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• Attitudes of Roma adults towards the care of their elderly relatives

  21-24

  Irén Godó

  Dalma Tóth

  Views:

  110

  Caring for the elderly is a challenge for any society even if it is a family or institution related issue (Bánlaki 2006). Numerous researches on the care of the elderly have been published, which help to make the care of the elderly as effective as possible (Djellal, Gallouj 2006). Within the framework of our research, we undertook to examine the attitudes (Arlotti, Aguilar-Hendrickson 2017) and experiences of the Roma towards elderly care.
  Our aim was to explore the opinions of adult Roma people on the topic, as well as to identify possible cultural peculiarities in this issue (Hajime et al 2006; Da Roit 2010; Kehusmaa et al. 2013; Szabóné 2018).

  Method:
  We have selected Roma adult people living in Budapest as our target group, most of them perform manual labour, who in the near future are likely to face the issue of caring for their elderly relatives or are already facing it in the capital. We have chosen this target group because there is a wide range of social services in the capital, and this gives us an insight into the confidence or lack of confidence in the social care system. The situation of the Roma elderly in the Hungarian social context is discussed with a nuanced approach based on Roma studies. The opinions and thoughts of 20 Roma adults are highlighted in our presentation, with whom we interviewed. We compiled a semi-structured set of questions for the target group. We tried to capture the attitude of the Roma towards elderly care along different dimensions (Allport, Lindzey 1960; Örkény, Vári 2009): individual responsibility (Nárai 2019) patterns of the family (Bánlaky 2001), financial and other resources (Bourdieu 1999) - assistance, trust in the social care system, readiness for elderly care (Heimlich 2008). Our research was carried out in November 2021 in compliance with the measures associated witht he COVID-19 situation. The interviews took 40-75 minutes long on average per person.
  We compare international trends within formation on elderly care in Hungary and data on the health status of elderly Roma in Hungary (Kodner, 2006).

  Results:
  The uniqueness of our research lies in the fact that we present the strategies of the Roma related to care in the Hungarian social reality, we identify practical problems and challenges, which can even be a breeding ground for future social policy measures (Schwiter et al. 2015). Poverty among the Roma, as well as discrimination and lower life expectancy compared to non-Roma (KSH, 2015) all contribute to the decision-making of Roma adults regarding the care of their elderly relatives, which is confirmed by the answers found in the interviews and the possibilities and strategies formed by the elderly care system (Kovács 2006). Our results showed that access to various social benefits, such as home help and public health care among others is affected during elderly care, and also has a key role to play, but also information among the Roma. In addition to trust in the social care system, financial means or lack of the influence coping strategies for elderly care. The results obtained can be used even for prevention projects aimed at local health preservation, or for any program aimed at improving the health status of the Roma.

  References
  Allport, G. W., Vernon, P. E., Lindzey, G. A. (1960): A study of values, 3rd ed., Boston, Houghton.Mifflin.
  Barbara Da Roit (2010): Strategies of Care. Changing Elderly Care in Italy and the Netherlands. Care and Welfare
  Bánlaky Pál (2001): Családszociológia. Wesley János Lelkészképző Főiskola, Budapest.
  Bánlaky Pál (2006): A család belső működése – A családon belüli kapcsolatok dinamikája. In: Czibere Ibolya (szek.) (2006): Családszociológia szöveggyűjtemény. Debrecen.
  Bourdieu, Pierre (1999): Gazdasági tőke, kulturális tőke, társadalmi tőke. In: Angelusz Róbert (szerk.): A társadalmi rétegződés komponensei. Budapest, Új Mandátum Könyvkiadó, 156-177.
  Faridah Djellal, Faïz Gallouj (2006): Innovation in care services for the elderly. The Service Industries Journal. Volume 26, 2006 - Issue 3
  Hajime Orimo,Hideki Ito,Takao Suzuki,Atsushi Araki,Takayuki Hosoi, Motoji Sawabe (2006): Reviewing the definition of “elderly”. Geriatrics Gerontology, Volume 6, Issue 3 149-158.
  Helmich K. (2008): A generativitás fogalma és a nemzedékek egymásrahatása. In: Gyáni G., Láng M. (szerk.): Generációk a történelemben. Hajnal István Kör – Társadalomtörténeti Egyesülete és a Nyíregyházi Főiskola Gazdasági Társadalomtudományi Kara, Nyíregyháza (2008) 115-120.
  Karin Schwiter, Christian Berndt, Jasmine Truong (2015): Neoliberal austerity and the marketisation of elderly care. Social & Cultural Geography Volume 19, 2018 - Issue 3: Placing care in times of austerity
  Kodner, D., and C. Spreeuwenberg. 2002. “Integrated Care: Meaning, Logic, Applications and
  Implications – A Discussion Paper.” International Journal of Integrated Care Vol. 2 (October-December).
  Kovács Éva (2006): Mari ésaz ő „cigánysága” – avagy a narratíva helye és ereje az etnicitás kutatásában. Tabula, 2006 9 (I):41-52.
  KSH Statisztikai Tükör (2015). A hazai nemzetiségek demográgiai jellemzői. https://www.ksh.hu/docs/hun/xftp/stattukor/nemzetiseg_demografia.pdf (Utolsó letöltés ideje: 2021. 11. 03.)
  Marco Arlotti, Manuel Aguilar-Hendrickson (2017): The vicious layering of multilevel governance in Southern Europe: The case of elderly care in Italy and Spain. Social Policy Administration, Volume52, Issue3, May 2018, 646-661.
  Margaret McAdam (2008): Frameworks of Integrated Care for the Elderly: A Systematic Review. Ontario Ministry of Health and Long-Term Care.
  Nárai Márta (2019): A lokális társadalmi szerepvállalás, felelősségvállalás szereplői – egyesületek, alapítványok a helyi közösségek/helyi társadalom szolgálatában, Ünnepi tanulmánykötet a 70 éves Gáspár Mátyás tiszteletére, Magánkiadás, 151-161.
  Örkény Antal – Vári István: Szempontok és kérdőjelek a magyarországi roma kisebbség tanulmányozásához. Fundamentum, 2009. 2. szám, 5-15.
  Sari Kehusmaa, Ilona Autti-Rämö, Hans Helenius, Pekka Rissanen (2013): Does informal care reduce public care expenditure on elderly care? Estimates based on Finland’s Age Study. BMC Health Services Research 13, 317.
  Szabóné dr. Kármán Judit (2018): A magyarországi cigány/roma népesség kulturantropológiai és orvosantropológiai megközelítésben. Romológiai füzetek 2. DRHE, Debrecen, 5-76.

• Social security and safety of older adults in Poland

  9-11

  Bogusława Urbaniak

  Views:

  94

  Poland’ population will be ageing at a fast rate in the coming decades. It is projected that in 2070 the Polish ratio between people aged 65 and over and those aged 15-64 years will be 62.6, the highest among EU-27 countries. Population ageing appeared in the public debate in Poland as a separate subject in the 1990s, following a negative natural population increase and the looming impact of the massive withdrawal of baby boomers from the labour market on the pension system. One of the reasons for older persons’ growing interest in retirement was pension system reforms planned by successive governments.

  The announcement of the year 2012 as the European Year for Active Ageing and Solidarity Between Generations (decision no. 940/2011/EU of the European Parliament and of the Council of 14 September 2011) contributed in Poland to the emergence of a senior policy from a social policy and initiated major legislative, institutional, and organisational changes at the national, regional and local levels of government. It also inspired the redefinition of measures used hitherto in line with the evolution in the perception of older people from social care recipients to active members of their communities entitled to education and economic, social, civic and political activity. In 2013, the Senior Policy Council was established as a consultative and advisory body to the Ministry of Labour and Social Policy, and then similar councils supporting regional and local authorities were organised.

  In order to encourage greater activity among seniors, a special governmental programme was created in December 2013, which grants funds on a competitive basis to projects concerning social activities, education, and intergenerational cooperation submitted by informal and formal groups of seniors.

  The national government’s key documents on senior policy, one for the period from 2014 to 2020 and the other spanning the years until 2030, are Resolution 238 of 24 Dec. 2013 by the Board of Ministers on the Adoption of Long-term Senior Policy in Poland for the Years 2015-2020 and Resolution 161 of 28 Oct. 2018 by the Board of Ministers on the adoption of Social Policy Towards the Older Persons 2030. Security-Participation-Solidarity. In 2015, the Polish Parliament passed the elderly people act, which requires institutions in charge of the well-being of older persons to monitor and report on their situation. The reports submitted by the institutions are used by the Ministry of Labour to compile and present an annual evaluation of the status of the older population in Poland.

  The regional governments’ senior policy is reflected in their social policy strategies. The strategies’ operational goals started to address needs specific to older people since 2002, focusing in particular on improving their quality of life, developing round-the-clock care services, at-home care services, and rehabilitation services, and on reducing social exclusion and marginalization of seniors.

  Social security and the safety of older adults are progressively improving in Poland, but the greatest progress has been made in the area of active ageing. Social care services for the elderly still require improvement, because the predominant family care model is inefficient in many ways due to:

  • limited financing of care services by public institutions,
  • the growing proportion of single elderly persons,
  • the increasing number of people aged 85+ (the so-called double population ageing),
  • social insurance disregarding long-term care to an elderly family member as an insurable risk,
  • a lack of legislation allowing employed people to seek a long-term leave to give care to an older family member,
  • the informal expectation that women who retire at the age of 60 years will take care of the oldest family members.

  While neither the scale nor the quality of home care services given to older persons is regularly surveyed in Poland, it can be presumed that the scale of care services is insufficient and that they excessively burden families with a member in need of care. Between 2010 and 2018, the number of persons aged 65+ increased in Poland by over 1.5 million, the number of the users of attendance services and specialised attendance services by 29,000 (from 99,000 to 128,000), and the number of residences in homes and facilities providing assistance to aged persons by 7,000 (from 20,000 to 27,100.)

• Elderly care out from the care system: the challenges of family carers

  2-24.

  A. M. Tróbert

  Zs. Széman

  Views:

  424

  The overburdened long term care system increases the role of family carers in taking care of older adults. Undertaking the role of care put a great burden to family carers and cause many negative effects to the family roles, the field of employment and to the carers’ personal physical and mental health too. The formal care system solely focuses for the need of care receivers and hardly find services targeted to family carers. This study, using the analisis of ten family caregiver interviews, overlaps the main difficulties they are facing.

• Redefining nursing skills in AI and robotisation, with a particular focus on conditions requiring long-term care

  126-145

  Anna Szőllősi

  Gábor Kismihók

  Ádám Keszler

  Annamária Karamánné Pakai

  Miklós Lukács

  Angelika Szatmári

  Adrienn Ujváriné Siket

  Views:

  234

  Owing to the enormous improvements in health and lifestyle over the last century, the average age has increased. Although longevity is an important achievement of the modern age, it is a challenge for the care of an ageing population. As people in the richest parts of the world live longer, there is a growing shortage of carers for an ageing population. This paper reviews the literature and describes the global challenges of caregiving, future issues in elderly care, the emergence of robotization in the field of nursing care and how this can contribute to improving the quality of care for the older people. It also discusses the experience of using robots in international and domestic elderly care and briefly describes how the use of AI-based technology has contributed to improving the effectiveness of care in the context of the coronavirus epidemic. The paper concludes by presenting a vision and directions for training development for Advance Practice Nurses, Register Nurses and post-secondary nurses, and other health care professionals to improve attitudes, enhance knowledge, and develop services to improve elderly care.

• COVID-19, lockdown, elderly. Experiences of the follow up research among active older adults 2020- 2021.

  40-42

  László Patyán

  Ágnes Bene

  Ivett Stumpf-Tamás

  Views:

  166

  Introduction, aims:
  The COVID-19 pandemic caused invaluable harms on the World during last two years. Among all economic and societal consequences the negative effects for elderly people was also apparent. Researches - among others - focused on the age related inequalities for accessing and using services, economic disadvantages, the decline of psychical, physical and mental conditions, reduced quality of life, increased level of loneliness, stress and depression, such as the increase and new faces of ageism.
  This research focused on the individual and organizational consequences of COVID – 19 pandemic and the effects of the state interventions followed by. The target group were identified as active seniors who have leading positions in different local and regional senior’s associations. These people were affected individually as a member of the age group and as an experts with organizational responsibilities as well.

  Research method:
  We chose a qualitative follow up (longitudinal) research method that was committed by semi structured phone interviews, recorded and anonymised. The time of the two data record focused and followed the main Hungarian waves of the pandemic: May – June in 2020 and June – July in 2021. Sample were collected from all districts of Hungary (n=42).

  Main research topics were:
  - The situation of the older adults (experiences about the local older people, daily life, problems, issues, social connections)
  - The life in the organization (activities, new initiatives, problems, issues)
  - Individual experiences (fears, daily life, social connections, shopping habits, use of ICT, vaccination).

  Results:
  We found significant differences on the personal life situation and the perception of pandemic and related interventions during the two waves. Pandemic situation may influenced these results. The age related “stay at home campaign” made more difficulties for the older people during the first wave, meanwhile related interventions weren’t so strict during the second wave by introducing shopping timeline for older people and night curfew for all in the late nights. Even first wave did not cause such harm like the second one in Hungary.
  During the first wave we found older people as a rule following citizens. They followed all the restrictions and regulations strictly. Life situations mainly were determined by the living conditions, that is means the ones who lived in the countryside mainly a house with garden experienced less negative effects than those, who lived in the housing estate area (first wave mainly fall on March – May).
  Older people reported increased importance of the local authorities. With the lack of central supporting interventions, local authorities played main role for local support, care and security. If the local government took care of older people they felt safety. Less interventions and coordination made older people insecured.
  The second wave made new situations for people. Older adults became one of the first target groups in vaccination and people started to cope with the pandemic.
  Older adults became more critical with governmental interventions.
  Critics focussed on the
  - pandemic related communication, the vaccination (older people mainly got Shinofarm vaccine that was not accepted in the EU at that time),
  - difficulties with the availability of health services, and
  - they experienced increased economic problems.
  The life in the organization: during the first wave we found frozen life of the seniors organization, cancelled and delayed programmes. Some initiatives were also reported. People preferred to keep contact via phone instead of using another ICT tools. Some of the answerer worried about the community life, how they can restart after the pandemic, others preferred the forthcoming chance for personal meetings.
  Seniors organisations may play an important role of the senior’s life by organizing free time and social activities, advocacy, and many other aspects of active ageing. As we made a first extract of this research further analyse will focus more on the good examples and new initiatives on the social, community and organizational levels.

• How can telemental health help reduce the loneliness and isolation of the elderly?

  2-29

  Anikó Panna Tóth

  Views:

  362

  In the study, based on a literature review, the author explains the concept of telemental health and how it can contribute to reducing the loneliness and isolation of the elderly. It covers the experiences of using ICT in the care of the elderly in Hungary, and also briefly presents how the use of digital technology has contributed to the social and mental health care of the elderly during the coronavirus epidemic, and what changes have taken place. The study concludes with recommendations for the use of ICT by social workers and the development of telemental health services for the elderly.

• Elderly Service Officer Trainings

  15-16

  Róbert Wernigg

  Réka Kisdi

  Anett Mária Tróbert

  László Patyán

  Views:

  141

  Introduction One of the challenges that stands before the aging population is the integration and mental and physical wellbeing of the elderly, and building the culture of active ageing. Meeting this challenge requires the activity of professionals who, in alliance with the work and services of the local governments, will become able to organise programmes that meet the needs and demands of the older citizens.

  This objective is targeted by the Elderly Service Officer Trainings provided by Family-Friendly Country Public Beneficiary Ltd.

  Methods: Our goal is to enable future Elderly Service Officers to actively contribute and enforce lawful practice to preparing, organising and implementing local civil programmes that target active aging; to recognise the special needs of the older citizens; and to orient within the legal environment of the programmes for the elderly. They should become able to co-operate efficiently with local government officials and NGOs supporting active ageing.

  Training topics: 1. Active ageing and mental wellbeing, 2. Community development, networking, volunteering, 3. Environment for active ageing, 4. Planning and implementing elderly friendly programmes.

  As regards to monitoring effectiveness, above activity indicators, we survey the changes of attitudes among trainees, and further activities of the Elderly Service Officers. The effectiveness studies are in progress.

  Results: Since May 2019, 16 study groups with 238 attendees have been launched (11 in Budapest és 5 on the countryside), and 12 groups have finished, yielding 144 certified trainees. We are planning a further set of 23 groups for 2021, in order to achieve the planned number of participants of 1000.

  Discussion: Further development of the training will depend on our future results.

  Supported by: Grant No. EFOP-1.2.6-VEKOP-17-2017-00001, „Family Friendly Country Project.

  References:

  L Patyán, JI Tóth, AM Tróbert, R Wernigg: Methodology to Aid the Community Inclusion and Person-Centered Care of Older Generations. Family-Friendly Country Public Beneficiary Ltd., 2019.

• Barriers of Accessing Elderly Care Services in Bangladesh

  81

  Masud Rana

  Views:

  40

  Approximately one in ten persons in Bangladesh is over 60 years old and it is estimated that this figure will increase to 21.5% in 2050. This huge proportion of the population often faces barriers in terms of accessing elderly care services.

• Health challenges of the elderly: a comparative study of the need for health social workers in Nigeria and Bangladesh

  11-14

  Emmanuel Temitope Adaranijo

  Sarafat Hossain

  Views:

  104

  The established fact is that the population with the highest consumer of healthcare services is the elderly because of the increasing demand for adaptive health services accessible to the elderly. As the elderly continue to age, there is a decline in the health condition, developed societies have explored and employed several multidisciplinary approaches to the care of the elderly. The focus is on social work as a profession.

• Családi (informális) gondozást segítő rendszerek Magyarországon

  34-48

  László Patyán

  Views:

  295

  The member states of the European Union have to face the challenge of demographic aging. Taking the demographic characteristics of the member states, there are no essential differences in either the current or in the expected future development of the proportion of elderly people. Ageing affects several areas of the welfare regimes, but it is usually the health and pension systems and personal services that are highlighted. This paper deals with a special area of personal services, the family (informal) care and the support of carers in Hungary. The study introduces definitions of the informal care, welfare policies on family caregivers, the systematization attempts of the care policy in the member states, it analyzes the recent past and currently perceived care policy processes and ideologies, and finally describes the specific situation in the former Communist countries through an example of a Hungarian care policy. The basic idea of the article is that although the demographic challenges are similar, but the service policy and the development of the institutional systems show significant differences in each country. In addition to the underdeveloped institutional service system in the different countries, the post-Communist countries lack the supporting tools of the caring family members.

• Befriending Services for the Elderly

  47-50

  Anikó Panna Tóth

  Views:

  74

  I would like to briefly introduce befriending services based on a literature review, focusing primarily on services provided to the elderly.

• How can telemental health help reduce the loneliness and isolation of the elderly?

  50-54

  Anikó Panna Tóth

  Views:

  82

  The goal of the paper is to draw attention to the importance of telemental health and how it can contribute to reducing the loneliness and isolation of the elderly, by reviewing the literature. The author briefly presents how the use of digital technology has contributed to the social and mental health care of the elderly during the coronavirus epidemic, and what changes have taken place. The study concludes with recommendations for the use of ICT by social workers and the development of telemental health services for the elderly.