Journal of Elder Abuse & Neglect最新文献

{"title":"Elder abuse in life stories: a qualitative study on rural Chinese older people.","authors":"Yanping Liu,&nbsp;Fawen Hu","doi":"10.1080/08946566.2021.1934768","DOIUrl":"https://doi.org/10.1080/08946566.2021.1934768","url":null,"abstract":"<p><p>Holding beliefs such as elder respect seems to make Chinese older adults vulnerable to feel abused. This study investigated how Chinese older people in the countryside perceive abuse and make sense of their abusive experiences while telling their life stories. Following a narrative approach, we conducted semi-structured interviews with 17 older persons living in a rural village, Yunnan province, China, collected their life stories, and paid special attention to their telling of abuses. Thematic analysis of the data suggests that elder abuse for the participants is a betrayal of trust that is established within Chinese cultural values. Four themes were identified in explaining the participants' experiences of abuse: disrespect, dependency and the down-valued self, disconnection and rejection, and social comparisons in the construction of abuse. We discuss implications for future research and practices in stopping elder abuse.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1934768","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38982820","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":"Supporting family doctors to address elder abuse: a quasi-experimental study in Malaysia.","authors":"Fadzilah Hanum Mohd Mydin,&nbsp;Sajaratulnisah Othman,&nbsp;Wan Yuen Choo,&nbsp;Noran Naqiah Mohd Hairi,&nbsp;Farizah Mohd Hairi,&nbsp;Sharifah Norsuhaida Syed Karim,&nbsp;Maw Pin Tan,&nbsp;Zainudin Ali,&nbsp;Suriyati Abdul Aziz,&nbsp;Rokiah Mohd,&nbsp;Rosmala Mohamad,&nbsp;Rohaya Ramli,&nbsp;Lailatul Rizwanah Awaludin","doi":"10.1080/08946566.2021.1919272","DOIUrl":"https://doi.org/10.1080/08946566.2021.1919272","url":null,"abstract":"<p><p>This quasi-experimental study examined the effect of Supporting Family Doctors to Address Elder Abuse (SAFE) educational intervention among family doctors practicing at public primary care clinics in Malaysia. SAFE is an intensive, multimodal, locally tailored, and culturally sensitive face-to-face educational intervention on elder abuse. A significant mean score improvement of knowledge [Baseline: 5.33 (SD:1.33) to 6-month post-intervention: 6.45 (SD: 1.35); p<0.001] and perceived behavioral control [Baseline: 50.83 (SD: 8.87) to six-month post-intervention: 56.16 (SD: 9.56); p<0.001] observed in the intervention group compared to the control group. No significant difference in attitude, subjective norm, and practice scores between the two groups over time. SAFE educational intervention for family doctors was effective to improve but not sustainable knowledge and perceived behavioral control toward elder abuse identification and management. We recommend SAFE educational intervention as part of the continuous medical education for family doctors supplemented with a change in organization and national policy.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1919272","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38908859","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":"Enhancing and evaluating the capacity of elder abuse fatality review teams to assist victim services.","authors":"Jason Burnett,&nbsp;Carmel Bitondo Dyer,&nbsp;Candace J Heisler","doi":"10.1080/08946566.2021.1929640","DOIUrl":"https://doi.org/10.1080/08946566.2021.1929640","url":null,"abstract":"<p><p>Fatality review teams (FRTs) have been historically helpful in identifying systemic issues that may lead to child and domestic violence deaths to improve responses, guide prevention efforts, and better serve victims. More recently, these teams have formed to address similar concerns in elder abuse matters. The American Bar Association Commission on Law and Aging received an early grant to study elder abuse fatality review teams (EAFRTs) and in 2005 created its first Replication Guide. The current study reports on a subsequent national survey of EAFRTs, conducted 14 years later to identify important similarities and differences in team operations, impact and sustainability. EAFRTs are growing nationally in numbers, have positive impacts on member elder abuse and victim services knowledge, skills and confidence, but experience challenges to impact evaluability and sustainability due to low funding and membership time, turnover and commitment. Recommendations for supporting newly developing and currently functioning EAFRTs are provided.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1929640","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38952176","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":"Effects of Free and Targeted Legal Assistance on Financially Exploited Older Adults.","authors":"Gaurav R Sinha,&nbsp;Christopher R Larrison,&nbsp;Matthew Andres","doi":"10.1080/08946566.2021.1891171","DOIUrl":"https://doi.org/10.1080/08946566.2021.1891171","url":null,"abstract":"Every year between 2.2% and 6.6% of older adults in the United States fall prey to different forms of financial exploitation (Deane, 2018). According to estimates, older adults lose approximately 2.9 USD billion of their personal wealth every year in financial exploitation to a broad range of individuals, including family members, contractors, and service providers (Wood & Lichtenberg, 2017). Financial exploitation of older adults has multidimensional impacts, including social, psychological, legal, financial, and familial (Navarro et al., 2013; Wood & Lichtenberg, 2017). Irrespective of these multidimensional impacts, legal interventions are the most commonly pursued solutions (Reed, 2005). Victims of financial exploitation can report the crime to police, which may lead to criminal charges, or they can file a civil lawsuit seeking return of their stolen money or property (Reed, 2005). Because the legal process in civil and criminal proceedings is often lengthy, complex, and costly, involving long paper trails, and analyses of contracts, most cases end with neither financial recovery nor conviction of a perpetrator (Andres, 2015; Hafemeister, 2003). There are physical and cognitive health problems associated with older adults that may impact decisions of whether or not to pursue criminal or civil remedies or to even report the incident to law enforcement (Shao et al., 2019). For cases that involve small sums of money and clients with limited resources, the barriers to obtaining civil legal representation are significant. Since these cases are resource-intensive, contingent based, and require special expertise in dealing with older adults, private attorneys tend to avoid taking up such cases (Andres, 2015; Hafemeister, 2003). If victims cannot find or afford a private attorney willing to take their case, often the only remaining option available to them is publicly funded legal services organizations. These services, nationwide, lack adequate resources to handle all the legal needs of the communities, forcing prioritization of cases that are not overly burdensome and most likely to result in a positive resolution for their clients (Culley &","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1891171","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25398035","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":"Research priorities for elder abuse screening and intervention: A Geriatric Emergency Care Applied Research (GEAR) network scoping review and consensus statement.","authors":"Jay Kayser,&nbsp;Nancy Morrow-Howell,&nbsp;Tony E Rosen,&nbsp;Stephanie Skees,&nbsp;Michelle Doering,&nbsp;Sunday Clark,&nbsp;Karen Hurka-Richardson,&nbsp;Rayad Bin Shams,&nbsp;Thom Ringer,&nbsp;Ula Hwang,&nbsp;Timothy F Platts-Mills,&nbsp;The Gear Network","doi":"10.1080/08946566.2021.1904313","DOIUrl":"https://doi.org/10.1080/08946566.2021.1904313","url":null,"abstract":"<p><p>The Geriatric Emergency Care Applied Research (GEAR) Network (1) conducted a scoping review of the current literature on the identification of and interventions to address elder abuse among patients receiving care in emergency departments and (2) used this review to prioritize research questions for knowledge development. Two questions guided the scoping review: What is the effect of universal emergency department screening compared to targeted screening or usual practice on cases of elder abuse identified, safety outcomes, and health care utilization?; and What is the safety, health, legal, and psychosocial impact of emergency department-based interventions vs. usual care for patients experiencing elder abuse? We searched five article databases. Additional material was located through reference lists of identified publications, PsychInfo, and Google Scholar. The results were discussed in a consensus conference; and stakeholders voted to prioritize research questions. No studies were identified that directly addressed the first question regarding assessment strategies, but four instruments used for elder abuse screening in the emergency department were identified. For the second question, we located six articles on interventions for elder abuse in the emergency department; however, none directly addressed the question of comparative effectiveness. Based on these findings, GEAR participants identified five questions as priorities for future research - two related to screening, two related to intervention, and one encompassed both. In sum, research to identify best practices for elder abuse assessment and intervention in emergency departments is still needed. Although there are practical and ethical challenges, rigorous experimental studies are needed.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1904313","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9351742","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":"The under-reporting of elder abuse and neglect: a Malaysian perspective.","authors":"Raudah Mohd Yunus","doi":"10.1080/08946566.2021.1919271","DOIUrl":"https://doi.org/10.1080/08946566.2021.1919271","url":null,"abstract":"<p><p>This commentary highlights the issue of under-reporting of elder abuse and neglect (EAN) in the Malaysian context. It attempts to elucidate the findings of the 2018 National Health and Morbidity Survey (NHMS) related to the trend of reporting among EAN victims, and offer some recommendations.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1919271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38922378","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":"Adult Protective Services Training: A Brief Report on the State of the Nation.","authors":"Pi-Ju Liu,&nbsp;Leslie Ross","doi":"10.1080/08946566.2020.1845271","DOIUrl":"https://doi.org/10.1080/08946566.2020.1845271","url":null,"abstract":"<p><p>This brief report summarizes Adult Protective Services training provided to workers across the nation, using survey results from the National Adult Protective Services Association (NAPSA). Although most states delivered training that covered some learning objectives of NAPSA's 23 core competency training modules, there was a wide variation with some states training workers on all 23 topics, while some states did not provide training on any of the core modules. Having a well-trained APS workforce possessing core competencies to perform the job should be federal and state agencies' goal, because the quality and level of services for older people and people with disabilities should not differ based on the states they live in.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1845271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38588301","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":"Addressing the psychological impact of elder mistreatment: Community-based training partnerships and telehealth-delivered interventions.","authors":"Melba A Hernandez-Tejada,&nbsp;Theresa Skojec,&nbsp;Gabrielle Frook,&nbsp;Mara Steedley,&nbsp;Tatiana M Davidson","doi":"10.1080/08946566.2021.1876578","DOIUrl":"https://doi.org/10.1080/08946566.2021.1876578","url":null,"abstract":"<p><p>This manuscript describes a two-pronged approach to addressing elder abuse in community-residing older adults. Part 1 of the program involves briefly training community healthcare providers to screen for elder abuse and refer for services; Part 2 is an intervention program that addresses mental health impacts of elder abuse in a non-stigmatizing, non-threatening manner, and leverages telehealth for greater reach.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2021.1876578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38848532","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":"Mediational Role of Self-efficacy between Selected Bio-psychosocial Factors and Elder Self-Neglect among Community-Dwelling Older Malaysian Adults.","authors":"Tengku Aizan Hamid,&nbsp;Rahimah Ibrahim,&nbsp;Sharifah Azizah Haron","doi":"10.1080/08946566.2020.1864696","DOIUrl":"https://doi.org/10.1080/08946566.2020.1864696","url":null,"abstract":"<p><p>Elder abuse and neglect have been reported as significant public health and societal problem in many different societies across the world. In Malaysia, older adults recorded a high prevalence of neglect compared to other types of elder abuse. There is a dearth of empirical work on elder self-neglect (ESN) among the older population in Malaysia. This paper aims to explore the mediational role of self-efficacy on the relationship between selected biopsychosocial factors and ESN among community-living older adults in Selangor, Malaysia. This study utilized a cross-sectional survey to gather data from a representative sample of 202 older adults from Selangor. A newly developed scale of 16-items of elder self-neglect (ESN) was used in this study. The results showed that self-efficacy partially mediated the association between ADL, IADL, depression, and capacity of self-care on ESN. Self-efficacy also fully mediated the association between neuroticism, life satisfaction, social network, and education on ESN. These findings provided a deeper understanding of the phenomenon of self-neglect among older Malaysian adults. The results will also serve as a useful reference for professionals and policymakers to develop uniform guidelines, protocols, or programs to handle cases of elder self-neglect in the community.</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08946566.2020.1864696","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39112661","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":"Implementation of financial decision making scales into statewide APS practice: the Michigan experience.","authors":"Peter A Lichtenberg, Maggie Tocco, Rebecca Campbell, Marie Shipp","doi":"10.1080/08946566.2020.1864697","DOIUrl":"10.1080/08946566.2020.1864697","url":null,"abstract":"<p><p>One of the long recognized challenges in Adult Protective Services and other human service works is the implementation of empirically validated tools into regular practice. One area where this is evident is the assessment of financial decision-making abilities in cases investigated for financial exploitation. Using the Promoting Action in Research Implementation in the Health Services (PARIHS) we examined the core aspects of evidence, facilitation and context. Further, the empirical findings of the scale usage were investigated. Over 400 APS workers were trained and certified using an online narrated training system. Over 500 scales were administered across a 12 month period, with 50% demonstrating financial decision-making deficits, and in 88% of the time the APS workers concurred with the risk rating system of the web-based system (https://olderadultnestegg.com).</p>","PeriodicalId":46983,"journal":{"name":"Journal of Elder Abuse & Neglect","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7941736/pdf/nihms-1657650.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38745945","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}