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Journal of Elder Abuse & Neglect

A K Halarewicz, Caroline Gelman, Angela Ghesquiere, Geoffrey Rogers
About 10% of Americans over the age of 60 experience elder abuse (EA), but EA is frequently under detected. As the primary responders for alleged EA cases, Adult Protective Service (APS) caseworkers are ideally positioned to improve detection and intervention. The Opening the Door (OTD) training was developed in a multidisciplinary setting and designed in collaboration with APS workers to enhance their engagement skills in potential EA cases and thus maximize the possibility of disclosure. Rooted in a relational approach and utilizing adult learning theory, it is divided into three main topics: Preparing for Engagement, Engagement Practice, and Processing Engagement...
March 23, 2019: Journal of Elder Abuse & Neglect
Karen J Magruder, Noelle L Fields, Ling Xu
Long-term care ombudsmen are advocates who empower and assist residents with complaints relating to quality of care and violations of resident rights in assisted living (AL) and skilled nursing facilities (SNF). Given that long-term care residents are vulnerable to elder abuse, neglect and exploitation (ANE), and existing gaps in the literature addressing ANE in AL, more research is needed to understand the prevalence of ANE in these communities. Ombudsman complaint data (n = 140,497 complaints) in 3,171 Texas long-term care facilities were analyzed using proportion Z tests...
March 21, 2019: Journal of Elder Abuse & Neglect
Carol Truong, David Burnes, Ramona Alaggia, Alyssa Elman, Tony Rosen
Elder abuse remains a largely hidden problem in our society and only a small minority of victims are connected to formal support/protective services. Healthcare settings have been identified as a critical milieu to uncover cases of elder abuse; however, under-detection in these settings is a major issue. Victimization disclosure is an important component within the overall detection effort, yet it has received little attention in the elder abuse literature. Drawing on relevant literature from other domains of family/interpersonal violence, this article highlights the disclosure process, as well as disclosure barriers, facilitators, and competencies to consider when working with older adults...
March 16, 2019: Journal of Elder Abuse & Neglect
Stefanie Danielle Piña-Escudero, Cindy A Weinstein, Christine Ritchie
Mistreatment is an important social outcome of the growing cognitive impairment epidemic, particularly in developing countries. This study aimed to bring to light what is known about mistreatment in cognitively impaired individuals in Latin American Countries. We identified a gap in the literature on this topic that opens the door for future research.
February 27, 2019: Journal of Elder Abuse & Neglect
Robert C Abrams, Pamela Ansell, Risa Breckman, Jason Karlawish, Mark Lachs, Deborah Holt-Knight, Nancy Needell, Geoffrey Rogers, Veronica LoFaso
We present the Interview for Decisional Abilities (IDA), a semi-structured tool for use by adult protective services (APS) workers as part of their comprehensive assessments of clients. The IDA was created in response to a Federal mandate to standardize the procedures and competencies of APS agencies with a view to improving client assessments and facilitating cross-jurisdictional research on adult mistreatment. The proximal aim of the IDA is to guide workers in gathering information on the ability of suspected victims of adult mistreatment to make decisions about the risks they face...
February 27, 2019: Journal of Elder Abuse & Neglect
Mihan Lee, Tony Rosen, Kieran Murphy, Pallavi Sagar
Pediatric radiologists play a key role in the detection of child abuse through the identification of characteristic injury patterns. Emergency radiologists have the potential to play an equally important role in the detection of elder physical abuse; however, they currently play little to no part in this effort. We examine the reasons behind this limited role, and potential strategies to expand it, by interviewing attending faculty from Emergency Radiology, Geriatrics, Emergency Medicine, Pediatric Radiology, and Pediatrics...
February 10, 2019: Journal of Elder Abuse & Neglect
Jingjin Shao, Weiping Du, Tian Lin, Xiying Li, Jiamei Li, Huijie Lei
The present study aimed to clarify whether it is credulity or general trust that specifically affects vulnerability to fraud, as well as investigating the mediating role of susceptibility to persuasion and the moderating role of greed in this relationship. 254 Chinese older adults completed measures of credulity, general trust, susceptibility to persuasion, greed, and vulnerability to fraud. The results showed that credulity, but not general trust, was positively correlated with vulnerability to fraud, after controlling for demographic covariates...
January 7, 2019: Journal of Elder Abuse & Neglect
Brad Cannell, Jennifer M Reingle Gonzalez, Melvin Livingston, Katelyn K Jetelina, Jason Burnett, Julie C Weitlauf
OBJECTIVE: To pilot test the feasibility of implementing an elder abuse (EA) screening tool (DETECT) designed for medics. METHODS: Testing occurred between September 17th, 2015 and October 26th, 2015. MedStar Mobile Healthcare medics completed the DETECT tool when responding to calls for community-dwelling patients 65 years of age or older. RESULTS: The DETECT tool was used 1,248 times by 97% of medics responding to an eligible 911 call. Medics responded affirmatively to at least one screening item on 209 of the completed screenings (16...
January 7, 2019: Journal of Elder Abuse & Neglect
Rebecca C Campbell, Peter A Lichtenberg, Latoya N Hall, Jeanne A Teresi, Katja Ocepek-Welikson
Older adults with cognitive impairment are a population at great risk for financial exploitation. At-risk older adults often have difficulty reporting on their own financial abilities. Collecting information from trusted others is vital for professionals investigating the financial exploitation older adults. There are few reliable, valid, and standardized informant-report measures of financial capacity, and none that assess decisional abilities for an ongoing, real-world financial transaction. The present study sought to examine the psychometric properties of a new informant-report scale of financial decisional abilities in older adults...
December 20, 2018: Journal of Elder Abuse & Neglect
Sue Westwood
With increasing visibility of older lesbian, gay, bisexual and trans (LGBT) people, there is an urgent need to understand abuse in their lives. This is an under-researched area, which this scoping study (based on a literature review and a small subset of data taken from a larger project) serves to demonstrate. The content of this article formed the basis of a paper presented at a workshop on 'LGBT Elder Abuse' held at Keele University(UK) in 2017, convened and chaired by the author. It considers LGBT elder abuse in terms of polyvictimisation, intersectionality and the abuse of power...
November 18, 2018: Journal of Elder Abuse & Neglect
Jesús Rivera-Navarro, Israel Contador
Dementia is a neurocognitive disorder that implies a risk factor of maltreatment by family caregivers. In this study, we analyzed both informal caregiver's perceptions of maltreatment and aspects of the caregiver and caregiving behavior that may be associated with maltreatment. We conducted five focus groups (FGs) in three Spanish cities: Segovia, Soria and León. The themes that were identified were related to two levels of maltreatment: (a) relational and (b) institutional. At the relational level, we observed the justification of maltreatment of Older Adults with Dementia (OAswD) by family caregivers during the occurrence of behavioral symptoms...
November 15, 2018: Journal of Elder Abuse & Neglect
Mildred Ramirez, Joy Solomon, Marlene Riquelme, Brooke Santoro, Daniel Reingold, Jeanne A Teresi
Barriers for enhanced detection, identification, and reporting of elder abuse include the paucity of appropriate, valid, easily administered screening tools. This article describes the qualitative methods used in the development of the Weinberg Center Risk and Abuse Prevention Screen (WC-RAPS), and of its Spanish version. Focus groups and cognitive interviews were instrumental in identifying problematic items, underscoring potential response errors, and informing about putative causes for divergent interpretations of item-intent...
November 8, 2018: Journal of Elder Abuse & Neglect
Rebecca J Campbell, Evan Gross, Peter A Lichtenberg
Adult Protective Services (APS) professionals are often called on to assess decision-making capacity when investigating financial exploitation. Previous research found that in consecutive APS cases, a decision-making screening scale (LFDSS) also detected financial exploitation. The purpose of this study was to apply the clinical cutoff scores derived from the previous study to a new sample of APS cases. Using a sample of 105 participants, from APS workers across 5 counties this study investigated the clinical utility of the LFDSS to detect financial exploitation based on ratings by APS professionals using the scale...
November 8, 2018: Journal of Elder Abuse & Neglect
Stacy A Drake, Sabrina Pickens, Dwayne A Wolf, Kathleen Thimsen
The purpose of this brief is to present several case vignettes that illustrate omissions in the investigation of elder deaths. These vignettes demonstrate the need for a standardized approach in the conduct of medicolegal investigations of fatal elder abuse. For each of the described oversights, a recommendation is offered to address the gap in investigation processes, which in turn could improve the determination of cause and manner of elder death. Inherent limitations of resources and practical realities of death investigation are discussed and recommendations are made for future research...
October 30, 2018: Journal of Elder Abuse & Neglect
Joana Ferreira, João Tavares, Liliana Sousa
This study explores patterns of resident-to-resident elder mistreatment (R-REM) in Portuguese Residential Structures for Elderly People (ERI: Estruturas Residenciais para Idosos). Results display a serious situation of R-REM, which occurs in different patterns.
October 25, 2018: Journal of Elder Abuse & Neglect
Jeanne A Teresi, Katja Ocepek-Welikson, Mildred Ramirez, Joy Solomon, Daniel Reingold
While several elder abuse screens exist, few measure risk and none target long-term support services. The aims were to examine the psychometric properties of the Weinberg Center Risk and Abuse Prevention Screen (WC-RAPS), comparing approaches to modeling self-reported risk and abuse in relation to reported Adult Protective Services contacts. METHODS: The sample (n = 7,035), admissions to managed long-term care (79%) and short-term rehabilitation (20%), was primarily (66%) female, with mean age 77...
October 22, 2018: Journal of Elder Abuse & Neglect
Morteza Arab-Zozani, Noosheen Mostafazadeh, Zeinab Arab-Zozani, Djavad Ghoddoosi-Nejad, Soheil Hassanipour, Joaquim J F Soares
OBJECTIVE: The aim of this study was to estimate the prevalence of elder abuse and neglect in Iran. METHODS: We searched PubMed, Embase, Scopus, and PsycINFO by the end of 2017. The prevalence was calculated based on the percentage or the amount reported in the studies. Heterogeneity was assessed by the I2 statistic, and the data were combined using random effects model. The results were reported as the pooled estimates and the 95% confidence intervals (CIs). The review protocol was registered in PROSPERO (CRD42017070744)...
October 4, 2018: Journal of Elder Abuse & Neglect
Jennifer Baumbusch, Gloria Puurveen, Alison Phinney, Marie Denise Beaton, Marie-Eve Leblanc
OBJECTIVES: Resident-to-resident (RRA) abuse is increasingly recognized as a significant problem in long-term residential care.Families have a constant presence in this setting, yet their inclusion in research about RRA is minimal. The purpose of this study was to examine family members' experiences and management of RRA. METHODS: The methodology was critical ethnography.Twelve family members participated in in-depth interviews and 56 hours of participant observation were conducted...
September 17, 2018: Journal of Elder Abuse & Neglect
David Burnes, Mark S Lachs, Karl Pillemer
The field of elder abuse is evolving toward an emphasis on intervention research. However, researchers currently rely on binary approaches to measure elder abuse phenomena, which fail to capture changes in problem status over the course of intervention. This commentary develops a case for severity as a framework to operationalize and measure elder abuse in intervention research and practice. A severity framework provides enhanced elder abuse measurement responsiveness and aligns with the dominant client-centered, harm-reduction clinical approach to intervening with elder abuse cases...
September 14, 2018: Journal of Elder Abuse & Neglect
Carolyn E Z Pickering, Christopher Maxwell
This study evaluated the success of researcher-generated recruitment, enrollment, data collection, and safety protocols for field research with victims of elder abuse and neglect (EAN) identified from police incident reports in terms of their success including cost-effectiveness, ability to generate a representative sample, and safety. After reviewing 492 police incident reports involving victims age 65 years or older to identify cases of EAN 62 victims were identified. Mail, phone, and in-person recruitment strategies were used...
September 13, 2018: Journal of Elder Abuse & Neglect
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