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Mistreatment of older people in the United Kingdom: findings from the first National Prevalence Study
- Authors:
- BIGGS Simon, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 20(1), January 2009, pp.1-14.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The National Prevalence Study of Elder Mistreatment took place in 2006 and included 2,111 respondents aged 66 and over from England, Wales, Scotland and Northern Ireland who answered a face-to-face questionnaire. Mistreatment by family members, close friends or care workers was reported by 2.6%, with the most common form being neglect (1.1%) followed by financial abuse (0.6%), psychological abuse (0.4%), physical abuse (0.4%) and sexual abuse (0.2%). Women were significantly more likely to have experienced mistreatment than men but there were gender differences according to type of abuse and perpetrator, and divergent patterns for neglect, financial and interpersonal abuse. Further analysis of the data also indicated that the likelihood of mistreatment varied according to socioeconomic position and health status.
Safeguarding people with dementia: recognising adult abuse
- Author:
- PRITCHARD Jacki
- Publisher:
- Alzheimer's Society
- Publication year:
- 2009
- Pagination:
- 23p.
- Place of publication:
- London
This booklet, produced by Alzheimer's Society and Action on Elder Abuse, is designed to help those who work with people with dementia become aware of the potential causes and signs of abuse. People with dementia can be particularly vulnerable to abuse and mistreatment for many reasons. Dementia can also make it harder to detect when abuse is taking place. The booklet provides guidance on action to be taken and where to go for support. Contents include chapters on: what is dementia; what is abuse; why are people with dementia vulnerable to abuse; how do we recognise abuse; what action should be taken; and where to go for support?
Family members’ reports of abuse in Michigan nursing homes
- Authors:
- GRIFFORE Robert J., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 21(2), April 2009, pp.105-114.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Data on the abuse and neglect of people aged 65 and over in Michigan nursing homes over a 12-month period were collected using list-assisted random-digit dialling of relatives. Most of the residents represented in the study were female, widowed and Caucasian. Neglect and caretaking mistreatment were the most frequent types of abuse reported. Comparison of the data with information from the National Ombudsman Reporting System suggests that the incidence of abuse is substantially higher than reflected in official data and warrants further research to investigate reasons for this discrepancy to provide accurate and validated data on abuse in nursing homes.
Elderly in America: a descriptive study of elder abuse examining National Incident-Based Reporting System (NIBRS) data, 2000-2005
- Authors:
- KRIENERT Jessie L., WALSH Jeffrey A., TURNER Moriah
- Journal article citation:
- Journal of Elder Abuse and Neglect, 21(4), October 2009, pp.325-345.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Despite evidence that elder abuse is a growing problem, there is little known about the phenomenon because of persistent limitations in the extant empirical work. The present study examined a large cross-national sample of reported incidents (n = 87,422) collected as part of the National Incident-Based Reporting System (NIBRS), 2000-2005. Addressing limitations in previous works, this research employed a criminal justice oriented definition of elder abuse examining victim, offender and incident characteristics using chi-square tests and logistic regression to establish baseline findings from a more comprehensive sample of data than previously existed. Results render a baseline profile of victims and abusers and suggest that gender differences prevail throughout elder abuse. This work both corroborates and contrasts with past findings of elder abuse research, providing new insights and much needed baseline data.
A systematic review of interventions for elder abuse
- Authors:
- PLOEG Jenny, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 21(3), July 2009, pp.187-210.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this study was to use rigorous systematic review methods to summarise the effectiveness of interventions for elder abuse. Only eight studies met the inclusion criteria. Evidence regarding the recurrence of abuse following intervention was limited, but the interventions for which this outcome was reported failed to reduce, and may even have increased, the likelihood of recurrence. Elder abuse interventions had no significant effect on case resolution and at-risk carer outcomes, and had mixed results regarding professional knowledge and behaviour related to elder abuse. The studies had significant methodological limitations that limit the ability to draw conclusions about the effectiveness of these interventions.
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.
Domestic violence in the second half of life
- Authors:
- LEISEY Monica, KUPSTAS Paula K., COOPER Aly
- Journal article citation:
- Journal of Elder Abuse and Neglect, 21(2), April 2009, pp.141-155.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The results of a series of focus groups involving 28 women aged 50 and over are discussed. Participants were recruited using flyers posted in public places, and a case scenario and semi-structured questioning were used to stimulate discussion. Five themes emerged. First, family and friends were identified as a source of support but, paradoxically, this view was combined with a sense that an abused woman would keep quiet in front of family for shame. Second, doctors were seen as a trusted source of help while ministers were felt to be less likely to intervene. Calling the police was felt to result in negative consequences. Third, most participants wanted more information about options available through the criminal justice system. Fourth, participants stressed the need for clear terminology so that victims can understand what constitutes abuse. And, fifth, information needs to be made available through outreach services. The case scenario and discussion questions used in the focus groups are reproduced in appendices.
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;
Assessing elder mistreatment: instrument development and implications for adult protective services
- Authors:
- ANTHONY Elizabeth K., et al
- Journal article citation:
- Journal of Gerontological Social Work, 52(8), November 2009, pp.815-836.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the United States, elder mistreatment is a growing social and public health problem, but assessment of elder mistreatment is hindered by factors such as inconsistent definitions, diverging theories of causation, and limited research on the problem. This review of the literature aims to summarise the current progress in developing screening and assessment instruments for elder mistreatment and implications for Adult Protective Services and those mandated to report suspected elder abuse. Using predetermined search terms and search sources, 15 screening and assessment instruments were located, and divided into two broad categories: screening instruments and assessment protocols and guidelines. The authors discuss the psychometric properties of the instruments, relevance to Adult Protective Services, and implications of the findings for future research, practice and policy.
Advance care planning in the delivery of adult protective services
- Authors:
- CSIKAI Ellen L., BLACK Kathy
- Journal article citation:
- Journal of Social Service Research, 35(4), September 2009, pp.311-321.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Working with, ensuring the safety and protection of, and planning ahead for care with older adults who have been abused, neglected or exploited may pose a particular challenge for providers in Adult Protective Services (APS), and practitioners should address both past and present maltreatment issues that may complicate planning for future care. This study was conducted to examine both serious illness and end-of-life issues encountered and the advance care planning (preparations made in advance for future care needs) experiences of APS workers in their practice with maltreated older adults. The study surveyed 508 APS workers in 21 states in the US regarding encounters with end-of-life situations and the practice of future care planning. The results showed that 74% of respondents encountered clients with serious illnesses, and 67% reported that they discussed or sometimes discussed advance care planning with clients. Over half of the APS workers cited client incapacity and refusal to address future care needs as barriers to discussing planning in advance for care.