Currently, the United States is in crisis with record numbers of homeless or individuals who face inadequate living conditions. Research shows that there is a direct link between the rise of poor living environments and the overall health of a country's population. This awareness is now being addressed by the federal government's re-evaluation of health insurance coverage. The medical and social work professions are looking at alternative delivery models focused on interdisciplinary teams to humanize health care. The paradigms of cultural humility and transformative complicity are offered as important interventions to achieve this goal by strengthening hospital/community engagement. Whereas cultural humility addresses the power imbalance between health provider and patient, transformative complicity attends to our participation in inequity. Taking appropriate action increases our positive transformative potential leading toward more culturally and systemically responsive health care delivery. The case of "Hattie," an elderly African American woman, is discussed to portray actual and recommended interventions.
This article highlights social work, critical thinking, and an ethic of care in geriatric teamwork to promote generativity and the well-being of LatinX elderly. We offer the tripartite paradigm of cultural humility, transformative complicity, and empowerment to reduce power imbalances between service providers, elderly persons, and their communities. A force field analysis considers the Patient Protection and Affordable Care Act (PPAC) and Accountable Care Organizations (ACO) to understand the restraining and driving forces affecting the institutionalization of inter/transdisciplinary teams. Effective evidence-based models that humanize geriatric services are offered to counter the current biomedical emphasis of Medicare/Medicaid policies and less-than-responsive geriatric institutional and educational systems. We highlight Bloom and Farragher’s Sanctuary Model of compassionate and democratic practices to address the negative effects of moral entrepreneurship and ageism. The case of Florence, an LGBTQ (lesbian, gay, bisexual, trans, and questioning) grandparent with multiple health issues, is analyzed from biomedical, person in the environment, and a strength-based perspective.
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