{"title":"Developing a model for providing feedback to reporters of elder abuse.","authors":"Kristin Lees Haggerty, Olanike Ojelabi, Randi Campetti, Athi Myint-U, Kathy Greenlee","doi":"10.1080/08946566.2024.2361633","DOIUrl":"10.1080/08946566.2024.2361633","url":null,"abstract":"<p><p>Lack of feedback about reports made to Adult Protective Services (APS) is an important barrier to elder mistreatment reporting. To better understand barriers and facilitators to APS-reporter communication, we conducted an environmental scan of state policies and practices. We gathered publicly available information from 52 states and territories on APS administrative structure, reporting, intake, investigation, and feedback processes; performed a secondary analysis of focus groups with Emergency Medical Services providers and APS staff; and interviewed 44 APS leaders in 24 states/territories. Results revealed variation in information-sharing with reporters. Qualitative analyses revealed three overarching themes related to whether, when, and how information is shared. Results were used to develop a model illustrating factors influencing APS decisions on sharing information. This model incorporates the type of reporter (professional or nonprofessional), their relationship with the APS client (brief or ongoing), and the potential risks and benefits of sharing information with the reporter.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"439-457"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200984","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":"Neighborly relations and self-neglect in older adults living alone: a cross-sectional study in rural areas of Southwest China.","authors":"Yuling Jia, Yuexue Yue, Yu Sheng","doi":"10.1080/08946566.2024.2389389","DOIUrl":"10.1080/08946566.2024.2389389","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to examine the association between neighborly relations and self-neglect.</p><p><strong>Methods: </strong>We used the Scale of the Elderly Self-neglect to measure elder self-neglect. Logistic regression was used to examine the association between neighborly relations and self-neglect and its' phenotypes.</p><p><strong>Results: </strong>After adjusting for potential confounders, the risk of overall self-neglect among individuals with harmonious neighbor relationships significantly decreased by 79.2%. In comparison to elderly individuals living alone with poor neighbor relationships, those with harmonious connections experienced a 77.6% reduction in the risk of medical self-neglect, an 89.9% decrease in the risk of hygiene self-neglect, a 65.1% decline in the risk of emotional self-neglect, a 77.9% drop in the risk of safety self-neglect, and a 56.8% lower risk of social self-neglect.</p><p><strong>Conclusion: </strong>This study highlights harmonious neighborly relations are an independent protector factor for self-neglect. Fostering neighborly relations might be a practical approach to mitigating self-neglect.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"487-507"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972096","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}
Fengyan Tang, Guoping Jin, Wendi Da, Yuyang Zhu, Yanping Jiang
{"title":"Elder mistreatment and cognitive functioning among Chinese older adults in the U.S.","authors":"Fengyan Tang, Guoping Jin, Wendi Da, Yuyang Zhu, Yanping Jiang","doi":"10.1080/08946566.2024.2413498","DOIUrl":"https://doi.org/10.1080/08946566.2024.2413498","url":null,"abstract":"<p><p>Elder mistreatment disproportionately affects racial and ethnic minority older adults, particularly Chinese older adults in the U.S. who face increased risks due to cultural disparities, intergenerational conflicts, and socioeconomic disparities. This study investigated the longitudinal association of elder mistreatment with cognitive functioning among Chinese older adults in the Greater Chicago area (<i>N</i> = 2,811). Self-reported elder mistreatment and cognitive performance were assessed across four waves of the study. Latent growth curve modeling analysis showed that respondents reporting previous mistreatment instances at baseline exhibited better initial functioning status (<i>B</i> = 0.07, <i>p</i> < .05); however, those reporting mistreatment incidents at three follow-ups showed a faster cognitive decline compared to those without such reports (<i>B</i> = -0.04, <i>p</i> < .05). Recent and potentially cumulative experiences of elder mistreatment have a negative effect on cognitive decline. Sociocultural contexts need to be considered when addressing elder mistreatment issues within the Chinese minority community.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381984","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}
Alyssa Elman, Sarah Cox, Elaine Gottesman, Seth Herman, Avery Kirshner, Sarah Tietz, Amy Shaw, David Hancock, E-Shien Chang, Daniel Baek, Elizabeth Bloemen, Sunday Clark, Tony Rosen
{"title":"The critical role of the specialized social worker as part of ED/hospital-based elder mistreatment response teams.","authors":"Alyssa Elman, Sarah Cox, Elaine Gottesman, Seth Herman, Avery Kirshner, Sarah Tietz, Amy Shaw, David Hancock, E-Shien Chang, Daniel Baek, Elizabeth Bloemen, Sunday Clark, Tony Rosen","doi":"10.1080/08946566.2023.2255742","DOIUrl":"10.1080/08946566.2023.2255742","url":null,"abstract":"<p><p>The emergency department and hospital provide a unique and important opportunity to identify elder mistreatment and offer intervention. To help manage these complex cases, multi-disciplinary response teams have been launched. In developing these teams, it quickly became clear that social workers play a critical role in responding to elder mistreatment. Their unique skillset allows them to establish close connections with community resources, collaborate with various hospital stakeholders, support patients/families/caregivers through challenging situations, navigate the legal and protective systems, and balance patient safety and quality of life in disposition decision-making. The role of the social worker on these multi-faceted teams includes conducting a comprehensive biopsychosocial assessment, helping to develop a safe discharge plan, and making appropriate referrals, among other responsibilities. Any institution considering developing a multi-disciplinary program should recognize the critical importance of social work.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"384-394"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10924767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10205418","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}
E-Shien Chang, Elizabeth M Bloemen, Sarah Tietz, Daniel Lindberg, Alyssa Elman, Elaine Gottesman, Daniel Baek, David Hancock, Veronica M LoFaso, Jennine McAuley, Michelle Sullivan, Chloe Pino, Lisa Rachmuth, Tony Rosen
{"title":"ED/hospital program contributions to community multi-disciplinary team meetings: Different models.","authors":"E-Shien Chang, Elizabeth M Bloemen, Sarah Tietz, Daniel Lindberg, Alyssa Elman, Elaine Gottesman, Daniel Baek, David Hancock, Veronica M LoFaso, Jennine McAuley, Michelle Sullivan, Chloe Pino, Lisa Rachmuth, Tony Rosen","doi":"10.1080/08946566.2024.2324315","DOIUrl":"10.1080/08946566.2024.2324315","url":null,"abstract":"<p><p>Elder mistreatment (EM) is a complex problem, with response and prevention requiring contributions from professionals from many disciplines. Community-based multi-disciplinary teams (MDTs) that conduct meetings to discuss challenging cases and coordinate services are a common strategy to ensure effective collaboration. Though they play an important role in EM identification, intervention, and prevention, hospitals and hospital-based healthcare professionals have been particularly difficult to engage in MDTs. Two hospitals in different communities recently launched Emergency Department (ED)/hospital-based response teams to consult in cases of potential EM, and both participate in MDTs. We explored similarities and differences between the MDTs in these communities including in the role of the ED/hospital-based response team. The comparison demonstrates both core common features as well as large variations. These differences reflect different circumstances in the models on which they were based, on MDT development in these communities, available resources and infrastructure, and the ED/hospital program's role.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"413-422"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050607","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}
Elizabeth M Bloemen, Alyssa Elman, Sarah Tietz, Amy Shaw, Daniel M Lindberg, Elaine Gottesman, Jason Hayes, Daniel Baek, Michelle Sullivan, Robin Yasui, Chloe Pino, Jennine McAuley, David Hancock, E-Shien Chang, Veronica M LoFaso, Michael E Stern, Tony Rosen
{"title":"Emergency department and hospital-based programs responding to elder mistreatment: developing consensus about an idea whose time has come.","authors":"Elizabeth M Bloemen, Alyssa Elman, Sarah Tietz, Amy Shaw, Daniel M Lindberg, Elaine Gottesman, Jason Hayes, Daniel Baek, Michelle Sullivan, Robin Yasui, Chloe Pino, Jennine McAuley, David Hancock, E-Shien Chang, Veronica M LoFaso, Michael E Stern, Tony Rosen","doi":"10.1080/08946566.2024.2384400","DOIUrl":"10.1080/08946566.2024.2384400","url":null,"abstract":"<p><p>Elder mistreatment is common, serious, and under-recognized, with Emergency Department and hospital clinical encounters offering a potential but currently unrealized opportunity to identify and help older adults experiencing mistreatment. Interdisciplinary emergency department and hospital-based response teams represent a promising care model to address this. This manuscript describes two such teams and introduces a special issue dedicated to this work.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"339-349"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761650","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":"Risa Breckman elder abuse pioneer career impact award lecture and career reflections.","authors":"Alyssa Elman, Elizabeth M Bloemen, Tony Rosen","doi":"10.1080/08946566.2024.2383808","DOIUrl":"10.1080/08946566.2024.2383808","url":null,"abstract":"","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"331-338"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898629","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":"Introduction: elder mistreatment response in the emergency department and hospital.","authors":"Terry Fulmer, Abby Maglich","doi":"10.1080/08946566.2024.2375873","DOIUrl":"https://doi.org/10.1080/08946566.2024.2375873","url":null,"abstract":"","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":"36 4","pages":"329-330"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005526","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}
Elizabeth Bloemen, Alyssa Elman, Daniel Baek, Elaine Gottesman, Amy Shaw, Michelle Sullivan, Chloe Pino, Jennine McAuley, Sarah Tietz, Seth Herman, Lisa Rachmuth, E-Shien Chang, David Hancock, Veronica M LoFaso, Michael E Stern, Dan Lindberg, Sunday Clark, Tony Rosen
{"title":"Strategies for dissemination of ED/hospital elder mistreatment response team model.","authors":"Elizabeth Bloemen, Alyssa Elman, Daniel Baek, Elaine Gottesman, Amy Shaw, Michelle Sullivan, Chloe Pino, Jennine McAuley, Sarah Tietz, Seth Herman, Lisa Rachmuth, E-Shien Chang, David Hancock, Veronica M LoFaso, Michael E Stern, Dan Lindberg, Sunday Clark, Tony Rosen","doi":"10.1080/08946566.2023.2297232","DOIUrl":"10.1080/08946566.2023.2297232","url":null,"abstract":"<p><p>Interdisciplinary Emergency Department/hospital-based teams represent a promising care model to improve identification of and intervention for elder mistreatment. Two institutions, Weill Cornell Medicine/NewYork-Presbyterian Hospital and the University of Colorado Anschutz Medical Campus have launched such programs and are exploring multiple strategies for effective dissemination. These strategies include: (1) program evaluation research, (2) framing as a new model of geriatric care, (3) understanding the existing incentives of health systems, EDs, and hospitals to align with them, (4) connecting to ongoing ED/hospital initiatives, (5) identifying and collaborating with communities with strong elder mistreatment response that want to integrate the ED/hospital, (6) developing and making easily accessible high-quality, comprehensive protocols and training materials, (7) offering technical assistance and support, (8) communications outreach to raise awareness, and (9) using an existing framework to inform implementation in new hospitals and health systems.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"350-366"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11186973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138802101","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}
Elizabeth M Bloemen, Elaine Gottesman, Kristin Furfari, Jackie Glover, Ezra Gabbay, Sarah Cox, Daniel Lindberg, Sarah Tietz, Tony Rosen, Daniel Baek, Alyssa Elman, Barrie Huberman
{"title":"Examining ethical issues that arise in providing ED/hospital care for patients experiencing elder mistreatment and approaches to address them.","authors":"Elizabeth M Bloemen, Elaine Gottesman, Kristin Furfari, Jackie Glover, Ezra Gabbay, Sarah Cox, Daniel Lindberg, Sarah Tietz, Tony Rosen, Daniel Baek, Alyssa Elman, Barrie Huberman","doi":"10.1080/08946566.2024.2365341","DOIUrl":"10.1080/08946566.2024.2365341","url":null,"abstract":"<p><p>Clinicians in the emergency department and hospital who treat patients experiencing elder mistreatment (EM) can expect to encounter challenging ethical dilemmas. Collaboration with ethics and EM consultation services offers teams an important opportunity to improve patient-centered outcomes and address value-based concerns when treating these patients. This article describes the role of a hospital clinical ethics consultation service and best practices for collaboration between ethics and EM consultation services. Illuminated via four case studies, the article presents several core ethical frameworks, including allowing patients the dignity of risk, considerations around a harm reduced discharge, involving abusers in surrogate decision making, and providers' experience of moral distress when dealing with patients experiencing EM. Increasing collaboration with ethics and elder mistreatment services can help teams more effectively respond to EM.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":" ","pages":"395-412"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311995","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}