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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, 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...
October 14, 2016: Journal of Elder Abuse & Neglect
Sonia Salari, Christopher Maxwell
The aim 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 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 FBI Supplemental Homicide Reports (SHR) and the Bureau of Justice Statistics (BJS) National Crime Victimization Survey (NCVS) are utilized to illustrate trends by sex over time...
October 12, 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...
September 27, 2016: Journal of Elder Abuse & Neglect
R Nathan Spreng, Jason Karlawish, Daniel C Marson
In this paper 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 which 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
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...
September 16, 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...
September 16, 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...
September 8, 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...
September 3, 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
Ayesha Ahmed, Wan-Yuen Choo, Sajaratulnisah Othman, Noran Naqiah Hairi, Farizah Mohd Hairi, Fadzilah Hanum Mohd Mydin, Siti Nur Illiani Jaafar
Elder abuse and neglect (EAN) is a hidden public health challenge for Malaysia. This cross-sectional survey studied the awareness of EAN among 148 doctors and nurses from two neighboring states in Malaysia using a self-administered questionnaire exploring their knowledge, perceptions, practices, and experience concerning EAN. Both doctors and nurses demonstrated poor understanding of signs of EAN and exhibited misperceptions on reporting requirements. Both groups perceived EAN as a national burden and reporting it as their responsibility; but most felt they had not been trained to diagnose it...
June 2016: Journal of Elder Abuse & Neglect
Peter A Lichtenberg, Lisa Ficker, Analise Rahman-Filipiak, Ron Tatro, Cynthia Farrell, James J Speir, Sanford J Mall, Patrick Simasko, Howard H Collens, John Daniel Jackman
One of the challenges in preventing the financial exploitation of older adults is that neither criminal justice nor noncriminal justice professionals are equipped to detect capacity deficits. Because decision-making capacity is a cornerstone assessment in cases of financial exploitation, effective instruments for measuring this capacity are essential. We introduce a new screening scale for financial decision making that can be administered to older adults. To explore the scale's implementation and assess construct validity, we conducted a pilot study of 29 older adults seen by APS (Adult Protective Services) workers and 79 seen by other professionals...
June 2016: Journal of Elder Abuse & Neglect
Miya Chang
Studies on the scope and nature of Asian American elder abuse conducted with older immigrants are extremely limited. The overall purpose of this study was to examine the extent and type of elder abuse among older Korean immigrants, and to investigate critical predictors of elder abuse in this population. The sample consisted of 200 older Korean immigrants aged 60 to 90 years who resided in Los Angeles County in 2008. One of the key findings indicated that 58.3% of respondents experienced one or more types of elder abuse...
2016: Journal of Elder Abuse & Neglect
Jason Burnett, Shelly L Jackson, Arup K Sinha, Andrew R Aschenbrenner, Kathleen Pace Murphy, Rui Xia, Pamela M Diamond
Elder abuse increases the likelihood of early mortality, but little is known regarding which types of abuse may be resulting in the greatest mortality risk. This study included N = 1,670 cases of substantiated elder abuse and estimated the 5-year all-cause mortality for five types of elder abuse (caregiver neglect, physical abuse, emotional abuse, financial exploitation, and polyvictimization). Statistically significant differences in 5-year mortality risks were found between abuse types and across gender. Caregiver neglect and financial exploitation had the lowest survival rates, underscoring the value of considering the long-term consequences associated with different forms of abuse...
2016: Journal of Elder Abuse & Neglect
Zahra Khanlary, Masoomeh Maarefvand, Akbar Biglarian, Majideh Heravi-Karimooi
Elder abuse may become a health issue in developing countries, including Iran. The purpose of this investigation was to study the effectiveness of Family-Based Cognitive-Behavioral Social Work (FBCBSW) in reducing elder abuse. In a randomized clinical trial in Iran, 27 elders participated in intervention and control groups. The intervention groups received a five-session FBCBSW intervention and completed the Domestic-Elder-Abuse-Questionnaire (DEAQ), which evaluates elder abuse at baseline and follow-ups. Repeated measures of analysis of variance (ANOVA) and the Wilcoxon test were used to analyze the data...
2016: Journal of Elder Abuse & Neglect
Yuliya Mysyuk, Rudi G J Westendorp, Jolanda Lindenberg
In this article we explore older persons' definitions of and explanations for elder abuse in the Netherlands by means of interviews with older persons. A qualitative study was conducted based on semistructured interviews with 35 older persons who had no experience with abuse. Our findings show that older persons participating in our study define elder abuse foremost as physical violence that is performed intentionally. The study participants explain elder abuse as a result of the dependency and vulnerability of older persons, of changing norms and values, and of changes in the position of older persons in society, which result in disrespect toward older persons and a lack of social control and responsibility...
2016: Journal of Elder Abuse & Neglect
Marissa C Hansen, David V Flores, John Coverdale, Jason Burnett
Self-neglect among older adults results in increased morbidity and mortality rates. Depression is strongly linked to self-neglect and when untreated, severely complicates management of health and functional outcomes. The study aims to identify factors correlated with depression to inform approaches to service recruitment and retention that improve long-term outcomes. The sample included urban community-dwelling older adults (n = 96) 65 years of age and older with Adult Protective Services-substantiated self-neglect...
2016: Journal of Elder Abuse & Neglect
Catherin Nisha, Steve Manjaly, Pretesh Kiran, Betsy Mathew, Arvind Kasturi
Elder abuse and neglect is a problem that occurs across all settings and all populations. Elder abuse has many forms, such as abandonment, emotional or psychological abuse, financial or material exploitation, neglect, physical abuse, and sexual abuse. We conducted this research to determine the prevalence of various types of abuse and neglect and their associated factors among elderly patients attending the urban and rural geriatric clinics at a medical college hospital in Bangalore, India. A total of 200 elderly patients participated in the study...
2016: Journal of Elder Abuse & Neglect
Peter A Lichtenberg, Lisa J Ficker, Annalise Rahman-Filipiak
This study examines preliminary evidence for the Lichtenberg Financial Decision Rating Scale (LFDRS), a new person-centered approach to assessing capacity to make financial decisions, and its relationship to self-reported cases of financial exploitation in 69 older African Americans. More than one third of individuals reporting financial exploitation also had questionable decisional abilities. Overall, decisional ability score and current decision total were significantly associated with cognitive screening test and financial ability scores, demonstrating good criterion validity...
2016: Journal of Elder Abuse & Neglect
Tony Rosen, Mark S Lachs, Jeanne Teresi, Joseph Eimicke, Kimberly Van Haitsma, Karl Pillemer
Resident-to-resident elder mistreatment (R-REM) in nursing homes is frequent and leads to adverse outcomes. Nursing home staff responses may significantly mitigate R-REM's impact, but little is known about current practices. The objective was to identify common staff responses to R-REM. The authors interviewed 282 certified nursing assistants (CNAs) in five urban nursing homes on their responses during the previous 2 weeks to R-REM behaviors of residents under their care. Ninety-seven CNAs (34.4%) reported actions responding to R-REM incidents involving 182 residents (10...
2016: Journal of Elder Abuse & Neglect
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