Dr. Vaughn A. DeCoster

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Addressing the Psychosocial Challenges of Type 2 Diabetes Among Elders

My evolvement towards gerontology has been gradual, shaped mostly by my direct practice experiences, something common among social workers in this area (CSWE, 2002; Greene, 1990; Greene, Vourlekis, Gelfand, & Lewis, 1992). My first post-masters social work position, eleven years ago, was in a hospital serving an aging neighborhood in New Orleans, with ten nursing homes and assisted living centers in the vicinity. I also coordinated this health systems citywide Geriatric Network, a comprehensive multi-disciplinary team which assessed/treated elders and educated professionals on gerontological issues. Despite this activity, attendance at national aging conferences, facilitating Alzheimers and cancer support groups, providing aging focused health seminars, and clinical work predominately with elders, I didnt considered myself to be in gerontological practice. As my clinical experience expanded with aging populations in home health, Hospice care, and diabetes treatment, I still did not identify as a gerontological social worker. My research paths explored gender and race in patient-physician interactions, emotion and health, and the psychosocial aspects of diabetes, again predominately with older participants and again without "gerontology."

Over the past few years this has changed, largely in part to two supportive colleagues here at the University of Tennessee: Drs. Sherry Cummings and Colleen Galambos. Through our research on graduate social work student interest in aging and then aging employment (Cummings & DeCoster, 2003; Cummings, Galambos, DeCoster, 2003), manuscript reviewing for a special edition on aging in the Journal of Human Behavior and the Social Environment, and assisting with our Hartford gero-rich project, "Increasing Aging Content in Social Work Education," I have discerned the import of gerontology in my past and future social worker career. Another element that has driven my interest in aging has been the positive relationships with elders throughout my personal life - friends and relatives that shared experiences, wisdom, and humor, another factor common to many professionals in gerontology (Gorelik, Damron-Rodriguez, Funderburk, & Solomon, 2000; Scharlach, Damron-Rodriguez, Robinson, & Feldman, 2000; Robert & Mosher-Ashley, 2000).

Given the unprecedented growth of the aging population, 12.6% of the population, (U.S. Census Bureau, 2000), it is encouraging that our profession has begun to address the need for gerontological social workers and practice research (Peterson & Wendt, 1990; Scharlach et al., 2000). I want to help address these needs in health care social work, but recognize my own need for additional training, networking, and mentoring in gerontology, common deficits among many scholars in aging (CSWE, 2002). What brings me to the call to leadership in gerontological social work is my passion and conviction for improving the lives of minority elders with diabetes, one of the costliest, deadliest, and inadequately managed chronic diseases. Recently, I was awarded a grant by the CDC thru the Tennessee Department of Health - Diabetes Control Program to assess diabetes and its treatment in the State, using the CDC's guidelines for Ten Essential Public Health Services related to diabetes care, with an emphasis on at-risk populations: minorities and elders with diabetes. The assessment will obtain qualitative data, obtained from key "diabetes stakeholders" in Tennessee, and incorporate existing quantitative data. Hartford Funding will aid me in finding a cost-effective program that addresses some of these needs - healthy aging for minority elders with diabetes.

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Research Interests
  • Gerontology
  • Type 2 Diabetes
  • Health care social work
  • Social construction of emotion

Current Activities
 
Fall 2004

Co-Principal Investigator. Grant from the CDC via the Tennessee Department of Health’s ‑ Diabetes Control Program to conduct an assessment of diabetes and its treatment in the State of Tennessee. 

Fall 2004 - Spring 2006

Principal Investigator. Hartford Faculty Scholar in Geriatric Social Work, funded by The John A. Hartford Foundation of New York City and administered by The Gerontological Society of America. Empowering African American elders with diabetes: An application and test of the illness intrusiveness model. 

Recent Publications
 
Cummings, S. M., Galambos, C., & DeCoster, V. A. (2003). Predictors of MSW employment in gerontological practice. The Journal of Educational Gerontology, 29, 1-18.  Printable copy

Cummings, S. M. & DeCoster, V. A. (2003). The status of specialized gerontological training in graduate social work education. The Journal of Educational Gerontology, 29, 1-16.   Printable copy

DeCoster, V. A. (2003). The emotions of adults with diabetes: A comparison across race. Social Work in Health Care, 36 (4), 79-99. Printable Copy

Aging: Gerontological Social Work

Social workers, want a secure job working with an interesting and diverse group of people found throughout our society, growing faster than nearly any cohort in the United States (34.5 million and counting)? If so, then genrontological social work may be for you. See my brief flyer on Aging & Social Work M.S.W. Emphasis here at the University of Arkansas's School of Social Work. Printable Copy

Tennessee Diabetes: Solutions

Diabetes is a devasting chronis disease for children, adults, and their families, especially those living in the South. Last Fall, the State of Tennessee held a forum of diabetes practitioners, scholars, and advocacy groups to develop solutions. I was fortunate to be part of the group and constructed the resulting policy document. Printable Copy