Chris Gravett, Rebekah Perkins, Lynn F Reinke, Kara B Dassel
{"title":"Barriers to routine screening for abuse of older adults in rural outpatient settings.","authors":"Chris Gravett, Rebekah Perkins, Lynn F Reinke, Kara B Dassel","doi":"10.1080/08946566.2026.2745018","DOIUrl":"https://doi.org/10.1080/08946566.2026.2745018","url":null,"abstract":"<p><p>Abuse of older adults remains under-detected in outpatient healthcare settings. This study examined practices, perceptions, and barriers related to screening for abuse of older adults among rural healthcare professionals, guided by the Health Belief Model. A cross-sectional mixed-methods design captured quantitative and qualitative responses to an anonymous survey. Thirty-two survey responses were recorded from healthcare professionals recruited across 16 outpatient clinics. Among respondents to the relevant demographic items, 66.7% were female, 93.3% White, and 34.6% reported 16 years or more of clinical experience. Confidence in recognizing abuse was moderate, but familiarity with standardized screening tools was limited. Qualitative content analysis identified barriers, including limited time, inadequate training, and unclear response protocols. Although respondents recognized the importance of screening, modifiable barriers limited consistent implementation. Findings support clearer clinical protocols, targeted training, and electronic health record screening prompts for rural outpatient practice.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-18"},"PeriodicalIF":1.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elder abuse multidisciplinary teams: evolution, impact, and future directions.","authors":"Lisa Nerenberg","doi":"10.1080/08946566.2026.2745017","DOIUrl":"https://doi.org/10.1080/08946566.2026.2745017","url":null,"abstract":"<p><p>This article traces the evolution of elder abuse multidisciplinary teams (MDTs), drawing on the author's experience developing one of the country's first teams and following their development to the present. It examines the roles of team members, the diverse perspectives they bring to case review, and the emergence of specialized teams in response to changing understandings and forms of abuse. These varied perspectives can enrich team discussions while also revealing differences in professional values and approaches. The article reviews research on MDT effectiveness and the challenges of measuring their often nuanced benefits for victims, team members, and the broader field of abuse prevention. It concludes with recommendations for helping MDTs respond to current challenges, including shifts in public policy and funding.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-18"},"PeriodicalIF":1.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathleen H Wilber, Eleanor Batista-Malat, Jennifer E Storey
{"title":"Fifty years of elder abuse research: what have we learned about risk, assessment, prevention, and treatment?","authors":"Kathleen H Wilber, Eleanor Batista-Malat, Jennifer E Storey","doi":"10.1080/08946566.2026.2738803","DOIUrl":"https://doi.org/10.1080/08946566.2026.2738803","url":null,"abstract":"<p><p>Elder abuse has been a focus of research and policy for over half a century. This article discusses this history, Focusing on elder abuse in the community, we trace seminal studies and innovative research and policy efforts that have sought to address key elder abuse questions, including how prevalent elder abuse is, why it occurs, risk and protective factors, and what is known about how it can be prevented/addressed. Although reviews indicate that effective interventions are lacking, we discuss several promising approaches at the program and organizational level. We recommend building on approaches from child maltreatment and intimate partner violence, including applying risk assessments that offer important lessons for elder abuse. We conclude by recommending refinement of assessments to identify different types of risks, along with interventions that recognize different etiologies and treatment approaches.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-23"},"PeriodicalIF":1.2,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elder abuse education: past, present, and future.","authors":"Candace J Heisler, Kylie Meyer, Lori Mars","doi":"10.1080/08946566.2026.2737659","DOIUrl":"10.1080/08946566.2026.2737659","url":null,"abstract":"<p><p>Elder abuse awareness, intervention, and prevention efforts have inevitably included calls for increased education for health care, legal, protective services, and financial services professionals and pre-professionals, in part due to low levels of awareness across disciplines. Education is needed to increase capabilities and capacities to detect and effectively respond to abuse, increase confidence among professionals, improve identification and substantiation, meet legal mandates, and prevent and reduce harm. This article will highlight key historical events in elder abuse education, how these disciplines have addressed professional and pre-professional education, modalities of training, and current and future challenges facing elder abuse education.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-21"},"PeriodicalIF":1.2,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and psychometric evaluation of the nurses' elder abuse assessment scale.","authors":"Oğuzhan Tiryaki, Birsel Canan Demirbağ","doi":"10.1080/08946566.2026.2734948","DOIUrl":"https://doi.org/10.1080/08946566.2026.2734948","url":null,"abstract":"<p><p>This study aimed to develop and evaluate the psychometric properties of a nurse-administered instrument for the structured assessment of indicators potentially associated with elder abuse. Scale items were generated through literature review and expert evaluation, yielding a content validity index of 0.878. Each nurse assessed one unique older adult. Exploratory factor analysis included 373 nurse-older adult dyads, and confirmatory factor analysis included 334 independent dyads, totaling 707 assessments. Older adults were required to communicate effectively and be clinically suitable for assessment; cognitive status was not formally measured. Exploratory analysis showed adequate sampling adequacy (KMO = 0.861) and a significant Bartlett's test (<i>p</i> < .001), identifying a four-factor structure explaining 61.81% of variance. Confirmatory analysis supported the proposed structure, and Cronbach's alpha ranged from 0.890 to 0.944. Diagnostic accuracy was not evaluated against an independent reference standard; therefore, sensitivity, specificity, predictive values, and clinically meaningful cutoff scores remain to be established.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-19"},"PeriodicalIF":1.2,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelly Marnfeldt, Susanna Mage, Susan Enguidanos, Zachary Gassoumis, Kate Wilber
{"title":"Elder abuse prevention through enhanced caregiver support: a qualitative case study of the COACH intervention.","authors":"Kelly Marnfeldt, Susanna Mage, Susan Enguidanos, Zachary Gassoumis, Kate Wilber","doi":"10.1080/08946566.2026.2732212","DOIUrl":"10.1080/08946566.2026.2732212","url":null,"abstract":"<p><p>The Comprehensive Older Adult and Caregiver Help (COACH) intervention, evaluated in a randomized controlled trial (RCT) by Gassoumis et al. (2024), achieved an unexpected outcome: during the three months after the intervention, no caregivers in the treatment group self-reported elder mistreatment (EM), compared to 23.1% in controls, despite no significant reduction in measured caregiver risk factors such as burden, depression, or anxiety. To explore factors that may have contributed to this outcome, we conducted a case study with three COACH care coaches and their supervisor, supplemented by 100 post-visit notes and six pages of supervisory meeting notes. Thematic analysis identified three elements perceived as central to COACH's impact: tailored, person-centered support; care navigation and resource provision; and culturally responsive, iterative caregiver education. Findings suggest that relational support may mitigate EM risk even when measured risk factors do not change, underscoring the need for theory-informed frameworks to guide caregiver-focused prevention strategies.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-24"},"PeriodicalIF":1.2,"publicationDate":"2026-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intersectional harms: discriminatory abuse of older LGBTQ+ adults in long-term care.","authors":"Sue Westwood","doi":"10.1080/08946566.2026.2731352","DOIUrl":"https://doi.org/10.1080/08946566.2026.2731352","url":null,"abstract":"<p><p>Discriminatory abuse (harm motivated by a person's identity characteristics, including sexual orientation, gender identity, race and sex) remains under-addressed in mainstream \"elder abuse\" scholarship. This commentary argues that silence in scholarship and absence in data, concepts and regulatory frameworks produce a form of structural invisibility that leaves older LGBTQ+ people in long-term care vulnerable to harm that is neither recognized nor addressed. Drawing on the case of Noel Glynn, a gay man with dementia subjected to homophobic abuse in an English care home, it calls for discriminatory abuse to be more fully recognized conceptually, empirically and within adult protection practice.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stigma and systemic distrust: a multidimensional sentiment analysis of social media discourse on elder abuse in Chinese long-term care institutions.","authors":"Xiang Gao, Shirui Liu, Fei Sun","doi":"10.1080/08946566.2026.2731356","DOIUrl":"https://doi.org/10.1080/08946566.2026.2731356","url":null,"abstract":"<p><p>This study analyzed Weibo and Douyin comments posted during a five-day period surrounding a suspected elder abuse incident in a long-term care institution in mainland China. Of 51,776 comments collected, 41,362 remained after preprocessing. We used lexicon-based emotion classification, Baidu AI Cloud sentiment scoring, and TF-IDF and Latent Dirichlet Allocation to examine emotional, temporal, regional, and thematic patterns. Sentiment was predominantly negative (mean = -35.941). Among 4,305 classified comments, resentment was most frequent (n= 1,433, 33.29%), followed by confidence (n= 1,297, 30.13%), vengefulness (n= 659, 15.31%), fear (n= 538, 12.50%), and shame (n= 378, 8.78%). Higher provincial resident-to-direct care worker ratios were associated with more negative sentiment, although this ecological correlation does not establish causality. Recurring themes concerned prison-like images of institutional care, direct care worker stigmatization, regulatory oversight, vulnerability among people aging without children, and tensions surrounding family responsibility.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-28"},"PeriodicalIF":1.2,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceived authoritarian parenting during childhood and elder abuse tendencies in adulthood: internalized resentment as a mediating mechanism.","authors":"Tauqeer Abdullah","doi":"10.1080/08946566.2026.2724996","DOIUrl":"https://doi.org/10.1080/08946566.2026.2724996","url":null,"abstract":"<p><p>The present study examined the relationships among perceived authoritarian parenting (PAP) during childhood, internalized resentment (IR), psychological abuse toward elderly parents (PAEP), and passive elder neglect (PEN) among adults in Pakistan. It further investigated the mediating role of IR in the associations between early parenting experiences and later caregiving behaviors. A cross-sectional survey design was employed, and data were collected from 847 adults using self-report measures. Structural equation modeling revealed that PAP was positively associated with IR, PAEP, and PEN. IR also showed strong positive associations with both forms of elder mistreatment. Mediation analysis indicated that IR significantly mediated the associations between PAP and PAEP and PEN, supporting the proposed theoretical model. The results indicate that perceived early autonomy-restrictive parenting is associated with long-term emotional and behavioral outcomes in family systems. These findings have important implications for understanding elder abuse within intergenerational family relationships and for informing family counseling interventions.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-29"},"PeriodicalIF":1.2,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Kerala State Elderly Commission: preventive governance and the protection of older persons in India.","authors":"Bharat Dhiman","doi":"10.1080/08946566.2026.2724992","DOIUrl":"https://doi.org/10.1080/08946566.2026.2724992","url":null,"abstract":"<p><p>Population aging is transforming the institutional requirements of elder protection in India. Kerala's establishment of the Kerala State Elderly Commission under the Kerala State Elderly Commission Act, 2025, creates a specialized statutory mechanism for protecting the welfare, rights, and dignity of older persons. This article examines the Commission as an emerging instrument of preventive governance, focusing on its capacities for inquiry, inspection, coordination, legal-aid facilitation, policy guidance, and institutional oversight. Preventive governance is conceptualized through three dimensions: prevention before harm, early intervention when risks emerge, and prevention of recurrence following abuse or neglect. Drawing on statutory provisions, official government materials, and elder-abuse scholarship, the article examines mechanisms of reporting, inquiry, referral, intervention, follow-up, and institutional learning. It also considers challenges involving professional capacity, financing, accessibility, coordination, and implementation. The article argues that Kerala represents a significant institutional experiment whose effectiveness requires systematic empirical evaluation.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-8"},"PeriodicalIF":1.2,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}