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Care managers' experiences of cross-cultural needs assessment meetings: the case of late-in-life immigrants

Published online by Cambridge University Press:  29 November 2013

EMILIA FORSSELL ,
SANDRA TORRES  and
ANNA OLAISON
EMILIA FORSSELL*
Affiliation:
Department of Social Sciences, Ersta Sköndal University College, Sweden.
SANDRA TORRES
Affiliation:
Department of Sociology, Uppsala University, Sweden.
ANNA OLAISON
Affiliation:
Department of Social and Welfare Studies, Linköping University, Sweden.
*
Address for correspondence: Emilia Forssell, Department of Social Sciences, Ersta Sköndal University College, Campus Sköndal Box 441, Sköndal SE-128 06, Sweden. E-mail: emilia.forssell@esh.se
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Abstract

Research on care managers' experiences of the needs assessment process is scarce even though the literature on needs assessment practice is relatively extensive. One of the research areas that has not received attention yet is the way in which care managers experience the challenges that are presumably posed by increased ethnic, cultural, linguistic and religious diversity among prospective elder care recipients. This article addresses this research gap. It is based on a project that aims to shed light on care managers' experiences of the needs assessment process in general and cross-cultural needs assessment meetings in particular. The data are constituted of focus group interviews with care managers in Sweden (N=60). In this article we focus on care managers' experiences of needs assessment with older people who have immigrated late-in-life, who come from cultures considered different from the Swedish one and who have not mastered the Swedish language. This was the group of older people that the care managers mostly thought of when asked to describe their experiences of cross-cultural needs assessment meetings. The interviewed care managers discussed the challenges that these meetings present, which were related to communication due to language barriers, different demands and expectations, insecurity regarding what is customary in such meetings, as well as perceived passivity among late-in-life immigrants. The article discusses the contributions of the findings to research on care management practices in general, as well as to needs assessment practice in particular.

Keywords

care managersneeds assessmentelder careolder immigrantsolder peopleSweden

Information

Type
Articles
Information
Ageing & Society , Volume 35 , Issue 3 , March 2015 , pp. 576 - 601
Copyright
Copyright © Cambridge University Press 2013 

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References

Andersson, K. and Johansson, S. 2010. Valfrihet som dilemma [Freedom of choice as a dilemma]. In Johansson, S. (ed.), Omsorg och mångfald [Care and Diversity]. Gleerups, Malmö, 116–31.Google Scholar
Blomberg, S. 2008. The specialisation of needs-assessment in Swedish municipal care for older people: the diffusion of a new organisational model. European Journal of Social Work, 11, 4, 415–29.Google Scholar
Boushel, M. 2000. What kind of people are we? Race, anti-racism and social welfare research. British Journal of Social Work, 30, 1, 71–89.Google Scholar
Breen, R. L. 2006. A practical guide to focus-group research. Journal of Geography in Higher Education, 30, 3, 463–75.Google Scholar
Ceci, C. and Purkis, M. E. 2009. Bridging gaps in risk discourse. Home care case management and client choices. Sociology of Health & Illness, 31, 2, 201–14.Google Scholar
Challis, D., Hughes, J., Jacobs, S., Stewart, K. and Weiner, K. 2007. Are different forms of care management for older people in England associated with variations in case mix, service use and care managers use of time? Ageing & Society, 27, 1, 25–48.Google Scholar
Chester, H., Hughes, J. and Challis, D. 2010. Patterns of commissioning, contracting and care management in social services for older people in England. British Journal of Social Work, 40, 8, 2523–37.Google Scholar
Creswell, J. W. 1998. Qualitative Inquiry and Research Design: Choosing Among Five Traditions. Sage, London.Google Scholar
Dominelli, L. 1998. Multiculturalism, anti-racism and social work in Europe. In Williams, C., Soydan, H. and Johnson, M. (eds), Social Work and Minorities: European Perspectives. Routledge, London, 36–58.Google Scholar
Dunér, A. 2007. To maintain control: negotiations of everyday life of older people who no longer can manage on their own. Dissertation, Göteborg University, Göteborg, Sweden.Google Scholar
Dunér, A. and Nordström, M. 2006. The discretion and power of street level bureaucrats: an example from Swedish municipal eldercare. European Journal of Social Work, 9, 4, 425–44.CrossRefGoogle Scholar
Forssell, E. 2013. Transnational ageing, care needs and the welfare State. Transnational Social Review: A Social Work Journal, 13, 1, 83–99.Google Scholar
Forssell, E. and Torres, S. 2012. Social work, older people and migration: an overview of the situation in Sweden. European Journal of Social Work, 15, 1, 115–30.Google Scholar
Gorman, H. and Postle, K. 2003. Transforming Community Care: A Distorted Vision? Venture Press, Birmingham, UK.Google Scholar
Government Offices of Sweden 2007. Care of the Elderly in Sweden. Fact Sheet No. 18, Ministry of Health and Social Affairs, Stockholm.Google Scholar
Green, D. and Sawyer, A. 2010. Managing risk in community care of older people: perspectives from the frontline. Australian Social Work, 63, 4, 375–90.Google Scholar
Hall, C., Slembrouck, S. and Sarangi, S. 2006. Language Practice in Social Work: Categorization and Accountability in Child Welfare. Routledge, London.Google Scholar
Hofmeyer, A. T. and Scott, C. M. 2007. Moral geography of focus groups with participants who have pre-existing relationships in the workplace. International Journal of Qualitative Methods, 6, 2, Article 5.Google Scholar
Jacobs, S., Hughes, J., Challis, D., Stewart, K. and Weiner, K. 2006. Care managers’ time use: differences between community mental health and older people's services in the United Kingdom. Care Management Journals, 7, 4, 169–78.Google Scholar
Kelsey, S. and Laditka, S. 2009. Evaluating the roles of professional geriatric care managers in maintaining the quality of life for older Americans. Journal of Gerontological Social Work, 52, 3, 261–76.Google Scholar
Lymbery, M. 2004. Managerialism and care management practice with older people. In Lymbery, M. and Butler, S. (eds), Social Work Ideals and Practice Realities. Palgrave, Basingstoke, UK, 157–77.CrossRefGoogle Scholar
Lymbery, M. 2010. A new vision for adult social care? Continuities and change in the care of older people. Critical Social Policy, 30, 1, 5–26.CrossRefGoogle Scholar
Manthorpe, J., Jacobs, S., Rapaport, J., Challis, D., Netten, A., Glendinning, C., Stevens, M., Wilberforce, M., Knapp, A. and Harris, J. 2009. Training for change: early days of individual budgets and the implications for social work and care management practice: a qualitative study of the views of trainers. British Journal of Social Work, 39, 7, 1291–305.Google Scholar
McDonald, A., Postle, K. and Dawson, C. 2008. Barriers to retaining and using professional knowledge in local authority social work practice with adults in the UK. British Journal of Social Work, 38, 7, 1370–87.Google Scholar
Morgan, D. 1997. Focus Groups as Qualitative Research. Sage, London.Google Scholar
Neuman, W. L. 2011. Social Research Methods. Qualitative and Quantitative Approaches. Seventh edition, Pearson, Boston, Massachusetts.Google Scholar
Olaison, A. 2009. Negotiating needs: processing older persons as home care recipients in gerontological social work practices. Dissertation, Linköping University, Linköping, Sweden.Google Scholar
Postle, K. 2001. The social work side is disappearing: I guess it started with us being called care managers. Practise: Social Work in Action, 13, 1, 13–26.Google Scholar
Postle, K. 2002. Working ‘between the idea and the reality’: ambiguities and tensions in care managers’ work. British Journal of Social Work, 32, 3, 335–51.Google Scholar
Rauch, D. 2007. Is there really a Scandinavian social service model? A comparison between childcare and elder care in six European countries. Acta Sociologica, 50, 3, 249–69.Google Scholar
Ronström, O. 2002. The making of older immigrants in Sweden: identification, categorization and discrimination. In Andersson, L. (ed.), Cultural Gerontology. Auburn House, Westport, Connecticut, 129–38.Google Scholar
Silverman, D. 2001. Interpreting Qualitative Data: Methods for Analyzing Talk, Text and Interaction. Sage, London.Google Scholar
Socialstyrelsen 2009. Folkhälsorapport 2009 [Public Health 2009]. Socialstyrelsen [National Board of Health and Welfare], Stockholm.Google Scholar
Statistics Sweden 2013. Population Statistics. Statistics Sweden, Stockholm.Google Scholar
Sundström, G. and Johansson, L. 2005. The changing balance of government and family care for the elderly in Sweden and other European countries. Australasian Journal of Ageing, 24, supplement, S5–11.Google Scholar
Swedish Association of Local Authorities and Regions 2009. Developments in Elderly Policy in Sweden. Swedish Association of Local Authorities and Regions, Stockholm.Google Scholar
Torres, S. 2006. Older immigrants in Sweden: ‘Otherness’ under construction. Journal of Ethnic and Migration Studies, 32, 8, 1341–60.Google Scholar
Torres, S. 2008. Äldre invandrare i Sverige: om homogeniserandet av en heterogen social kategori och skapandet av ett välfärdsproblem [Older immigrants in Sweden: the homogenization of a social category and the creation of a welfare problem]. In Darvishpour, M. and Westin, C. (eds), Migration och etnicitet: perspektiv på ett mångkulturellt Sverige [Migration and Ethnicity: Perspectives on Multicultural Sweden]. Studentlitteratur, Lund, Sweden, 393–410.Google Scholar
Torres, S. 2012. International migration: patterns and implications for exclusion in old age. In Scharf, T. and Keating, N. C. (eds), From Exclusion to Inclusion in Old Age: A Global Challenge. The Policy Press, Bristol, UK, 33–49.Google Scholar
Torres, S. 2013. Healthy aging among immigrants in Sweden: what we know and need to find out. In Scharlach, A. E. and Hoshino, K. (eds), Healthy Aging in Sociocultural Context. Routledge, New York, 42–50.Google Scholar
Torres, S., Forssell, E. and Olaison, A. 2011. Need assessment in Swedish elderly care: are understandings of ethnic ‘Others’ relevant? Paper presented at the 10th Conference of the European Sociological Association, 7–10 September, Geneva.Google Scholar
Vabø, M. 2011. Changing governance, changing needs interpretations. Implications for universalism. International Journal of Sociology and Social Policy, 3, 4/5, 197–208.CrossRefGoogle Scholar
Vaughn, S., Schay Schumm, J. and Sinagub, J. 1996. Focus Group Interviews in Education and Psychology. Sage, Thousand Oaks, California.CrossRefGoogle Scholar
Wrede, S., Henriksson, L., Høst, H., Johansson, S. and Dybbroe, B. (eds) 2008. Care Work in Crisis. Studentlitteratur, Lund, Sweden.Google Scholar