scholarly journals ELDER ABUSE AND THE OPIOID CRISIS: PERPETRATORS WHO ARE SUBSTANCE USERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S763-S763
Author(s):  
Karen A Roberto ◽  
Pamela B Teaster
Keyword(s):  
Substance Abuse ◽  
Prescription Drugs ◽  
Thematic Analysis ◽  
Family Relationships ◽  
Employment Status ◽  
Elder Abuse ◽  
Contextual Theory ◽  
Related Substances ◽  
Financial Exploitation ◽  
History Of

Abstract Substance abuse, particularly the diversion/abuse of prescription drugs along with illicit opioid deviates by alleged perpetrators has been identified as is a risk factor for elder abuse. The purpose of this study was to characterize cases of elder abuse substantiated by APS in which the perpetrator used opioids and related substances. Guided by the Contextual Theory of Elder Abuse, we conducted a within-case/across-cases thematic analysis of Kentucky APS caseworkers’ notes on 40 substantiated cases of elder abuse. Financial exploitation was the most commonly identified type of abused associated with perpetrators who abuse opioids. Findings revealed that most cases of elder abuse occurred when the perpetrators’ substance abuse intersected with employment status, complex family relationships, and a history of altercations with the law. Findings provide new insights into a more elaborate conception of the ways in which the opioid epidemic is contributing to the perpetration of elder abuse today.

scholarly journals POLICY SERIES: ELDER ABUSE AND THE OPIOID EPIDEMIC IN RURAL AMERICA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S762-S762
Author(s):  
Brian W Lindberg ◽  
Robert Blancato
Keyword(s):  
Older Adults ◽  
Prescription Drugs ◽  
Elder Abuse ◽  
Multiple Chronic Conditions ◽  
Opioid Overdose ◽  
Opioid Epidemic ◽  
Rural America ◽  
Related Substance ◽  
National Crisis ◽  
Related Substances

Abstract Misuse of opioids is a national crisis affecting the social and economic welfare of communities throughout the U.S. and is particularly rampant in rural America. Older adults are far too frequently excluded from consideration of those who are affected by the opioid epidemic. While rural older adults may not suffer the highest per capita rate of opioid overdose deaths, they are deeply affected by the problem. In their youth and middle adulthood, many older adults used their bodies for labor. At older ages, they experience multiple chronic conditions and high rates of chronic pain for which opioids and related prescription and non-prescription drugs are often the treatment of choice. Also and far too frequently, older people become easy targets for abuse by persons needing resources to feed their addiction. This symposium focuses on elder abuse associated with opioid and related substance misuse. Zanjani’s presentation provides the context of rurality and drugs and alcohol as a precursor to elder abuse. The second paper by Teaster and colleagues examines trends in APS cases of elder abuse in which the perpetrator is a substance user and identifies perpetrator and victim characteristics predictive of different types of substantiated abuse. Using APS case notes, Roberto and colleagues characterize cases of elder abuse in rural Kentucky in which the perpetrator used opioids and related substances. Robert Blancato and Brian Lindberg will discuss presenters’ collective findings by weaving together concepts of rurality, addiction, and elder abuse and recommending strategies for prevention, intervention, and policy.

CROSS-CULTURAL PERSPECTIVES ON ELDER ABUSE AS A FAMILY DILEMMA

1995 ◽  
Vol 23 (3) ◽  
pp. 247-251 ◽  
Author(s):  
Philip O. Sijuwade
Keyword(s):  
Risk Factors ◽  
Substance Abuse ◽  
Comparative Studies ◽  
Elder Abuse ◽  
Difficult Problem ◽  
Cross Cultural ◽  
Self Determination ◽  
Care Giver ◽  
Cultural Perspectives ◽  
Financial Exploitation

Comparative studies of cases by type of elder abuse disclosed distinct profiles of abuse, neglect, and financial exploitation. Physical and psychological abuse were more closely associated with the problems of perpetrators than the victim. Victim-perpetrator dependency, perpetration psychopathology, and care giver stress, emerge from the comparative studies as major risk factors for elder mistreatment with substance abuse and social isolation as serious contributing elements. Elder abuse challenges belief in the sanctity of the home and the inherent goodness of man. Also, it raises basic ethical and legal dilemmas regarding the elder's right to self determination and society's desire to intervene. To arrive at a better understanding of this difficult problem, the experience of all countries will be needed.

scholarly journals The Insurgence of Tramadol Abuse among the Most Active Population in Jirapa Municipality: A Study to Assess the Magnitude of the Abuse and Its Contributory Factors

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Ferguson Saapiire ◽  
Godfrey Namillah ◽  
Vincent Tanye ◽  
Abdulai Abubakari
Keyword(s):  
Substance Abuse ◽  
Pain Management ◽  
Prescription Drugs ◽  
Health Concern ◽  
Formal Sector ◽  
Related Substance ◽  
Cross Sectional ◽  
Active Population ◽  
History Of ◽  
The Impact

Background. Tramadol has gained popularity among the drugs of the most active population especially the respondents in Ghana abuse especially farmers who nicknamed as “farm and buy cow.” It has recently become a public health concern, and stakeholders are worried about tramadol abuse and its implications on health in the Upper West Region. The study sought to measure the prevalence of tramadol/related substance abuse and the associated factors. Methods. A community-based analytic cross-sectional study involving 420 respondents was conducted. The participants were selected using a multistage sampling technique. Semistructured questionnaire was used to generate the data. Results. About 77.6% of the respondents abuse tramadol while 83.9% of the participants take at least one other related substance or drug. Participants with history of any substance abuse were 5 times more likely to abuse tramadol [ AOR = 5.15 ; 95% CI (1.501-17.656); p = 0.009 ], compared to respondents with no history of any substance abuse. Respondents who take tramadol to enhance sex were 4 times more likely to abuse tramadol [ AOR = 3.776 ; 95% CI (1.352-10.545); p = 0.011 ]. Formal sector employment was protective against tramadol abuse [ AOR = 0.100 ; 95% CI (0.017-0.595); p = 0.011 ] compared to self-employment and the unemployed. In addition, use of nonopioid prescription drugs for posttraumatic/pain management reduced the risk of tramadol abuse [ AOR = 0.237 ; 95% CI (0088-0.640); p = 0.004 ] compared to the posttraumatic/pain management dependence on prescription of only opioid like tramadol. Conclusion. An infantile municipality like Jirapa is challenged with high level of tramadol and related substance which has serious repercussion on the health system in the Jirapa district. It is important that measures are taken by the stakeholders to stop tramadol and related substance and mitigate the impact of drug abuse in the district.

Assessing Pediatric and Young Adult Substance Use Through Analysis of Prehospital Data

2014 ◽  
Vol 29 (5) ◽  
pp. 468-472 ◽  
Author(s):  
Elizabeth L. Seaman ◽  
Mathew J. Levy ◽  
J. Lee Jenkins ◽  
Cassandra Chiras Godar ◽  
Kevin G. Seaman
Keyword(s):  
Substance Abuse ◽  
Mental Illness ◽  
Substance Use ◽  
Young Adult ◽  
Prescription Drugs ◽  
Illicit Drugs ◽  
Older Adolescents ◽  
History Of ◽  
Secondary Hypothesis ◽  
Primary Hypothesis

AbstractIntroductionSubstance use in young adults is a significant and growing problem. Emergency Medical Services (EMS) personnel often encounter this problem, yet the use of prehospital data to evaluate the prevalence and magnitude of substance abuse has been limited.Hypothesis/ProblemThis study evaluated drug and alcohol use through the use of prehospital and EMS data in one suburban county in Maryland (USA). The primary hypothesis was that the type of drug being abused is associated with age. The secondary hypothesis was substance abuse incidence is associated with location. The tertiary hypothesis was that substance abuse is associated with a history of mental illness.MethodsDeidentified patient care reports (PCRs) were obtained during a 24-month period from October 2010 through September 2012 for patients 0 through 25 years of age. Inclusion criteria included chief complaint of alcohol overdose, drug overdose, or the use of naloxone.ResultsThe primary hypothesis was supported that age was associated with drug category (P < .001). Younger adolescents were more likely to use household items, prescription drugs, or over-the-counter drugs, whereas older adolescents were more likely to use illicit drugs. The secondary hypothesis was supported that both alcohol (P < .001) and drugs (P < .001) were associated with location of call. Calls involving alcohol were more likely to be at a home or business, whereas calls involving drugs were more likely to be at home or at a public venue. The tertiary hypothesis was supported that both alcohol (P = .001) and drug use (P < .001) were associated with history of mental illness. Older adolescents were more likely to report a history of mental illness. Chi-squared tests indicated there were significant differences between genders and drug category (P = .002) and gender and current suicide attempt (P = .004). Females were more likely to use prescription drugs, whereas males were more likely to use illicit drugs. Calls involving younger adolescents under 18 were more likely to be at school or the mall, whereas calls involving older adolescents were likely to be at a prison, public venue, or a business.ConclusionAll three hypotheses were supported: the type of substance being abused was associated with both age and location, and substance abuse was associated with a history of mental illness. This research has important implications for understanding how EMS resources are utilized for substance use. This information is valuable in not only the education and training of prehospital care providers, but also for the targeting of future public health interventions.SeamanEL, LevyMJ, JenkinsJL, GodarCC, SeamanKG. Assessing pediatric and young adult substance use through analysis of prehospital data. Prehosp Disaster Med. 2014;29(4):1-6.

scholarly journals Successful Informal Help-Seeking and Resolution of Elder Family Financial Exploitation: A Case Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 869-870
Author(s):  
Tina Kilaberia ◽  
Marlene Stum
Keyword(s):  
Family Relationships ◽  
Help Seeking ◽  
Subjective Experience ◽  
Elder Abuse ◽  
Family Members ◽  
Distinctive Features ◽  
Effective Interventions ◽  
Financial Exploitation ◽  
Family Based

Abstract Effective interventions are needed to address elder family financial exploitation (EFFE), one of the most prevalent types of elder abuse globally. This poster examines the unique and critical help-seeking role informal family support can play when faced with EFFE. We present a holistic case study that offers an understanding of one family’s successful help-seeking and resolution of the EFFE situation. The family drew on internal family and community supports and did not seek formal elder abuse services. The case stood out as unique relative to 23 family’s help-seeking attempts in a larger study of the meaning and experience of EFFE from the perspective of concerned family members (non-abusing/non-victims). The case summary and analysis are based on an in-depth interview narrative reflecting the subjective experience of a concerned family member who was directly involved in the EFFE situation (in-law relative to both the older victim and the perpetrator). Study findings reveal 5 interwoven themes related to help-seeking processes and outcomes: 1) honoring the victim’s wishes, 2) providing support and accountability for perpetrator, 3) restoring family relationships and functioning, 4) maintaining internal (family-based) control, and 5) engaging in family problem solving processes. The family’s help-seeking demonstrated three distinctive features: a) embracing their informal social support role, b) the interdependence of family members, and c) restorative justice principles. The findings raise questions about broadening the scope and continuum of EFFE intervention research and practices to recognize and support informal social intervention.

scholarly journals Informal psychiatric patients requesting discharge

1994 ◽  
Vol 18 (4) ◽  
pp. 209-211
Author(s):  
Robin McGilp ◽  
Brian Kidd ◽  
Cameron Stark ◽  
Tom Henderson
Keyword(s):  
Substance Abuse ◽  
Psychiatric Patients ◽  
Medical Advice ◽  
Psychotic Illness ◽  
Against Medical Advice ◽  
The Past ◽  
History Of ◽  
Self Harm ◽  
Discharge Against Medical Advice ◽  
Retrospective Investigation

A retrospective investigation of case-notes compared 54 incidents of informal psychiatric in-patients being detained in hospital on an emergency basis with 66 incidents of discharge against medical advice (AMA). The characteristics of the two groups were compared. Detained patients were more likely to have been detained previously, to be suffering from a psychotic illness, and to have threats of violence or self-harm mentioned in their case-notes. AMA patients were more likely to have a history of substance abuse but were no more likely than the detained group to have been discharged AMA in the past. The results suggest that psychiatrists in this hospital are using current legislation on detention appropriately.

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