老化与照护:失能老人的长照困境与社会工作服务——基于B市Y社区的调查

Aging and Care:Dilemma of Long-term Care for the Disabled Elderly and Social Work Service:Based on a Survey in the Y Community City B

失能老人养老服务除了面临经济、身体等方面的沉重负担,还面临心理、情绪、观念等方面的负面影响。既有照顾者与被照顾者之间的双向压力,也有政府、社区、机构之间的供给缺位,也存在养老需求与长期照护现实之间的矛盾,还存在社会支持缺失与个体无法增能的双重窘境。基于社会工作助人的专业视角,探索夯实以居家养老为基础的家庭照护、加强社区老年照护服务、转型升级医养结合服务新模式的长照策略,达成失能老人老化态度转变、老年人力资源活化、照护资源有效整合的增能预期,实现"就地老化"和"成功老化"。

Care for elders with disabilities faces not only the economic and physical burden,but also the negative psychological,emotional,conceptual and other negative effects,including the two-way pressure between the caregiver and the person being cared for.There is also a gap between the supply of government,communities and institutions.There is not only the contradiction between the demand for the aged and long-term care reality,but also the double dilemma of the lack of social support and the inability of individuals to enhance their abilities.Based on the professional perspective of social work,this paper explores the long-term care strategy of ramming family care based on providing for the aged at home,strengthening community care services for the elderly,transforming and upgrading the new mode of combined medical care and nursing services.To realize the expectation of changing the aging attitude of the disabled elderly,activating the elderly human resources and effectively integrating the care resources,and to realize"Aging in Place"and"successful aging".