Abstract
The article focuses on role of social workers in providing in-home care and assistance with the activities of daily living (ADL) for older people in New Zealand. From the physician- and hospital-based medical care for older people, a shift back to home-based medical care was emphasized by the Ministry of Social Development in April 2001. The New Zealand Health of Older People Strategy was implemented with the aim of achieving positive aging, quality of life and independence.
Highlights
The settingOlder adults usually prefer to remain at home, whenever presented with a choice (Hooyman & Kiyak, 2010)
Recent news reports from around New Zealand are highlighting big changes in the ‘home help’ allocations for older persons (NZPA, 2010). These moves are explained by health bureaucracies as providing a new focus on multidisciplinary in-home interventions that are time-limited and therapeutically designed to restore client function, rather than to maintain an older person at home by providing continuing assistance with the activities of daily living
How effective are home care policies and the practices they promote in achieving the goals of positive ageing and ageing in place? What role does social work have in promoting or transforming these policies, as well as maximizing their effect in the lived experience of individual clients? It is to these questions that we turn
Summary
Older adults usually prefer to remain at home, whenever presented with a choice (Hooyman & Kiyak, 2010). Recent news reports from around New Zealand are highlighting big changes in the ‘home help’ allocations for older persons (NZPA, 2010) These moves are explained by health bureaucracies as providing a new focus on multidisciplinary in-home interventions that are time-limited and therapeutically designed to restore client function, rather than to maintain an older person at home by providing continuing assistance with the activities of daily living (or ADLs) (see, e.g., Ryburn, Wells, & Foreman, 2008). They are sometimes attributed to one or a combination of concerns around waste, fraud and/or abuse (McLean, 2009; NZPA, 2009). Declining employment and rising interest rates will harm all New Zealanders in the absence of continuing capital flows from abroad
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