scholarly journals Turning Seniors’ Voices into Action on Elder Abuse: Findings From a Project Empowering Older Adults to Assist Peers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 447-447
Author(s):  
Jessica Hsieh ◽  
Sharon Tan ◽  
Raza Mirza ◽  
Lynn McDonald
Keyword(s):  
Help Seeking ◽  
Elder Abuse ◽  
Healthcare Providers ◽  
Legal Protection ◽  
The Elderly ◽  
Sources Of Information ◽  
Health And Wellbeing ◽  
National Initiative ◽  
The Impact ◽  
Source Of Information

Abstract Elder mistreatment, often understood in the context of abuse and neglect, is a growing concern for the health and wellbeing of seniors and their families. A 2015 Canadian prevalence study by the National Initiative for the Care of the Elderly (NICE) found that seniors who are mistreated are more likely to talk to peers, and not clinicians, police or family. However, a lack of knowledge, access to resources, and community stigma may limit seniors’ abilities to address mistreatment. This study evaluated the impact on knowledge, attitudes, and behaviours of having seniors deliver workshops on mistreatment to other seniors. A seniors advisory committee developed content for sixteen workshops. Senior facilitators delivered sixteen workshops about mistreatment across Ontario. Participants completed pre/post-surveys assessing changes in knowledge, attitudes, and behaviours. Results indicate that workshops effectively increased awareness of mistreatment issues among participants, on average, by 37.32%. Participants experienced a 43.98% increase in their perceived preparation to provide information to an older adult asking about mistreatment. Barriers to help-seeking among seniors with knowledge of mistreatment include finding trustworthy sources and a lack of legal protection. Prior to the training, healthcare providers were the main sources of information for participants (57.75%); depending on the severity of the situation, 60.43% of participants indicated eventually reporting to police, who are not the preferred source of information. Senior-led workshops about mistreatment appear to be effective for increasing knowledge and encouraging disclosure and help-seeking behaviours. Results support prevention models that empower seniors to educate other seniors on issues around mistreatment.

scholarly journals Educational behaviors of pregnant women in the Bronx during Zika’s International emerging epidemic: “First mom … and then I’d Google. And then my doctor”

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Miguel Rodriguez ◽  
Antoinette A. Danvers ◽  
Carolina Sanabia ◽  
Siobhan M. Dolan
Keyword(s):  
Pregnant Women ◽  
Public Awareness ◽  
Healthcare Providers ◽  
Emerging Infectious Diseases ◽  
Complete Information ◽  
The Internet ◽  
Sources Of Information ◽  
Additional Information ◽  
Initial Source ◽  
Source Of Information

Abstract Background The objective of the study was to understand how pregnant women learned about Zika infection and to identify what sources of information were likely to influence them during their pregnancy. Methods We conducted 13 semi-structed interviews in English and Spanish with women receiving prenatal care who were tested for Zika virus infection. We analyzed the qualitative data using descriptive approach. Results Pregnant women in the Bronx learned about Zika from family, television, the internet and their doctor. Informational sources played different roles. Television, specifically Spanish language networks, was often the initial source of information. Women searched the internet for additional information about Zika. Later, they engaged in further discussions with their healthcare providers. Conclusions Television played an important role in providing awareness about Zika to pregnant women in the Bronx, but that information was incomplete. The internet and healthcare providers were sources of more complete information and are likely the most influential. Efforts to educate pregnant women about emerging infectious diseases will benefit from using a variety of approaches including television messages that promote public awareness followed up by reliable information via the internet and healthcare providers.

Working with the Elderly Defendant through the Adjudicative Process

2017 ◽  
Author(s):  
Barry W. Wall
Keyword(s):  
Elder Abuse ◽  
The Elderly ◽  
Criminal Court ◽  
Elderly Persons ◽  
Competence To Stand Trial ◽  
Physical Competence ◽  
Mental Competence ◽  
Financial Exploitation ◽  
Elderly Offenders ◽  
The Impact

As the U.S. population ages, there will be more cases of elder abuse, neglect, and financial exploitation and, consequently, an increase in elderly criminal defendants in the criminal justice system. Because elderly persons appear in criminal court most frequently as crime victims, understanding the problems and needs of the elderly defendant receives less attention. This chapter reviews the cognitive and psychological changes with normal aging, the heterogeneous nature of elderly defendants, and assumptions that law enforcement and court personnel may make when interacting with the elderly population. The chapter reviews the adjudicative process from the perspective of the elderly defendant, focusing on detention, mental competence to stand trial, physical competence to stand trial, discovery and trial. Controversies in adjudicating and sentencing elderly defendants are discussed, as well as the impact of the sharp rise in elderly offenders in prison. Accommodations for elderly defendants during the process of adjudication and the need for expert medical and mental health involvement are reviewed.

Getting the cues of elder abuse: an identification through dependency and modernization

2020 ◽  
Vol 22 (3) ◽  
pp. 119-139
Author(s):  
Naval Bajpai ◽  
Kushagra Kulshreshtha ◽  
Prince Dubey ◽  
Gunjan Sharma
Keyword(s):  
Factor Analysis ◽  
Elder Abuse ◽  
Family Relationship ◽  
The Elderly ◽  
Related Factors ◽  
Content Type ◽  
Means And Ends ◽  
The Social ◽  
The Difference ◽  
The Impact

Purpose In the present era of modernization, the social group members interact with each other with selfish and unselfish intents. However, the unselfish means and ends build a long term relationship among people. On the other hand, selfish ends bud out unethical means such as abuses, violence and fights. The situation becomes tough when the same becomes evident among the family relationship and as a consequence the elderly are being treated unfairly. Out of such cases, some are reported and the majority of them remain unreported, which eventually becomes the cause of concern for the social welfare agencies. Thus, this paper aims to examine the elder abuse (EA) tendency in metro, non-metro and religious cities. Design/methodology/approach For this study, a mixed-method approach is used to develop survey instruments, validate findings using qualitative and quantitative data sources for better generalization of results. The present study explored and confirmed the related factors using exploratory factor analysis and confirmatory factor analysis for the establishment of a valid scale of EA. Further, the difference of perceptions among the elders for abuse across the metro, non-metro and religious cities was statistically checked using the ANOVA and post hoc techniques. Findings The present study identified the traces of EA and created a comprehensive understanding of it. The present study manifests the prevailing practices of EA in society by discussing the demerits of dependency and modernization. Moreover, the present study assesses the pervasiveness and the repercussion of dependency and the impact of modernization on EA followed by a discussion on how the victim elders may handle the situation. In the present study, a scale is developed to identify EA because of the dependency of the elderly and the modernization of society. Originality/value Some exclaiming thoughts such as the dependency of elders elevate the chances of EA on one side, while modernization of society hampers the social/family bonding leading to EA. The inconsistent development across the region has created modernization as a significant factor for EA. The level and depth of modernization across locations such as metro, non-metro and religious cities are the cause for varying degrees of EA. Based on the literature review, the present study has sensed the presence of EA in society at large by developing a scale for the aforesaid purpose.

scholarly journals Exploring the Help-Seeking Experience of Concerned Persons: Findings From an Elder Abuse UK Helpline

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 628-629
Author(s):  
Silvia Fraga Dominguez ◽  
Jennifer Storey ◽  
Emily Glorney
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Potential Role ◽  
Elder Abuse ◽  
Secondary Data ◽  
Financial Situation ◽  
Several Variables ◽  
Formal Services ◽  
The Uk ◽  
The Impact

Abstract Despite their potential role in elder abuse cases, knowledge about concerned persons outside of North America is scarce. This paper will discuss findings from a study focusing on concerned persons in the UK, by addressing their profile, the impact of helping, and several variables relating to help-seeking. Researchers used secondary data from a charity’s helpline, encompassing a year of recorded cases (N = 1623). Concerned persons (n = 1352) were often related to the victim (80%) and/or perpetrator (59%). In 43% of cases, they reported impact as a result of their awareness of the situation or supporting the victim. This impact was thematically analysed and ranged widely in terms of severity, from slight worry to being subjected to the perpetrator’s homicide threats, and it often affected the person’s mental health or financial situation. Concerned persons reported substantial barriers to action relating to the access to and responses from formal services.

scholarly journals Looking through the window: emotional experiences of Instagram users in isolation

2020 ◽  
Vol 13 (3) ◽  
pp. 586-598
Author(s):  
Beatriz De Paulo ◽  
Vera Damazio ◽  
Manuela Quaresma
Keyword(s):  
Social Media ◽  
Social Isolation ◽  
Sources Of Information ◽  
Emotional Experiences ◽  
Digital Products ◽  
Daily Lives ◽  
Health And Wellbeing ◽  
Socially Isolated ◽  
Media Applications ◽  
The Impact

The impact of COVID-19 pandemic on the health and wellbeing of people around the world has become an important research topic. Even for non-essential workers, social isolation has drastically changed people’s lives and habits. Considering that our daily lives and habits occur largely through the intermediation of products and services, social isolation may have drastically changed people's relationship with the products and services surrounding them. Thus, social media apps like Instagram have become crucial sources of information, social connection, and entertainment for the socially isolated. This article investigates the role of social media applications in people’s daily lives in isolation, based on the analysis of their emotional experiences. To this end, an exploratory study was carried out with 13 users in social isolation, based on diaries in which they reported the experiences they had through the Instagram platform from June 15th to June 29th. Results showed that Instagram had brought predominantly positive experiences to its users; however, negative emotions related to an excess of information and content consumption were also relevant. The results and conclusions of this work can be considered in future investigations about parameters for developing digital products that aim to reduce negative experiences and anxiety.

Advance care planning in Medicare: an early look at the impact of new reimbursement on billing and clinical practice

2017 ◽  
Vol 8 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Gawin Tsai ◽  
Donald H Taylor
Keyword(s):  
Advance Care Planning ◽  
Social Insurance ◽  
Healthcare Providers ◽  
The Elderly ◽  
Care Planning ◽  
Academic Medical Centre ◽  
Or Practice ◽  
Single Centre Study ◽  
Advance Care ◽  
The Impact

ObjectiveIn this study, we examined the US Medicare programme’s (government-funded social insurance for the elderly or disabled) new reimbursement for advance care planning (ACP) that began on 1 January 2016. This single-centre study addressed whether clinicians who have ACP conversations with patients will use the new reimbursement code and if the new reimbursement is successful at motivating clinicians to have more ACP conversations with patients.MethodsThis is a multimethod study. To gain a general sense of ACP practice and code visibility, we first surveyed 493 clinicians in a large academic medical centre (20% response rate). Then, for more in-depth answers and to illuminate the reasons behind survey findings, we conducted semistructured interviews with 28 physicians.ResultsWe found that while clinicians are open to using the reimbursement codes, organisational barriers such as low visibility and documentation make it difficult for clinicians to bill for ACP. Moreover, structural and professional factors have rendered Medicare’s ACP reimbursement largely ineffective at motivating healthcare providers to perform more ACP conversations during the first 3 months of this policy.ConclusionsIt does not appear that Medicare’s reimbursement of ACP has made a significant, direct impact on ACP billing or practice during the policy’s first 90 days. However, there is a symbolic role that this change can serve, and the policy could have more impact as its existence becomes more widely known. Barriers to ACP that we identify should be addressed directly to expand the use of ACP.

scholarly journals Elder abuse and the community psychiatric team

1994 ◽  
Vol 18 (12) ◽  
pp. 730-732 ◽  
Author(s):  
Judith S. Kerr ◽  
Tom Dening ◽  
Claire Lawton
Keyword(s):  
Old Age ◽  
Elder Abuse ◽  
The Elderly ◽  
Community Psychiatric ◽  
Single Pattern ◽  
Old Age Psychiatry ◽  
Professional Responses ◽  
The Impact

To date, there are few reports on the extent of elder abuse among patients referred to old age psychiatry services. This study examined suspected cases of abuse among new referrals to a community psychiatric team for the elderly, at a time when guidelines and procedures for the detection and management of elder abuse were about to be introduced. of 74 cases assessed, seven (almost 10%) were probably being abused. Several types of abuse were described, with no single pattern, and the professional responses therefore needed to be flexible. The impact of introducing the guidelines win be assessed later.

scholarly journals Protection of the Elderly from Abuse in Jordanian Law

2021 ◽  
pp. 676-688
Author(s):  
Shatha Ahmad Al-Assaf
Keyword(s):  
Elder Abuse ◽  
Comparative Method ◽  
Legal Protection ◽  
The Elderly ◽  
Mandatory Reporting ◽  
International Standards ◽  
Vulnerable Group ◽  
Legal Texts ◽  
International Conventions ◽  
Susceptible Group

The increase in the numbers of elderly globally and nationally has led to more attention to the rights of this most vulnerable group and the necessity to provide an effective legal protection against elder abuse. The significance of this research lies in the fact that it is necessary to protect elder people against abuse, as they are a vulnerable and susceptible group. Hence, this research revolves centrally around the extent to which the legal protection Jordanian laws provide to elder persons against abuse compared to the international standards. The research followed the analytical and comparative method, by conducting a comprehensive review of the Jordanian legal texts, analysing them and comparing them to the international standard. This research concludes that the protection provided by the Jordanian legislations and international conventions against elder abuse is not sufficient. The research provides several recommendations including criminalising all types of elder abuse, imposing deterrent sanctions and explicit provision for mandatory reporting of abuse cases.

scholarly journals COVID-19: Impact on the health and wellbeing of ex-serving personnel (Veterans-CHECK) protocol paper

2020 ◽  
Author(s):  
Marie-Louise Sharp ◽  
Danai Serfioti ◽  
Margaret Jones ◽  
Howard Burdett ◽  
David Pernet ◽  
...  
Keyword(s):  
Living Arrangements ◽  
Help Seeking ◽  
Armed Forces ◽  
Online Questionnaire ◽  
Scientific Publications ◽  
Military Health ◽  
Service Personnel ◽  
Health And Wellbeing ◽  
The Uk ◽  
The Impact

Introduction We will use a sub-sample of a current longitudinal study to investigate the impact of COVID-19 on the health and wellbeing of ex-service personnel in the UK. The study will provide evidence for the UK Office of Veterans' Affairs (OVA), UK stakeholders supporting the ex-service community, and evidence to inform our international counterparts working with ex-service communities in allied countries regarding the impact of COVID-19 on the health and wellbeing of ex-service personnel. Methods and analysis Participants were eligible to participate if they lived in the UK, had Regular service history from the UK Armed Forces and had previously completed the King's Centre for Military Health Research (KCMHR) Health and Wellbeing survey between 2014-2016. Participants who met these criteria were recruited through email to take part in an online questionnaire. The study provides additional quantitative longitudinal data on this sub-sample. Data are being collected June 2020-September 2020. Specific measures are used to capture participants' COVID-19 experiences, health and wellbeing status and lifestyle behaviours. Other key topics will include questions regarding the impact of COVID-19 pandemic on employment, finances, volunteering, charitable giving, accommodation and living arrangements, help-seeking behaviours, as well as any potential positive changes during this period. Ethics and dissemination Ethical approval has been gained from King's College London Research Ethics Committee (Ref: HR-19/20-18626). Participants were provided with information and agreed to a series of consent statements before enrolment. Data are kept on secure servers with access to personally identifiable information limited. Findings will be disseminated to the OVA, UK ex-service stakeholders and international research institutions through stakeholder meetings, project reports and scientific publications.

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