Senior Peer Counseling
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Senior peer counseling, a.k.a. Peer counseling for seniors, provides
senior citizens Old age refers to ages nearing or surpassing the life expectancy of human beings, and is thus the end of the human biological life cycle, life cycle. Terms and euphemisms for people at this age include old people, the elderly (worldwide usage ...
with a trained volunteer counselor to provide assistance with
emotional support Emotions are mental states brought on by neurophysiological changes, variously associated with thoughts, feelings, behavioral responses, and a degree of pleasure or displeasure. There is currently no scientific consensus on a definition. E ...
and encouragement to those who are experiencing life changes that often accompany
aging Ageing ( BE) or aging ( AE) is the process of becoming older. The term refers mainly to humans, many other animals, and fungi, whereas for example, bacteria, perennial plants and some simple animals are potentially biologically immortal. In ...
. Seniors typically use counseling to discover ways to deal with
grief Grief is the response to loss, particularly to the loss of someone or some living thing that has died, to which a bond or affection was formed. Although conventionally focused on the emotional response to loss, grief also has physical, cogni ...
, loss, physical limitations, financial issues, mild depression, family relationships,
loneliness Loneliness is an unpleasant emotional response to perceived isolation. Loneliness is also described as social paina psychological mechanism which motivates individuals to seek social connections. It is often associated with a perceived lack ...
, isolation, housing situations,
anxiety Anxiety is an emotion which is characterized by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different than fear in that the former is defined as the anticipation of a future threat wh ...
, change in
cognitive function Cognitive skills, also called cognitive functions, cognitive abilities or cognitive capacities, are brain-based skills which are needed in acquisition of knowledge, manipulation of information and reasoning. They have more to do with the mechanisms ...
, and
care giving A caregiver or carer is a paid or unpaid member of a person's social network who helps them with activities of daily living. Since they have no specific professional training, they are often described as informal caregivers. Caregivers most commo ...
for a spouse.


Origin

The original idea of Senior Peer Counseling was developed in 1977 by Evelyn Freeman, Ph.D. (1917–2013). She first created a program called Senior Health and Peer Counseling of
Santa Monica, California Santa Monica (; Spanish language, Spanish: ''Santa Mónica'') is a city in Los Angeles County, California, Los Angeles County, situated along Santa Monica Bay on California's South Coast (California), South Coast. Santa Monica's 2020 United Sta ...
. In 1986 in collaboration with others, she produced "Peer Counseling for Seniors: A Trainer's Guide". As a result, various groups utilized her trainer's guide and Senior Peer Counseling programs became available in many California counties as well as in South Carolina, Colorado, Oregon, New Mexico, and Washington. The program is also available in Europe, Canada, and Japan. Sponsorship of the program in those locations comes from county health services, interfaith councils, senior citizen advocacy groups, and non-profit organizations. These Senior Peer Counseling programs vary widely in their methods, and no one program is alike. However, they all operate in the spirit of Evelyn Freeman's vision of Senior Peer Counseling. In addition, even though no two programs are exactly alike, there is an organization called the American Association of Senior Peer Counseling that tries to bring together all of the various Senior Peer Counseling agencies to share opportunities for networking and information.


Program design characteristics

In general, Senior Peer Counseling volunteers are trained to provide one-on-one, (counselor and client) confidential counseling to other persons 50 years of age or older. The counseling sessions are
goal-oriented Goal orientation, or achievement orientation, is an "individual disposition towards developing or validating one's ability in achievement settings". In general, an individual can be said to be ''mastery'' or ''performance'' oriented, based on whethe ...
or supportive and are in general one hour per week. The sessions are held in the client's home, a senior citizen center, or another confidential setting and are closely supervised by professionals, i.e., psychologists, marriage and family therapists, or social workers, who intervene, as appropriate, with suggestions about how to handle situations with clients or to provide resources. Confidentiality is only broken in exceptional circumstances, such as when there is suspected
child A child ( : children) is a human being between the stages of birth and puberty, or between the developmental period of infancy and puberty. The legal definition of ''child'' generally refers to a minor, otherwise known as a person younger ...
or
elder abuse Elder abuse (also called "elder mistreatment", "senior abuse", "abuse in later life", "abuse of older adults", "abuse of older women", and "abuse of older men") is "a single, or repeated act, or lack of appropriate action, occurring within any rela ...
or when the client reports he or she is at risk of
suicide Suicide is the act of intentionally causing one's own death. Mental disorders (including depression, bipolar disorder, schizophrenia, personality disorders, anxiety disorders), physical disorders (such as chronic fatigue syndrome), and s ...
,
homicide Homicide occurs when a person kills another person. A homicide requires only a volitional act or omission that causes the death of another, and thus a homicide may result from accidental, reckless, or negligent acts even if there is no inten ...
, or grave disability. In these events, counselings have specific reporting instructions to assure the safety of everyone concerned. Referrals to Senior Peer Counseling programs are often made by
Adult Protective Services In the United States, Adult Protective Services (APS) are social services provided to abused, neglected, or exploited older adults and adults with significant disabilities. APS is typically administered by local or state health, aging, or regulator ...
agencies, home health workers, hospitals,
social work Social work is an academic discipline and practice-based profession concerned with meeting the basic needs of individuals, families, groups, communities, and society as a whole to enhance their individual and collective well-being. Social work ...
ers, registered nurses,
senior housing A retirement home – sometimes called an old people's home or old age home, although ''old people's home'' can also refer to a nursing home – is a multi-residence housing facility intended for the elderly. Typically, each person or couple i ...
, or other agencies serving senior citizens. Elders may become aware of the program through postings in senior citizen centers, senior housing, or other agencies serving senior citizens, and may self-refer into the program.


Effectiveness

Seniors counseling can maybe be effective because the counselors often have had life experiences similar to their clients. In contrast, professional counselors may unintentionally create a power imbalance with older clients unfamiliar with formal counseling and many senior clients will not seek formal counseling due to cost or perceived stigma. Senior peer counseling programs, therefore, may provide a more comfortable and supportive environment for the client. In 2010–2011, Applied Survey Research (ASR) conducted a study of 43 senior peer counseling clients in
San Mateo County, California San Mateo County ( ), officially the County of San Mateo, is a county (United States), county located in the U.S. state of California. As of the 2020 United States Census, 2020 census, the population was 764,442. Redwood City, California, Redwoo ...
. The study concluded that the clients had discussed personal issues in their lives more often with their senior peer counselors than with anyone else including family, friends, and neighbors. The study also found that 75% of the clients had reported the senior peer counseling had "helped a lot", especially with their concerns about food, health, loneliness, and sadness. Twenty-three percent reported it had "helped a little bit" and 3% reported it "had not helped at all".


See also

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Peer Support Peer support occurs when people provide knowledge, experience, emotional, social or practical help to each other. It commonly refers to an initiative consisting of trained supporters (although it can be provided by peers without training), and can ...
*
Peer Mentoring Peer mentoring is a form of mentorship that usually takes place between a person who has lived through a specific experience (peer mentor) and a person who is new to that experience (the peer mentee). An example would be an experienced student being ...


External links

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Contra Costa County,CA
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Placer County,CA
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El Dorado County,CA


References

{{reflist Counseling