Hostname: page-component-7479d7b7d-fwgfc Total loading time: 0 Render date: 2024-07-13T15:49:34.087Z Has data issue: false hasContentIssue false

Self-esteem among elderly people receiving care insurance at home and at day centers for the elderly

Published online by Cambridge University Press:  23 March 2007

Pnina Ron*
Affiliation:
School of Social Work, University of Haifa, Israel
*
Correspondence should be addressed to: Dr. P. Ron, School of Social Work, University of Haifa, Mount Carmel, Haifa, Israel, 31905. Phone: +972 4 8240725. Email: pitzyron@research.haifa.ac.il.

Abstract

Background: Implementation of the Long-term Care Insurance Law of 1988 in Israel has made it possible to provide services to frail elderly people in the community. This study compares two specific services that are offered to elderly people as part of the law: (1) help offered to elderly people by homecare workers, and (2) help offered in day-care centers.

Methods: The study sought to analyze the impact of the two social service approaches on the self-esteem of the care seekers, and included 300 elderly women (150 of whom received services at home and 150 at day-care centers).

Results: The findings showed that the self-esteem of elderly women receiving services in a day-care center was higher than that of elderly women receiving the same services at home.

Conclusions: The study shows that the provision of services in a social context is important in giving elderly people proper attention which increases their self-esteem, self-evaluation and sense of mastery.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adler, A. 1927. The Practice and Theory of Individual Psychology. New York: Harcourt.Google Scholar
Antonelli, E., Rubini, V. and Fassone, C. 2000. The self-concept in institutionalized and non-institutionalized elderly people. Journal of Environmental Psychology, 20, 151164.CrossRefGoogle Scholar
Antonucci, C. T. 1985. Personal characteristics social support and social behavior. In Binstock, R. H. and Shanas, E. (eds.). Handbook of Aging and Social Sciences. 2nd edn (pp. 94128), New York: Van Nostrand Reinhold.Google Scholar
Barnes, M. and Bennett, G. 1998. Frail bodies, courageous voices: older people influencing community care. Health and Social Care in the Community, 6, 102111.CrossRefGoogle ScholarPubMed
Ben-Sira, Z. 1991. Regression, Stress, and Readjustment in Aging. New York: Preager.Google Scholar
Brandsher, E. J., Estes, L. C. and Stuart, H. M. 1995. Adult day care: a fragmented system of policy and funding streams. Journal of Aging and Policy, 7, 1738.CrossRefGoogle Scholar
Butler, S. 1994. All I've got in my purse is mothballs! The social action women's group. Groupwork, 7, 163179.Google Scholar
Chang, V. N. 1993. Prevent and empower: a student-to-student strategy with alcohol abuse. Social Work in Education, 15, 207213.Google Scholar
Coleman, P. G., Chalian, C. and Robinson, M. 1993. Self-esteem and its sources: stability and change in later life. Aging and Society, 13, 171192.CrossRefGoogle Scholar
Dill, A. 1993. Defining needs, defining systems: a critical analysis. The Gerontologist, 33, 453460.CrossRefGoogle ScholarPubMed
Eustis, N. N. and Fischer, L. R. 1991. Relationships between home care client and their workers: implications for quality of care. The Gerontologist, 31, 447456.CrossRefGoogle ScholarPubMed
Falck, G. 2000. The effect of support networks of disabled elderly who attend day care centers, on their satisfaction from the day center and of life itself. Unpublished MA thesis, Hebrew University of Jerusalem (in Hebrew).Google Scholar
Fehr, B. 1996. Friendship Processes. Thousand Oaks, CA: Sage Publications.CrossRefGoogle Scholar
Feldman, P. H., Sapienza, A. M. and Kane, N. M. 1990. Who Cares for Them? Workers in the Home Care Industry. Westport, CT: Greenwood Press.Google Scholar
Festinger, L. 1957. A Theory of Cognitive Dissonance. Evanston, IL: Row, Peterson.CrossRefGoogle Scholar
Frestenberg, R. E. 1985. Social support among older adults. Journal of Gerontological Social Work, 38, 498508.Google Scholar
Heider, F. 1958. The Psychology of Interpersonal Relations. New York: Wiley.CrossRefGoogle Scholar
Korazim, M. 1994. Adult Day Care Centers in Israel: Evaluation. Jerusalem: JDC, Brookdale Institute for Gerontology (in Hebrew).Google Scholar
Krause, N. and Borawski-Clark, E. 1995. Social class differences in social support among older adults. The Gerontologist, 35, 498508.CrossRefGoogle ScholarPubMed
Krout, J. A. 1996. Senior center programming and frailty among older persons. Journal of Gerontological Social Work, 26, 1934.CrossRefGoogle Scholar
Lagergen, S. 1994. Relations and services satisfaction among the elderly. Journal of Gerontological Social Work, 17, 99115.Google Scholar
Linn, A. F. and Linn, T. 1984. On the first three subphases of the separation individuation process. International Journal of Psychoanalysis, 53, 333358.Google Scholar
Lowenstein, A. 2000. A case management demonstration for the frail elderly in Israel. Care Management Journals, 2, 514.Google ScholarPubMed
McDonald, I. 1998. Cost of home and community-based care. Innovations in Aging, 27, 2558.Google Scholar
McKay, M. and Fanning, P. 1990. Self-Esteem: A Proven Program of Cognitive Techniques for Assessing, Improving and Maintaining Your Self-Esteem. Oakland, CA: New Harbinger Publications.Google Scholar
Minkler, M. and Estes, C. 1991. Critical Perspective on Aging: The Political and Moral Economy of Growing Old. Amityville, NY: Baywood Publishing Company.Google Scholar
Naon, D., King, Y. and Habib, J. 1996. Resettling Elderly Soviet Immigrants in Israel: Family Ties and the House Dilemma. Jerusalem: JDC-Brookdale Institute.Google Scholar
Pearlin, L. I., Liberman, M. A., Mengehan, E. G. and Mullan, J. T. 1981. The stress role. Journal of Health and Social Behavior, 22, 337356.CrossRefGoogle Scholar
Ranzijn, R., Keeves, L., Luszcz, M. and Feather, N. T. 1998. The role of self-perceived usefulness and competence in the self-esteem of elderly adults. Confirmatory factor analyses of the Bachman revision of Rosenberg's self-esteem scale. Journal of Gerontology: Psychological Science, 53B, 96104.CrossRefGoogle Scholar
Rogers, C. R. 1959. Theory of therapy, personality and interpersonal relationships. In Koch, S. (ed.), Psychology of Study of Science (pp. 184256). New York: McGraw-Hill.Google Scholar
Rosenbaum, M. 1990. A model for research on self-regulation: reducing the schism between behaviorism and general psychology. In Eifert, G. H. and Evans, I. M. (eds.), Unifying Behavior Therapy: Contribution of Paradigmatic Behaviorism (pp. 126149). New York: Springer.Google Scholar
Rosenberg, M. 1965. Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press.CrossRefGoogle Scholar
Sabin, E. P. 1993. Frequency of senior center use: a preliminary test of two models of senior center participation. Journal of Gerontological Social Work, 20, 97113.CrossRefGoogle Scholar
Shatz, A. 1996. The importance of support group and enrichment programs for home care workers. Surveys and Reviews in Gerontology, 100, 1617 (in Hebrew).Google Scholar
Schmid, H. 1993. Nonprofit and for-profit home care in Israel: client's assessments. Journal of Aging and Social Policy, 5, 95115.CrossRefGoogle ScholarPubMed
Shuval, J. T., Flieshman, R. and Shmueli, A. 1982. Informal Support for the Elderly: Social Network in a Jerusalem Neighborhood. Jerusalem: JDC-Brookdale Institute.Google Scholar
Stevens, E. S. 1993. Making sense of usefulness: an avenue toward satisfaction in later life. International Journal of Aging and Human Development, 37, 313325.CrossRefGoogle ScholarPubMed
Tinker, A. 1997. Housing and household movement in later life: developing the range of housing options in the United Kingdom. Journal of Housing for the Elderly, 12, 917.CrossRefGoogle Scholar