Search results for ‘Subject term:"older people"’ Sort:
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Elder abuse: a systematic review of risk factors in community-dwelling elders
- Authors:
- JOHANNESEN Mark, LoGIUDICE Dina
- Journal article citation:
- Age and Ageing, 42(3), 2013, pp.292-298.
- Publisher:
- Oxford University Press
Objective: To undertake a systematic literature review of risk factors for abuse in community-dwelling elders, as a first step towards exploring the clinical utility of a risk factor framework. Search strategy and selection criteria: A search was undertaken using the MEDLINE, CINAHL, EMBASE and PsycINFO databases for articles published in English up to March 2011, to identify original studies with statistically significant risk factors for abuse in community-dwelling elders. Studies concerning self-neglect and persons aged under 55 were excluded. Results: Forty-nine studies met the inclusion criteria, with 13 risk factors being reproducible across a range of settings in high-quality studies. These concerned the elder person (cognitive impairment, behavioural problems, psychiatric illness or psychological problems, functional dependency, poor physical health or frailty, low income or wealth, trauma or past abuse and ethnicity), perpetrator (caregiver burden or stress, and psychiatric illness or psychological problems), relationship (family disharmony, poor or conflictual relationships) and environment (low social support and living with others except for financial abuse). Conclusions: Current evidence supports the multifactorial aetiology of elder abuse involving risk factors within the elder person, perpetrator, relationship and environment. (Publisher abstract)
What is “elder abuse”? voices from the margin: the views of underrepresented Canadian older adults
- Authors:
- PLOEG Jenny, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 25(5), 2013, pp.396-424.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Relatively little is known about the definitions and perceptions of elder abuse held by marginalised groups of older adults in Canada. The current study used focus group methodology to explore perceptions of elder abuse among marginalised groups such as Aboriginal persons, immigrants, refugees, and lesbians. We found both similarities and differences in perceptions of elder abuse across groups. Groups identified traditional forms of elder abuse (i.e., physical, sexual, psychological/emotional, financial abuse, and neglect) as well as less frequently identified types of abuse such as disrespect and government or systemic abuse. Groups also discussed issues related to immigrant sponsorship arrangements and abuse in nursing homes. (Publisher abstract)
Financial abuse of older people by family members: views and experiences of older Australians and their family members
- Authors:
- BAGSHAW Dale, et al
- Journal article citation:
- Australian Social Work, 66(1), 2013, pp.86-103.
- Publisher:
- Taylor and Francis
The most commonly reported form of abuse of older people in Australia is financial abuse and the majority of perpetrators are family members. The number of people aged 65 years and over in Australia is growing rapidly and the challenges of ageing often require support and assistance from family members, so it is important to develop strategies to prevent this form of abuse. This article analyses data from two national online surveys that examined this issue. The first, conducted in 2009, explored service providers’ knowledge and understandings of financial abuse of older people, and the second, conducted in 2010, investigated older people's and their family members’ views and experiences of financial abuse. Service providers' knowledge of risk factors for financial abuse of older people mirrored the experiences of older people and their family members and also confirmed factors identified in the literature. However, the findings also showed that many older people were not mindful of the potential risks to their financial wellbeing, particularly when and if they experience diminished capacity. Therefore, the authors concluded that service providers may find it difficult to engage them in preventative strategies.
Abuse and neglect of older people: secondary analysis of UK prevalence study
- Authors:
- BIGGS Simon, et al
- Publishers:
- NatCen Social Research, King's College London
- Publication year:
- 2013
- Pagination:
- 79
- Place of publication:
- London
This report describes secondary analysis of data from the UK Study of Abuse and Neglect of Older People (UKPS), which aimed to examine UK prevalence and risk factors associated with different definitions of mistreatment; to examine risk factors ‘in context’; and to explore a wider range of potential risk factors, using merged data from the Health Survey for England. This secondary analysis of the UKPS data examines key risk factors associated with mistreatment and with different types of mistreatment – neglect, and psychological, financial and physical abuse – by a family member, friend or care worker. Additional factors associated with mistreatment –such as mobility problems, falls, health problems, bladder problems and views of the local neighbourhood – are examined for England, using additional variables from the Health Survey for England 2005. The report notes how different definitions of mistreatment lead to differing estimates of prevalence, but that there is little evidence to support the likelihood that an older person subject to one form of abuse will also be subject to others. (Edited publisher abstract)
Financial exploitation of older adults in rural settings: a family perspective
- Author:
- MUKHERJEE Dhrubodhi
- Journal article citation:
- Journal of Elder Abuse and Neglect, 25(5), 2013, pp.425-437.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Federal agencies responsible for funding protective services to older adults are increasingly concerned with the growing incidence of financial exploitation in rural areas. The Wall Street Journal recently has reported an increasing trend of unemployed adult children migrating from urban centers to smaller rural towns and countrysides to live with their parents since 2008. This current study explores the attitudes of family caregivers regarding management of financial matters for their elderly care recipients. The major findings of the study include that adult children often (1) overestimate their parents' ability to manage their finances; (2) prefer to manage their parents' finances informally, as opposed to using legal options like power of attorney; and (3) tend to think of their parents' assets as “almost theirs.” The study concludes with recommendations on the critical need for information to help families make important decisions about helping elderly parents with their finances. This information would not only promote the use of safeguards against abuse, but could potentially provide caregivers with greater confidence and protection. (Publisher abstract)
Individual and community attitudes toward financial elder abuse
- Authors:
- MIHALJCIC Tijana, LOWNDES Georgia
- Journal article citation:
- Journal of Elder Abuse and Neglect, 25(2), 2013, pp.183-203.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study investigated attitudes toward financial elder abuse by sections of the Australian community using three focus groups, including aged care workers (aged 40-59), older adults (aged 55-76), and younger adults (aged 8-26). Participants were provided discussion cues prior to their focus group (i.e., What is financially abusive behavior? Why does it occur? How can it be prevented?). Two researchers authenticated the transcripts and identified micro- and macro-level themes within and across the groups. The study revealed a range of similar, different, and individual attitudes expressed across the groups, which could be used to develop a survey for a broader investigation of the role of individual attitudes and social/cultural norms in financial elder abuse. (Edited publisher abstract)
A cognitive mask? Camouflaging dilemmas in street-level policy implementation to safeguard older people from abuse
- Author:
- ASH Angie
- Journal article citation:
- British Journal of Social Work, 43(1), 2013, pp.99-115.
- Publisher:
- Oxford University Press
National policy to safeguard older people from abuse in England and Wales gives social services the lead role in co-ordinating local multi-agency adult safeguarding procedures. The findings of multi-method research carried out in a social services department in Wales are reported to identify the constraints and realities social workers faced when implementing policy to protect older people from abuse. Data sources were thirty-three social workers and managers and local adult safeguarding documentation and statistics. Methods included semi-structured interviews, focus groups, observed meetings, and documentary and statistical analysis of adult protection activity. The research found the dilemmas social workers grappled with were inherent in the structure of their work. Dilemmas included known poor practice and quality in some care services, resource shortfalls and delays in investigating alleged elder abuse. The paper concludes by developing the metaphor of a ‘cognitive mask’ to describe how social workers manage the dissonance arising from dilemmas inherent in the context of their work to safeguard elders and it suggests how this ‘mask’ can be removed. (Edited publisher abstract)
The critical-ecological framework: advancing knowledge, practice, and policy on older adult abuse
- Authors:
- NORRIS Deborah, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 25(1), 2013, pp.40-55.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The abuse of older adults is a recognised yet understudied issue compared to other forms of family violence. The purpose of this article is to propose a critical-ecological framework as a means through which research, policy and practice on older adult abuse can be advanced. Relevant themes from critical theory include power, control, and transformation. Relevant themes from ecological theory include reciprocity and equilibrium. Within the article, research, theory, and practice in family violence and older adult abuse are compared; elements that can be transferred to the field are analysed; and gaps are identified. Various methodologies were used for the research including an extensive literature review, 2 focus groups with local stakeholders, and interviews with 6 key informants recognised as national subject experts. The findings are used to argue that a critical-ecological framework provides a unifying lens which can help to bridge understandings between what, at face value, may seem to be disparate manifestations of violence and abuse. Its integrative and holistic approach considers the macrolevel ideologies and structures that shape everyday life, situational factors, as well as the realities of relational and individual dynamics.
Respect and protect: the experience of older people and staff in care homes and hospitals: the PANICOA summary report
- Author:
- LUPTON Carol
- Publisher:
- Prevention of Abuse and Neglect in the Institutional Care of Older Adults
- Publication year:
- 2013
- Pagination:
- 17
- Place of publication:
- London
A summary of the findings of the Prevention of Abuse and Neglect in the Institutional Care of Older Adults (PANICOA) joint research initiative. Eleven studies were commissioned under the Initiative and undertaken between 2009 and 2013.The aims of the PANICOA Research Initiative were to improve understanding of the context, causes and consequences of mistreatment, of both staff and residents/patients in institutional settings, from the perspectives of all key participants; provide the evidence to help develop more effective ways of preventing, identifying and responding to abusive, neglectful or disrespectful relationships in institutional settings; and contribute to knowledge on the prevalence of the mistreatment of older people in institutional care and the means by which it can be robustly ascertained. (Edited publisher abstract)
Respect and protect: the experience of older people and staff in care homes and hospitals: the PANICOA report
- Author:
- LUPTON Carol
- Publisher:
- Prevention of Abuse and Neglect in the Institutional Care of Older Adults
- Publication year:
- 2013
- Pagination:
- 77
- Place of publication:
- London
This report brings together the findings of the Prevention of Abuse and Neglect in the Institutional Care of Older Adults (PANICOA) joint research initiative. Eleven studies were commissioned under the Initiative and undertaken between 2009 and 2013.The aims of the PANICOA Research Initiative were to improve understanding of the context, causes and consequences of mistreatment, of both staff and residents/patients in institutional settings, from the perspectives of all key participants; provide the evidence to help develop more effective ways of preventing, identifying and responding to abusive, neglectful or disrespectful relationships in institutional settings; and contribute to knowledge on the prevalence of the mistreatment of older people in institutional care and the means by which it can be robustly ascertained. The report examines the causes and consequences of the mistreatment of older people from a range of perspectives, revealing four different ‘ideal-typical’ sets of experiences, or ‘narratives’, including the patient/resident perspective, the care staff perspective, the care provider perspective and the wider care community. The report sets out the next steps for key stakeholders in the institutional care community, focusing on care services, care culture and integration and working together. (Edited publisher abstract)