Sunday, April 5, 2009
Caring for the Elderly
India:
India has a very large population, second only to China. With health care improving and birthrates rising, the percentage of elderly individuals in the country is only going to get bigger. The numbers went form 20 million in 1951 to 70 million in 2009 and a projected 326 million in 2050 (United Nations, 1995). Although India is still very family based when it comes to the care of the elderly, new policies are being put in place to help support these rising numbers of aging individuals.
Two things that India's government has done in the last decade to address this situation are: In 2000, the government declared a National Older Person's Day to raise awareness and in May of 1999, the National Council of Older Persons was constituted. The NCOP has members from various political groups, such as the National Human Rights Commission, who gather together to advocate for the elderly and try to work out the problems. Health care has become more widely available and group homes are being provided due to more and more older people no longer being able to stay with their families like they once did. The government also feels very strongly about utilizing assets and funds training for those elderly individuals who want to have something to do in their retirement.
Non-Governmental Organizations also play their part in caring for the elderly. The NGO provides services for both the individual and their family. However, due to families being unable to afford the help, the NGO really only assists a very small percentage of the population.
Family is an aging person's support system. The family provides emotional, financial and social support. Culturally, the aging members of an Indian family are treated with respect and honored for their wisdom. As opposed to America, where only 15% of older people live with their children, India has close to 75%. There is a lot of pressure on the children to take in their parents, especially the male who have greater responsibility. The elderly also have very specific roles in a household: They take care of the children, resolve conflicts and help with matchmaking.
-Grace Maskell
England:
-Sam Nelson
Questions:
1. In the past it was up to the family to take care of their aging parents but that seems to be changing. In your opinion do you think it should be the children's responsibility to care for the elderly?
2. Out of all the countries discussed, which one has the best plan for caring for the elderly. What should they work harder on and/or do differently?
America:
America, a country so rich in history, holds much power and authority all over the world. As one of the leading nations, we have redefined luxury and set forth high expectations for ourselves. We strive to remain one of the largest and most powerful countries in the world. Our government could be thought of as the “people” business, yet we lack one of the most critical components of the “people” business. To run a country, a successful country, it must begin within its citizens. Recent evidence provides we will be facing a major healthcare massacre, especially for elderly. Healthcare is a moral, civil rights, economic and human rights issue. Health is not a mere decision of what name brand of material goods to purchase at the local mall. Healthcare is a fundamental right to all people, and especially of all ages. Lifespan is prolonging considerably past the age of sixty, and retirement age will also be increasing as life expectancy increases. Since the elderly hold a higher rate of health issues, they often face age discrimination and their healthcare costs are often some of the highest. The united states department of human health and services. Medicare, the most primary form of heath care services established for the elderly of age 65 and older, yet it does not provide full coverage, and often the costs are not nearly close to what elderly receive in Social Security income. The Center for Disease control and prevention reports findings of the U.S. department of Health and Human Services, found the number of visits to physician offices by persons age 65 and over is 229.8 million. They also report that the access to health care percent of noninstitutionalized persons without a usual place of care age 65-74 is 3.8% and age 75 and over of 2.9%. Additional findings can be found on: http://www.cdc.gov/nchs/fastats/older_americans.htm
Out of the uninsured citizens in America, 7% were found uninsured out of the total population of 7% in a study conducted in 2005 by Office of the Assistant Secretary for Planning and Evaluation: http://aspe.hhs.gov/health/reports/05/uninsured-cps/index.htm
This is suggesting the increased need to provide health care to all, as many European countries have already established. Often, in many European and foreign cultures, the elderly are viewd as extended family members, often living with their children and grandchildren during old age, where as in America, elderly are often placed in very expensive nursing homes, and family members may visit only a handful of times during the month. This may also explain the high numbers of doctor patient visits.
Question:
President Barack Obama has proposed a new plan to transform and modernize Americas healthcare system, provide an example of one of his goals in this transformation, and discuss how this progressive change will effect the elderly.
You may refer to: http://www.healthreform.gov/ to support any ideas and provide findings.
-Sabina Medvinsky
Monday, March 30, 2009
Adoption
DISRUPTION AND DISSOLUTION OF ADOPTIONS
“When an Adoption Disrupts: A Study of Public Attitudes”
Hollingsworth, Leslie D. (2003). When an Adoption Disrupts: A Study of Public Attitudes. Family Relations, 52, 161-166. Retrieved May 28, 2009 from JSTOR database.
Full article can be accessed at http://www.jstor.org/stable/3700218.
The above article discusses the findings of a survey study that was conducted to determine public opinion regarding the dissolution or disruption of adoption if the adopted child is found to have severe behavioral issues. 916 people were interviewed over the phone; participants were randomly selected and variables such as geographic location, race, age, sex, marital status, and education level were taken into statistical consideration in the final analysis of survey data.
Although relatively infrequent, the disruption (removal of the child from an adoptive situation prior to finalization of the adoption) or dissolution (termination of an adoption after finalization) of an adoption impacts the child and the adoptive parents alike. The purpose of this study was to gather information about the general public’s attitude towards disruption and dissolution; primarily, the researchers were interested in knowing whether or not people view the cancellation of an adoption due to an adopted child’s behavioral problems as acceptable and permissible. The survey asked the following question: “Once people have adopted a particular child, do you think they should be permitted to change their minds, if the child has severe behavioral problems, or should they be required to keep the child they adopted?” Results showed that 58% of those participants who directly answered this question believed that parents should be required to keep their adopted child in the case of behavioral problems post-adoption, while only 23% believed that parents should be able to change their minds. 12% answered with “it depends” and 6.6% didn’t know or gave no answer. Responses showing support for the right to disrupt or dissolve an adoption were significantly correlated to older age and higher education level of the survey participants; however, sex, race, geographical location, employment, and marital status were not found to have any correlation with survey responses.
INTERNATIONAL ADOPTION

United States started adopting children for other countries just after World War II consisting of mostly European and Japanese orphans. International adoption continued after the war in Greece, as well as the Korean and Vietnam Wars. But there have been other reasons as well as for adopting children from other countries. Sudden poverty and drastic society changes have been the main causes for adoption from Latin America, the former Soviet Union and Eastern Europe over the past twenty years. China has one of the highest adoption rates from the United States caused by the abandonment of infant girls. Even though we adopt from 106 different countries (as of 2001), almost three-quarters of all children come from only five of these countries. Because of all of the international adoption, children in the United States are not being adopted leaving our country with many more orphans than we should.
INTERRACIAL ADOPTION
Interracial adoption is becoming more popular, but can effect on the child and the family. Research has shown that approximately 75% of interracially adopted preadolescent and younger children adjust well in their adoptive homes, and in a 1995 study, interracial adoption was not found to be detrimental for the adoptee in terms of adjustment, self-esteem, academic achievement, peer relationships, parental and adult relationships. Although there may not be any huge psychological effects on a child of an interracial adoption, they may still have a lack of self identity. It is important for the family to show the child that their heritage and culture is respected and is just as important as their own. Parents should teach their child about their culture, so the lack of self identity lessoned and they can build a stronger cultural identity. There has been a controversy about interracial adoption. Some think that a child should be put into a home that has at least one parent who is of the same race, so they are able to form a connection with their own racial or cultural identity. Others think that the race of the family shouldn’t matter, as long as the child given a loving and supportive family they will be okay.
THE PERSPECTIVE OF AN ADOPTED CHILD
The woman that I call “Mom” is my second cousin. When her cousin, my biological mother, gave birth to me she was suffering from bipolar disorder, multiple medical problems, and addictions. She was also homeless. Custody was immediately given to my biological grandmother, and a year and a half later my “Mom” became my legal guardian.
I have always known I was adopted. I have never had to think about it. My adoption was an open adoption. This means that I have always had regular contact with my birth mother and her mother. People always wonder if I would have preferred it to have been the traditional closed kind of adoption. I always say no, and usually I believe that. There are times when it does get a bit confusing. For example, when I was younger and I would visit my birth mother she would always remind me, “Don’t forget I am your mom too”. As a child this confused me, because there was only one person I called Mom, and it wasn’t her. It was also hard when my birth mother passed away six years ago. I felt like I was supposed to be more upset than I was. After all, she was my mother.
Another thing people wonder about me is if I ever had any type of identity dilemmas that people often associate with adopted children. At the end of middle school and the first half of high school I did have a little trouble with it. At the end of middle school people started talking about nationalities and heritage and ethnic backgrounds. Since my legal guardian is related to me by blood I knew a bit about one side of my family, however I have never met my birth father and know absolutely nothing about his background. In high school I also had to make the decision to change my name from the last name of my birth father to that of my legal guardian (in adoptions the names would have been changed at time of adoption, but I was never completely adopted. My birth father never signed the papers to give me up). During this time I had to think a lot about who I was in relation to “Mom” and what my last name meant for me. The state also required that I look for my birth father so that he have the chance to oppose the name change. He never came forward. I still do not know what I would have done if he had.
I would like to adopt. I think this decision has a lot to do with the fact that I am adopted. If I had not been adopted I would be leading a very different life than I am now. I am very lucky, and so happy that my Mom took me in when she did. When I adopt I also plan on participating in an open adoption. Although the openness of my own adoption created a few emotional blips in my life, I believe it was overall a good thing for me to have a relationship with my biological family. It allows the child to have a sense of where they came from. They do not have to wonder where they got certain features, or what kind of hereditary diseases or mutated genes they may have acquired from one side or the other (which is something I think about daily. Not kidding).
Whether or not the adoption is open, I do believe that it is very important the adopted child grows up knowing that they are adopted, and what that means. Being adopted is very much a part of who somebody is, even if it doesn’t have a profound effect on their immediate life. If I had found out that I was adopted when I was 11, I may have had the same thoughts as my classmate, and turned on myself when I learned that I was “messed up”. Children form identities around their families. When a child finds out that they are adopted their idea of their family is suddenly skewed and they are not always able to differentiate adoptive family from biological family which may cause a chasm in the identity of the self.
There are a lot of issues and many discussion topics surrounding adoption. We leave you with these parting gifts, please chose one or two questions to respond to.
DISCUSSION QUESTIONS
1. How would you answer the survey question quoted above? Do you think that the question was aptly worded, or can you think of a different way to phrase it, or perhaps other questions that may have been interesting or relevant to include in the survey?
2. Why do you think the majority of the population is in favor of adoptive parents being required to keep an adopted child? If you hold this same opinion, can you think of any situations in which you might view disruption/dissolution as an acceptable course of action? If you do not hold this opinion, what methods do you think are appropriate for determining whether or not a given situation requires disruption/dissolution?
3. What are the social implications of the survey results? Assuming that public opinion affects myriad aspects of society – anything from public policy to social interaction and individual decisions – what connections do you see between the survey results and the broader social topic of adoption?
4. How do you think we can raise the adoption rates in the United States while continuing to adopt children from other countries when we need to?
5. Interracial adoption has been a big controversy between adoption agencies, racial organizations, and prospective adopting parents. Do you think it should matter weather the child is being adopted into a family of their own or of a different race?
6. Would you ever think about adopting children? If so would it be open or closed? Do you think it is important to tell adopted children their stories early on, or should it wait until they are old enough to really understand? Why?
7. If you were to put a child up for adoption would you perfer to have an open adoption or a closed adoption. What do you beleive are the pros and cons of each kind for both parents and child?
Sunday, March 22, 2009
War and the American Family
With the current war reaching its sixth anniversary this month, many people have forgotten its existence, but we need to remember that there are still families and combatants who are living with this war present in their everyday lives. Going into this project no one in our group really knew about the affects that the war is having on families, so we used this assignment as an opportunity to research more about it. We should remember that we are not the only country in this war, and our families are not the only families dealing with these issues, but for this project we chose to focus on the American family. There are many topics that we could have focused on in relation to the American family, but we chose to research specifically social policy, the affects on children and spouses, and the adjustments of a military member returning home.
SOCIAL POLICY
The military helps support it’s members by granting benefits to those enlisted and their families. The government provides family advocacy, parenting programs, financial management, spouse employment and education aid, and youth programs. These free services give help, strengthen the family dynamic and act as a support system. They also provide legal assistance and free healthcare without co-payments. The military offers families government housing, housing stipends, and/or housing on military bases to ensure they are able to remain stable even when there is constant relocation. This isn’t always the case in that the waiting lists are long for housing, as well as some of the other benefits, and it can take years to get a house. For those whose family member dies in active duty there are survival benefits such a burial compensation and continued access to current benefits. This allows families who have suffered a great loss help financially cope with the death. Other benefits also include discounts on everything from food to airline tickets.
There are also some bills that have been passed that directly affect military families. One is the post 9/11 GI Bill which will pay for college tuition, books, and housing stipends while in school. This allows for the family to advance so that they can be supported financially through furthering their access to higher paying careers. Also there is the Thrift Savings Plan established from the Federal Employees Retirement System Act of 1986. This allows for families to set up retirement funds and 401k so that they can have stability down the road. The last major bill that affects military families directly is The Family Medical Leave Act which Bush amended to include those in the military. A family member can take off work for up to 26 weeks without threat of job loss if their family member is called to active duty or returns from active duty with an injury. This is helpful for the huge adjustment periods of leaving and coming home for military families. This does not include pay which may limit who can use this support.
-Kayla Harding
CHILDREN
Today we are facing a time when our country is dealing with a situation of global conflict and unrest. Because of this, many military personnel are being deployed to foreign countries or different places in the United States. These people are often taken away and separated from their families for long periods of time. Families that have to go through this sort of separation often face challenges and sometimes stress and anxiety. It is a change that impacts a child’s life forever.
For a child it may be harder to adapt to a parent being away at war. There are specific signs that children may possess that are a direct result of this separation. Every age group has certain signs that parents should be aware of. For infants (birth-12 months), they may react to the disruptions in their schedules by eating less, losing weight and being very sensitive. For toddlers (1-3 years), they may be overly sensitive, throw temper tantrums or have problems sleeping. For preschoolers (3-6 years), they become aware that their parent is missing and may be delayed in potty training. They might sleep off schedule, have physical complaints or suck their thumbs. For them it becomes more personal because they might think, “Daddy doesn’t love me” or “Mommy is angry at me, that’s why she is gone.” For school age children (6-12 years), they are aware of the realities to why their parent is away and also know the dangers that go along with it. They may become aggressive and whiny, and fearful that their parent might be injured or die. For teenagers (13-18 years), they may become rebellious, irritable and challenging. Some signs are sexual acting out and drug or alcohol abuse.
These are important signs that people need to recognize when working with children. They can be helped through the situation if proper measures are taken. It is important that people show that they care for these children or the situation will only become worse. There are a few ideas that will hopefully ease the stress for any child dealing with a parent being away at war. Always talk as a family, letting out any anxiety, worries, or feelings that may be going on inside. Always continue family traditions, structure and discipline. Allow the child to communicate with their deployed parent in any way possible. Encourage honesty and never make promises that you cannot keep. These are some things that will hopefully help children get through this rough time.
-Kaitlyn Wechsler
READJUSTMENT INTO FAMILY LIFE
As of last year, more than 55% of soldiers in this war were married and nearly 513,000 soldiers on active duty collectively had more than 493,000 children. This shows how the American family is evolving in relation to this war and how much it affects them, especially when their family member comes home. It is encouraged that family members discuss how they felt about the separation.
According to a study done by Virginia Tech researchers, after holding 14 focus groups with 107 youths to talk about their views of deployment, 42 kids said a military parent’s return led to a tough post-deployment reintegration.
Army Maj. Keith Lemmon, a pediatrician at Madigan Army Medical Center, said, “There’s a lot of attention on the mental health of returning troops, but children and families seem to be receiving less.”
Sylvia Kidd, director of family programs for the Association of the U.S. Army said it takes “about a year to reintegrate into the family.” And about families who experience multiple redeployments, which is very common in this war specifically, she said, “It would be one thing if they were able to spend weeks at home to rebuild that link, but they can’t.” More than a half million people have been deployed two or more times. This increased awareness of the dangers of deployment can wear on the family. As they are trying to reintegrate, they are thinking about when they are going to leave again.
Children’s responses to their parent coming home from war are influenced by their developmental level. Toddlers might not remember the parent well, so they may act shy or strange around them. School-age children may not understand their returning parent’s need to take care of themselves and to spend time with their spouse. Teens might seem distant as they continue their activities with their friends. Children who’ve grown accustomed to the soldier’s absence, naturally turn to the other parent for everything.
Couples might find that the deployment has strained their relationship. Family problems that existed before the deployment usually reappear after they come home. The first week or so is like the honeymoon again, but then couple’s realize that the picture of their family and relationship they had before the deployment is not the same. Coming home is harder than going. Veterans often feel that they are an outsider in their own life.
About 80% of combat veterans who deal with the changes and challenges of coming home will adjust after universal periods of sleeplessness and anxiety, studies show. But a significant 20% of those continue experiencing these difficulties, with PTSD (post-trumatic stress disorder), depression, and alienation. Single soldiers face a less complex situation than those in relationships, but a potentially more isolating one. One study of 88,000 soldiers who had been to Iraq found that after six months, half of those who had shown symptoms of PTSD were free of them, but, there were twice as many new cases.
The rate of PTSD among veterans returning from Iraq range from 12%-20%. The younger the veterans are, the more likely they are to have health conditions. The most prevalent are PTSD, substance abuse, and depression.
In families, you see more marital problems, more behavioral problems in children, more family violence, and the potential for the generational transmission of violence.
This is also the first conflict in which women are serving in combat situations in large numbers. Although there hasn’t been much research on the difference between PTSD in men and women, it has been proven that when men and women are exposed to the same trauma, women are twice as likely to get PTSD.
Many families are also dealing with the return of their family member physically disabled, which poses a different experience on the adjusting family. Most disabled veterans cannot receive medical treatment without a disability claim approval, but the decision on a claim can take up to twelve to fifteen years. Some pending claims go back to the Vietnam era. Many veterans give up in despair or frustration, fall into drug or alcohol dependency, or commit suicide. Even when a claim is approved, they face ongoing problems with care because of long waiting lists due to the dramatic rise in demand for medical care because of the conflicts in Iraq and Afghanistan.
Military families, compared to non-military families, won’t seek out mental health services as much for many reasons. One is that they don’t want to be “found flawed,” even more so than non-military families. When the emotional and behavioral problems become too great, families might reach out to the mental health services of their insurance plans. Many military families experience uneven quality of services, problems of continuity of care, restrictions on the number of mental health sessions, or lack of freedom to choose what they want. Non-military families experience the same issues, but military families have a higher expectation of the quality of their care. They believe that serving and sacrificing for their country permits them better treatment. They feel hurt and disrespected. When these feelings become too painful, they often avoid seeking help altogether.
We must also remember those families who don’t have anyone returning home. Military spouses are usually viewed as hardy, “salt-of-the-earth” type of people who raise resilient children to endure relocations, absent parents, and emotional pain. When the death of a spouse and parent occurs, these families often experience shame in feeling weak, out of control, and emotional. They may feel like they are disappointing their spouse’s or parent’s legacy by crying or being too emotional.
-Whitney Jewett
QUESTIONS
Do you think the government provides enough assistance for military families? How do you think these benefits affect families?
What advice or help would you give to a child that was going through a situation in which a parent was being deployed?
What advice would you give to military members who are returning home, in order to adjust back to family life? What advice would you give to their family members?
SOURCES
http://www.defenselink.mil/militarypay/benefits/militaryben.html
http://www.dol.gov/esa/whd/fmla/ndaaamndmnts.pdf
http://www.nmfa.org/site/PageServer?pagename=home_familymemberbenefits
https://www.achievesolutions.net/achievesolutions/en/boeing/Content.do?contentId=18322
http://www.aacap.org/cs/root/facts_for_families/families_in_the_military
http://www.armytimes.com/community/family/military_kidstress_intro_070904w/
http://www.aacap.org/cs/root/facts_for_families/coming_home_adjustments_for_military_families
http://www.stripes.com/article.asp?section=104&article=60807
http://www.medscape.com/viewarticle/565407
http://www.dralegal.org/cases/Access_to_Veteran_Benefits/VCS_v_VA.php
http://www.ejfi.org/family/family-53.htm
http://www.helpstartshere.org/Default.aspx?PageID=1123
dysfunctional families
Personally, I don’t feel comfortable with the term "dysfunctional families" As we all have leaned in class, a "dysfunctional family" is only defined within the terms of the society which it is present in, and within the context of each family. Regarding the influence of media on the family, I recall us having our very fist blog on a similar topic. Most TV shows today are still fairly based off of the "traditional" family view, but are branching off to encourage more diversity. There are famous shows like My wife and kids and of course we all know The Crosby’s who are primarily directed at African American families yet loved by so many others. While TV shoes such as The Gilmore Girls and Everybody Loves Raymond, and even friends do incorporate more diverse characters, there isnt enough of this diversity of family in the media just yet....
I remember the movie Save The Last Dance, and that really impacted our generation of interracial relationships. I honestly dont watch television, and only am familiar with just a few shows. I think many still have that uncomfortable look/ feeling when seeing interracial couples and Lesbian/Gay couples. I do however strongly believe that hopefully, by the time we are all in our fifties, diversity will be old news, and nothing of discomfort, judgment or Surprise. Since media does have a significant impact on the development of out society, encouraging television shows and movie makes of more diverse characters is critical.
Sabina M.
-written by Taylor Faulkner
Thanks for participating in our blog, from the whole group as well.
Taylor Faulkner
Meredith Gagnon
Justine Gilbane
Jamie Goulart