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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...
September 14, 2017: Journal of Elder Abuse & Neglect
Karen A Roberto
Most available data about perpetrators of elder abuse is 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...
September 12, 2017: 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...
August 24, 2017: 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...
August 17, 2017: 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 past month...
July 12, 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
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...
May 19, 2017: 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...
May 12, 2017: 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.
March 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 California's 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 existing undue influence models-was reviewed, as were existing screening and assessment tools...
March 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 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 adult protective service staff. Validity of measures was assessed using Cronbach's alpha and receiver operator characteristic curve analyses with final substantiation decision as a criterion...
March 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 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. They also 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 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 composed 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 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...
January 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
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