Understanding Elder Victimization and Best Practice Intervention Strategies

Author(s):  
Beverly Dolinsky ◽  
Robert A. Jerin

The Centers for Disease Control and Prevention report 1 in 10 adults over the age of 60 have experienced some form of abuse including neglect and exploitation. However, these statistics are an underestimate. Professionals who interact with the elderly describe being reluctant to report abuse due to a lack of knowledge of elder abuse, the reporting process, and the resources available to support victims. The invisibility of elder abuse has only increased during the 2020 COVID pandemic due to the increased social isolation of older adults and understaffed, overburdened health and social systems. Cross-disciplinary education for healthcare and social service practitioners, law enforcement, court personnel, families, and the older adults themselves is an essential component to identify and prevent elder abuse. This chapter provides an overview of elder abuse and neglect categories, risk factors, and best practice interventions advocated for addressing elder victimization.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S943-S943
Author(s):  
Chen Chen ◽  
Liu Yue ◽  
Hong Mi

Abstract With acceleration of the ageing population globally, more and more governments are concerned about the potential increase in elder abuse and neglect (EA/N). Recently the National Office for Ageing and the provincial offices for ageing conducted a survey of 224,352 Chinese over the age of 60 years using household interviews to assess economy, health, service, social participation, culture, rights protection, livable environment, etc. Author’s analysis of this data shows that 54% of the elderly people interviewed experienced physical and mental abuse or intimidation, and 6.95% of them felt that their legal rights were violated. Data also supports that the occurrence of EA/N was significantly correlated to self-care ability, economic status, and urban and rural regions of the elders. The researcher will discuss the practice and policy implications for the prevention of EA/N.


2010 ◽  
Vol 31 (3) ◽  
pp. 499-520 ◽  
Author(s):  
LIAT AYALON

ABSTRACTThe overall goal of the study reported in this paper was to examine differences in the perceived occurrence of abuse and neglect as between older care recipients, their family carers, and foreign home-care workers in Israel. Overall, 148 matched family members and foreign home-care workers and 75 care recipients completed a survey of abuse and neglect. Significant discrepancies in their reports of neglect were found, with the foreign home-care workers more likely to identify neglect (66%) than the older adults (27.7%) or their family members (29.5%). Although the rates of reported abuse ranged between 16.4 and 20.7 per cent and the differences were not statistically significant, the different parties assigned the responsibility for the abuse to different perpetrators. The independent variables that significantly associated with abuse and neglect also varied by the three groups of participants. The findings suggest that even with round-the-clock home care, the basic needs of many older adults are not met, and that many experience substantial abuse. The study emphasises the subjective nature of abuse and neglect, and suggests that more education about what constitutes elder abuse and neglect may lead to more accurate and consistent reports across reporting sources. Incorporating data from the various stakeholders may enhance the early identification of elder abuse and neglect.


1994 ◽  
Vol 39 (8_suppl) ◽  
pp. 34-40 ◽  
Author(s):  
Stephen Vida

Abuse and neglect of the elderly represent an important social problem in Canada. Forms of elder abuse and neglect include physical, psychological and material abuse; neglect, both intentional and unintentional; and violation of legal rights. The definitions, signs, and symptoms of elder abuse and neglect are discussed, as are estimates of incidence and prevalence, and descriptions of possible risk factors. The evolution of legislation regarding the reporting of elder abuse and neglect is reviewed, as are relevant areas of common law, the Civil Code, and the Criminal Code. This is followed by an overview of practical considerations in clinical management, and finally by recommendations for further research.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 46-47
Author(s):  
Robin McAtee ◽  
Valerie Claar ◽  
Laura Spradley ◽  
Whitney Thomasson

Abstract As the incidence of elder abuse and neglect continue to rise and plague our country’s older adults, it is imperative that their plight is recognized, reported and elicits an appropriate response. At least 1 out of 10 older adults suffer from at least one type of abuse each year (DOJ, 2020) and only 1 in 24 cases of elder abuse is ever reported to authorities (National Center on Elder Abuse, 2019). Since 41% of Arkansas’ population live in rural areas, reaching and educating first responders who work in these areas is a priority, yet has been a challenge. It has been ascertained that virtually no elder abuse or neglect related training for first responders occurs in Arkansas. In 2015, the Arkansas Geriatric Education Collaborative (a HRSA Geriatric Workforce Enhancement Program) developed an education program and mobilized it to multiple first responder groups including the AR State Police, multiple city and county paramedics’ organizations, EMTs, local police officers and fire fighters. The program was further enhance late in 2019 when the training was made available on-line in conjunction with dementia training. The content and methods of training and test results revealing knowledge gained will be reviewed. Follow-up stories from first responders who have put their training into action in the field will be told as they reveal how they have used their training to identify potential abuse, neglect and self-neglect cases and how they have recognized, reported and addressed specific cases.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 771-772
Author(s):  
Khulood Alraddadi

Abstract Background Psychological health effects of elder abuse and neglect in sheltered homes are unknown. Objectives:The objective of the present study was to determine if several types of elder abuse were related to an increased likelihood of negative psychological health. Methods Data were derived from the elder mistreatment in sheltered homes project, a cross-sectional study conducted in 2018 that included 446 older adults living in 43 sheltered homes.A face-to-face interview was carried out to complete structured questionnaires for participants to assess the psychological health effects of different subtypes of elder abuse. Results All subtypes of elder abuse were significantly associated with increased prevalence rates of depressive symptoms and sleep problems. Similarly, all subtypes except physical abuse were associated with higher rates of anxiety symptoms. In multivariate regression analysis, Older adults who reported physical mistreatment were three times more likely to experience suicidal ideation(OR=3.28, 95% CI=1.14 to 9.44), while no other subtypes were significantly associated with suicidal ideation.Older adults who report at least one type of abuse were eight times more likely to have depressive symptoms (OR=7.99, 95% CI=4.43 to 14.41), twice as likely to screen positive for anxiety symptoms(OR=2.05, 95% CI=1.20 to 3.49), three times more likely to have sleep problems (OR=3.20, 95% (CI=1.78 to 5.75). All subtypes of abuse were significantly associated with the presence of depressive symptoms, sleep problems, and anxiety symptoms except physical mistreatment. Conclusion Abuse is common among older adults living in sheltered homes and is associated with negative impacts on psychological health.


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