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Caregiving Families Within the Long-Term Services and Support System for Older Adults

机译:老年人长期服务和支持系统内的看护家庭

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摘要

Long-term care services and supports are primarily a family industry that warrants psychologists' involvement through practice, research, and policy advocacy. Families are poorly integrated into service systems despite the dominance of family caregiving work within health care and long-term care. This article positions family caregiving work within the context of family life across the life span, noting overlaps and distinctions between normal family life and caregiving work for older adults whose physical or cognitive challenges require assistance. The prevalence, work, and consequences of family caregiving for older adults are described. Families are identified as key partners in long-term care, despite substantial policy and practice barriers to integrating them into care structures and systems. Policy options for reducing or eliminating barriers are suggested, as are professional practice opportunities for psychologists to support caregiving families. Approaches to assessment and interventions for caregivers across a variety of settings are described. Gaps in research are highlighted, with a focus on how to understand caregiving as embedded within context of family, long-term care services and supports, and health care. Caregiving work presents an imperative for expanding psychologists' engagement in integrating and supporting the families whose caregiving is so critical to a rapidly aging society.
机译:长期护理服务和支持主要是家庭行业,需要心理学家通过实践,研究和政策倡导介入。尽管家庭护理工作在医疗保健和长期护理中占主导地位,但家庭未能很好地融入服务系统。本文将家庭看护工作定位于整个人生过程中的家庭生活,并指出正常家庭生活和需要身体或认知挑战的老年人的看护工作之间存在重叠和区别。描述了老年人的家庭护理的流行,工作和后果。尽管在将家庭纳入护理结构和系统方面存在重大政策和实践障碍,但仍将其确定为长期护理的主要伙伴。建议减少或消除障碍的政策选择,以及心理学家支持照料家庭的专业实践机会。描述了评估和干预各种环境中的护理人员的方法。突出了研究中的空白,重点在于如何理解家庭,长期护理服务和支持以及医疗保健中所包含的护理。照顾工作对于扩大心理学家参与融合和支持其家庭对于迅速老龄化社会至关重要的家庭的支持是当务之急。

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