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Difficulties experienced by care managers who are care workers managing elder abuse cases in the Japanese long-term care insurance system
Author(s)Sjizuko Omote, Kazuko Saeki, Akemi Sakai
Journal titleHealth and Social Care in the Community, vol 15, no 6, November 2007
Pagespp 569-576
Sourcehttp://www.blackwellpublishing.com/hsc
KeywordsElder abuse ; Management [care] ; Social workers ; Health insurance ; Japan.
AnnotationThe purpose of the present study is to describe the difficulties perceived by care managers in Japan when managing care in cases of abuse of elderly people in the home. Participants (n=21) were female care managers who had handled an abuse case while working for an in-home care management service provider. Interview data were collected from 2004-2005 and analysed according to the grounded theory approach. Seven categories and one core category of difficulties were extracted from the data. The core category was 'tacit control of care management by the abusive caregiver'. The other categories were as follows: the terrible situation of the people abused cannot be ignored; the long term care insurance service is the only support for abuse people; the abusive caregiver has the authority to cancel the contract; concerns that intervention might increase abuse; prioritising how to deal with the abuser rather than the abuse is unavoidable; the abusive caregiver deciding the needs of the individual requiring care; and creating a care plan that is acceptable to the caregiver. Therefore, the present results suggest the necessity of not only treating the role of care managers as an important position within the care system that deals with elder abuse, but also highlight the need to establish a system that supports care managers in order to promote appropriate care management. (KJ).
Accession NumberCPA-071122211 A
ClassmarkQNT: QA: QR: WPG: 7DT

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