Search results for ‘Subject term:"elder abuse"’ Sort:
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Accidents will happen
- Author:
- JENKINS Ginny
- Journal article citation:
- Health Service Journal, 7.10.93, 1993, p.31.
- Publisher:
- Emap Healthcare
Questions whether the NHS is geared up to recognise the abuse of older people when it sees it.
Disclosure among victims of elder abuse in healthcare settings: a missing piece in the overall effort toward detection
- Authors:
- TRUONG Carol, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 31(2), 2019, pp.181-190.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Elder abuse remains a largely hidden problem in our society and only a small minority of victims are connected to formal support/protective services. Healthcare settings have been identified as a critical milieu to uncover cases of elder abuse; however, under-detection in these settings is a major issue. Victimization disclosure is an important component within the overall detection effort, yet it has received little attention in the elder abuse literature. Drawing on relevant literature from other domains of family/interpersonal violence, this article highlights the disclosure process, as well as disclosure barriers, facilitators, and competencies to consider when working with older adults. (Edited publisher abstract)
Self-neglect and neglect of vulnerable older adults: reexamination of etiology
- Authors:
- CHOI Namkee G., KIM Jinseok, ASSEFF Joan
- Journal article citation:
- Journal of Gerontological Social Work, 52(2), February 2009, pp.171-187.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Elder self-neglect and neglect by caregivers have been shown to be the most commonly reported and substantiated of the types of elder mistreatment. Using assessment and investigation data from the reported Adult Protection Services cases in Texas in 2005, this study aims to examine the type of elder self-neglect and neglect, including medical neglect. It also examines the association between self-neglect/neglect and individual economic resources as well as health care and social services programmes for the poor. The findings show that a large portion of elder self-neglect/neglect is the consequence of the victims’ lack of economic resources to pay for essential goods and services. Elder self-neglect/neglect is also due to the inadequate healthcare and other formal support programmes for the older adults and their caregivers. The article concludes that this inadequate public policy coverage needs to be considered as a significant cause of elder self-neglect and neglect.
Abuse: older people at risk
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2009
- Pagination:
- 25p.
- Place of publication:
- London
User-friendly factsheet intended for enquirers, and directly relevant to older people, their families and carers. This item deals with older people at risk from abuse;
Behavioral health services utilization among older adults identified within a state abuse hotline database
- Authors:
- SCHONFELD Lawrence, LARSEN Rebecca G., STILES Paul G.
- Journal article citation:
- Gerontologist, 46(2), April 2006, pp.193-199.
- Publisher:
- Oxford University Press
This American study examined the extent to which older adults identified in a statewide abuse hotline registry utilized behavioural health services. This is important as mental health issues have been identified as a high priority for filling gaps in services for victims of mistreatment. The study compared Medicaid and Medicare claims data for two groups of older adults: those using health services and identified within a statewide abuse hotline information system and those claimants not identified within the hotline database. Behavioural health service use was greater among those identified in the abuse hotline database. The penetration rate (percentage of service users out of all enrollees) for Medicaid behavioural health service claims was more than twice that of other service users, with costs of services about 30% greater. Analyses of Medicare data revealed that the penetration rate for those in the hotline data was almost 6 times greater at approximately twice the cost compared to other service users. The results provide evidence for previous assumptions that mistreated individuals experience a higher rate of behavioural health disorders. As mental health screening by adult protective services is rarely conducted, the results suggest the need to train investigators and other service providers to screen older adults for behavioural health and substance-abuse issues as well as physical signs of abuse. Further research on the relationship of abuse to behavioural health might focus on collection of additional data involving more specific victim-related characteristics and comparisons of cases of mistreatment versus self-neglect.
Elder abuse identification by an Australian health service: a five-year, social-work audit
- Authors:
- COLLINS Melinda, et al
- Journal article citation:
- Australian Social Work, 73(4), 2020, pp.462-476.
- Publisher:
- Taylor and Francis
For hospitals and other health-care services, identifying older people experiencing abuse remains a challenge. Social workers at St Vincent’s Hospital Melbourne (SVHM) used a clinical data mining approach to retrospectively audit electronic medical records containing 466 episodes of care over a five-year period where elder abuse was identified based on a system of alerts. The findings highlight key characteristics of the vulnerable older persons, the perpetrators, their social contexts, and interventions undertaken, clarifying a range of vulnerability and risk factors in the sample. Half were aged 80 years and over; two thirds lived with the person of concern; two thirds were from culturally and linguistically diverse backgrounds, and a third had cognitive impairment. A high proportion were assessed as being at moderate to high levels of risk, requiring urgent to prompt intervention. Audit findings strengthened knowledge and led to improvements in elder abuse responses by social workers, which included policy development, training, risk management and safety planning processes, resourcing, and research initiatives. This paper describes how social workers engaged in data collection and analysis to inform their practice within a health-care setting and contributed to service evaluation and improvements. (Edited publisher abstract)
Using clinical signs of neglect to identify elder neglect cases
- Authors:
- FRIEDMAN Lee S., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 29(4), 2017, pp.270-287.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Elder neglect is the one of the most pervasive forms of mistreatment, and often the only place outside of the individual’s residence to identify and assist neglected individuals is in a medical setting. However, elder neglect cases treated in hospitals do not present with a single diagnosis or clinical sign, but rather involve a complex constellation of clinical signs. Currently, there is a lack of comprehensive guidelines on which clinical signs to use in screening tools for neglect among patients treated in hospitals. Using the DELPHI method, a group of experts developed and tested a scale to be used as a pre-screener that conceptually could be integrated into electronic health record systems so that it could identify potential neglect cases in an automated manner. By applying the scale as a pre-screener for neglect, the tool would reduce the pool of at-risk patients who would benefit from in-depth screening for elder neglect by 95%. (Publisher abstract)
Prevalence estimates and correlates of elder abuse in the United States: The National Intimate Partner and sexual violence survey
- Authors:
- ROSAY Andre B., MULFORD Carrie F.
- Journal article citation:
- Journal of Elder Abuse and Neglect, 29(1), 2017, pp.1-14.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examines the prevalence and correlates of psychological abuse and physical abuse against women and men aged 70 or older. Self-report data from 2,185 respondents in the 2010 National Intimate Partner and Sexual Violence Survey (NISVS) were used to create weighted estimates for past-year experiences of abuse. Correlates were then examined using survey logistic regression models. More than 1 in 10 adults who are 70 years of age or older (14.0%) have experienced some form of abuse in the past year, with 12.1% experiencing psychological abuse and 1.7% experiencing physical abuse. One in five victims (20.8%) were abused by both intimate and nonintimate partners. Health care insecurity was the strongest correlate of past-year abuse. The odds of experiencing abuse were 4.53 times greater for those who experienced health care insecurity than for those who did not. This presents a significant challenge for identifying and helping victims of abuse. (Publisher abstract)
The human rights of older people in healthcare: eighteenth report of session 2006-07: Vol. 2: Oral and written evidence
- Author:
- GREAT BRITAIN. Parliament. Joint Committee on Human Rights
- Publisher:
- Stationery Office
- Publication year:
- 2007
- Pagination:
- 240p.
- Place of publication:
- London
Evidence regards the implementation of the Human Rights Act by service providers; health and social care inspectorates and the National Institute for Health and Clinical Excellence (NICE); the role of staff in protecting human rights; and empowering older people. Although there are examples of excellent care, there are concerns about poor treatment, neglect, abuse, discrimination, and ill-considered discharge. There is a significant difference between the 'duty to provide' under care standards legislation and the 'right to receive' under human rights legislation and the culture needs to change. The Committee recommends legislation and a role for the Commission for Equality and Human Rights, and also recommends measures to strengthen human rights obligations and duties, including better guidance and standards, and bringing private and voluntary care homes into the scope of the Human Rights Act.
The cost of living: growing up is free, growing old is expensive
- Author:
- ACTION ON ELDER ABUSE
- Publisher:
- Action On Elder Abuse
- Publication year:
- 2007
- Pagination:
- 6p.
- Place of publication:
- London
Elder abuse exists and that it may have a profound effect on the quality of life for older people; that both the rights and autonomy of the older person and their possible need to be protected from abuse are recognised; that all older people have the confidence, knowledge and support to take the action they choose to counter abuse; that health and social care practitioners at all levels are trained to recognise the different types of abuse including financial abuse.