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Aging in Place YOU ARE HOLDING 1.5 CEs IN YOUR HAND! NASW is pleased to offer this FOCUS Homestudy Course. How it works: Read all the articles on these pages, complete the post-test on page 17 and mail it to the Chapter office with your check. Score 80% or better and NASW will mail you a certificate for 1.5 CEs. It’s that easy! With this format and our HomEd audio programs, the Chapter continues its goal of ensuring that social workers, including those with mobility or other impairments, are able to meet their continuing education requirements. This course of 15,000 words meets the current Massachusetts Board of Registration’s requirements for 1.5 CEs and is appropriate for social workers at all licensure levels. If you have comments, concerns or other questions please e-mail [email protected] or call 617-227-9635 x17. Aging in Place By Stacey Skala, MSW, Curriculum Coordinator, Institute for Geriatric Social Work (IGSW, Boston University School of Social Work with Kathy Kuhn, LICSW, Director, Education & Training, Institute for Geriatric Social Work (IGSW) Boston University School of Social Work Learning Objectives older showed the most rapid growth Course Overview After completing this course, partici- among the older adult population from The majority of older adults and aging baby- pants will be able to: 1990-2000, increasing 40%. The aver- boomers report that they want to stay in their • Defi ne the concept and impli- age life expectancy continues to dra- homes and communities as they grow older. In cations of aging in place matically increase compared to past spite of this, one out of every fi ve older adults • Identify at least three barriers decades, which accounts for the growth faces spending part of or their remaining lives to aging in place of the “oldest old” population. in a nursing home. • Name at least three strategies to promote aging in place Expand Your Aging IQ With the onset of chronic conditions, illness and physical/cognitive limitations, older adults By 2030, the number of people aged 65 are more likely to require assistance with their Core Content years and older in the United States is personal care and household activities as they Aging Demographics projected to be: age. Despite the prevalence of assistive devic- Our nation is facing substantial chang- 15 million es, home modifi cation products, community- es in its age demographics. The number 30 million and home-based services, many barriers ex- of older adults in our society is on the 50 million ist for older adults who want to remain in their rise, and the aging “boom” will only 70 million homes. continue to increase in the coming de- cades. Answer: According to projections from The concept of aging in place refers to growing the U.S. Census Bureau (2000), the older without having to move to an institution Expand Your Aging IQ number of older adults aged 65 and old- in order to receive supportive services. Aging in er will double from 35 million in 2000 During the 1990s, what percentage did to over 70 million in the year 2030. place spares older adults from the negative ef- the 85+ population increase by? fects of relocation, transition and abandoning 5% their established social networks. In addition to 25% In addition to people living longer, we benefi ting the individual older adult, aging in 40% also are awaiting a vast growth in the place also has considerable economic benefi ts. 15% older adult population due to the aging baby-boomer generation (people born Compared to the costs of nursing home care, between the years 1946-1964). Baby- customized community-based care at home can Answer: According to the U.S. Bureau boomers will begin to reach retirement be a cost-effective aging model. In addition, of the Census (2000), adults aged 85 and ages in 2011, and by 2030 it is estimat- communities with older adult residents benefi t from their role as consumers, investors and do- Figure 1. nors of their volunteer services. 100 Social workers have a vital role in enabling old- 80 er adults to stay in their home and remain in- dependent for as long as possible through their 60 role as clinicians, case managers, educators, 65+ administrators and advocates. This course will 40 Millions 85+ give an overview of the emerging issue of ag- 20 ing in place, a theme that is likely to require fur- ther attention as our baby-boomers begin retir- 0 ing and aging at staggering rates. 1900 1950 2000 2050 (projected) 1 ed that people aged 65 and older will account for 20% of the pop- ulation (Federal Interagency Forum on Aging Related Statistics, Answer: According to the U.S. Bureau of the Census (2001), 2004). Nevada experienced a 72 percent increase in its elderly population between 1990-2000, followed by Alaska (60 percent), Arizona (39 Figure 1. is a visual representation of the upcoming aging boom. percent) and New Mexico (30 percent). As you can see, the number (in millions) of older adults in the 65+ and 85+ categories are expected to increase signifi cantly by the Despite the common belief that older adults head for sunnier cli- year 2050. mates during their retirement years, studies show that the majority of older adult homeowners prefer to remain in their homes as they Expand Your Aging IQ age. If they do change residences, it tends to be in nearby commu- Which state experienced the highest percentage of growth in its el- nities and often in the same county (Golant, 2002). derly population from 1990-2000? Florida Additional data from the U.S. Census Bureau illustrates the follow- New Mexico ing demographics: Nevada • Almost four out of fi ve older Americans own their Alaska own homes • Persons between 65-85 are the least likely age group Institute for Geriatric Social Work to move The rapid aging of our society, and the related increase in the • More than 1.5 million older adults (disproportionately need of older adults for services and care, is one of the major female and over age 85) live in nursing homes or other challenges of the 21st century. The profession of social work residential care facilities is at the forefront of those facing this challenge and is also in a unique position to respond - both to meet immediate needs and also to establish a higher standard of care for the future. Web Resources The Institute for Geriatric Social Work (IGSW) is dedicated to For additional information about aging and housing advancing social work practice with older adults and their families. demographics, please visit: Led by Scott Miyake Geron, Ph.D. and a team of social workers, Administration on Aging: IGSW is located at Boston University School of Social Work and http://www.aoa.gov/prof/Statistics/statistics.asp continues to build upon the School’s historical commitment to Federal Interagency Forum on Aging Related Statistics: the aging field and current strength in gerontological teaching, http://www.agingstats.gov/ research and training. U.S. Bureau of the Census Age Data http://www.census.gov/population www/socdemo/age.html IGSW is committed to becoming a national leader in developing the workforce of social workers to meet the challenges of a Benefits of Aging in Place growing and changing population of older Americans. Through innovative and wide-ranging education and training efforts, IGSW Imagine yourself at 80 years old. Where do you see yourself living? will provide practicing B.S.W. and M.S.W. social workers — the In your own house or apartment? With your children? In a nursing large majority of whom have received little or no geriatric training home? Not surprisingly, most of us probably do not see ourselves — with the core knowledge, skills and tools they require to meet living in a nursing home because we want to remain independent as the needs of older adults and their family members. we get older and grow older in our own homes or apartments. IGSW is also committed to expanding practice and reimbursement options for geriatric social workers. IGSW has initiated and is A 1996 report from the American Association of Retired Persons conducting research to demonstrate the effectiveness of social (AARP) found that the majority of surveyed older adults (83%) re- work interventions designed to improve the lives of older people, ported that they want to stay in their homes as they get older, yet and will support innovative model programs in geriatric social it is probable that nearly 20% of older adults will reside in a long work practice. IGSW will also inform and seek to influence term care facility for at least part of or the rest of their lives (Ron, policy-makers through the dissemination of pragmatic, timely 2004). information that documents the efficacy, benefits and outcomes of empirically-based geriatric social work practice. There appear to be many benefi ts to older adults staying in their For more information about IGSW and a listing of web-based communities. A recent study compared the mental health of old- CEU courses, please visit http://www.bu.edu/igsw er adults living in the community versus those living in nursing homes (Ron, 2004). Findings from this study suggest that residents The American Society on Aging of nursing homes are considerably more likely to experience high- In order to achieve our primary goal of providing training to B.S.W. er levels of depression and suicidal ideation than their counterparts and M.S.W. social workers across the country, IGSW has formed living in the community. a partnership with the American Society on Aging (ASA).
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