Description:
Objectives: Higher levels of depression have been documented among older adults who reside in an assisted living facility, compared with those who remain in their own homes. The aims of the current study were to test whether the relationship between housing type and depressive symptoms was mediated by a sense of belonging and whether housing type and sense of belonging interact to influence the depressive symptoms among older adults (moderation model).Method: A sample of 257 older adults who lived in their own homes and 166 older adults who lived in an assisted living facility completed the psychological subscale of the Sense of Belonging Instrument and the Center for Epidemiologic Studies Depression Scale.Results: Results showed that a sense of belonging partially mediated the relationship between housing type and depressive symptoms, such that living in a nursing home was associated with lower levels of belonging, and lower levels of belonging were, in turn, associated with higher levels of depressive symptoms. Residing in an assisted living facility was associated with depressive symptoms at low and average levels of belonging.Conclusion: Results highlight the need for more research on the role of sense of belonging as an influencing factor on depressive symptoms among institutionalised older adults for both theoretical and treatment goals.
Description:
Victims of crime are key to holding perpetrators to account. Despite being instigators of reports, victim/survivors of sexual assault have long felt alienated from the court process and criminal justice system more broadly. This chapter draws on contemporary literature to consider the contested terrain of “participatory rights” for victim/survivors. Highlighted are a range of reforms implemented since 1994 which elevate the voices and acknowledge the experiences of victim/survivors. Despite the reforms, victim/survivors continue to feel alienated and, in particular, the voices of victim/survivors with cognitive impairment and complex communication needs are sometimes ignored at the point of first report. Considered here are the barriers to effective reform implementation and proposed reforms for continuous advocacy and legal representation. This chapter supports calls for legal representation to continue through to the conclusion of trial proceedings.
Description:
Women who have a cognitive impairment (CI) (including mental illness, dementia, intellectual disability and acquired brain injury) are particularly vulnerable to sexual assault, yet very few assaults are reported to police. Once reported very few cases find their way through the justice system. The discourse of stereotyping and its impact on access to justice for victim/survivors is central to this research project which examines the uptake and exit stages of reports of sexual assault by persons with a cognitive impairment to police in Victoria, Australia. Data collection involves focus group interviews, analysis of police records of reports of sexual assault by persons with a cognitive impairment across a finite period of time (2002-2004) and one in-depth case study of a victim of rape with a cognitive impairment who successfully accessed the legal system to a completed trial. This paper discusses the results of preliminary analysis of data collected from focus group discussions held across Victoria including rural, regional and metropolitan locations with police, sexual assault counsellors and advocates for sexual assault victims with a CI. Data have been analysed using a modified Grounded Theory framework and ‘interpretative repertoire’ analysis. These methods of analysis have been used to identify commonly held perceptions of sexual assault victims who have cognitive impairments. Early findings indicate that police and advocates alike, draw on commonly held stereotypes about victims with cognitive impairments. These include whether their word can be believed and assumptions that ‘they cannot stand up to the rigors of the justice system’. Potentially these views have a significant effect on the depth and quality of service the victims receive from their advocate as well as the continued pathway of the report through the justice system.
Description:
Understanding the perceptions of stakeholders is critical for determining acceptability and feasibility of volunteer-mediated programs. This study evaluated the feasibility and acceptability for staff, volunteers, patients and their carers, of a volunteer diversional therapy program for patients with cognitive impairment undergoing inpatient rehabilitation. Post-program structured interviews were conducted with the volunteers (n = 10), patients (n = 30) and their carers (n = 3); and nursing staff (n = 6) participated in a focus group. Thematic analysis identified five themes (values, attitudes, knowledge, purpose, support) in two dimensions (personal, team culture). Overall, patients, carers, staff and volunteers were satisfied with the volunteer program and perceived benefits for quality of care. Recommendations for improvements to the program related to staff engagement with the program and the volunteers' education and training. The volunteer diversional therapy pilot program for patients with cognitive impairment on a sub-acute ward was acceptable and feasible for patients, carers, staff and volunteers. (C) 2014 Mosby, Inc. All rights reserved.