A Graduated Approach to Spiritual Intervention in Health and Long-Term Care

Most professionals in health and long-term care know the importance of spirituality for well-being among older people; however, they are challenged to know how to approach the topic or what to do to enable the power of spirituality in their setting. This paper is based on an extensive search and content analysis of literature in the health and social sciences, and offers a step-wise approach to engaging with older adults on spiritual issues. The content analysis identified five levels of intervention. The first two levels require no special training (listening and acknowledging, referring). The next three levels-asking about spirituality, indirect, and direct interventions-each depend on a greater degree of preparation and expertise. All the levels offer the possibility of spiritual expression for clients/residents, and the opportunity for health and social service professionals to respond to these important issues.