Supporting Independent Living Through Interdisciplinary Service Learning
The Community Collaborative Model
DOI:
https://doi.org/10.18060/24056Keywords:
Service-learning, interdisciplinary, independent livingAbstract
Service learning within independent living facilities may be a highly effective means to address the service gaps that challenge older adults and people who are disabled. We present a new approach to service learning by leveraging opportunities for community–university partnerships. The Community Collaborative Model (CCM) represents synergy between organized independent living and higher education at Arizona State University and led by the School of Social Work. The CCM is a unique collaborative service learning program aligned with current thinking about independent living, supportive services, and community-based service learning. We share lessons learned from the challenges of establishing this program, which included institutional hurdles, maintaining adequate physical space, student-focused planning, varying levels of preparedness, and stigma related to service use. In conclusion, we recommend means to (1) build interprofessional teams, (2) seek support and commitment of faculty partners, (3) ensure sustainability via community liaisons and clinical supervisors, and (4) create space for reflective practice.
References
Administration for Community Living. (2018). 2018-2023: Long-range plan for the National Institute on Disability, Independent Living, and Rehabilitation Research. U.S. Department of Health and Human Services, Administration on Aging. https://acl.gov/sites/default/files/about-acl/2019-01/NIDILRR%20LRP-2018-2023-Final.pdf
Bonifas, R. P. (2019, January 18). Addressing the Grand Challenge of social isolation among older adults in subsidized housing [Symposium]. Society of Social Work Research’s 23rd Annual Conference, San Francisco, CA. https://sswr.confex.com/sswr/2019/webprogram/Paper34205.html
Bonifas, R. & Garbe, R. (2017, August 21-22). Leveraging interprofessional education to address gaps in meeting health and social services needs in subsidized community housing [Workshop]. National Center for Interprofessional Practice and Education’s 2017 Nexus Summit, Minneapolis, MN. https://nexusipe-resource-exchange.s3.amazonaws.com/Leveraging%20Interprofessional%20Education%20to%20Address%20Gaps%20in%20Meeting%20Health%20and%20Social%20Services%20Needs%20in%20Independent%20Subsidized%20Community%20Housing.pdf
Cacioppo, J., Hawkley, L., Norman, G., & Berntson, G. (2011). Social isolation. Annals of the New York Academy of Sciences, 1231(1), 17-22. https://doi.org/10.1111/j.1749-6632.2011.06028.x
Castle, N. G. (2001). Relocation of the elderly. Medical Care Research and Review, 58(3), 291-333. https://doi.org/10.1177%2F107755870105800302
Clark, F., Jackson, J., Carlson, M., Chou, C. P., Cherry, B. J., Jordan-Marsh, M., Knight, B. G., Mandel, D., Blanchard, J., Granger, D. A., Wilcox, R. R., Lai, M. Y., White, B., Hay, J., Lam, C., Marterella, A., & Azen, S. P. (2012). Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: Results of the Well Elderly 2 Randomised Controlled Trial. Journal of Epidemiology Community Health, 66(9), 782-790. https://doi.org/10.1136/jech.2009.099754
Cress, C., Collier, P., & Reitenauer, V. (2005). Learning through serving a student guidebook for service learning across the disciplines. Stylus Publishing.
Fixsen, D. L., Blase, K. A., Naoom, S. F., & Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19(5), 531-540. https://doi.org/10.1177/1049731509335549
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. https://nirn.fpg.unc.edu/resources/implementation-research-synthesis-literature
Gibson, M., Hauf, P., Long, B. S., & Sampson, G. (2011). Reflective practice in service learning: Possibilities and limitations. Education+ Training, 53(4), 284-296. https://doi.org/10.1108/00400911111138451
Herbert, C., & Molinsky, J. (2019). What can be done to better support older adults to age successfully in their homes and communities? Health Affairs (Project Hope), 38(5), 860-864. https://doi.org/10.1377/hlthaff.2019.00203
Holt-Lunstad, J., Smith, T., & Layton, J. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), 1-20. https://doi.org/10.1371/journal.pmed.1000316
Hyde, C. A., & Meyer, M. (2004). A collaborative approach to service, learning, and scholarship: A community-based research course. Journal of Community Practice, 12(1-2), 71-88. https://doi.org/10.1300/J125v12n01_06
Kirchner, J. E., Smith, J. L., Powell, B. J., Waltz, T. J., & Proctor, E. K. (2020). Getting a clinical innovation into practice: An introduction to implementation strategies. Psychiatry Research, 283, 1-7. https://doi.org/10.1016/j.psychres.2019.06.042
Krout, J. A., Bergman, E., Bianconi, P., Caldwell, K., Dorsey, J., Durnford, S., Erikson, M.A., Lapp, J., Monroe, J. E., Porgozala, C., & Taves, J. V. (2010). Intergenerational service learning with elders: Multidisciplinary activities and outcomes. Gerontology & Geriatrics Education, 31(1), 55-74. https://doi.org/10.1080/02701960903578329
Krout, J. A., & Pogorzala, C. H. (2002). An intergenerational partnership between a college and congregate housing facility: How it works, what it means. Gerontologist, 42(6), 853-858. https://doi.org/10.1093/geront/42.6.853
Lubben, J. E. (1988). Assessing social networks among elderly populations. Family & Community Health: The Journal of Health Promotion & Maintenance, 11(3), 42-52. https://psycnet.apa.org/doi/10.1097/00003727-198811000-00008
McHorney, C. A., Ware, J. E., Jr., Lu, J. F., & Sherbourne, C. D. (1994). The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical Care, 32(1), 40-66. https://doi.org/10.1097/00005650-199401000-00004
McReynolds, J. L., & Rossen, E. K. (2004). Importance of physical activity, nutrition, and social support for optimal aging. Clinical Nurse Specialist, 18(4), 200-206. https://doi.org/10.1097/00002800-200407000-00011
Miller, R., Michener, J., Yang, P., Goldstein, K., Groce-Martin, J., True, G., & Johnson, J. (2017). Effect of a community-based service learning experience in geriatrics on internal medicine residents and community participants. Journal of the American Geriatrics Society, 65(9), E130-E134. https://doi.org/10.1111/jgs.14968
Muramatsu, N., Yin, H., & Hedeker, D. (2010). Functional declines, social support, and mental health in the elderly: Does living in a state supportive of home and community-based services make a difference? Social Science & Medicine, 70, 1050-1058. https://dx.doi.org/10.1016%2Fj.socscimed.2009.12.005
Nosek, M. A., Zhu, Y., & Howland, C. A. (1992). The evolution of independent living programs. Rehabilitation Counseling Bulletin, 35(3), 174-189.
Oakes, C. E. & Sheehan, N.W. (2014). Students’ perceptions of a community-based service learning project related to aging in place, Gerontology & Geriatrics Education, 35(3), 285-296. https://doi.org/10.1080/02701960.2014.907158
Okpych, N. (2015). Receipt of independent living services among older youth in foster care: An analysis of national data from the U.S. Children and Youth Services Review, 51, 74-86. http://dx.doi.org/10.1016/j.childyouth.2015.01.021
Perkins, D. D., Florin, P., Rich, R. C., Wandersman, A., & Chavis, D. M. (1990). Participation and the social and physical environment of residential blocks: Crime and community context. American Journal of Community Psychology, 18(1), 83-115. https://doi.org/10.1007/BF00922690
Roodin, P., Brown, L. H., & Shedlock, D. (2013). Intergenerational service learning: A review of recent literature and directions for the future. Gerontology & Geriatrics Education, 34(1), 3-25. https://doi.org/10.1080/02701960.2012.755624
Rossen, E. K., & Knafl, K.A. (2003). Older women’s response to residential relocation: Description of transition styles. Qualitative Health Research, 13, 20-36. https://doi.org/10.1177/1049732302239409
Rossen, E., & Knafl, K. (2007). Women’s well-being after relocation to independent living communities. Western Journal of Nursing Research, 29(2), 183-199. https://doi.org/10.1177%2F0193945906292539
Russell, D., Peplau, L. A., & Ferguson, M. L. (1978). Developing a measure of loneliness. Journal of Personality Assessment, 42(3), 290-294. https://doi.org/10.1207/s15327752jpa4203_11
Seif, G., Coker-Bolt, P., Kraft, S., Gonsalves, W., Simpson, K., & Johnson, E. (2014). The development of clinical reasoning and interprofessional behaviors: Service learning at a student-run free clinic. Journal of Interprofessional Care, 28(6), 559-564. https://doi.org/10.3109/13561820.2014.921899
Seifer, S. D. (1998). Service learning: Community-campus partnerships for health professions education. Academic Medicine: Journal of the Association of American Medical Colleges, 73(3), 273-277. https://doi.org/10.1097/00001888-199803000-00015
Townley, G., Miller, H., & Kloos, B. (2013). A little goes a long way: The impact of distal social support on community integration and recovery of individuals with psychiatric disabilities. American Journal of Community Psychology, 52(1-2), 84-96. https://doi.org/10.1007/s10464-013-9578-2
White, G., Simpson, J., Gonda, C., Ravesloot, C., & Coble, Z. (2010). Moving from independence to interdependence: A conceptual model for better understanding community participation of centers for independent living consumers. Journal of Disability Policy Studies, 20(4), 233-240. https://doi.org/10.1177%2F1044207309350561
Xiao, H., Yoon, J. Y., & Bowers, B. (2016). Living arrangements and quality of life: Mediation by physical function and depression. Western Journal of Nursing Research, 38(6), 738-752. https://doi.org/10.1177/0193945915621260
