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MacNeil A, Salvo E, Burnes D. A Qualitative Study of Adult Protective Services Practitioners Responding to Allegations of Elder Abuse and Self-Neglect. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2024:1-17. [PMID: 38958202 DOI: 10.1080/01634372.2024.2373289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Accepted: 06/24/2024] [Indexed: 07/04/2024]
Abstract
Adult Protective Services (APS) practitioners play an essential role in supporting older adults experiencing elder abuse and self-neglect (EASN), however, very little research has examined their experiences, from their perspectives. The purpose of this study was to examine the experiences of APS practitioners responding to allegations of EASN. Qualitative interviews were conducted with APS practitioners (n = 14) from the state of Maine. A descriptive phenomenological approach involving two independent assessors was used to code transcripts into themes. Two domains, each with various subthemes, were identified: (1) rewarding elements of role and (2) challenging aspects of role. The findings of this study emphasize how APS practitioners are motivated by their capacity to help elicit positive change in the lives of their clients and support the well-being of older adults experiencing EASN. However, APS practitioners must navigate numerous challenges and barriers in their role, including time constraints, high and complex caseloads, limited resources, and broader misconceptions on APS. These findings highlight the importance of addressing these stressors to support the well-being of APS practitioners, which, in turn, can help support the vulnerable older adults they serve.
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Affiliation(s)
- Andie MacNeil
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Erin Salvo
- Maine Adult Protective Services, Augusta, Maine, USA
| | - David Burnes
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
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MacNeil A, Connolly MT, Salvo E, Kimball PF, Rogers G, Lewis S, Burnes D. Use of Motivational Interviewing by Advocates in the Context of an Elder Abuse Response Intervention: The RISE Project. JOURNAL OF FAMILY VIOLENCE 2023:1-11. [PMID: 37358985 PMCID: PMC10136376 DOI: 10.1007/s10896-023-00563-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 04/14/2023] [Indexed: 06/28/2023]
Abstract
Purpose Despite the increasing number of elder abuse and self-neglect (EASN) cases, many older adults are reluctant to engage with formal support services, such as Adult Protective Services (APS). This study examined the use of motivational interviewing (MI) by advocates, as a component of a larger EASN intervention, RISE (Repair Harm, Inspire Change, Support Connection, Empower Choice), implemented in partnership with APS. Advocates applied MI as part of RISE to help clients explore and resolve ambivalence around pursuing change and ultimately enhance service engagement. Methods This study conducted qualitative interviews and a focus group with all RISE advocates (n = 4) to understand how MI is applied in the context of an EASN intervention with older adult clients. A descriptive phenomenological approach involving two independent assessors was used to code verbatim transcripts into themes. Results Three domains were identified: (1) therapeutic relationship, which describes the importance of foundational relationship building in MI to support older adults who have experienced EASN; (2) techniques, which refers to MI strategies advocates apply and adapt in the context of EASN intervention; and (3) implementation challenges, which reflects the difficulties advocates encounter when using MI in cases of EASN. Conclusions The experiences of advocates suggest MI is a beneficial and amenable approach to help older adults who have experienced EASN navigate issues of ambivalence and explore their motivation for change. This study represents the first in-depth exploration of MI in the context of EASN intervention.
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Affiliation(s)
- Andie MacNeil
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON Canada
| | - Marie-Therese Connolly
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA USA
| | - Erin Salvo
- Maine Adult Protective Services, Augusta, ME USA
| | | | - Geoff Rogers
- Silberman School of Social Work, Hunter College, New York, NY USA
| | - Stuart Lewis
- Geisel School of Medicine, Dartmouth College, Hanover, NH USA
| | - David Burnes
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON Canada
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Yan E, To L, Wan D, Xie X, Wong F, Shum D. Strategies to build more effective interventions for elder abuse: a focus group study of nursing and social work professionals in Hong Kong. BMC Geriatr 2022; 22:978. [PMID: 36536315 PMCID: PMC9762662 DOI: 10.1186/s12877-022-03682-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 11/25/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND One in six older adults living in communities experience abuse and neglect. Elder abuse has serious consequences for individuals, families, and society, including mortality, physical and psychological morbidities, and increased care requirements. Timely and effective interventions for elder abuse should therefore be a priority. This study used a qualitative focus group approach to address the following questions: What are the essential elements of elder abuse interventions? What can be done to improve current interventions? METHOD The 32 participants in this focus group study included social workers, medical social workers, and nurses from seven organizations who shared their knowledge and insights. All sessions were conducted online, audio-recorded, and transcribed verbatim. Three researchers with backgrounds in social work and psychology independently coded the transcripts and agreed on the themes emerging from the focus groups. RESULTS Based on the experiences of frontline helping professionals in Hong Kong, we highlighted the key factors for effective elder abuse intervention: 1) identification and assessment; 2) essential skills and attitudes; 3) elements of effective interventions; 4) collaborative efforts across disciplines and agencies; and 5) raising awareness among professionals and the public. CONCLUSIONS Training can equip frontline professionals with the necessary skills to identify elder abuse cases and to assess the risk of abuse. Effective interventions should not only address clients' safety and need for tangible support but also respect their autonomy and privacy. A client-centered, strength-based approach that involves supportive peers and addresses the complex family relationships involved can be useful. Interventions should also involve cross-discipline and cross-agency collaboration.
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Affiliation(s)
- Elsie Yan
- grid.16890.360000 0004 1764 6123Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Louis To
- grid.16890.360000 0004 1764 6123Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Debby Wan
- grid.16890.360000 0004 1764 6123Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Xiaojing Xie
- grid.16890.360000 0004 1764 6123Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Frances Wong
- grid.16890.360000 0004 1764 6123School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - David Shum
- grid.16890.360000 0004 1764 6123Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China
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Simmons J, Wiklund N, Ludvigsson M. Managing abusive experiences: a qualitative study among older adults in Sweden. BMC Geriatr 2022; 22:456. [PMID: 35619083 PMCID: PMC9137123 DOI: 10.1186/s12877-022-03143-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 05/17/2022] [Indexed: 12/28/2022] Open
Abstract
Background Elder abuse is prevalent, and is associated with poor health outcomes. How an older adult is affected by abusive experiences is dependent on myriad factors, including aspects of the abuse itself, other life circumstances, coping strategies, and what kind of help the older adults receive to manage the experience. In this study, we sought to investigate how older adults themselves describe how they manage abusive experiences. An increased understanding of this could help to tailor society’s response to older adults suffering from abuse. Method Participants (n = 30) were recruited from patients admitted to one acute geriatric and one acute internal medicine ward at a university hospital in Sweden. Patients over the age of 65 who reported experiences of elder abuse or who reported that they were still suffering from abuse that had occurred earlier in life were included. In-depth qualitative interviews were conducted, transcribed verbatim, and analyzed using qualitative content analysis. Results The analysis resulted in five themes, three pertaining to strategies used to manage abusive experiences (self-reliant coping, restoring dignity in relation to others, and needing formal and informal help) and two pertaining to the disclosure process (inner resistance to disclosure, and external barriers and facilitators for disclosure). Conclusion Older adults were found to use a combination of different strategies to manage abusive experiences. Some were self-reliant, but older adults often managed their experiences with the help of others. Health care professionals were generally in a position to facilitate disclosure, but some participants reported poor encounters with health care. The findings indicate a need to facilitate disclosure by, for example, training professionals on issues related to elder abuse and developing more easily navigated response systems that can respond to the complex needs of older adults trying to manage abusive experiences. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-022-03143-y.
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Affiliation(s)
- Johanna Simmons
- Department of Acute Internal Medicine and Geriatrics in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
| | - Nicolina Wiklund
- Department of Acute Internal Medicine and Geriatrics in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
| | - Mikael Ludvigsson
- Department of Acute Internal Medicine and Geriatrics in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.,Department of Psychiatry in Linköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
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Goodridge D, Roger KS, Walsh CA, PausJenssen E, Cewick M, Liepert C. Service providers' use of harm reduction approaches in working with older adults experiencing abuse: a qualitative study. BMC Geriatr 2021; 21:398. [PMID: 34193077 PMCID: PMC8242276 DOI: 10.1186/s12877-021-02328-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 06/06/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Although abuse experienced by older adults is common and expected to increase, disclosure, reporting and interventions to prevent or mitigate abuse remain sub-optimal. Incorporating principles of harm reduction into service provision has been advocated as a strategy that may improve outcomes for this population. This paper explores whether and how these principles of harm reduction were employed by professionals who provide services to older adults experiencing abuse. METHODS Thematic analysis of qualitative interviews with 23 professionals providing services to older adults experiencing abuse across three Western provinces of Canada was conducted. Key principles of harm reduction (humanism, incrementalism, individualism, pragmatism, autonomy, and accountability without termination) were used as a framework for organizing the themes. RESULTS Our analysis illustrated a clear congruence between each of the six harm reduction principles and the approaches reflected in the narratives of professionals who provided services to this population, although these were not explicitly articulated as harm reduction by participants. Each of the harm reduction principles was evident in service providers' description of their professional practice with abused older adults, although some principles were emphasized differentially at different phases of the disclosure and intervention process. Enactment of a humanistic approach formed the basis of the therapeutic client-provider relationships with abused older adults, with incremental, individual, and pragmatic principles also apparent in the discourse of participants. While respect for the older adult's autonomy figured prominently in the data, concerns about the welfare of the older adults with questionable capacity were expressed when they did not engage with services or chose to return to a high-risk environment. Accountability without termination of the client-provider relationship was reflected in continuation of support regardless of the decisions made by the older adult experiencing abuse. CONCLUSIONS Harm reduction approaches are evident in service providers' accounts of working with older adults experiencing abuse. While further refinement of the operational definitions of harm reduction principles specific to their application with older adults is still required, this harm reduction framework aligns well with both the ethical imperatives and the practical realities of supporting older adults experiencing abuse.
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Affiliation(s)
- Donna Goodridge
- College of Medicine, University of Saskatchewan, Saskatoon, Canada.
| | - Kerstin Stieber Roger
- Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | | | | | - Marina Cewick
- Faculty of Education, University of Manitoba, Winnipeg, Canada
| | - Carla Liepert
- Faculty of Social Work, University of Calgary, Calgary, Canada
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Burnes D, Breckman R, Henderson CR, Lachs MS, Pillemer K. Utilization of Formal Support Services for Elder Abuse: Do Informal Supporters Make a Difference? THE GERONTOLOGIST 2020; 59:619-624. [PMID: 29931094 DOI: 10.1093/geront/gny074] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Few elder abuse (EA) victims ever seek or receive assistance from formal support services designed to mitigate risk and harm of revictimization. This study examined whether the presence of third-party "concerned persons" in victims' personal social networks plays a role in enabling formal support service utilization. RESEARCH DESIGN AND METHODS A representative population-based survey administered to adults (n = 800) in New York State identified 83 EA cases from the past year. Penalized likelihood logistic regression was used to examine the relationship between availability of a concerned person and victim formal support services usage. RESULTS EA victims who had a concerned person in their personal life were significantly more likely to use formal EA support services than victims without a concerned person. EA victims who lived with their perpetrator were significantly less likely to use formal services. DISCUSSION AND IMPLICATIONS Third-party concerned persons represent a critical population to target in efforts designed to promote EA victim help-seeking.
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Affiliation(s)
- David Burnes
- Factor-Inwentash Faculty of Social Work, University of Toronto, Ontario, Canada
| | - Risa Breckman
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College, Cornell University, New York, New York
| | | | - Mark S Lachs
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College, Cornell University, New York, New York
| | - Karl Pillemer
- Department of Human Development, Cornell University, Ithaca, New York
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Burnes D, Lachs MS, Burnette D, Pillemer K. Varying Appraisals of Elder Mistreatment Among Victims: Findings from a Population-Based Study. J Gerontol B Psychol Sci Soc Sci 2019; 74:881-890. [PMID: 28329861 DOI: 10.1093/geronb/gbx005] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Accepted: 01/05/2017] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES Prior elder mistreatment (EM) research has not examined subjective assessments of problem seriousness from the perspective of victims. This study sought to describe the variation in appraisals of perceived EM seriousness among victims of emotional abuse, physical abuse, and neglect and to examine factors that influence varying appraisals using neutralization theory. METHODS Data came from a subsample of EM victims (n = 191) drawn from a representative, population-based study (n = 4,156) of community-dwelling, cognitively intact older adults in New York State. The Conflict Tactics Scale and Duke Older Americans Resources and Services scales were adapted to assess EM. Subjective appraisal of abuse/neglect was measured according to ordinal levels of victim-perceived seriousness and predicted using ordinal regression. RESULTS Emotional abuse was appraised less seriously among victims who were both functionally impaired and dependent upon the perpetrator, lived with the perpetrator, and of increasing age. Emotional abuse was perceived with greater seriousness among victims enduring more frequent/varied abuse and when the perpetrator was distally-related. Neglect was appraised with lower seriousness among female victims and greater seriousness if perpetrated by a paid homecare attendant or in scenarios involving more frequent/varied unmet needs. DISCUSSION Findings carry implications for understanding victim help-seeking behavior and informing EM measurement.
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Affiliation(s)
- David Burnes
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Mark S Lachs
- Weill Cornell Medical College, Cornell University, New York City
| | - Denise Burnette
- School of Social Work, Virginia Commonwealth University, Richmond
| | - Karl Pillemer
- Department of Human Development, Cornell University, Ithaca, New York
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Burnes D, Acierno R, Hernandez-Tejada M. Help-Seeking Among Victims of Elder Abuse: Findings From the National Elder Mistreatment Study. J Gerontol B Psychol Sci Soc Sci 2019; 74:891-896. [PMID: 30329112 PMCID: PMC6566322 DOI: 10.1093/geronb/gby122] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Indexed: 02/03/2023] Open
Abstract
OBJECTIVES The vast majority of elder abuse (EA) victims remain hidden from formal institutional response systems. Guided by the Behavioral Model of Health Services Use, this study examined factors that facilitate or impede formal help-seeking among victims of elder emotional abuse, physical abuse, and sexual abuse. METHODS Data came from a national, population-based EA study in the United States with a representative sample (n = 304) of past-year victims. Gold-standard strategies were used to assess EA subtypes. Multivariate logistic regression was conducted to identify help-seeking facilitators/barriers. RESULTS Help-seeking through reporting to police or other authorities occurred among only 15.4% of EA victims. Help-seeking was higher among victims of physical abuse, poly-victimization, or those with a perpetrator having prior police trouble. Help-seeking was lower among victims who were dependent upon their perpetrator and in cases where the perpetrator had a large friendship network. DISCUSSION This study highlights the hidden nature of EA as a problem in our society and the need to develop strategies that incorporate victim, perpetrator, and victim-perpetrator relationship factors to promote greater help-seeking among victims.
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Affiliation(s)
- David Burnes
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Ron Acierno
- Department of Research, College of Nursing, Medical University of South Carolina, Charleston, South Carolina
| | - Melba Hernandez-Tejada
- Department of Research, College of Nursing, Medical University of South Carolina, Charleston, South Carolina
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Truong C, Burnes D, Alaggia R, Elman A, Rosen T. Disclosure among victims of elder abuse in healthcare settings: a missing piece in the overall effort toward detection. J Elder Abuse Negl 2019; 31:181-190. [PMID: 30880608 DOI: 10.1080/08946566.2019.1588182] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
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.
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Affiliation(s)
- Carol Truong
- a Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , Canada
| | - David Burnes
- a Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , Canada
| | - Ramona Alaggia
- a Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , Canada
| | - Alyssa Elman
- b Department of Emergency Medicine , Weill Cornell Medicine College/New York-Presbyterian , New York , NY , USA
| | - Tony Rosen
- b Department of Emergency Medicine , Weill Cornell Medicine College/New York-Presbyterian , New York , NY , USA
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Burnes D, Lachs MS, Pillemer K. Addressing the measurement challenge in elder abuse interventions: need for a severity framework. J Elder Abuse Negl 2018; 30:402-407. [PMID: 30216134 DOI: 10.1080/08946566.2018.1510354] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
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.
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Affiliation(s)
- David Burnes
- a Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , Ontario , Canada
| | - Mark S Lachs
- b Division of Geriatrics and Palliative Medicine , Cornell University, Weill Cornell Medicine , New York , New York , USA
| | - Karl Pillemer
- c Department of Human Development , Cornell University , Ithaca , USA
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Burnes D, Connolly MT, Hamilton R, Lachs MS. The feasibility of goal attainment scaling to measure case resolution in elder abuse and neglect adult protective services intervention. J Elder Abuse Negl 2018; 30:209-222. [DOI: 10.1080/08946566.2018.1454864] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- David Burnes
- University of Toronto, Factor-Inwentash Faculty of Social Work, Toronto, ON, Canada
| | | | - Ricker Hamilton
- Maine Department of Health and Human Services, Augusta, ME, USA
| | - Mark S. Lachs
- Cornell University, Weill Cornell Medical College, New York, NY, USA
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Meyer K, Yonashiro-Cho J, Gassoumis ZD, Mosqueda L, Han SD, Wilber KH. What Can Elder Mistreatment Researchers Learn About Primary Prevention From Family Violence Intervention Models? THE GERONTOLOGIST 2017; 59:601-609. [DOI: 10.1093/geront/gnx179] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Accepted: 10/20/2017] [Indexed: 11/14/2022] Open
Abstract
Abstract
Elder mistreatment (EM) is a public health problem that harms millions of older Americans each year. Despite growing recognition of its occurrence, there are no evidence-based primary prevention programs. Although EM is distinct from other areas of family violence, including child maltreatment and intimate partner violence, common risk factors and theoretical underpinnings point to opportunities for prevention strategies. Drawing on evidence-based best practices found in other fields of family violence, we identify approaches that could be tested to prevent EM at the hands of family caregivers, who are among the most likely to commit mistreatment. Specifically, we examine home visiting approaches primarily used in the child maltreatment field and identify components that have potential to inform EM interventions, including prevention. We conclude that there is enough information to begin testing a prevention intervention for EM that targets caregivers.
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Affiliation(s)
- Kylie Meyer
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles
| | | | - Zachary D Gassoumis
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles
| | - Laura Mosqueda
- Department of Family Medicine, Keck School of Medicine of the University of Southern California, Alhambra
| | - S Duke Han
- Department of Family Medicine, Keck School of Medicine of the University of Southern California, Alhambra
| | - Kathleen H Wilber
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles
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Liu PJ, Wood S, Xi P, Berger DE, Wilber K. The Role of Social Support in Elder Financial Exploitation Using a Community Sample. Innov Aging 2017; 1:igx016. [PMID: 30480110 PMCID: PMC6234911 DOI: 10.1093/geroni/igx016] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Social support is known to be an important protective factor against elder financial exploitation (FE), yet few empirical studies have examined the relationship between FE and distinct components of social support. Perceived social support, social network size, and interactions with close network members (positive and negative) were measured separately and tested as potential predictors of FE. RESEARCH DESIGN AND METHODS Three hundred and ninety-five community-dwelling adults aged 60 and older were recruited to complete a 90-minute survey and interview. We used OLS regression to examine the role of social support in FE. Other risk factors associated with FE including dependency, poor physical health, depression, cognition, and demographic characteristics were included as potential predictors. RESULTS Negative interactions with close network members predicted FE, and remained predictive when all other variables and social support factors were included in the model. Other social support factors were not unique predictors of FE. DISCUSSION AND IMPLICATIONS Negative social interactions with close network members are important to assess and consider in FE prevention and intervention programs; relationships between social interactions and other risk factors warrant further attention.
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Affiliation(s)
- Pi-Ju Liu
- Institute for Health and Aging, University of California, San Francisco
| | - Stacey Wood
- Psychology Department, Scripps College, Claremont, California
| | - Patricia Xi
- Division of Behavioral and Organizational Sciences, Claremont Graduate University, California
| | - Dale E Berger
- Division of Behavioral and Organizational Sciences, Claremont Graduate University, California
| | - Kathleen Wilber
- School of Gerontology, University of Southern California, Los Angeles
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Teresi JA, Burnes D, Skowron EA, Dutton MA, Mosqueda L, Lachs MS, Pillemer K. State of the science on prevention of elder abuse and lessons learned from child abuse and domestic violence prevention: Toward a conceptual framework for research. J Elder Abuse Negl 2016; 28:263-300. [PMID: 27676289 DOI: 10.1080/08946566.2016.1240053] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The goal of this review is to discuss the state of the science in elder abuse prevention. Findings from evidence-based programs to reduce elder abuse are discussed, drawing from findings and insights from evidence-based programs for child maltreatment and domestic/intimate partner violence. A conceptual measurement model for the study of elder abuse is presented and linked to possible measures of risk factors and outcomes. Advances in neuroscience in child maltreatment and novel measurement strategies for outcome assessment are presented.
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Affiliation(s)
- Jeanne A Teresi
- a Columbia University Stroud Center , New York State Psychiatric Institute , New York , New York , USA.,b Research Division , Hebrew Home at RiverSpring Health , Riverdale , New York , USA
| | - David Burnes
- c Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , Ontario , Canada.,d Baycrest Health Sciences , Rotman Research Institute , Toronto , Ontario , Canada
| | - Elizabeth A Skowron
- e Department of Counseling Psychology & Human Services , University of Oregon , Eugene , Oregon , USA.,f Prevention Science Institute , University of Oregon , Eugene , Oregon , USA
| | - Mary Ann Dutton
- g Department of Psychiatry , Georgetown University Medical Center , Washington , DC , USA
| | - Laura Mosqueda
- h Family Medicine and Geriatrics and National Center on Elder Abuse, Keck School of Medicine , University of Southern California , Los Angeles , California , USA
| | - Mark S Lachs
- i Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College , Cornell University , New York , New York , USA
| | - Karl Pillemer
- j Department of Human Development , Cornell University , Ithaca , New York , USA
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