{"title":"Addressing elder abuse: service provider perspectives on the potential of restorative processes.","authors":"Maria T Brown, Mary Helen McNeal","doi":"10.1080/08946566.2020.1814179","DOIUrl":"https://doi.org/10.1080/08946566.2020.1814179","url":null,"abstract":"<p><p>Older adults often rely on family and friends for care and support. Individuals providing support can take advantage of their vulnerabilities, resulting in neglect, physical, emotional, or sexual abuse, or financial exploitation. Conventional approaches, which older adults are often reluctant to pursue, utilize social service interventions, criminal justice responses, civil litigation, and case review multi-disciplinary teams. This project explored providers' perspectives on using restorative processes, alternative approaches that bring together the person harmed, the person committing the harm, and the community to address the harm and repair relationships. Researchers recruited and interviewed providers working with abused older adults, as referred by a community-based elder justice working group. Providers perceived that restorative processes have the potential to address and prevent social isolation, which often leads to elder abuse. We recommend providers explore restorative processes to address elder abuse, paying attention to implementation barriers and identifying appropriate methods for supporting and maintaining outcomes.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 4","pages":"357-376"},"PeriodicalIF":1.9,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1814179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38315034","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":"Association between personality traits and elder abuse in a community-dwelling Chinese population: findings from the PINE study.","authors":"Mengting Li, Dexia Kong, Ying-Yu Chao, XinQi Dong","doi":"10.1080/08946566.2020.1782300","DOIUrl":"https://doi.org/10.1080/08946566.2020.1782300","url":null,"abstract":"<p><p>Elder abuse is a pervasive public health issue. The relationship between personality traits and elder abuse remains unclear. This study aims to examine the associations between neuroticism, conscientiousness, and elder abuse. Data were derived from the Population Study of Chinese Elderly (PINE), a community-engaged study of 3,157 US Chinese older adults in the greater Chicago area from 2011-2013. Elder abuse included psychological, physical, and sexual abuse, financial exploitation, and caregiver neglect. The assessments of neuroticism and conscientiousness were derived from the NEO Five-Factor Inventory. Logistic regression was used. Higher neuroticism (score range: 6-30, OR = 1.14, CI = 1.11-1.18) and lower conscientiousness (score range: 16-60, OR = 0.97, CI = 0.96-0.99) were associated with a higher risk of elder abuse. With respect to different forms of elder abuse, higher neuroticism was associated with an increased risk of psychological abuse (OR = 1.14, CI = 1.10-1.17), financial exploitation (OR = 1.03, CI = 1.00-1.07), and caregiver neglect (OR = 1.06, CI = 1.03-1.09). Higher conscientiousness was associated with a higher risk of financial exploitation (OR = 1.02, CI = 1.00-1.05). Intervention programs could reduce neuroticism and raise conscientiousness of elder abuse victims.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 4","pages":"317-333"},"PeriodicalIF":1.9,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1782300","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38080687","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}
David Burnes, Darin Kirchin, Alyssa Elman, Risa Breckman, Mark S Lachs, Tony Rosen
{"title":"Developing standard data for elder abuse multidisciplinary teams: A critical objective.","authors":"David Burnes, Darin Kirchin, Alyssa Elman, Risa Breckman, Mark S Lachs, Tony Rosen","doi":"10.1080/08946566.2020.1782301","DOIUrl":"https://doi.org/10.1080/08946566.2020.1782301","url":null,"abstract":"<p><p>Multidisciplinary teams (MDTs) represent a prominent and growing form of elder abuse intervention in communities across the U.S. and around the world. Despite the proliferation and promise of MDTs as a model of elder abuse intervention, the field lacks infrastructure, including a standardized data collection strategy, to facilitate a coordinated and informed MDT effort. This commentary presents an exploratory study, which sought to examine existing strategies of case-level electronic data collection implemented by MDTs across the U.S. Using a snowball sampling strategy, we identified 11 MDTs using an electronic data collection strategy. Our analysis found a tremendous range in both the extent and nature of data collection across MDTs, yet it identified common domains of data. A standardized MDT data collection strategy would benefit several MDT stakeholders, including coordinators tracking everyday operations, funders requiring reporting, and researchers conducting large-scale comparative research to identify best MDT practices.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 4","pages":"377-384"},"PeriodicalIF":1.9,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1782301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38058856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Can a positive doctor-patient relationship contribute to risk of elder abuse?","authors":"Mark Yaffe","doi":"10.1080/08946566.2020.1770646","DOIUrl":"https://doi.org/10.1080/08946566.2020.1770646","url":null,"abstract":"<p><p>Positive doctor-patient relationships have been noted to be possible facilitators in the identification of elder abuse. A case from family practice is cited in which an enduring and well-appreciated relationship unintentionally set up potential for mistreatment. Considerations to factors beyond traditional elder abuse risk factors should be kept in mind.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 4","pages":"385-387"},"PeriodicalIF":1.9,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1770646","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37994070","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}
Pi-Ju Liu, Sara K Stratton, Zachary Hass, Kendon J Conrad
{"title":"Can standardized measures provide helpful feedback about adult protective services substantiation? Pilot data from a short self-neglect assessment.","authors":"Pi-Ju Liu, Sara K Stratton, Zachary Hass, Kendon J Conrad","doi":"10.1080/08946566.2020.1742837","DOIUrl":"https://doi.org/10.1080/08946566.2020.1742837","url":null,"abstract":"ABSTRACT Can standardized assessment contribute to improving Adult Protective Services (APS) practice? In this exploratory study, San Francisco and Napa APS utilized a newly developed short self-neglect assessment to test how standardized measures provide information for substantiation decision making. Findings demonstrated satisfactory reliability and validity for the short self-neglect assessment, and analyses revealed important issues that could improve practice. Review of outliers revealed: (1) problems using the assessment tool, (2) misunderstandings of APS procedures, and (3) struggles navigating the case management system. These revelations could all be easily addressed in training. Caseworker’s clinical judgment and experience also continue to have a place in complementing the use of the standardized assessment.","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 3","pages":"259-274"},"PeriodicalIF":1.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1742837","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37797916","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":"Using diffusion of innovations framework to examine the dissemination and implementation of the adult protective services national voluntary consensus guidelines.","authors":"Julie Bobitt, Julie Carter, Jamie Kuhne","doi":"10.1080/08946566.2020.1742836","DOIUrl":"https://doi.org/10.1080/08946566.2020.1742836","url":null,"abstract":"<p><p>The National Voluntary Consensus Guidelines for Adult Protective Services (APS) were released in 2016 by the Administration for Community Living. These Guidelines help standardize systems to ensure the protection of older adults and adults with disabilities against abuse, neglect, and financial exploitation. Since their release, the extent to which state APS programs are aware of and using the Guidelines is unknown. This study examined the dissemination and implementation of the Guidelines across APS programs in the US. Researchers used the Diffusion of Innovations Theory to develop a survey sent to APS directors in all states. Forty-two states responded, and results were used to select a subset of states in which to conduct in-depth interviews. Awareness of the Guidelines was widespread but varied. Reported use of the Guidelines indicates that states are working to incorporate them into their practices. Respondents identified the need for more research and training in evidence-based practices.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 3","pages":"201-216"},"PeriodicalIF":1.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1742836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37748871","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":"Grannicides in Ghana: a study of lethal violence by grandchildren against grandmothers.","authors":"Mensah Adinkrah","doi":"10.1080/08946566.2020.1740126","DOIUrl":"https://doi.org/10.1080/08946566.2020.1740126","url":null,"abstract":"<p><p>The current article presents the results of an exploratory research that examined 16 homicides perpetrated by grandchildren against their own grandmothers in Ghana, West Africa. The term grannicide was coined by the present author and employed in the current analysis to denote the slaying of a grandmother by her grandchildren. Data for the present study were extracted from various Ghanaian print and electronic media. Results from the analysis of data show that grannicide is gendered, with all 16 identified grannicides perpetrated by grandsons against grandmothers. Offenders typically were young and of low socioeconomic background. Victims were of advanced age, poor, and at least partially dependent on their children and grandchildren for economic, physical and social support. All the homicides occurred in the rural areas of the country, and the victims commonly shared a residence with the assailant. Witchcraft accusations were the predominant motive in grandchild-to-grandmother slayings. The killings were overwhelmingly brutal, exhibiting characteristics that criminologists call overkill. Recommendations for reducing this type of crime are offered.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 3","pages":"275-294"},"PeriodicalIF":1.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1740126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37763635","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":"Screening for elder mistreatment in emergency departments: current progress and recommendations for next steps.","authors":"Tony Rosen, Timothy F Platts-Mills, Terry Fulmer","doi":"10.1080/08946566.2020.1768997","DOIUrl":"https://doi.org/10.1080/08946566.2020.1768997","url":null,"abstract":"<p><p>Emergency Department (ED) visits provide an important but seldom realized opportunity to identify elder mistreatment. Many screening tools exist, including several that are brief and may be effective, but few have been specifically designed for or tested in EDs. In addition to the absence of validated tools, other challenges with implementing ED elder mistreatment screening include difficulty integrating anything longer than a few questions into a busy clinical encounter and resources required to respond to positive screens. The Electronic Health Record (EHR) offers a critical tool to facilitate elder mistreatment screening through required data entry and real-time monitoring of compliance and results. We describe current work in the field and recommend next steps including design and testing of a two-step screening process, implementation research to accelerate adoption, development of ED-based interventions and referral protocols for positive cases, and consideration of the important role of pre-hospital providers in case identification.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 3","pages":"295-315"},"PeriodicalIF":1.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1768997","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38018275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Communication neglect, caregiver anger and hostility, and perceptions of older care receivers' cognitive status and problem behaviors in explaining elder abuse.","authors":"Mei-Chen Lin","doi":"10.1080/08946566.2020.1741054","DOIUrl":"https://doi.org/10.1080/08946566.2020.1741054","url":null,"abstract":"<p><p>The goal of the current study was to examine the roles of communication neglect and caregiver traits (i.e., anger and hostility) in explaining caregivers' tendency to engage in abusive behaviors - specifically, whether such tendency is likely to occur in situations where caregivers perceive older care receivers displaying cognitive impairment or problem behaviors. Two hundred fifty-five informal caregivers completed an online questionnaire via Qualtrics. Treating communication neglect as the mediator, and caregiver anger and hostility as moderators, the results suggested that caregivers who perceived their older care receivers displaying problem behaviors were more likely to engage in communication neglect, which then led to psychological abuse. Moreover, the joint effects of communication neglect and caregiver anger and hostility intensified caregivers' likelihood to commit psychological abuse. These findings provide initial evidence to further investigate the importance of communication neglect and dysfunctional behaviors such as anger and hostility in explaining psychological abuse in informal caregiving for older adults.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 3","pages":"235-258"},"PeriodicalIF":1.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1741054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37746957","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":"Perceptions of plea bargaining in cases of elder financial abuse.","authors":"Andrea M Riederer, Jonathan M Golding","doi":"10.1080/08946566.2020.1738300","DOIUrl":"https://doi.org/10.1080/08946566.2020.1738300","url":null,"abstract":"<p><p>The present study investigated perceptions of plea bargains in elder financial abuse. Approximately 78-90% of felony convictions are the result of plea bargains, yet very little work examines the public's perceptions of it. Additionally, elders lose an estimated $2.6-36.5 billion dollars each year to financial abuse and exploitation. Participants were recruited from Mturk (<i>N</i> = 74) and completed a mixed-factors 2 (Amount of Money Stolen: $5,000 vs. $50,000) x 2 (Relationship of Victim and Perpetrator: son vs. caretaker) x 2 (Type of Sentence: reduced jail sentence vs. probation) x 2 (Participant Gender) design. Amount, relationship, and sentence were within-participant factors, while gender was between-participant. It was found that there were main effects of amount, sentence, and relationship between victim and defendant such that participants showed a preference for plea bargains when the amount in question was lower ($5,000 vs. $50,000), when the sentence given was harsher (a reduced jail sentence vs. probation), and when the defendant was the victim's son (vs. a caretaker).</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"32 3","pages":"217-234"},"PeriodicalIF":1.9,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1738300","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37728969","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}