@metlife.com or by writing to: MetLife Mature Market Institute, 57 Greens Farms Road, Westport, CT 06880.

 

National Adult Day Services Association

The National Adult Day Services Association (NADSA) is a membership organization developed for the purpose of advancing the success of its members through advocacy, education, technical assistance, research, and communication services. It serves as the leading voice for the diverse Adult Day Services community. www.nadsa.org

 

The Ohio State University College of Social Work

The Ohio State University is one of the largest and most comprehensive institutions of higher education and consistently ranks in the top 20 public universities in the U.S. First accredited in 1919, The Ohio State University College of Social Work is the oldest continuously accredited public social work program in the country. Dr. Holly Dabelko-Schoeny and Dr. Keith A. Anderson served as co-principal investigators for the study. Dr. Dabelko-Schoeny’s practice and research interests focus on improving the delivery of community-based services for older adults and their caregivers through collaboration with community agencies. Dr. Anderson’s practice and research centers on well-being and quality of life for older adults and their caregivers across the long-term care spectrum. csw.osu.edu

 

The MetLife Mature Market Institute®

Established in 1997, the Mature Market Institute (MMI) is MetLife’s research organization and a recognized thought leader on the multi-dimensional and multi-generational issues of aging and longevity. MMI’s groundbreaking research, gerontology expertise, national partnerships, and educational materials work to expand the knowledge and choices for those in, approaching, or caring for those in the mature market.

 

MMI supports MetLife’s long-standing commitment to identifying emerging issues and innovative solutions for the challenges of life. MetLife, Inc. (NYSE: MET), through its subsidiaries and affiliates, is a leading provider of insurance, employee benefits and financial services with operations throughout the United States and the Latin American, Europe and Asia Pacific regions. www.MatureMarketInstitute.com

 

For more information, contact Frankie Jones-Harris, Communications Director, The Ohio State University College of Social Work, at 614/292-3540 or jones-harris.1@osu.edu. To read the November 1 story in The Columbus Dispatch, click here.

 

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One of the strategic initiatives of The Ohio State University is internationalization, and the College of Social Work is contributing by developing new programs and initiatives, while also expanding long-standing efforts.  For instance, as part of a new initiative, the college has been selected by the university’s Office of International Affairs to participate in an internationalization pilot. 

“During autumn quarter, we are putting together the plan for courses, international experiences, and the advising, tracking and evaluation that will be needed to get our undergrads through this option,” said Jennie Babcock, undergraduate program director. “Students have been asking for something like this, so it definitely fills a need.”
 
The Social Work Pilot Program Committee includes Babcock, International Programs Director Dr. Theresa Early, Assistant Professor Dr. Sharvari Karandikar-Chheda, and International Programs Coordinator Jennifer Nakayama. The undergraduate degree, one of three chosen at the university, will begin offering an option with increased focus on international issues and competencies for social work in international contexts. The pilot is part of the college’s strategic plan and will be available to students by 2012-13.
Photo: The college’s Internationalization Pilot Team (pictured clockwise from bottom left): Jennifer Nakayama, PhD program coordinator, Jennie Babcock, undergraduate program director, Dr. Theresa Early, PhD program director, and Dr. Sharvari Karandikar-Chheda, assistant professor.

Also linked to internationalization, this summer the India Study Abroad Program, under the leadership of Dr. Shantha Balaswamy, traveled to a new home site (Bangalore) with nine students. The Mexico Study Abroad Program successfully launched with five students, Undergraduate Academic Advisor Meghan Good, and Early, academic and resident director. A new scholarship, Students First: Study Abroad, helped pay the way for social work students.

 In addition to these programs organized by the college, several students undertook more independent opportunities to study abroad during the summer. Senior undergraduate honors student Nicole Klimas traveled to Nicaragua to collect data for her senior honors thesis (with support from Dr. Katie Borland, of the Department of Comparative Studies, and Ohio State’s Newark campus).
 
MSW student Carla Brenneman spent the summer in Costa Rica, volunteering at an agency that is involved in microfinance for women’s economic empowerment. Brenneman completed part of the requirements of the administration concentration field practicum through her work in Costa Rica, under Early’s supervision. 
 
“We had appointments for weekly supervision using Skype via computer, even while I was in Mexico for the study abroad program,” said Early. “Both students studied Spanish while they were in Nicaragua and Costa Rica, respectively. Carla even wrote her weekly field logs in Spanish, which was good practice for both of us.”
 
For more information about the college’s internationalization pilot team, contact Jennifer Nakayama at 614/292-6188 or nakayama.7@osu.edu, or visit csw.osu.edu.
 

 

 This 2010-11 school year, the College of Social Work is celebrating the theme "Embrace Difference" and building many of its lectures, symposiums, workshops, brown bag lunches, film festivals, book club selections, and other activities around it. The message of valuing diversity is the first statement in the college’s overall vision to "Embrace Difference. Seek Justice. Be the Change."

 Following are a few ways the college is promoting and celebrating embracing difference this year:
  •  Its 2010 Study Abroad Programs provided experiential learning opportunities this summer when students traveled to Mexico and India. A specific fund also exists to help support students who participate in the Study Abroad Program.
  • The college’s Community Engagement conference, held September 1 for field instructors, focused on "Working with Appalachian Clients" and "Staff and Working with Multi-Generational Employees."
  •  A diverse group of social work students marched in Ohio State’s campus-wide Homecoming parade on October 22, wearing "Social Workers Change the World" t-shirts and hats, holding signs promoting diversity, and stepping to music that supported these messages.
  • On November 15, the college will host its O’Leary Lecture, featuring Dr. James Herbert Williams, Milton Morris Endowed Chair, Dean, and Professor at the University of Denver Graduate School of Social Work. Topic: “Conflict and Human Security in Africa: Kenya in Perspective.”
  • The college’s 23rd National Symposium for Doctoral Research in Social Work will boost the theme “Embrace Difference.”
  •  The Social Work Alumni Society sponsors a monthly Cultural Diversity Film Festival and Book Club, which feature multicultural selections.
  • The Research Office is incorporating the theme into programs by inviting brown bag speakers, likely one each quarter, to speak on topics such as critical race theory, experiences of immigrants, and Muslim Americans.
  • A standing Diversity Committee exists within the college to ensure that diversity-related goals are continuously established and met.
  • Consistent with Ohio State’s mission as a land grant institution to provide educational opportunities to all, the college continues to offer course work toward the MSW degree at the Lima, Mansfield, and Newark campuses, in Dayton in collaboration with Wright State University, and at two local agencies. 
For the 2011-12 school year, the college will celebrate “Seek Justice,” the second phrase in its vision statement, as its theme, to be followed by “Be the Change” the following school year. To learn and participate in any of this year’s events, check the college’s calendar at csw.osu.edu. For more information, contact Frankie Jones-Harris at jones-harris.1@osu.edu, 614/292-3540 or 614/330-2206.          
 
 
 

 

 

 

The College of Social Work is hosting its annual Robert J. O’Leary Memorial Lecture on November 15 at 6 p.m. in Kottman Hall, 2021 Coffey Road, Room 123. This year’s speaker will be Dr. James Herbert Williams, Milton Morris Endowed Chair, Dean, and Professor of the University of Denver Graduate School of Social Work. Consistent with the college’s 2010-11 theme, “Embrace Difference,” Williams will speak on Conflict and Human Security in Africa: Kenya in Perspective.” A reception will follow. The event is free and open to the public.

Prior to his appointment in June 2007, he was Foundation Professor of Youth and Diversity at the School of Social Work in the College of Public Programs at Arizona State University. His funded research includes grants from the National Institutes of Child Health and Human Development, the National Institute of Mental Health, the Danforth Foundation, the National Institute of Diabetes and Digestive and Kidney Disease, and the Departments of Justice, Education, and Health and Human Services.

Among his publications, his research and scholarship have focused on K-12 academic performance, youth violence, delinquency prevention, adolescent substance use, race and gender differences, and mental health service needs and utilization patterns in urban schools. Dean Williams has also published widely in the area of health promotion and disease prevention among African-American women.

Dr. Williams’ areas of interest include:

  • K-12 academic performance
  • youth violence and delinquency prevention
  • adolescent substance abuse
  • race and gender differences
  • mental health services in urban schools
  • health promotion/disease prevention among African-American women

 . For more information, click here or contact Lauren Haas at 614/247-7385 or haas.168@osu.edu.