Geriatric Forensic Psychiatry Training in Forensic and Geriatric Psychiatry Fellowships

2017 ◽  
Author(s):  
Stephen L. Read ◽  
Aaron Kaufman ◽  
Daniel T. Hackman
Keyword(s):  
Forensic Psychiatry ◽  
Elder Abuse ◽  
Training Programs ◽  
Full Range ◽  
The Elderly ◽  
Geriatric Psychiatry ◽  
Current Status ◽  
Elderly Persons ◽  
Decision Making Capacity ◽  
Court Proceedings

As people live longer and the aging population increases, the volume of court cases involving elderly persons has increased. For elderly persons in court proceedings, determinations of decision-making capacity predominate, owing to the high incidence of cognitive loss with aging. Another frequent issue is whether a decision is the result of influence from others. Specific matters at issue may include disputes about testamentary acts, need for conservatorship (guardianship), capacity to manage one’s affairs, as well as the full range of other civil and criminal actions. Elder abuse, including financial elder abuse and victimization by scams, continues to mushroom to epidemic proportions. Courts, therefore, increasingly require expert assistance for forensic matters involving the elderly. Existing training programs in geriatric psychiatry and forensic psychiatry, however, rarely provide adequate training in this crossover field. This chapter reviews the current status of such training programs, including fellowships, and discusses approaches to address this critical and growing need for professionals with both geriatric and forensic psychiatry expertise.

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.

The social construction of violence in old age

2007 ◽  
Vol 9 (1) ◽  
pp. 33-38 ◽  
Author(s):  
Josef Hörl
Keyword(s):  
Social Work ◽  
Social Construction ◽  
Old Age ◽  
Scientific Community ◽  
Elder Abuse ◽  
Social Reality ◽  
The Elderly ◽  
Elderly Persons ◽  
Family Carers ◽  
The Social

Varying definitions and conceptualisations of violence in old age exist within and between the scientific community, medical and social work professionals, family carers and the elderly persons themselves. In this paper it is argued ‐ and illustrated by examples ‐ that each of the different actors or observers in this field construct their own social reality and hold selective perceptions of what is meant by violence in general, or elder abuse in particular.

scholarly journals Osoba starsza jako pokrzywdzony w postępowaniu przed sądem karnym

2018 ◽  
Vol 26 ◽  
pp. 43-59
Author(s):  
Maria Górnicka
Keyword(s):  
Elderly Person ◽  
The Elderly ◽  
Criminal Court ◽  
Elderly Persons ◽  
Court Proceedings

Elderly person as an aggrieved party in the criminal court proceedings The aim of this article is to demonstrate that the special regulations concerning the situation of an elderly person as an aggrieved party in the criminal court proceedings are rudimentary and inadequate, so it is worth to have been extended. This will be done at first by drawing attention to the definition and status of the aggrieved elderly person in the criminal court proceedings, and a description of its current permissions divided on a victim without a party status and a victim with a party status. Then the whole is topped with a proposal for regulations to facilitate the use of the permissions of the elderly persons as an aggrieved party in the criminal court proceedings.

scholarly journals Elder Abuse and Elder Victimization: A Sociological Analysis

2017 ◽  
Vol 55 (1) ◽  
pp. 99-113
Author(s):  
Ranjay Vardhan
Keyword(s):  
Elder Abuse ◽  
Senior Citizens ◽  
The Elderly ◽  
Primary Data ◽  
Elderly Persons ◽  
Not Given ◽  
Sociological Analysis ◽  
Regular Source ◽  
The World ◽  
Victims Of Violence

AbstractIndia is home to one out of every 10 senior citizens of the world. According to the 2011 Census, 8.6% of people are aged above 60 years. A number of cases of elder abuse have been reported in the mass media as these people are easy victims of violence and criminal activities. Society comes to know about only those problems which are reported. Innumerable cases of disrespect and neglect are not given any consideration. The situation becomes even worse when perpetrators are very near relatives and in some cases blood relatives also. To overcome the problem a law, the “Maintenance and Welfare of Parents and Senior Citizens Act”, was passed in 2007. Based on primary data, the present paper will attempt to study the problems of the elderly with focus on gender, their abuse and victimization. The paper concludes that the majority of elders, especially those with little or no source of income, reside with their families and face abuse and victimization. Those who have a regular source of income face less abuse. To maintain confidentiality of family matters, elderly persons often do not report such crimes and undergo trauma.

J.E. Thornton and D.J. MacDougall. Law and Legal Services for an Aging Population. Vancouver: University of British Columbia, Committee on Gerontology, Faculty of Graduate Studies, 1990, pp. 180.

1992 ◽  
Vol 11 (4) ◽  
pp. 426-428
Author(s):  
Donald Poirier
Keyword(s):  
Elder Abuse ◽  
Elderly Person ◽  
Aging Population ◽  
The Elderly ◽  
Legal Aspects ◽  
Legal Services ◽  
Elderly Persons ◽  
Graduate Studies ◽  
Legal Cases ◽  
Substantive Law

ABSTRACTLaw and Legal Services for an Aging Population is a report in three parts. The first part deals with substantive law in areas such as access to legal services, discrimination on the basis of age, and protection of the elderly person. That first part contains a good review of some legal aspects of protection against elder abuse. Other aspects which are becoming very important such as powers of attorney in medical decisions are only touched in passing, while others such as housing accommodations and the rights of elderly persons in nursing homes are simply ignored. The second part presents the results of a survey carried in Greater Vancouver purporting to assess existing and future demands for legal services and obstacles thereto. The results are interesting mainly because so little research has been undertaken in this area. There is no conclusion and no specific recommendations result from this survey. The Third part presents a good annotated bibliography of legal cases and scholarship on selective law issues affecting elderly persons.

Validity of the Elderly Behavior Assessment for Relatives (EBAR)

2000 ◽  
Vol 16 (1) ◽  
pp. 77-83 ◽  
Author(s):  
Lina Pezzuti ◽  
Caterina Laicardi ◽  
Marco Lauriola
Keyword(s):  
Cognitive Functioning ◽  
Mini Mental State Examination ◽  
Rating Scale ◽  
Good Health ◽  
The Elderly ◽  
Behavior Assessment ◽  
Elderly Persons ◽  
Behavior Rating Scale ◽  
Components Analysis ◽  
State Examination

Summary: An Elderly Behavior Assessment for Relatives (EBAR), updating the GERRI ( Schwartz, 1983 ), was administered to relatives (or significant others) of 349 elderly persons, from 60 to over 80 years of age, living at home, in good health and without cognitive impairment. A trained psychologist administered subjects the Life Satisfaction for Elderly Scale (LSES), the Instrumental Activity of Daily Living (IADL), the Mini Mental State Examination (MMSE), and personally answered to an overall elderly behavior rating scale (RA). EBAR items were first examined. The more attractive and less discriminative statements were excluded. A principal components analysis was carried out on the remaining EBAR items. Three factors were extracted. After varimax rotation they were tentatively labeled: Everyday Cognitive Functioning, Depression, and Hostility. Factor-driven EBAR subscales were designed, taking into account simpler items in the factor matrix. Results provide evidence for EBAR construct validity. Everyday Cognitive Functioning is connected to the IADL and the RA scores; Depression is very highly related to the LSES; Hostility is weakly related to RA, IADL, and MMSE, indicating that the scale needs further investigation.

Senior Living - Lighting, Circadian Rhythm and Dementia I

2019 ◽  
pp. 4-8
Author(s):  
Tadej Glažar ◽  
Marjeta Zupancic ◽  
Samo Kralj ◽  
Robert Peternelj
Keyword(s):  
The Elderly ◽  
Living Environment ◽  
Elderly Persons ◽  
Light Spectrum ◽  
Average Life Expectancy ◽  
The Real Estate ◽  
Lighting Conditions ◽  
Light Levels ◽  
Joint Fracture ◽  
Lease Contracts

The Real Estate Fund of Pension and Disability Insurance (Nepremicninski Sklad) in Slovenia, founded in1997 is the owner of 3255 properties in 116 locations throughout the country and is intended for solving housing issues of pensioners of 65 years or older and other elderly persons who are allowed independently to live. The lease contracts are concluded for an indefinite period of time. The aim and vision of the Fund is to improve the quality of life for the elderly tenants by adapting the living environment, the flats and surroundings according to the physical needs of aging tenants. Homes for seniors often have low light levels and poor light spectrum caused by fluorescent or incandescent lighting. Demographic changes in most European countries show rising average life expectancy which means that the number of people with weak visual capacity or visual impairment is increasing. Equally the risks of injuries due to poor lighting conditions are increasing, e.g. missing a step resulting in a hip joint fracture. Better lighting conditions are of critical importance for aging population, as stated also in the recently published CIE227:2017. To facilitate safe environment for the elderly, the Fund in 2013 initiated a lighting research study that should provide facts and evidence for a lighting standard for their own premises.

scholarly journals The effects of disease-related knowledge on illness perception and psychological status of patients with COVID-19 in Hunan, China

2021 ◽  
pp. 1-30
Author(s):  
Man Ye ◽  
Shi-hao Chen ◽  
Xu-ting Li ◽  
Jin Huang ◽  
Ran-ran Mei ◽  
...  
Keyword(s):  
Low Income ◽  
Illness Perception ◽  
Self Care ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
Psychological Status ◽  
Current Status ◽  
Average Score ◽  
Future Health ◽  
Cross Sectional

Abstract OBJECTIVE: To assess the current status of disease-related knowledge and to analyze the relationship among the general condition, illness perception, and psychological status of patients with COVID-19. METHODS: A hospital-based cross-sectional study was conducted on 118 patients using convenience sampling. The general questionnaire, disease-related knowledge questionnaire of COVID-19, Revised Illness Perception Questionnaire (IPQ-R), and Profile of Mood States (POMS) were used to measure the current status of participants. RESULTS: The overall average score of the disease-related knowledge of patients with COVID-19 was (79.19 ± 14.25), the self-care situation was positively correlated with knowledge of prevention and control (r=0.265, P=0.004) and total score of disease-related knowledge (r= 0.206, P= 0.025); the degree of anxiety was negatively correlated with the knowledge of diagnosis and treatment (r= -0.182, P= 0.049). The score of disease-related knowledge was negatively correlated with negative cognition (volatility, consequences, emotional statements) and negative emotions (tension, fatigue, depression) (P<0.05); positively correlated with positive cognition (disease coherence) and positive emotion (self-esteem) (P<0.05). CONCLUSION It was recommended that we should pay more attention to the elderly and low-income groups, and increase the knowledge about diagnosis and treatment of COVID-19 and self-care in the future health education for patients.

scholarly journals Current Status of Traditional Korean Medicine Services in Public Sector: A Study for Integrating Traditional Korean Medicine into Community Care System

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 493
Author(s):  
Soo-Hyun Sung ◽  
Minjung Park ◽  
Jihye Kim ◽  
Sun-Woo Jeon ◽  
Angela Dong-Min Sung ◽  
...  
Keyword(s):  
Local Governments ◽  
Community Care ◽  
Central Government ◽  
The Elderly ◽  
Current Status ◽  
Traditional Korean Medicine ◽  
Korean Medicine ◽  
Service Programs ◽  
Care Systems ◽  
Care System

Korea is currently executing a pilot program for community care of its aging population and aims to implement community care systems on a national scale by 2025. This study examines the traditional Korean medicine (TKM) service to be provided within community care by understanding the current status of TKM services. The Ministry of Health and Welfare (MoHW) sent official letters to 242 local governments (cities, districts, and counties) from October to November 2019 to survey the status of the public TKM services provided in 2018. The items of the survey included basic demographic information as well as information that could reveal how the program was implemented. In 112 local government jurisdictions (response rate 46.3%), a total of 867 TKM service programs were in place. As a result of the survey, it was revealed that they did not have any service manuals or evaluation results. To provide home-care-based TKM service for the elderly as an integrated part of a community care system, it is necessary to develop, distribute, and evaluate a standard service manual including an evaluation index by the central government.

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