scholarly journals Age Differences in Elder Abuse Harm and Effective Services Offered by Adult Protective Services

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 669-670
Author(s):  
Pi-Ju Liu ◽  
Zachary Hass ◽  
Karen Conrad ◽  
Sara Stratton ◽  
Kendon Conrad

Abstract In this study, abuse, exploitation, and neglect (ANE) harm was measured by type of abuse using standardized items from the Identification, Services, and Outcomes (ISO) Matrix before Adult Protective Services (APS) interventions (pretest) and after APS interventions (posttest). Change scores from 1,472 older adults (average age 78-year-old; 57% female) and 591 younger adults (average age 53-year-old; 46% female) served by APS during the six months showed reduction of harm using posttest minus pretest. Nonetheless, older adult’s financial abuse harm (pretest=2.2, posttest=1.5) was higher than younger adults’ (pretest=1.5, posttest=1.2), while young adults scored higher in harm on all other types of abuse. Effective interventions differ by age group and by type of abuse, and will be discussed in detail. Results demonstrate the importance to consider vulnerable adult’s age and the etiology of abuse before implementing the services needed to effectively address ANE harm.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S305-S305
Author(s):  
Jenessa C Steele ◽  
Amanda Chappell ◽  
Rachel Scott

Abstract Emotional responses to disrespect tend to be negative (Hawkins, 2015). Little is known about how responses to disrespect vary across age groups and relationship closeness. It is unknown whether older adults have more emotional protection against disrespectful experiences, or are more deeply affected due to relationship closeness. Overall, we might expect that older adults react less negatively to disrespect compared to young adults, as they are more-skilled emotion regulators (Carstensen, 1991; English & Carstensen, 2014). We aimed to explore if, and under which circumstances, older adults are more or less sensitive to disrespect compared to younger adults. Three hundred participants responded to six scenarios illustrating ignored disrespect. Participants were randomly assigned to close or distant relationship disrespect scenarios. Relationship closeness was first determined by requesting participants identify a person in each layer of Kahn and Antonucci’s (1980) Social Convoy Model. Identified names were then automatically inserted into the six scenarios. Emotional responses and sensitivity to each scenario were recorded. Participants in the close condition reported more sensitivity to disrespect and negative emotions than participants in the distant condition. Females reported more sensitivity to disrespect and negative emotions than males. We did not find overwhelming support for age differences in responses to disrespect. A single scenario indicated younger participants more sensitive to disrespect than older participants. Findings suggest it is more hurtful to be disrespected by someone close to you and females may be more sensitive to disrespect than males. More research investigating the role of age in disrespect is needed.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S843-S844
Author(s):  
Pi-Ju ( Liu ◽  
Zachary Hass ◽  
Kendon Conrad ◽  
Karen Conrad ◽  
Jarmin C Yeh ◽  
...  

Abstract Adult Protective Services (APS) is responsible for investigating reports of abuse, exploitation, and neglect among vulnerable adults. California’s APS program investigates approximately 15% of all abuse, neglect, and exploitation reports in the country. Once abuse or neglect is substantiated, caseworkers design and implement a service plan for clients to reduce future risk; however, APS intervention effectiveness have not been extensively investigated. In partnership with San Francisco and Napa APS, risk and harm of abuse were measured by type using standardized items from the Identification, Services, and Outcomes Matrix, which is derived from the validated Elder Abuse Decision Support Short Form during case investigation (before APS interventions) and at case closure (after APS interventions). Data from 1,472 older adults’ (on average 78 years old; 57% females) served by APS during the six-month pilot demonstration showed the reduction of risk/harm in self-neglect (p<.001), neglect (p<.001), emotional abuse (p<.001), physical abuse (p=.002), and financial abuse (p<.001) after APS interventions. Effective interventions differ by type of abuse such that caregiver support (b=-.98, p<.10), emergency assistance (b=-1.14, p<.05), and client engagement (b=-1.85, p<.05) decreased self-neglect risk/harm; client engagement (b=-2.24, p<.05) decreased neglect by others risk/harm; case management services (b=-1.17, p<.05) decreased physical abuse risk/harm; and financial planning services (b=-3.99, p<.05) decreased financial abuse risk/harm. No services were identified as effective for emotional abuse. Since effective services differed by type of abuse, it is important to consider the etiology of abuse before implementing the services needed by older adults to effectively decrease harm/risk.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 323-324
Author(s):  
Stephanie Skees

Abstract Elder financial exploitation (EFE), defined by the National Center for Elder Abuse (2021) as “the misappropriation of an older person’s money or property,” is a continuing public health crisis shown to cost individuals at least $2.9 billion a year (MetLife Mature Market Institute, 2011). Many believe this impact will increase exponentially due to the effects of COVID-19. In fact, a recent study conducted by Chang & Levy (2021) found that the prevalence of elder abuse as a whole increased from 1 in 10 older adults to 1 in 5 in the past year. Although increased collaboration between state attorneys general, Adult Protective Services, and financial institutions has driven progress in the field; there is still little known regarding EFE interventions. To address this issue, this study conducts a scoping review of the EFE intervention literature. This approach was chosen over a systematic review primarily due to the lack of a universal definition of EFE, as well as the limited number of studies available delineating between EFE and elder abuse as a whole. The main findings of the review reveal that current EFE intervention practices are focused on preventing abuse before it occurs by addressing risk factors for abuse in older adults; and are largely reliant on Adult Protective Services and the legal system. This finding is significant because state policies differ in their qualifications of EFE, thus leaving many older adults vulnerable and unprotected. Further interventions that address EFE while it is occurring and alignment across governing bodies are needed.


2009 ◽  
Vol 62 (5) ◽  
pp. 946-966 ◽  
Author(s):  
Carrick C. Williams ◽  
Rose T. Zacks ◽  
John M. Henderson

Older and younger adults searched arrays of 12 unique real-world photographs for a specified object (e.g., a yellow drill) among distractors (e.g., yellow telephone, red drill, and green door). Eye-tracking data from 24 of 48 participants in each age group showed generally similar search patterns for the younger and older adults but there were some interesting differences. Older adults processed all the items in the arrays more slowly than the younger adults (e.g., they had longer fixation durations, gaze durations, and total times), but this difference was exaggerated for target items. We also found that older and younger adults differed in the sequence in which objects were searched, with younger adults fixating the target objects earlier in the trial than older adults. Despite the relatively longer fixation times on the targets (in comparison to the distractors) for older adults, a surprise visual recognition test revealed a sizeable age deficit for target memory but, importantly, no age differences for distractor memory.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 86-86
Author(s):  
Pamela Teaster ◽  
Cory Bolkan

Abstract Beginning in the United States in 2020, SARS-CoV-2 lead to unprecedented changes in the lives of both younger and older people. Efforts to mitigate the spread of the novel coronavirus, which included physical distancing and self-quarantine not only upended the lives of many people but also created natural laboratory conditions for the mistreatment of older adults. Exploring the mistreatment of older adults during the pandemic presented an unprecedented opportunity to examine perspectives of service providers and affected older adults. This symposium offers four perspectives on this subject. Dr. Karen Roberto and colleagues will present changes and challenges that COVID-19 brought for Adult Protectives Service staff and the vulnerable adults whom they serve. Ms. Lori Smetanka and colleagues will present changes and challenges that COVID-19 created for state and local Long-Term Care Ombudsman. Dr. Holly Ramsey-Klawsnik and Ms. Tammy Seaver will report on how the pandemic affected Nevada Adult Protective Services clients, casework, and staff. Finally, Dr. Pamela Teaster and colleagues will discuss how older adults experienced exploitation attempts during the early months of the pandemic. Dr. Cory Bolkan will begin the discussion, highlighting how conditions brought about by COVID-19 both enabled and thwarted efforts to address elder abuse.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S79-S79
Author(s):  
Alison L Chasteen ◽  
Michelle Horhota ◽  
Jessica Crumley-Branyon

Abstract What are the consequences for perpetrators who engage in different types of ageism? We compared young (n=316), middle-aged (n=464), and older adults’ (n=273) perceptions of a perpetrator who engaged in an ageist action. Participants read a vignette about a pedestrian (the perpetrator) offering unwanted help to an older woman crossing the street. We manipulated the ageism type (benevolent or hostile), the reaction of the older target (acceptance, moderate confrontation or strong confrontation) and assessed the overall impression of the perpetrator. Main effects emerged for Ageism Type and Age Group. Overall, participants rated the perpetrator more positively in the benevolent condition compared to the hostile condition. Middle-aged and older adults rated the perpetrator more positively than young adults did. A Time x Confront interaction suggested that the perpetrator’s overall impression was not impacted when the target of the ageist act accepted the action or moderately confronted the perpetrator. In contrast, when the target confronted the perpetrator strongly, the overall impression of the perpetrator decreased. An Ageism Type x Age Group x Time interaction on overall impression also emerged. There were no age differences when the perpetrator committed a hostile act of ageism. In contrast, in the benevolent condition young and older adults perceived the perpetrator more negatively after the target’s reaction, whereas middle-aged adults did not adjust their impression. Taken together, these results suggest that young and older adults may be less accepting of benevolent ageism compared to middle-aged adults.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 702-702
Author(s):  
Pamela Teaster ◽  
Cory Bolkan ◽  
Shawn Meyers

Abstract With a burgeoning aging population, there is a growing need for surrogate decision makers, yet oversight of and guidance for them remains inadequate. People needing surrogate decision makers are an especially vulnerable population because they rely on others for care and/or are unable to advocate for themselves. Their vulnerability leaves them susceptible to elder abuse (e.g., physical, sexual, psychological abuse; active and passive neglect; financial exploitation), which affects approximately five million older Americans each year. Personal, financial, and societal impacts can be devastating and are estimated to cost billions annually. The issue of abuse, neglect and exploitation by surrogates has been highly visible nationally, evidence indicates that some surrogate decision makers perpetrate abuse. One purpose of this symposium is to discuss ways in which surrogates do and do not make decisions for older adults. Ramsey-Klawsnik and Burnett present data at the systemic level to illustrate how self-neglect sequelae can result in placement under surrogate decision-making authority of either well-intended or opportunistic others. Bolkan, Teaster, Ramsey-Klawsnik, and Gerow present findings from a six-state study on surrogate decision maker victims and perpetrators who were substantiated in Adult Protective Services cases. Zhao, Katz, and Teaster show, using a survey of M-Turk participants, how a general population makes and is comfortable with surrogate decisions. Discussant Shawn Meyers will pull together the findings by exploring their translation to judicial best practices for making determinations regarding surrogate decision makers and the effects of their decisions on the surrogate as well as collaterals.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 73-73
Author(s):  
Pi-Ju Liu ◽  
Pamela Teaster

Abstract The rapid outbreak of coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to a global pandemic. Public health measures to prevent the spread of COVID-19, such as social distancing and self-quarantine, have drastically altered people’s lives and led to social isolation, financial instability, and disrupted access to healthcare and social services. Older adults have not only borne the brunt of the highest COVID-19 mortality rates, but recent studies also describe growing reports of elder mistreatment. It is necessary to attend to these age-related disparities during the remainder of the COVID-19 pandemic and future health crises. This symposium includes four presentations on researchers’ findings in elder mistreatment during the COVID-19 pandemic. Dr. E-Shien Chang will compare prevalence of elder mistreatment before and since the pandemic, and highlight associated risk and protective factors during the pandemic. Dr. Lena Makaroun will examine changes in elder mistreatment risk factors among caregivers during the pandemic. Dr. Pamela Teaster will present Adult Protective Services’ (APS) policy and practice changes in response to the pandemic to demonstrate the pandemic’s impact on service providers. Lastly, Dr. Pi-Ju (Marian) Liu will appraise elder mistreatment victims’ awareness of COVID-19 and their unmet needs during the pandemic. Following the four presentations, Dr. Pamela Teaster will moderate a discussion on how elder mistreatment is a growing concern, especially during the pandemic, and what service providers are doing to protect older adults.


GeroPsych ◽  
2018 ◽  
Vol 31 (4) ◽  
pp. 205-213 ◽  
Author(s):  
Kathryn L. Ossenfort ◽  
Derek M. Isaacowitz

Abstract. Research on age differences in media usage has shown that older adults are more likely than younger adults to select positive emotional content. Research on emotional aging has examined whether older adults also seek out positivity in the everyday situations they choose, resulting so far in mixed results. We investigated the emotional choices of different age groups using video games as a more interactive type of affect-laden stimuli. Participants made multiple selections from a group of positive and negative games. Results showed that older adults selected the more positive games, but also reported feeling worse after playing them. Results supplement the literature on positivity in situation selection as well as on older adults’ interactive media preferences.


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