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Rural dimensions of elder abuse: contributions to the No Secrets review from rural older people
- Authors:
- CORNES Michelle, MANTHORPE Jill, HASELDEN Noreen
- Journal article citation:
- Journal of Adult Protection, 12(3), August 2010, pp.20-29.
- Publisher:
- Emerald
This paper explores elder abuse in rural communities. As part of the consultation around the review of the guidance document 'No Secrets', published by the Department of Health in 2008, a project was commissioned to listen to the views and experiences of a group of older people living in a rural community in Lancashire and Cumbria. The participants were 15 members of a County Forum for the Older Person who were divided into 2 focus groups. The groups discussed questions taken from the 'Keeping People Safe – Tell us how we can help' booklet and some case vignettes. This article reports on the findings of the consultation process and lessons for the review. These largely support the literature in confirming the variety of experiences and views held by rural older people, their personal activity related to protection of themselves and their sense of heightened vulnerabilities but also security from living in rural areas.
Engaging with the new system of safeguarding adults reviews concerning care homes for older people
- Authors:
- MANTHORPE Jill, MARTINEAU Stephen
- Journal article citation:
- British Journal of Social Work, 47(7), 2017, pp.2086-2099.
- Publisher:
- Oxford University Press
Adult Serious Case Reviews (SCRs) investigate situations in which harm to or death of a vulnerable adult has occurred, or where abuse or neglect was suspected and local agencies’ responses were deemed in need of scrutiny. Under the 2014 Care Act, in England, SCRs have moved to a statutory footing, being renamed Safeguarding Adults Reviews (SARs). This paper reports an analysis of SCRs concerning older residents of care homes conducted in 2015. While there is a clear forensic methodology for investigating single cases that indicate multi-agency failings of safeguarding, ‘whole home’ or ‘collective abuse’ investigations are difficult to undertake, requiring review of numerous records and consultations. Failure to recognise abuse may reflect professionals’ uncertainties about thresholds for action when encountering poor care quality or abuse and the exclusion of social workers from involvement with the care and support of care home residents. SCRs sometimes comment on sub-optimal support for care home residents from local social work practitioners or hint at missed opportunities. Reflections on what needs to change in local systems of care and support may include new scope for the development of gerontological social work practice. (Publisher abstract)
Serious case reviews into dementia care: an analysis of context and content
- Authors:
- MANTHORPE Jill, MARTINEAU Stephen
- Journal article citation:
- British Journal of Social Work, 46(2), 2016, pp.514-531.
- Publisher:
- Oxford University Press
Adult Serious Case Reviews (SCRs) are commissioned by local Safeguarding Boards to investigate how local professionals and agencies worked together to safeguard a vulnerable adult following an incident of abuse, harm or death if the Board identifies concerns about agencies' actions from which lessons may be learned. This paper presents the results of a study undertaken in 2013 analysing Adult SCRs where the person who was at risk of harm, or had been harmed or died, had a dementia. Of the eighty-four SCRs available, fourteen were identified as involving a person with dementia and in a further seven the victim(s) may have had dementia. Discrete themes are presented: the situation of self- or publicly funded residents; the potential of poor care quality in all settings for people with dementia, and by different staff and family carers; the lack of communication with family members; and poor integration of care for people with dementia. The SCRs provide vivid illustrations of the ‘faultlines’ that may exist in dementia support systems. In England, Adult SCRs are moving to a statutory basis under the Care Act 2014 and this paper draws attention to their potential as learning materials in dementia care for commissioners, for social workers and for safeguarding practice. (Publisher abstract)
Age, ethnicity and equalities: synthesising policy and practice messages from two recent studies of elder abuse in the UK
- Authors:
- MANTHORPE Jill, BOWES Alison
- Journal article citation:
- Social Policy and Society, 9(2), April 2010, pp.255-265.
- Publisher:
- Cambridge University Press
This paper, drawing on comparative discussion of two recent studies of elder abuse in the United Kingdom, outlines the how these studies fit into current policy contexts on adult safeguarding. Elder abuse among people from black and minority ethnic (BME) groups is a complex issues with five key components: cross-cultural divides; professional’s lack of skill with ethnic diversity; family structures dictate that explanations of abuse vary; BME groups may experience additional exclusion through racism, compounding the effects of ageism; and finally the effects of migration, language and culture may impact abuse. Interviews were carried out with 2,111 individuals, aged 66 or older, in the UK between March and September 2006, and discussed specific experiences of abuse and maltreatment. The authors’ discussion draws out the central messages and identifies the challenges that the studies present to recent policy debates and innovations. These relate to the need to properly integrate both wider older people's issues and issues of racism and ethnicity within developments in adult safeguarding policy as well as social care services as the personalisation agenda advances.
Older people
- Author:
- MANTHORPE Jill
- Journal article citation:
- Research Matters, October 2001, pp.38-42.
- Publisher:
- Community Care
Reviews the evidence base for the National Service Framework for Older People, then looks at the key topics of consultation and direct payments. The article reports on research posing questions on finance and attitudes, highlighting the difficulties of implementing the NSF. Concludes with a review of recent articles from the US and UK on adult and elder abuse.
Care professionals' understanding of the new criminal offences created by the Mental Capacity Act 2005
- Authors:
- MANTHORPE Jill, SAMSI Kritika
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(4), 2015, pp.384-392.
- Publisher:
- Wiley
Objectives: Implemented in 2007, the Mental Capacity Act (MCA) 2005 codified decision-making for adults unable to make decisions for themselves in England and Wales. Among other changes, two new offences of wilful neglect and ill-treatment were created under Section 44. This study explored how the MCA was being implemented in community-based dementia care, focusing on frontline practice. Method: Using qualitative longitudinal methodology, the authors interviewed 279 practitioners, in the London and South-East area of England, two or three times over 3 years. A framework analysis to identify and delineate recurrent themes was applied. Results: Views of the new offences were positive overall, but understanding ranged from partial to non-existent among some participants. Conclusions: Clinicians may be increasingly called upon to provide advice on whether an alleged victim or perpetrator lacks decision-making capacity in cases of suspected elder abuse. They need to be aware of the new criminal offences to ensure that people with dementia, among others, are not abused and that abusers are brought to account. (Edited publisher abstract)
Adult safeguarding policy and law: a thematic chronology relevant to care homes and hospitals
- Authors:
- MANTHORPE Jill, STEVENS Martin
- Journal article citation:
- Social Policy and Society, 14(2), 2015, pp.203-216.
- Publisher:
- Cambridge University Press
Elder abuse is a 'social problem', as illustrated by the production of policy documents and legislation that define and revise the scope and nature of the problem. This article synthesises and discusses the policy documents and legal changes that have taken place in England since 2000, when the first policy guidance to address adult safeguarding as a whole was produced. The focus of this article is on particular locations, namely care home and hospital settings, and the applicable policy and legislation. The policy documents and legal changes identified are analysed using Blumer's five phases of policy implementation and Matland's ambiguity-conflict matrix to explore their implications for policy implementation and coherence. The analysis suggests that responses to elder abuse have created different kinds of ambiguity and conflict, requiring both top-down and bottom-up policy interventions. (Publisher abstract)
Older people
- Author:
- MANTHORPE Jill
- Journal article citation:
- Research Matters, 19, April 2005, pp.35-40.
- Publisher:
- Community Care
Reviews research in the areas of working together between agencies, elder abuse, fuel poverty and suicide among older people. Considers the studies in the context of accessibility to interventions and the belief systems of older people.
Older people
- Author:
- MANTHORPE Jill
- Journal article citation:
- Research Matters, 11, April 2001, pp.42-44.
- Publisher:
- Community Care
Highlights recent research on older people. Subject areas include the development of care in the community, responses to abuse and neglect, and intergenerational work.
Older people
- Author:
- MANTHORPE Jill
- Journal article citation:
- Research Matters, 8, October 1999, pp.34-36.
- Publisher:
- Community Care
The past decade has witnessed growing professional and pressure group interest in the abuse of older people. This overview considers new research on financial protection, institutional abuse and abuse within ethnic minority communities. It also draws attention to a wealth of time research for those responding to government policy initiatives on services for older people.