Gerontological Supervision: A Social Work

The growing population of aging Americans is bringing with it thousands of new workers into agencies serving the elderly each year. Now, the need for supervisors to administer and train staff in programs for older persons is increasing as well. This is a practical, "how-to" guide for the supervision of case managers, personal care providers, and interns working in community services and long-term care of ill or disabled older persons. This updated edition expands its focus by offering the latest, up-to-date ideas and proven "practice wisdom" for handling many of the field'¬"s most common problems. Filled with direct and composite case examples, this useful guide looks at concerns central to the changing field of practice. Part one gives an overview of the social work perspective. Parts two and three consider practice and administrative issues. Supervision of interns is covered in part four, and part five expands the scope of original edition by discussing the similarities and differences between home care and long-term care settings. Chapters include coverage of: dual emphasis on person and environment treatment with dignity and respect stages of helping, learning, and teaching negotiating the balance between dependence and independence styles of learning and teaching tuning in and anticipatory empathy assessment, case planning, on-going work, and termination empowerment, mediation, and advocacy the supervisor as "middle management" staff development the supervisory conference and recording requirements evaluation in group supervision home care residential care Gerontological Supervisionis an invaluable resource for supervisors with or without MSWs and RNs, as well as case managers, personal care providers, interns, and educators and students in social work.

Ann Burack-Weiss is an adjunct associate professor at the Columbia University School of Social Work.

Acknowledgments	p. xi
An Overview	p. 1
Introduction	p. 1
Why a Book on Gerontological Supervision?	p. 1
Changes in the Aging Field of Practice	p. 3
About the Book	p. 5
The Social Work Perspective	p. 9
Parallel Process	p. 9
The Power of Relationship	p. 10
A Holistic Approach	p. 10
Dual Emphasis on Person and Environment	p. 11
Seeking Strengths	p. 11
Promoting Optimum Functioning	p. 12
Promoting the Least Restrictive Environment	p. 13
Promoting Ethical Conduct	p. 15
Treatment with Dignity and Respect	p. 16
Developing Cultural Competence	p. 18
Setting Appropriate Goals	p. 19
Stages of Helping, Learning, and Teaching	p. 21
About Dependence	p. 21
Responses to Dependency and Loss	p. 23
Shock and Disbelief	p. 23
Denial	p. 24
Bargaining	p. 26
Anger and Sadness	p. 27
Negotiating the Balance Between Dependence and Independence	p. 29
Styles of Learning and Teaching	p. 31
Learning Styles	p. 31
The Intuitive Learner	p. 32
The Intellectual Learner	p. 33
The Practical Learner	p. 34
Teaching Styles	p. 36
Collaborative Discussion	p. 36
Didactic Teaching	p. 39
Experiential Exercises	p. 40
Supervising Social Workers/Case Managers-Practice Skills	p. 43
The Interview	p. 43
Tuning in/Anticipatory Empathy	p. 43
Engagement	p. 45
Active Listening/Observation	p. 47
Expressed Empathy	p. 48
Exploration of Facts and Feelings	p. 49
Contracting	p. 51
Assessment, Case Planning, Ongoing Work, and Termination	p. 53
Assessment	p. 53
Social Supports	p. 54
Case Planning	p. 54
Separating Fact from Inference	p. 55
Long-Term and Short-Term Goals	p. 55
Ongoing Work	p. 56
Focusing	p. 56
Multiple Losses	p. 57
Special Issues	p. 58
Reminiscence	p. 58
Sexuality	p. 58
End-of-Life Issues	p. 60
Termination: Closing a Case	p. 61
Empowerment, Mediation, and Advocacy	p. 63
Beyond the One-to-One	p. 63
General Assumptions About Dependence	p. 64
Systems Interventions: Commonalities and Differences	p. 65
"Not Doing" Empowerment	p. 66
"Doing With" Mediation	p. 67
"Doing For" Advocacy	p. 68
Work with Families	p. 69
Work with Other Care Providers	p. 71
Supervising Social Workers/Case Managers-Administrative Issues	p. 73
The Organizational Context	p. 73
Agency Size and Auspices	p. 73
The Supervisor As "Middle Management"	p. 75
Organizational Change	p. 76
Recording	p. 77
Evaluations	p. 79
Staff Development	p. 81
Individual Supervision	p. 81
Consultation	p. 83
Staff Meetings	p. 84
Case Conferences	p. 85
Continuing Education	p. 85
Group Supervision	p. 86
Difficult Conversations	p. 89
In Supervision	p. 90
In Practice	p. 93
Supervising Interns	p. 99
Assignment Selection	p. 99
Assignment Selection	p. 99
The Supervisor's Challenge	p. 100
Balancing Service Needs and Learning Opportunities	p. 102
Different Types of Learners and Their Beginnings with Clients	p. 104
The Supervisory Conference and Recording Requirements	p. 107
The Supervisory Conference	p. 107
The Conference Agenda	p. 109
Recording	p. 110
Group Supervision, Evaluation	p. 113
Group Supervision	p. 113
Getting Started	p. 113
Group Projects	p. 115
Evaluation	p. 116
Supervising Direct Care Workers	p. 123
Shared Tasks and Issues	p. 123
Tasks	p. 124
Issues	p. 124
Home Care	p. 127
Direct Care in the Community	p. 127
Supervision of Home Care Workers	p. 128
Assessing Strengths and Uncovering Possible Problems	p. 128
Responding Not Reacting	p. 129
Cultural/Ethnic Differences	p. 130
Intimacy Issues	p. 132
Individualizing the Client	p. 133
Residential Care	p. 135
Direct Care in the Nursing Home	p. 135
The Institutional Model	p. 135
Conflicting Philosophies of Care	p. 137
Handling Resident/Family Complaints	p. 137
Cultural/Ethnic Difference	p. 138
Handling Sexuality and Bodily Functions	p. 139
Flexibility Within Job Requirements	p. 140
Group Supervision, Training, and Evaluation	p. 143
Group Supervision	p. 143
Handling Challenging Situations	p. 143
Discussing Policy Changes	p. 144
Teasing Out Successful Interventions	p. 144
Providing Emotional Support for Members	p. 145
Training	p. 146
Promoting Worker Involvement and Comfort	p. 147
Evaluation	p. 147
Afterword	p. 151
Selected Bibliography	p. 153
Index	p. 159
Table of Contents provided by Ingram. All Rights Reserved.

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Gerontological Supervision: A Social Work Perspective in Case Management and Direct Care

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