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Journal of Elder Abuse & Neglect

Jaclyn S Wong, Linda J Waite
We respond to Dr. Acierno's concerns about the measurement of elder mistreatment and social support in the National Social Life, Health, and Aging Project. We made our analytic decisions carefully and conducted systematic robustness checks, and believe our findings are theoretically important.
April 11, 2017: Journal of Elder Abuse & Neglect
Mary Joy Quinn, Lisa Nerenberg, Adria E Navarro, Kathleen H Wilber
The study purpose was to develop and pilot an undue influence screening tool for Adult Protective Services (APS) personnel based on the definition of undue influence enacted into California law January 1, 2014. Methods included four focus groups with APS providers (n = 33), piloting the preliminary tool by APS personnel (n = 15), and interviews with four elder abuse experts and two APS administrators. Social service literature-including ex-isting undue influence models-was reviewed, as were existing screening and assessment tools...
April 11, 2017: Journal of Elder Abuse & Neglect
Kendon J Conrad, Madelyn Iris, Pi-Ju Liu
The Elder Abuse Decision Support System was designed to meet the critical need for improved methods for assessment and substantiation of elder mistreatment, using a web-based system with standardized assessment measures. Six Illinois agencies participated in the field test. One-year pre/post analyses assessed substantiation results, using Illinois' standard investigation procedure as a comparison. Pre/post acceptability was assessed with caseworkers in focus groups with APS staff. Validity of measures was assessed using Cronbach's alpha and receiver operator characteristic curve analyses with final substantiation decision as criterion...
April 4, 2017: Journal of Elder Abuse & Neglect
Gwendolyn Fearing, Christine L Sheppard, Lynn McDonald, Marie Beaulieu, Sander L Hitzig
Elder abuse and neglect is a societal issue that requires prevention and intervention strategies at the practice and policy level. A systematic review on the efficacy of community-based elder abuse interventions was undertaken to advance the state of knowledge in the field. The peer-reviewed literature between 2009 and December 2015 were searched across four databases. Two raters independently reviewed all articles, assessed their methodological quality and used a modified Sackett Scale to assign levels of evidence...
March 24, 2017: Journal of Elder Abuse & Neglect
Ron Acierno
Wong and Waite present a longitudinal study of elder abuse and its effects. However, they contend that their data do not support the protective effects of social support, a finding in contrast with virtually all existing research on the topic. Closer inspection of their variables indicates that they misclassify "elder abuse" insofar as their results are actually in terms of only one type of elder abuse, psychological abuse, ignoring physical and sexual abuse, and they define "elder abuse" using only one question: "Is there anyone who insults you or puts you down?" Finally, they measure social support with the single item "if they generally feel they can open up to, and rely on, these significant others...
March 22, 2017: Journal of Elder Abuse & Neglect
Farida K Ejaz, Miriam Rose, Georgia Anetzberger
Online training for care managers to identify, report, and prevent abuse, neglect, and exploitation was developed for a demonstration involving the dually eligible Medicare and Medicaid population. It was comprised of three modules covering background, screening, and reporting abuse. Of 453 enrollees, 273 completed at least one module and 212 completed all three. Pre- and post-training surveys for each module were used to examine changes in the proportion of correct answers for each question, using the related-samples Cochran's Q statistic...
March 22, 2017: Journal of Elder Abuse & Neglect
Andre B Rosay, Carrie F Mulford
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...
January 2017: Journal of Elder Abuse & Neglect
Lori L Jervis, William Sconzert-Hall, The Shielding American Indian Elders Project Team
The problem of how to conceptualize elder mistreatment goes back several decades, and is especially important for ethnic minority populations, who may have perspectives that differ from the dominant society. This community-based participatory research study, which examined perceptions of mistreatment by family among 100 urban and rural older American Indians, permits a rare glimpse into how Native elders themselves understand this issue. Here, good treatment was conceptualized in terms of being taken care of, having one's needs met, and being respected...
January 2017: Journal of Elder Abuse & Neglect
Jaclyn S Wong, Linda J Waite
Stress process theory predicts that elder mistreatment leads to declines in health, and that social support buffers its ill effects. We test this theory using nationally representative, longitudinal data from 2,261 older adults in the National Social Life Health and Aging Project. We regress psychological and physical health in 2010/2011 on verbal and financial mistreatment experience in 2005/2006 and find that the mistreated have more anxiety symptoms, greater feelings of loneliness, and worse physical and functional health 5 years later than those who did not report mistreatment...
January 2017: Journal of Elder Abuse & Neglect
Raudah Mohd Yunus, Noran Naqiah Hairi, Wan Yuen Choo, Farizah Mohd Hairi, Rajini Sooryanarayana, Sharifah Nor Ahmad, Inayah Abdul Razak, Devi Peramalah, Suriyati Abdul Aziz, Zaiton Lal Mohammad, Rosmala Mohamad, Zainudin Mohd Ali, Awang Bulgiba
Our study aims at describing mortality among reported elder abuse experiences in rural Malaysia. This is a population-based cohort study with a multistage cluster sampling method. Older adults in Kuala Pilah (n = 1,927) were interviewed from November 2013 to May 2014. Mortality was traced after 2 years using the National Registration Department database. Overall, 139 (7.2%) respondents died. Fifteen (9.6%) abuse victims died compared to 124 (7.0%) not abused. Mortality was highest with financial abuse (13%), followed by psychological abuse (10...
November 14, 2016: Journal of Elder Abuse & Neglect
XinQi Dong, Bei Wang
This article aims to advance the global issue of elder abuse through exploring how the current body of elder abuse literature can collectively pave the way for present and future directions for research, practice, and policy.
September 22, 2016: Journal of Elder Abuse & Neglect
R Nathan Spreng, Jason Karlawish, Daniel C Marson
In this article we will briefly review how changes in brain and in cognitive and social functioning, across the spectrum from normal to pathological aging, can lead to decision-making impairments that increase abuse risk in many life domains (e.g., health care, social engagement, financial management). The review will specifically focus on emerging research identifying neural, cognitive, and social markers of declining financial decision-making capacity in older adults. We will highlight how these findings are opening avenues for early detection and new interventions to reduce exploitation risk...
September 20, 2016: Journal of Elder Abuse & Neglect
Lori L Jervis, Sherry Hamby, Scott R Beach, Mary L Williams, Valerie Maholmes, Dorothy M Castille
This article provides an overview of the status of research on elder mistreatment among underserved populations in the United States, including gaps in our current knowledge base and scientific and structural barriers to growing research on the exploitation, neglect, and abuse of older people from diverse and disadvantaged ethnic/racial, geographic, sexual identity, and socioeconomic groups. High-priority areas in need of new elder mistreatment research with underserved populations are identified, and suggestions are given for how this research can be facilitated by researchers, university institutional review boards, and funding agencies...
August 2016: Journal of Elder Abuse & Neglect
Sonia Salari, Christopher D Maxwell
The aim of this article is to conduct a critical analysis of existing family violence literature related to elder abuse homicide, also known as "eldercide." The focus relates to fatal violence perpetrated by current or former intimates. Men are the most likely victims of homicide but are rarely murdered by partners. Older women are most often killed in the home by a spouse or other family, consistent with the notion of "femicide." The Federal Bureau of Investigation Supplemental Homicide Reports and the Bureau of Justice Statistics National Crime Victimization Survey are utilized to illustrate trends by sex over time...
August 2016: Journal of Elder Abuse & Neglect
Jeanne A Teresi, David Burnes, Elizabeth A Skowron, Mary Ann Dutton, Laura Mosqueda, Mark S Lachs, Karl Pillemer
The goal of this review is to discuss the state of the science in elder abuse prevention. Findings from evidence-based programs to reduce elder abuse are discussed, drawing from findings and insights from evidence-based programs for child maltreatment and domestic/intimate partner violence. A conceptual measurement model for the study of elder abuse is presented and linked to possible measures of risk factors and outcomes. Advances in neuroscience in child maltreatment and novel measurement strategies for outcome assessment are presented...
August 2016: Journal of Elder Abuse & Neglect
Katherine Witte Saylor
On October 30, 2015, the National Institutes of Health (NIH) convened a workshop, "Multiple Approaches to Understanding and Preventing Elder Abuse," in Bethesda, Maryland. The workshop brought together experts from across disciplines to discuss research challenges, opportunities, and lessons learned from other fields. Participants included experts in elder abuse, child abuse, intimate partner violence (IPV), emergency medicine, and neuroscience. In this special issue of the Journal of Elder Abuse and Neglect, participants address topics explored before, during, and after the day-long workshop...
August 2016: Journal of Elder Abuse & Neglect
Sherry Hamby, Alli Smith, Kimberly Mitchell, Heather Turner
This literature review assesses the current state of knowledge about elder abuse and mistreatment, focusing on the lack of incorporation of all forms of elder victimization and the benefits of a poly-victimization framework. This review also includes existing knowledge on risk factors and calls for a greater focus on protective factors and a greater inclusion on family and community factors. Future research, prevention, and intervention would benefit from considering the true burden of elder victimization and a greater implementation of strengths-based approaches to programs...
August 2016: Journal of Elder Abuse & Neglect
Scott R Beach, Christopher R Carpenter, Tony Rosen, Phyllis Sharps, Richard Gelles
This article provides an overview of elder abuse screening and detection methods for community-dwelling and institutionalized older adults, including general issues and challenges for the field. Then, discussions of applications in emergency geriatric care, intimate partner violence (IPV), and child abuse are presented to inform research opportunities in elder abuse screening. The article provides descriptions of emerging screening and detection methods and technologies from the emergency geriatric care and IPV fields...
August 2016: Journal of Elder Abuse & Neglect
Karen Stein
This commentary discusses the need to evaluate the impact of World Elder Abuse Awareness Day activities, the elder abuse field's most sustained public awareness initiative. A logic model is proposed with measures for short-term, medium-term, and long-term outcomes for community-based programs.
June 2016: Journal of Elder Abuse & Neglect
Jessica L Lee, Jason Burnett, Carmel B Dyer
Self-neglect (SN) and frailty in older adults is associated with increased disability and mortality. Despite these commonalities, there have been no studies objectively assessing frailty in older adults who SN. This secondary analysis classified frailty in N = 37 older adults with Adult Protective Services validated SN using the Fried Frailty Phenotype (FFP) of weight loss, weakness, exhaustion, activity level, and walking speed. Overall, 3% were classified as robust, 62% as prefrail, and 35% as frail. Most (72%) were overweight/obese, with clinically significant decreases in activity level (60%) and walking speed (97%)...
June 2016: Journal of Elder Abuse & Neglect
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