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SSW receives $4.4M grant to train social workers in geriatric care

By David J. Craig

As the American population ages and more elderly people receive care for chronic illnesses at home, social workers are increasingly working with older adults and their families.

SSW professors Judith G. Gonyea, Robert B. Hudson, and Scott Miyake Geron (from left) are forming the new Institute for Geriatric Social Work, with a $4.4 million grant from the Atlantic Philanthropies. Photo by Kalman Zabarsky
 
  SSW professors Judith G. Gonyea, Robert B. Hudson, and Scott Miyake Geron (from left) are forming the new Institute for Geriatric Social Work, with a $4.4 million grant from the Atlantic Philanthropies. Photo by Kalman Zabarsky
 

But few social workers have received formal training in geriatrics, says Scott Miyake Geron, a School of Social Work associate professor and director of BU’s Interdisciplinary Ph.D. Program in Sociology and Social Work.
“Historically, the field of social work has been oriented toward caring for children and families,” says Geron. “But the field has to respond to changing demographics. There were 35 million adults over the age of 65 in the United States in 2000, and that number is expected to double by 2050. As risk of chronic illness or disability increases with age, a significant percentage of older Americans will be coping with health conditions such as diabetes, arthritis, and heart disease. Many of these disabling conditions require ongoing community-based health and social supports.”

To create the Institute for Geriatric Social Work, the School of Social Work recently was awarded a five-year, $4.4 million grant from the Atlantic Philanthropies, which is based in Bermuda and has affiliate organizations in the United States, Ireland, Northern Ireland, and Great Britain. The Atlantic Philanthropies describes itself as working “globally to identify and support leaders, institutions, and organizations dedicated to learning, knowledge-building, and solving pressing social problems,” and has a “longstanding interest in aging.”

The institute, directed by Geron, will train social workers in geriatric care, as well as conduct research on the cost-effectiveness of geriatric social work and disseminate information about geriatric social work to lawmakers.
“Social workers, who are trained to address clients’ health and social needs in a holistic way, are ideally suited to coordinate and help provide the kind of care that older people need,” Geron continues. “But many experienced social workers don’t have adequate practice skills or understanding to deal with some of the complex needs of older adults, which may include isolation, poor nutrition, and mental confusion.”

Serving as associate directors of the institute will be Judith G. Gonyea, an SSW associate professor and chair of the research department, and Robert B. Hudson, an SSW professor and chair of the social welfare policy department.

According to SSW Dean Wilma Peebles-Wilkins, the institute will “continue the pioneering efforts of the late Louis Lowy, former associate dean for academic affairs at the School of Social Work. Dr. Lowy has gained a prominent place in social work history for his nationally recognized work in aging. Dr. Geron and his gerontological social work colleagues at the School of Social Work are preserving this very fine legacy.”

A primary goal of the institute is to address the needs of practicing social workers, who are increasingly working with older adults, but who lack formal gerontological training. The institute will collaborate with the American Society on Aging -- the nation’s largest professional organization in the field of aging -- to develop short-term education and training programs. They will include distance learning approaches such as CD-ROMs, Web-based seminars, audiotapes, and text-based self-learning tools, as well as traditional half-day and daylong seminars and workshops offered at professional conferences. Training sessions will be available at annual meetings held by state chapters of the National Association of Social Workers, for instance, and at companies that employ large numbers of social workers.

“Social workers will want to participate,” says Geron, “because there is growing recognition in the profession of the importance of obtaining specialized training in working with older adults, and because social workers in most states are required to earn a certain number of continuing education credits each year. With the grant from the Atlantic Philanthropies, our training will also be very affordable.”

In addition, the institute will conduct two major clinical trials to demonstrate the effectiveness of social work involvement in health programs and services designed to improve the lives of older people and their families. One study will involve a social work intervention with elderly people living at home with chronic illnesses; the other will involve an intervention in hospital care or end-of-life care.

“Currently, neither Medicare nor Medicaid reimburses for treatment by social workers, and that’s obviously a major impediment for social workers to go into geriatric care,” says Geron. “To make the case to policy makers that there should be reimbursement for social workers, research is needed to show that the specific social work interventions involving services that already receive Medicare reimbursement are effective.”

The institute also plans to organize high-visibility informational meetings with lawmakers in Washington, D.C., Geron says, to disseminate its research results and educate policy makers about the importance and effectiveness of social work with older people. In addition, it will “support the development, evaluation, and replication of new educational and training models for social workers working with older adults.”

“The formation of the Institute for Geriatric Social Work is a great opportunity for the School of Social Work, which is in the vanguard of research and practice in caring for elderly clients, and for the social work profession in general,” says Geron. “This project is unique because while there have been other recent efforts to support geriatric social work, we will provide training to social workers who are already working in the field. It is also unique in that we will address the need for basic research in this area.”

       



11 October 2002
Boston University
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