TY  - JOUR
PY  - 2005//
TI  - A clash of cultures: Rural values and service delivery to mistreated and neglected older people in Eastern Canada
JO  - Practice
A1  - VanderPlaat, Madine
A1  - Karabanow, Jeff
A1  - Coughlan, Stephen
A1  - Harbison, Joan
SP  - 229
EP  - 246
VL  - 17
IS  - 4
N2  - There is considerable evidence to suggest that older people living in situations of mistreatment and neglect are reluctant to accept help. This is attributed to the high value that older generations place on their privacy and family integrity, and on their ability to cope and remain in charge of their lives. These values are particularly strong in rural communities. The paper explores the challenges these cultural norms pose for formal and informal helpers. The discussion is illustrated by the findings of a study of service delivery in rural Eastern Canada. The study revealed that the efforts of formal and informal helpers to accommodate older people's cultural norms, and respond to what they want, are frequently successful. However, this help is continually under threat from the centralisation and rationalisation of service delivery, as well as an increasing focus on the potential for litigation resulting from harm to clients or helpers. The implications of these findings for practice are discussed.<p /> 
LA  - 
SN  - 0950-3153
UR  - http://dx.doi.org/10.1080/09503150500425091
ID  - ref1
ER  -