Family Caregiving to the Older Population: Background, Federal Programs, and Issues for Congress

[Excerpt] Family caregiving to older individuals in need of long-term care encompasses a wide range of activities, services, and supports. Caregiving can include assistance with personal care needs, such as bathing, dressing, and eating, as well as other activities necessary for independent living, such as shopping, medication management, and meal preparation. In addition, family caregivers may arrange, supervise, or pay for formal or paid care to be provided to the care recipient. Family caregivers fulfill the majority of the need for long-term care by older persons with chronic disabilities in the United States. As a result of increases in life expectancy, as well as the aging of the baby-boom generation, demand for family caregiving to the older population is likely to increase. However, demographic trends such as reduced fertility, increased divorce rates, and greater labor force participation among women may limit the number of available caregivers to older individuals, as well as the capacity for caregivers to provide needed care. Although many family caregivers find caregiving for an older family member a rewarding experience, other life circumstances, in addition to caregiving, may increase caregiver stress. For example, family members may not live in close proximity to the care recipient, they may face the competing demands of child care and elder care, and they may have to manage work with caregiving responsibilities. As a result, family caregiving can lead to emotional and physical strain and financial hardship. These effects are more likely to be felt among those caring for persons with high levels of disability or cognitive impairment. Caregiver stress has been linked to nursing home admission for the care recipient, thus interventions that can reduce stress may also reduce nursing home placement. Recognizing family caregivers as an important part of the nation\u27s long-term care delivery system, the federal government has established programs and initiatives that provide direct supports to caregivers, such as respite care, education and training, tax relief, and cash assistance. These benefits are targeted at family caregivers to reduce stress and financial hardship, and to improve caregiving skills, among other things. Other federal programs and initiatives provide home- and community-based long-term care services and supports to the care recipient. These programs can indirectly benefit caregivers in relieving caregiver burden by either supplementing the informal care they are providing or substituting with paid support. Three sets of policies that would provide direct assistance to family caregivers to older adults are briefly discussed in the last section of this report. These policy issues, which have been the subject of discussion among federal policymakers and other interested stakeholders, include the following: caregiver services and supports, flexible workplace accommodations and income security, and additional tax credits. This report will be updated as warranted

Rape myth acceptance, victim blame attribution and Just World Beliefs: a rapid evidence assessment

Background: Rape is underreported, potentially because individuals self-blame and/or are blamed by others. Research predominantly illustrates male-perpetrated stranger-rape of females; thus, there may be a perception that rape myth acceptance (RMA) and victim-blaming are most prevalent in males. The purpose of this rapid evidence assessment was to investigate the availability of high-quality research into the effects of Just World Beliefs, perpetrator/victim gender, and stranger- and acquaintance/marital-rape scenarios on victim-blaming and RMA. Methods: Several electronic databases were searched for empirical papers using terms including: ‘victim blame’, ‘rape myth acceptance’, ‘Just World Beliefs’, ‘type of rape’ and ‘gender’. Gough's (2007) weight of evidence framework was used to assess quality prior to inclusion. Findings: Studies retained after filtering and quality assessment suggested that RMA was predictive of victim-blaming with both male and female ‘victims’. Rape myth acceptance is more prevalent in males even in male ‘victim’ scenarios, and Just World Belief was positively associated with RMA. Greater victim-blaming was attributed in stranger- vs. acquaintance-rape scenarios. Discussion: There are no absolute conclusions regarding the role of gender or situational factors and rape-supportive/victim-blaming attitudes. Further empirical research is required to understand the prevalence of RMA in perceptions of marital rape and, particularly, homosexual marital rape

Vacuum energy, spectral determinant and heat kernel asymptotics of graph Laplacians with general vertex matching conditions

We consider Laplace operators on metric graphs, networks of one-dimensional line segments (bonds), with matching conditions at the vertices that make the operator self-adjoint. Such quantum graphs provide a simple model of quantum mechanics in a classically chaotic system with multiple scales corresponding to the lengths of the bonds. For graph Laplacians we briefly report results for the spectral determinant, vacuum energy and heat kernel asymptotics of general graphs in terms of the vertex matching conditions.Comment: 5 pages, submitted to proceedings of QFEXT09, minor corrections made

Nonvacuum pseudoparticles, quantum tunneling and metastability

It is shown that nonvacuum pseudoparticles can account for quantum tunneling and metastability. In particular the saddle-point nature of the pseudoparticles is demonstrated, and the evaluation of path-integrals in their neighbourhood. Finally the relation between instantons and bounces is used to derive a result conjectured by Bogomolny and Fateyev.Comment: Latex, 16 pages, no figure

Distribution of solar wind implanted noble gases in lunar samples

The distribution of solar wind implanted noble gases in lunar samples depends on implantation energy, fluence, diffusion, radiation damage and erosion. It is known that at least the lighter rare gases are fractionated after implantation, but the redistribution processes, which mainly drive the losses, are not well understood. Some information about this one can get by looking at the concentration profiles of solar wind implanted He-4 measured by the Gas Ion Probe in single lunar grains. The observed profiles were divided in three groups. These groups are illustrated and briefly discussed