Social Health Education with Older Women


BY GRACE HODGINS

This article is about an innovative, educational programme designed for, and in collaboration with, older women. The Social Health Outreach Programme (SHOP) has helped middle-aged and older women increase their sense of self through a strengthening of their personal and social resources. SHOP provides an educational model which can inform program planning initiatives geared toward increasing the independence and self-esteem of older women.

SHOP originated as a program of the First Mature Women's Network Society in Vancouver, Canada. Dr. Beverly Burnside, one of the society's founding members, initiated SHOP as a means of addressing the depression evident in many women seeking membership. She developed and tested SHOP as a social 'treatment' for depression. Burnside (1990) has authored two comprehensive SHOP manuals which are geared to both leaders and participants. One is a background resource manual and the other is a leader's 'how to' guide. These manuals provide a wealth of useful information relevant for those planning educational programs for older women.

Although SHOP originated as a social therapy for depressed women, it can be readily adapted to a wide range of groups. I had the opportunity to modify the basic SHOP format and conduct two 20 session programs with a total of 15 women aged 58 to 76. This article outlines the aims and content of my version of SHOP. In addition, I will highlight program features which, in my view, contribute most to its effectiveness as an educational program for older women.

The Rationale for SHOP
SHOP is based on two main premises. The first is that all people have a basic need to identify themselves as valued members of society. Value or status is conferred through achieved, rather than ascribed, roles. Those who lack opportunities to participate in achievement roles have a vulnerable social identity (Sarbin, 1970). Helping participants achieve a healthy social identity is the aim of SHOP.

The second premise buttressing SHOP is that a large personal social network, with ties to the wider community, will contribute to a healthy social identity.

Un programme éducatif destiné aux femmes d'un certain âge

Cet article met en relief le bien-fondé, les objectifs et le contenu d'un programme éducatif destiné aux femmes d'un certain âge. Le Social Health Outreach Program (Programme d'extension sur la santé sociale), qu'a élaboré Beverley Burnside, vise a aider les femmes à prendre conscience de leur valeur personnelle et à exercer un contrôle plus grand sur leur vie. Ce programme repose sur une idée clé : chaque personne a fondamentalement besoin de croire qu'elle est précieuse à la société. Le but du programme est d'aider les femmes d'un certain âge à se doter d'une identité sociale nette en consolidant leurs réseaux de soutien personnels.

Grace Hodgins a dirigé un atelier de vingt séances s'inspirant de ce programme. Parmi les sujets abordés, citons :Qu'est-ce que la santé sociale?; Optiques divergentes sur les causes de démoralisation et dépression; insomnies; les médicaments, les précautions à prendre et les problèmes de sécurité. Les participantes se sont "réoutillees" en acquerant ou en affûtant certaines compétences (résolution de problèmes et savoir communiquer dans une situation difficile, par exemple).

Grace Hodgins estime que le programme est un outil éducatif précieux car il aide les femmes d'un certain âge à tirer parti de leurs propres expériences pour se doter de nouvelles compétences, lier des amitiés et créer les réseaux sociaux dont elles ont besoin pour se sentir bien et exercer un contrôle plus grand sur leur vie.



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