Social Worked

The Glamorous Life of a Social Worker

Happy Social Work Month!

Here's to all of the hard working, passionate, dedicated, inspiring social workers out there. Thank you for working to promote change, strength and hope in our clients and their families. I see it happen everyday in my work and I hope you see it in yours. Keep fighting the good fight, folks!

Posted March 1, 2011

Hoarding

Demotivational-posters-hoardin

Recently, it seems the problem of hoarding has seeped into my professional life and taken over a bit. Cases have been coming in fast and furious of elders' homes filled to the gills with trash, personal items and animals, and thanks to the alarming number of space heaters, the place is reportedly going to burn down right now! I've been to meetings, I've taken classes, I've been bombarded with reality shows about the horrors of hoarding, and  I've been working with local boards of health to educate THEM about how to work with hoarders. It's an issue that I've been needing a little levity on and thanks to the interwebs, I've found it.
 

Here's to a great 2011

This year, I have a few resolutions, specifically about my job as a social worker. 2010 has been a rough one and I've suffered some battle scars that I'd like to avoid in the coming year. Here's what I'm hoping I can accomplish not only to avoid further burnout, but to just live a happier work life:
 
- I've got to remember that I'm only human. I can't save everyone, nor should I make this my ultimate goal. People make their own choices and I can only walk with them on their journey to healthier, happier, and safer lives.
 
- I want to be in the moment with my client. Far too often during a home visit, I'm thinking about my ever-growing to do list back at the office, or what I want to say next to fix it all. I find myself not paying enough attention to their pain or experience right that minute. It always makes me feel rushed and anxious about what's coming next. This year, I'm going to recall my new favorite motto more often: don't just do something, sit there! Being present with my clients and making a real connection is so much more important than any advice or idea I can come up with.
 
- I'd also like to take my lunch hour once in a while. It may not happen every day... in fact, most days will be spent at my desk, cramming a sandwich in my face while writing progress notes or making phone calls, but 10 minutes to do a crossword or take a walk sounds just divine.
 
They're small things, but hopefully that means they are attainable goals. Here's to a great new year!
 
 

South Korea's war on dementia

I found this great article in the New York Times today and it was amazing to see how other countries are affected by dementia and the steps they are taking to deal with it. Educating children, teen and workers that come in contact with elderly folks about dementia is something the US is doing somewhat, but not to this extent. I would love to see more money and time spent on aging issues, as pretty soon, we're going to be swarmed by them. Unfortunately, the current system can barely handle the cases we have now, much less an explosion of Baby Boomers that are increasingly diagnosed with dementia and are living longer. Take a look!
 
War on Dementia

Startling numbers from NAPSA

I always knew that the cases that get called into our program were just the tip of the iceberg... we were only seeing a small number of the cases out there either because someone saw what was happening in the home and reporter or an elder was brave enough to call themselves. I never thought they were this high. Thanks to the good folks at The National Adult Protective Services Association (NAPSA) and their recent study, we now have a better handle on big these gaps in reporting might be.
 
ELDER ABUSE FAR MORE COMMON THAN PREVIOUSLY KNOWN

Data from a recent statewide study in New York State found alarming rates of undetected elder abuse, neglect and exploitation. The study, which was headed up by Mark Lachs, MD of Cornell University's Weill Medical College, and Jackie Berman, PhD of the New York City Department for the Aging, conducted random telephone surveys of  4,000 New York residents 60 years and older, and compared the occurrence of elder abuse uncovered by the surveys to the numbers of cases reported to adult protective services, law enforcement, prosecutors' offices, victim services agencies, domestic violence programs, and aging services providers.

 

The study's results demonstrate that elder abuse is far more rampant than previously known: for all types of elder abuse, there are 23.5 unreported cases to every one reported to any agency. For financial exploitation, the ratio is 43.9 self-reported cases to every one reported to an agency. And the ratio of neglect cases is even higher, with 57.2 cases going unreported for every one that comes to the attention of any services system. Because the study did not include older persons who could not participate in a telephone survey, the actual prevalence of elder abuse in the total older population may be even higher.

 

Approximately one in thirteen persons 60 and older (7.6%) suffers from at least one form of elder abuse. While emotional/psychological abuse is the most common form reported to agencies, followed by physical abuse, the self-reported study found financial exploitation to be the most prevalent form of elder mistreatment.

 

These significant findings underscore the urgent need for Congress to appropriate funding for the Elder Justice Act, the first and only comprehensive federal law addressing elder abuse. The Act authorizes up to $100 million in funding per year for state and local Adult Protective Services (APS) Programs, which could provide an estimated 1,700 protective services investigators throughout the country. As the number of seniors, and in particular the number of cases of financial exploitation, rises exponentially, APS Programs throughout the country are being slashed because of faltering state budgets, severely compromising their ability to investigate elder abuse and to take measures to protect frail, often extremely vulnerable older victims. The Elder Justice Act also authorizes funding for critically needed research, forensic centers, demonstration programs and additional protections for long-term care residents.

Older persons, and younger adults with disabilities, who are victimized by violence, neglect and exploitation, are the only category of crime and abuse victims who receive no dedicated help from the federal government.The National Adult Protective Services Association (NAPSA), which represents APS Programs, professionals and clients, urges Congress to rectify this gross injustice by fully funding the Elder Justice Act.

Section 12 bill

A few weeks ago, I saw a tiny blurb in the NASW MA newsletter saying a new bill had been passed giving LICSWs the authority to sign Section 12s. Could it be? After years of struggling to get psych crisis workers out to an elder's home, or convincing a psychiatrist to do a home visit, only to wait 3 hours and have the elder return to baseline, you might say I was a little frustrated with the whole process. Half the time, the workers that arrived to do the evaluation had less training and experience with mental health and crisis intervention than I did! 

There has been very little press about this, until today. I just got an email from NASW, confirming that, starting November 3rd, all LICSWs in the state will be able to sign a pink paper to transfer a client in need of psychiatric evaluation to a hospital!

It makes sense... social workers are expected to assess clients for suicidality, homicidality and mental health issues that may lead to dangerous decision making, yet we weren't given the tools to deal with it effectively. Let's hope this gives us more options for helping clients get the treatment they may need!

A horrible reminder

Elder left in chair for one month

This terrible story hit me pretty hard this week, so I wanted to share. It's been a while since I've posted anything, but I couldn't let this one go without some reflection. After several years of doing Elder Protection work, I sometimes feel like I'm drowning in cases of elders who just can't advocate for themselves or make bad decisions that lead them to the places they are today. They can't get out of their own ways. While my work is worthwhile, it sometimes feels like hand-holding with someone who is completely capable, just not motivated to create change... until I hear stories like this. This is why there is an elder protection system in place. This is why I try to work so hard to connect with families before being an overwhelmed caregiver goes horribly wrong.

Each day, we lose more and more money and support from the state, and each day there are more cases to deal with. The system is strained, just like everywhere else in the country. While I'm devastated that this had to happen to someone, I hope it will illuminate the fact that elder abuse continues and resources are sorely needed to reduce it, and one day, eradicate it.

Posted July 29, 2010

Music and Alzheimer's

Elder_bop_record

I found this while looking around at national news and wanted to share:
 
Music adds memories
 
Maybe instead of Kidz Bop albums, we should be investing in Elder Bop songs about topics like the importance of bathing to avoid skin breakdown, remembering to take your medications, and avoiding wandering behavior. I'm sure Frank Sinatra, Jr. would be willing to lend a hand to give it that old crooner feel.

Filed under  //   elders  
Posted May 17, 2010

Goodbye and good luck, intern!

It was hard not to get misty-eyed about it. The clinical supervision with my social work intern was harder than expected. I figured I'd be glad to have my hours back, glad to never look at another process recording or go over the minute details of cases and applied theories. But, I'm going to miss my intern. She's stepping out this week, from student to professional, taking everything she knows with her in the hopes of finding her own way. And while I'm incredibly happy for her, I feel a little pang of abandonment too. No longer will she ask for my advice with a resistant client, no longer will I get to pour over age old text books for theories and practices that may help her along her way. No more will I get to hear about difficult classes, endless group projects, and fear about graduation.
 
While I commended her for her good work and thanked her for the year of sharing her thoughts with me,  I felt the need to share it here as well. Having had some terrible internship, I was fearful of taking on an intern. What if I were an unhelpful supervisor, just like several I'd worked under? What if I was so overworked, I didn't really care what happened to her? It was my worst nightmare.
 
But, it turns out I did have time for her, I had information to share and hard taught lessons to pass on. I think that was the most enjoyable thing about it... learning that I was a good teacher and knew something that could help someone else.
 
For that, I thank the field process and my intern for having the patience to listen to my stories, my ideas and what I'd learned over the years. We as social workers really do have something to give back, and I'm so glad I had the opportunity to do so.
 
 

Filed under  //   aha moments  
Posted May 5, 2010