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Journal of Elder Abuse & Neglect

Michael D Reisig, Kristy Holtfreter
This study contributes to the general knowledge of the victim-offender overlap by determining whether the phenomenon exists among older adults and whether known correlates of crime and victimization explain the relationship. Cross-sectional survey data from telephone interviews conducted with individuals 60 years and older (N = 2,000) residing in Arizona and Florida are used to estimate confirmatory factor models for both victimization and criminal offending. The results from a series of multivariate regression models show that victimization is associated with criminal offending...
January 16, 2018: Journal of Elder Abuse & Neglect
Julie Bobitt, Jamie Kuhne, Julie Carter, Stephanie Whittier Eliason, Mary Twomey
In 2015, the Administration for Community Living (ACL) established the first federal "home" for Adult Protective Services (APS). This leadership has included working collaboratively with state Adult Protective Service systems to ensure that older adults and adults with disabilities are afforded the same protections against abuse, neglect, and financial exploitation regardless of where in the country they live. As part of that leadership, ACL created draft Voluntary Consensus Guidelines for State APS Systems...
January 2018: Journal of Elder Abuse & Neglect
Jennifer E Storey, A Alana Prashad
Abuse and neglect of vulnerable adults are significant problems, the identification and management of which is increasingly being made the legal responsibility of healthcare professionals. In response, some jurisdictions have developed training to assist professionals in these duties. This study evaluates the re:act Adult Protection Worker Basic Curriculum training from British Columbia, Canada. One hundred and fifty-seven participants, 109 training completers and 48 non-completers, answered a survey evaluating their confidence, knowledge, and applied knowledge in identifying, reporting, and investigating cases of suspected abuse, neglect, and self-neglect of vulnerable adults...
January 2018: Journal of Elder Abuse & Neglect
Geir Aas
Over recent decades, domestic violence or family violence, violence against women and child abuse has received much attention in the media, in political discourse and in social research. However, abuse of older adults arouses limited interest. In government action against domestic violence and in police guidance manuals, the elderly receive little attention. The aim of this article is primarily to demonstrate how the police attempt to prevent elder abuse in close relationships, especially in parent-child relationships...
January 2018: Journal of Elder Abuse & Neglect
Angela Ghesquiere, Stacey B Plichta, Caitlin McAfee, Geoff Rogers
Adult Protective Services (APS) workers are exposed to substantial occupational hazards and job stress, but these stressors are underdocumented. Therefore, we sought to describe APS workers' work environments and responses to occupational hazards and stressors, including compassion fatigue, burnout, and secondary traumatic stress. Survey data were gathered with closed-ended questionnaires administered to APS workers in an urban setting. Virtually all workers (97%) reported exposure to one or more environmental hazards in their work, and 80% reported hazard exposure in the past month...
January 2018: Journal of Elder Abuse & Neglect
Eric D Raile, Sarah J Swierenga, Toni A Dennis, Lauren A Swanson-Aprill, Lori A Post, Fuad Abujarad
Decision makers face difficult choices when tasked with identifying and implementing appropriate mechanisms for protecting the elderly and other vulnerable adults from abuse. A pilot project involving fingerprint-based criminal history background checks for personal care workers in Michigan has supplied an opportunity to examine one such mechanism. In conjunction with the pilot project, we have conducted a stakeholder analysis with the aim of informing decision makers about stakeholder perceptions of standard policy criteria like effectiveness, efficiency, and equity...
January 2018: Journal of Elder Abuse & Neglect
James G Booker, Mary Breaux, Sharon Abada, Rui Xia, Jason Burnett
This study examined elder self-neglect client satisfaction with services provided by an Adult Protective Services (APS) program. A total of 77 community-dwelling older adults with APS-substantiated self-neglect responded to the standardized and widely used 8-item Client Satisfaction Questionnaire. Approximately 75% of the participants reported being satisfied with the overall services. They felt that the services provided were responsive to their need(s) and helped them deal with their problem(s). Greater than 80% responded that they would refer a friend, would utilize APS in the future if necessary, and were at least satisfied with the amount of help received...
January 2018: Journal of Elder Abuse & Neglect
Kathleen Quinn
This article examines the cultural and ethical considerations for professionals working with older adults who experience polyvictimization. Drawing from the Department of Justice training program, Polyvictimization in Later Life (OVC/TTAC, 2017), topics include cultural competencies, ethical standards, personal and professional ethics, and ethical considerations when working in teams. Also described are specific suggestions and recommendations to ensure sensitive and ethical responses when working with cases involving polyvictimization...
November 2017: Journal of Elder Abuse & Neglect
Holly Ramsey-Klawsnik
In contrast to work within the child-abuse field, polyvictimization of older adults did not become a focus of professional attention until this decade. Despite this lack of formal identification, a search of the research and practice literature revealed that prior research investigating single forms of or other elder abuse issues contained evidence of what was variously termed "multiple," "multi-faceted," "co-occurring," or "hybrid" elder abuse. A wide range of victims (1...
November 2017: Journal of Elder Abuse & Neglect
Holly Ramsey-Klawsnik, Erin Miller
This article provides a summary of salient trauma findings and conveys the dearth of research pertaining specifically to the trauma of elder abuse. This material, in conjunction with information contained in other articles composing this special issue, lays the foundation for advancing a trauma-informed approach to assisting older adults who have experienced polyvictimization. Informed by the findings presented and their extensive clinical experience with victims of violence, the authors suggest steps for providing a trauma-informed and victim-centered response to older adults who have suffered polyvictimization...
November 2017: Journal of Elder Abuse & Neglect
Candace J Heisler
This article synthesizes what has been learned from the entire polyvictimization in later-life project and offers five categories of recommendations for addressing polyvictimization and its elderly victims through practice, policy, and research. These five recommendations relate to definitions and frameworks, practice, training and education, research and evidence-based interventions, and prevention. Specifically, this article focuses on changes to improve identification, development of policies and practices, and research priorities...
November 2017: Journal of Elder Abuse & Neglect
Pamela B Teaster
This article provides a context and overview for what is known about polyvictimization in later life. Drawing from previous literature, the article includes a definition of the phenomenon, as well as theoretical constructs by which it may be understood. We place other forms of polyvictimization within the context of elder abuse, recognize frameworks for conceptualizing polyvictimization in later life, and distinguish between polyvictimization at younger ages and polyvictimization in later life. The paper concludes with implications of the framework for research, practice, and policy...
November 2017: Journal of Elder Abuse & Neglect
Karen A Roberto
Most available data about perpetrators of elder abuse are included as part of the description of abuse experienced by older adults. Embedded within this literature is some evidence that perpetrators of elder abuse are involved in polyvictimization. Drawing upon prior empirical research of apparent cases of polyvictimization, this article focuses on what is known about the personal characteristics of perpetrators of polyvictimization, highlights the context of the relationship between perpetrators of polyvictimization and their older adult victims, addresses the potential consequences for perpetrators of polyvictimization, and provides recommendations for future research and practice...
November 2017: Journal of Elder Abuse & Neglect
Lori Weeks, Suzanne Dupuis-Blanchard, Rina Arseneault, Colleen MacQuarrie, Danie Gagnon, Ginette Marie LeBlanc
We conducted an online survey of professionals working in two Canadian provinces to learn about their knowledge of elder abuse from a gender-based perspective. A total of 169 professionals (90% women) completed a survey in either French or English. Five topic areas emerged from the analysis: the influence of gender on the risk of abuse; types of abuse detected; knowledge gaps; capacity to respond to gender-based abuse; and awareness of resources. To gain further insight into these results, we conducted three focus groups with a total of 24 professionals...
October 13, 2017: Journal of Elder Abuse & Neglect
Elina Kurkurina, Brittany C L Lange, Sonam D Lama, Erin Burk-Leaver, Mark J Yaffe, Joan K Monin, Debbie Humphries
There are no known instruments to aid law enforcement officers in the assessment of elder abuse (EA), despite officers' contact with older adults. This study aimed to identify: 1) officers' perceptions and knowledge of EA, 2) barriers in detecting EA in the field, 3) characteristics officers value in a detection tool, and to explore 4) the potential for officers to use the Elder Abuse Suspicion Index (EASI)©. Data was collected from 69 Connecticut officers who confirmed that barriers to effectively detecting EA included a lack of EA detection instruments, as well as a lack of training on warning signs and risk factors...
September 28, 2017: Journal of Elder Abuse & Neglect
Ron Acierno, Melba A Hernandez-Tejada, Georgia J Anetzberger, Daniel Loew, Wendy Muzzy
OBJECTIVES: To conduct an 8-year follow-up of the National Elder Mistreatment Study (NEMS) and specify risk ratios for negative outcomes of elder abuse, including DSM-5 defined depression, generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), and poor self-reported health. METHODS: Attempts were made to re-contact, via Computer Assisted Telephone Interview, all 752 NEMS participants who reported mistreatment since age 60 at Wave I, as well as a randomly selected sample of non-mistreated NEMS participants Results: 183 NEMS Wave I elder abuse victims and 591 non-victims provided data...
August 2017: Journal of Elder Abuse & Neglect
Lee S Friedman, Susan Avila, Elaine Liu, Kimberly Dixon, Olivia Patch, Renee Partida, Holly Zielke, Barbara Giloth, Daniel Friedman, Lois Moorman, Wendy Meltzer
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...
August 2017: Journal of Elder Abuse & Neglect
Jeanne A Teresi, Katja Ocepek-Welikson, Peter A Lichtenberg
The focus of these analyses was to examine the psychometric properties of the Lichtenberg Financial Decision Screening Scale (LFDSS). The purpose of the screen was to evaluate the decisional abilities and vulnerability to exploitation of older adults. Adults aged 60 and over were interviewed by social, legal, financial, or health services professionals who underwent in-person training on the administration and scoring of the scale. Professionals provided a rating of the decision-making abilities of the older adult...
August 2017: Journal of Elder Abuse & Neglect
Scott R Beach, Pi-Ju Liu, Marguerite DeLiema, Madelyn Iris, Melissa J K Howe, Kendon J Conrad
Improving the standardization and efficiency of adult protective services (APS) investigations is a top priority in APS practice. Using data from the Elder Abuse Decision Support System (EADSS), we developed short-form measures of four types of elder abuse: financial, emotional/psychological, physical, and neglect. The EADSS data set contains 948 elder abuse cases (age 60+) with yes/no abuse substantiation decisions for each abuse type following a 30-day investigation. Item sensitivity/specificity analyses were conducted on long-form items with the substantiation decision for each abuse type as the criterion...
August 2017: Journal of Elder Abuse & Neglect
Eilon Caspi
Resident-to-resident aggression (RRA) in nursing homes is a prevalent and concerning public health problem. A rapid growth in the number of research studies has led to advancements in understanding and awareness of these incidents. However, no state survey deficiency citation (F-Tag) currently exists to capture RRA in a structured way in the Centers for Medicare & Medicaid Services' (CMS) nursing homes F-Tags Coding System. This omission represents a major barrier to State Survey Agencies, CMS, consumers, and care advocacy organizations' efforts to keep vulnerable and frail residents safe and free from psychological harm...
August 2017: Journal of Elder Abuse & Neglect
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