scholarly journals Domestic abuse and older people: factors influencing help-seeking

2017 ◽  
Vol 19 (5) ◽  
pp. 247-260 ◽  
Author(s):  
Sarah Wydall ◽  
Rebecca Zerk

Purpose The purpose of this paper is to explore professionals’ perceptions of the barriers to help-seeking for victim-survivors of domestic abuse aged 60 years and over. Help-seeking as defined by Anderson and Saunders (2003) is not a single act or decision, but a complex and continuous process, victims engage in when seeking support. Design/methodology/approach A total of 50 qualitative semi-structured interviews were conducted with statutory practitioners and managers from 21 out of 22 local authorities in Wales. The research team worked collaboratively to produce a coding scheme which was subjected to a systematic coding exercise using the software package NVivo. Findings Professionals believed that older people’s “interconnectedness” with family, social embeddedness in the community and “meanings of the home” influenced help-seeking. The research suggests that for older victim-survivors of domestic abuse, age discrimination by practitioners, compounds older people’s experiences of help-seeking, restricting the range, quality and type of support provided. The paper demonstrates that a significant shift is required in practice to ensure that older people are in a position to make informed choices and their wishes are central in the decision-making process. Research limitations/implications Further qualitative research is needed to explore what older people themselves believe are the factors that impact on statutory service engagement. Originality/value This study is the first in the UK to conduct Pan-Wales research on professionals’ views on help-seeking behaviours of older people. One of the key findings from the study is that professionals from the statutory sector feel that connections to the home and social networks strongly influence help-seeking for older victim-survivors of domestic abuse.

2020 ◽  
Vol 13 (2) ◽  
pp. 57-71 ◽  
Author(s):  
Sarah Fox

Purpose Domestic abuse victimisation is a common experience among women with problematic substance use, but support provision for both issues is siloed within the UK. Research on the topic focuses on practitioner responses, dominating women’s voices within research, policy and practice. As such, knowledge about women’s experiences of help-seeking is missing. This study therefore aims to fill a gap in knowledge by exploring the lived experiences of supporting seeking among women impacted by domestic abuse and substance use. Design/methodology/approach Semi-structured interviews were conducted with 12 women who had a history of co-occurring problematic substance use and domestic abuse. Influenced by interpretive phenomenological analysis and feminist research praxis, the study explored how women with dual needs navigated support and help seeking and the barriers they faced. Findings The women reported the biggest barrier was the disconnect between substance use and domestic abuse support, including a gap in the communication of information. This resulted in them having to choose which of their needs to seek support for. None of the women received support for their combined experiences, and most of the women never received support for their domestic abuse experiences alone. Originality/value This is the first piece of research from the UK to explore, in-depth, women’s journey through support for their co-occurring substance use and domestic abuse victimisation. Previous research has not consulted with women to understand how they navigate the complex support systems available. This paper is, therefore, important, because it demonstrates the journeys to services these women take and the barriers they have to overcome.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hila Axelrad ◽  
Alexandra Kalev ◽  
Noah Lewin-Epstein

PurposeHigher pensionable age in many countries that are part of Organization for Economic Co-operation and Development (OECD) and a shrinking pension income force older people to postpone their retirement. Yet, age-based discrimination in employers' decisions is a significant barrier to their employment. Hence, this paper aims to explore employers' attitudes regarding the employment of workers aged 60–70, striving for a better understanding of age discrimination.Design/methodology/approachThe authors used a thematic analysis of semi-structured interviews with 30 managers, experts and employees in retirement age in Israel.FindingsFindings reveal a spectrum of employers' attitudes toward the employment of older workers. The authors' analytical contribution is a conceptual typology based on employers' perceived ability to employ older workers and their stated attitudes toward the employment of older workers.Social implicationsThe insights that emerge from this research are fundamental for organizational actors' ability to expand the productive, unbiased employment of older workers.Originality/valueBy understanding employers' preferences and perspectives and the implications on employers' ability and/or willingness to employ older workers, this research will help policymakers formulate and implement policy innovations that address these biases.


2020 ◽  
Vol 21 (4) ◽  
pp. 217-228
Author(s):  
Annie Stevenson

Purpose The purpose of this paper is to explore the link between age discrimination and the injustices that have taken place in our care homes during the COVID-19 pandemic in this country. It seeks to show how destructive age discrimination is to those who live in our care homes and attempts to shake up our attitudes to older people, as the pandemic continues. It is hoped that shifts in attitude would lead to a societal revolution in care and support for older people as the pandemic shows us how the current system is breaking down. Design/methodology/approach This is a personal insight into the plight of the care home sector during the COVID-19 pandemic in the UK. The writer has worked in the field of social care and older people’s services for many years and felt compelled to share her learning and observations. This led to venturing more deeply into understanding why those who live, work and visit care homes have been so neglected and “cast into the shadows” in the face of such desperate danger. Whilst tracking the media narrative during the first wave, she attempts to apply her knowledge, in particular gained from working for Help the Aged (now Age UK) as a policy manager for Quality Care, but also draws on experiences as a social worker, commissioner and care provider from the 1980’s to the present. By “shining a light” on care homes, revealing that the darker practices that have taken place contravene the Human Rights Act 1998, it is hoped that the recognition of age discrimination will happen at every level and become better known in its application. The paper observes how deeply rooted it is in us all. Findings Having highlighted some shocking examples of bad practice from the authorities relating to care homes, the article concludes that Government policy on care homes from March to July 2020 was discriminatory and questions how far lessons have been learned. The legislation is in place in the form of the Human Rights Act 1998 to protect older people in care homes but is not being widely implemented at regional policy level. Government rhetoric remains far from reality Instead of redressing the gap and admitting mistakes, there is evidence at a high level of continued denial and the projection of blame on to the care homes themselves. Originality/value The author’s professional background includes meeting the founder of the Gray Panthers, Maggie Kuhn, in the United States in the 1988. This was a defining moment that gave her an original insight into age discrimination and influenced her entire career. It eventually led to her working in national policy for one of the most influential charities for older people at the turn of the millennium, Help the Aged. Here, she co-founded the My Home Life Programme (promoting quality of life in care homes). The paper offers a unique insight into why it is so challenging to achieve quality of life for older people needing care and should be of interest to policymakers, clinical commissioning groups, local authorities, older people’s care providers and carer and user organisations.


2019 ◽  
Vol 11 (2) ◽  
pp. 127-137 ◽  
Author(s):  
Sarah Wallace ◽  
Carolyn Wallace ◽  
Joyce Kenkre ◽  
Jo Brayford ◽  
Simon Borja

Purpose The purpose of this paper is to explore the needs of men experiencing domestic abuse from the perspective of the professionals supporting them. Design/methodology/approach An all Wales qualitative study, 20 semi-structured interviews were completed with managers and practitioners of domestic abuse services supporting men. Interviews were analysed using thematic analysis. Findings Analysis identified six themes: against the tide of recognition, a need to recognise and accept domestic abuse, knowledge of provision, low numbers of men, resources (time and funding) and rebuilding. However, against the tide of recognition was central. Domestic abuse is understood as a heteronormative and gendered experience; abused men defy these notions. Research limitations/implications Findings cannot be generalised across the UK. This study offers a valuable base on which to build future knowledge. Future research might consider recruiting larger samples or follow up qualitative findings with a larger quantitative survey. Practical implications This paper presents the manager and practitioner views of the service needs and solutions for men. They perceive that abused men need to recognise and accept victimisation, have knowledge of provision and know it is acceptable to seek help and receive practical support. Social implications Increasing recognition cannot be achieved in isolation. A shared commitment is required from policy, practice and research to raise the agenda for abused men. Originality/value This is an under-researched area. This paper is the first to explore the needs of men through the lens of domestic abuse professionals.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rebecca May Thompson ◽  
Bridie Victoria Stone ◽  
Philip John Tyson

Purpose Gypsy, Roma and Traveller (GRT) people within the UK and the Republic of Ireland are underrepresented within research and policies despite high rates of mental illness and suicide. This study aims to explore the mental health (MH) support needs for GRT people within the British Isles. Design/methodology/approach This study was a thematic analysis of semi-structured interviews with nine self-identified GRT people. Findings The analysis revealed a longing for acceptance, both within and outside the GRT community; barriers to help seeking, specifically unsuitable services, poor awareness, stigma and distrust; and increased vulnerability owing to participants’ perceived lack of prospects and adverse life events. Originality/value Despite increased vulnerability, MH services are underutilised by GRT people for a variety of cultural and practical reasons. To reduce the current inequality, it is imperative that services take steps to increase accessibility. This study expands upon previous research by using the voices of GRT people themselves, creating a narrative built from their own emic perspectives. Unlike previous research, this study focuses exclusively on the MH of participants and includes participants from across the British Isles.


2020 ◽  
pp. 088626052094455
Author(s):  
Benjamin Hine ◽  
Elizabeth A. Bates ◽  
Sarah Wallace

While previous studies have begun to provide evidence on the experiences of male victims of domestic violence and abuse (DVA), current understanding in this area is still limited, and subject to narrow methods of inquiry. Moreover, little is known regarding the challenges of providing support to men in abusive relationships, and how barriers to effective service engagement are experienced by both men and service practitioners. This is an important area for exploration, as the gender-specific experiences and needs of men have been historically overlooked within academic research and service provision. The present study therefore had two principal aims: first, to provide more detailed information regarding the nature and context of abuse toward, and help-seeking experiences of, male victims, and second, to explore the experiences of those supporting abused men. Semi-structured interviews were conducted with four call handlers at a U.K. domestic abuse charity supporting male victims. Transcribed interviews were subjected to thematic analysis, revealing a superordinate theme of stereotypes and expectations of men which affected all the other three overarching and eight subthemes, including those detailing the range and severity of abuse suffered, the role of family and friends, barriers to reporting for abused men, and challenges in supporting them. Implications for services working with male victims of DVA are discussed: centered around the need for recognition, increased awareness, increased resourcing, and the provision of gender-inclusive services catering for the gender-specific needs of men.


2014 ◽  
Vol 16 (4) ◽  
pp. 202-212 ◽  
Author(s):  
Julie McGarry ◽  
Christine Simpson ◽  
Kathryn Hinsliff-Smith

Purpose – Domestic abuse continues to be largely hidden phenomenon. For older survivors this invisibility is further compounded by conceptual confusion surrounding domestic abuse and other forms of family violence. The purpose of this paper is to explore service responses to abuse among older people from across a range of sectors. Where possible the perspectives of older people themselves were explored. Design/methodology/approach – A mixed methods approach incorporating postal questionnaires and semi-structured telephone interviews. Agencies and organizations from both the statutory and voluntary sector who provided specific domestic abuse support services or general services and support for older people (aged 59 years and over) and older people, either as survivors of abuse or with an interest in the development of services for older people within one region of the UK were invited to take part in the project. In total, 18 individuals from a range of agencies and three older women survivors agreed to take part in the study. Findings – The findings highlighted three main themes, first, lack of conceptual clarity between domestic abuse and elder abuse, second, complexity of family dynamics and abusive relationships, and third, deficit in dedicated service provision for older survivors. The findings are discussed within the context of the existing literature and key recommendations include wider recognition of the significance of inter-professional education, training and working practices. Originality/value – This paper identifies the complexities and challenges that continue to face organizations in terms of recognition and provision of services for older survivors of abuse.


2019 ◽  
Vol 121 (3) ◽  
pp. 658-674 ◽  
Author(s):  
Kingsley Purdam ◽  
Aneez Esmail ◽  
Elisabeth Garratt

Purpose The purpose of this paper is to present findings from research into food insecurity amongst older people aged 50 years and older in the UK. Design/methodology/approach This paper uses secondary analysis of national-level survey data and semi-structured interviews with older people receiving emergency food from foodbanks. Findings There is a forgotten care gap in the UK where a substantial number of older people are living in food insecurity. Many older people live alone and in poverty, and increasing numbers are constrained in their spending on food and are skipping meals. Food insecurity amongst older people can be hidden. Within families a number of older people were trying to ensure that their children and grandchildren had enough to eat, but were reluctant to ask for help themselves. Research limitations/implications The broad categorisation of older people aged 50 and above comprises people in very different circumstances. The qualitative component of the research was undertaken across various sites in a single city in England. Despite these limitations, the analysis provides important insights into the experiences of the many older people enduring food insecurity. Practical implications An increased public and professional awareness of food insecurity amongst older people is needed. Increased routine screening for under-nutrition risk is a priority. Policy initiatives are needed that are multifaceted and which support older people across a range of age groups, particularly those living alone. Social implications Food insecurity amongst older people in the UK raises questions about the present policy approach and the responsibilities of the government. Originality/value The research provides important new insights into the experiences of the many older people experiencing food insecurity in the UK by drawing on survey data and interviews with older people using foodbanks.


BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e025813
Author(s):  
Charlotte Cadge ◽  
Charlotte Connor ◽  
Sheila Greenfield

ObjectiveTo explore lay understanding and perceptions of schizophrenia in university students.DesignQualitative study using semi-structured interviews and thematic analysis.SettingThe University of Birmingham, West Midlands.Participants20 UK home students of white British (n=5), Indian (n=5), Pakistani (n=5), African Caribbean (n=4) and dual white British and African Caribbean ethnicity (n=1).ResultsFindings revealed a lack of knowledge about schizophrenia, particularly the negative symptoms that were not mentioned. There were mixed ideas on the causes and sources of available help for schizophrenia; however, positively many said they would consult their general practitioner. While there was a general misconception among the students that schizophrenia caused multiple personalities and was a dangerous illness, there were some differences in perceptions and understanding between ethnic groups, with more Indian students perceiving upbringing as a causal factor in the development of the illness and more Pakistani students perceiving possession by a spirit as a cause.ConclusionsThe university students interviewed lacked knowledge about schizophrenia and stigma was widespread, both of which may delay help-seeking. Public health campaigns educating young people about schizophrenia are required to improve early identification and intervention and improve outcomes. Further research exploring ways to effectively tackle stigma is also required.


2016 ◽  
Vol 19 (2) ◽  
pp. 33-44 ◽  
Author(s):  
Martin Whiteford ◽  
Glenn Simpson

Purpose The purpose of this paper is to provide an exploratory account of the links between devolution, homelessness and health in the UK. Specifically, it focusses on the policy context and governance structures that shape the systems of healthcare for homeless people in London, Scotland, Wales and Northern Ireland. Design/methodology/approach Empirically the paper draws on semi-structured interviews with a small sample of policy and practice actors from the devolved territories. Qualitative interviews were supplemented by a comparative policy analysis of the homelessness and health agenda within the devolved regions. Theoretically, it takes inspiration from Chaney’s concept of the “issue salience of homelessness” and explores the comparative character of healthcare as pertains to homeless people across the devolved territories. Findings The paper provides clear evidence of areas of divergence and convergence in policy and practice between the devolved regions. These features are shown to be strongly mediated by the interplay of two factors: first, the scope and scale of national and local homelessness prevention strategies; and second, intra-national variation in public health responses to homelessness. Originality/value The paper offers considerable insight from a comparative policy perspective into the nature of healthcare provision for homeless people in the devolved regions.


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