Examining the Role of Substance Abuse in Elder Mistreatment: Results From Mistreatment Investigations

Substance abuse has long been identified as a risk factor for elder mistreatment, yet research on the topic remains sparse. This study tested hypotheses whether perpetrator and victim substance use problems were associated with financial exploitation, physical abuse, emotional abuse, and neglect versus no abuse. Cross-sectional data were collected on 948 cases with yes/no substantiation decisions where 357 cases had no abuse in elder mistreatment investigations. Hypotheses were tested using odds ratios, bivariate, and multiple linear regression analyses including a control for victim vulnerability. Of 948 alleged victims, 42 (4.4%) exhibited signs of substance use problems. Among the 323 alleged perpetrators, 87 (26.9%) were reported to have substance use problems. Substance use problems by alleged perpetrators were associated ( p < .01) with financial exploitation, physical abuse, and emotional abuse but not neglect. Substance use problems by alleged victims were associated with neglect, but not the other types. Alleged perpetrators with substance use problems tended to commit multiple forms of abuse, were male and not caregivers. Except for the findings on neglect, the associations with elder mistreatment were stronger for alleged perpetrators with substance use problems, than for alleged victims. Clarification of the role of perpetrator risk factors such as substance abuse should improve risk identification and subsequent intervention.

Age-Associated Alcohol and Driver Risk Differences in Older Adult DUI Offenders

PURPOSE

The aim of the study was to characterize age-group differences on the Driver Risk Inventory-II (DRI-II) in a group of driving under the influence (DUI) offenders.

METHOD

Data from 11,066 DUI cases from the state of Nebraska were used. The sample was grouped by age (18-20, 21-39, 40-59, and 60-84) and compared on the subscales of the DRI-II.

RESULTS

Older adult DUI finders accounted for 2.90% (95% confidence interval [CI] = [2.60, 3.23]) of all DUI cases. Older adult DUI offenders not only demonstrated significantly greater Alcohol Risk scores than younger age groups but also had significantly lower Driver Risk scores than younger age groups.

IMPLICATIONS

The results of this study demonstrate age-related differences in alcohol and driving risk among DUI offenders. This study provides a starting point from which investigators and clinicians can further address the issue of alcohol use and driving in older adults.