BOOK
Supporting Older People Using Attachment-Informed and Strengths-Based Approaches
(2018)
Additional Information
Book Details
Abstract
The significance of attachment theory for working with older people has been overlooked, and yet its importance is clear - evident in the experiences of people who struggle to adapt to new ways of living, to life with limiting health conditions, or to new social networks.
This book explains how an understanding of attachment theory can empower health and social care staff, and improve the care of older people. It also serves as an accessible introduction to strengths-based working, covering principles and practice as well as key practice issues such as positive risk-taking, supporting people with dementia, working in end of life settings and working with whole families.
With in-depth case studies depicting a broad span of experiences and easy to use tools for practice, this practical guide serves as an essential guide for all staff supporting older adults.
This hands-on guide will help frontline workers convert this policy vision into practice.
This is a really important and timely book. It's essential that we inject the humanity back into our caring relationships, formal and informal. Too much attention is given to the architecture of care; rules regulations, protocols. Too little is done to support carers and care workers to foster the essential and deeply human relationships we'd like to see. Far to little understanding and recognition about how we as humans can be best engaged to bring our empathy, humanity and kindness to the fore. Blood and Guthrie draw on solid evidence to demonstrate why we have to change our culture around care, it's not about 'them' it's about all of 'us'. If we want care to be kind we have to make the system around it kind. Until we fully recognise the relational and human aspect to care we will continue to fail to create the conditions for kind of care we want for our loved ones and indeed ourselves. Bravo!
John Kennedy, Independent Consultant and Commentator in Adult Social Care
Applying attachment theory to close relationships in later life is still a neglected topic (I say that with some experience because it was the subject of my PhD, and it was just as neglected then). This book goes a long way to stress the importance of recognising that attachment processes carry on until the end of life, when the loss of key attachment figures is more and more frequent. By introducing 'strength-based' and other contemporary ideas closely connected with attachment theory and research the authors have produced a very relevant and readable volume for practitioners from all disciplines.
Professor David Shemmings OBE PhD, Director of the Attachment and Relationship-Based Practice Project
This book is an essential read for practitioners, supervisors, researchers and educators concerned with working with older adults. Attachment theory is about all of us, across the whole of our lives. Imogen Blood and Lydia Guthrie have written a richly rewarding and comprehensive volume, providing profound and useful insights and ideas for working systemically, holistically and humanely with older people.
Clark Baim, Senior Trainer, Supervisor and Psychotherapist
Imogen Blood is a qualified social worker with experience in research and policy on older people's housing, care and support. She is the Director of Imogen Blood & Associates Ltd., in Manchester, UK.
Lydia Guthrie is a qualified social worker and systemic practitioner who specialises in applying attachment theory in social work and mental health settings. She is Co-Director at Change Point Learning Ltd., and is based in Oxford, UK.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Supporting Older People Using Attachment-Informed and Strengths-Based Approached by Imogen Blood and Lydia Guthrie | 3 | ||
Acknowledgements | 9 | ||
Preface | 11 | ||
Attachment-based practice and strengths-based practice: the ethos of this book | 11 | ||
Do we need a book about ‘older people’? | 12 | ||
The organisation of this book | 13 | ||
1. An Introduction to Strengths-Based Practice with Older People | 15 | ||
Jakob’s story | 15 | ||
Policy and legal context for a strengths-based approach | 17 | ||
Principles of strengths-based practice | 19 | ||
Conclusion | 32 | ||
2. Introduction to Attachment Theory | 34 | ||
The Dynamic-Maturational Model of attachment and adaptation (DMM) | 34 | ||
How babies develop attachment strategies | 39 | ||
The development of attachment strategies | 42 | ||
The development of attachment strategies beyond infancy | 45 | ||
How can attachment theory be useful when working with older people? | 48 | ||
Further reading | 54 | ||
3. Working with the Whole Family | 55 | ||
Caregiving and family relationships | 57 | ||
Attachment patterns within families | 58 | ||
Interactional patterns within families | 59 | ||
Attachment and caregiving | 62 | ||
Practical ideas for supporting families using attachment and strengths-based approaches | 73 | ||
4. A Good Life in Care | 76 | ||
What does a ‘good life in care’ mean to older people living in care homes? | 77 | ||
How can we apply the seven principles of strengths-based practice in care home settings? | 83 | ||
How do good homes create a good life? | 88 | ||
5. Maintaining Connections and Interests | 100 | ||
Introduction | 100 | ||
Loneliness: an overview | 101 | ||
Identifying lonely individuals | 102 | ||
Understanding an individual’s loneliness | 104 | ||
Supporting older people out of loneliness using strengths-based approaches | 106 | ||
Supporting access to mainstream clubs and activities | 114 | ||
6. Positive Risk-Taking | 117 | ||
Introduction | 117 | ||
Older people and risk-taking | 121 | ||
Family members’ attitudes to risk | 124 | ||
Professionals, risk and older people | 127 | ||
Conclusion | 144 | ||
7. End of Life and Bereavement | 148 | ||
The ‘medicalisation’ of end of life | 148 | ||
What do we know about what matters most to people at end of life? | 149 | ||
How can attachment theory help us to support people at the end of life? | 150 | ||
Attachment-informed care at the end of life | 153 | ||
Supporting families and individuals through bereavement: an attachment-informed approach | 156 | ||
A strengths-based approach to end of life care | 159 | ||
Using attachment- and strengths-based approaches to support people with dementia at the end of life | 163 | ||
Supporting families through bereavement | 166 | ||
Considering the needs of staff members | 167 | ||
Resources | 168 | ||
8. Reflective Supervision, Staff Wellbeing, and Strengths-Based Leadership | 169 | ||
Introduction | 169 | ||
Low pay in the care sector | 170 | ||
Emotional labour, relationship-based practice and ‘burnout’ | 172 | ||
Supporting relationships at an organisational level | 174 | ||
Supporting relationships at a personal level: attachment theory and wellbeing | 179 | ||
Supervision | 182 | ||
Strengths-based leadership | 187 | ||
Reviewing assessment processes in an adult social care team | 188 | ||
Resources | 192 | ||
9. Tools | 193 | ||
Tool 1: Using the resilience wheel | 193 | ||
Tool 2: The art of asking questions | 195 | ||
A problem-/deficit-focused conversation | 198 | ||
A strengths-based/solution-focused version of the conversation | 199 | ||
Tool 3: The behaviour, pattern and function triangle | 200 | ||
Tool 4: Family tree | 202 | ||
Tool 5: My world | 204 | ||
Tool 6: Life story work | 206 | ||
Tool 7: Motivational interviewing | 210 | ||
Tool 8: Circles of support | 217 | ||
Tool 9: Positive Risk-Taking | 220 | ||
Tool 10: Tools to support supervision: writing a contract and setting the agenda | 224 | ||
Tool 11: Tools to support supervision: promoting reflection in supervision and team meetings | 226 | ||
References | 230 | ||
Subject Index | 240 | ||
Author Index | 244 | ||
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