Discussing elder abuse and neglect in undergraduate dental education: a commentary.
Authors: Brondani M, Harjani MG, Alfawzan N, Alves CMC, Wårdh I, Donnelly L Abstract The intra- and extra-oral signs of physical abuse and neglect can appear visible to a dental professional during routine care. Yet, little is known about the existing pedagogies employed to discuss elder abuse and neglect in undergraduate dental education and the level of knowledge undergraduate dental students have about elder abuse and neglect. The purpose of this commentary is to present a literature review exploring how the subject of elder abuse and neglect is taught in dental schools and to discuss the results of a brie...
Source: Journal of Elder Abuse and Neglect - April 29, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Elder abuse: a retrospective analysis of autopsy cases from the department of legal medicine in Genoa from 2006 to 2017.
In this study, 784 cases of dead people over 65 years of age were retrospectively analyzed: in all cases, the cause of death was determined by the autopsy. Ten cases have been classified as victims of elder abuse: 7 females and 3 males aged between 67 and 91 (average age of 78.9 years). The types of abuse were as follows: neglect: 8 cases; physical abuse: 2 cases; psychological abuse: 2 cases; financial abuse: 2 cases; self neglect: 2 cases. In three cases, the victims had been subjected to two or more types of abuse. In 5 cases the victims had a neuro-psychic decay. In cases of neglect the cause of death was due...
Source: Journal of Elder Abuse and Neglect - April 25, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Can standardized measures provide helpful feedback about adult protective services substantiation? Pilot data from a short self-neglect assessment.
Authors: Liu PJ, Stratton SK, Hass Z, Conrad KJ Abstract Can standardized assessment contribute to improving Adult Protective Services (APS) practice? In this exploratory study, San Francisco and Napa APS utilized a newly developed short self-neglect assessment to test how standardized measures provide information for substantiation decision making. Findings demonstrated satisfactory reliability and validity for the short self-neglect assessment, and analyses revealed important issues that could improve practice. Review of outliers revealed: (1) problems using the assessment tool, (2) misunderstandings of APS proce...
Source: Journal of Elder Abuse and Neglect - April 5, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Grannicides in Ghana: a study of lethal violence by grandchildren against grandmothers.
Authors: Adinkrah M Abstract The current article presents the results of an exploratory research that examined 16 homicides perpetrated by grandchildren against their own grandmothers in Ghana, West Africa. The term grannicide was coined by the present author and employed in the current analysis to denote the slaying of a grandmother by her grandchildren. Data for the present study were extracted from various Ghanaian print and electronic media. Results from the analysis of data show that grannicide is gendered, with all 16 identified grannicides perpetrated by grandsons against grandmothers. Offenders typically we...
Source: Journal of Elder Abuse and Neglect - March 24, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Communication neglect, caregiver anger and hostility, and perceptions of older care receivers' cognitive status and problem behaviors in explaining elder abuse.
Authors: Lin MC Abstract The goal of the current study was to examine the roles of communication neglect and caregiver traits (i.e., anger and hostility) in explaining caregivers' tendency to engage in abusive behaviors - specifically, whether such tendency is likely to occur in situations where caregivers perceive older care receivers displaying cognitive impairment or problem behaviors. Two hundred fifty-five informal caregivers completed an online questionnaire via Qualtrics. Treating communication neglect as the mediator, and caregiver anger and hostility as moderators, the results suggested that caregivers who...
Source: Journal of Elder Abuse and Neglect - March 20, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Using diffusion of innovations framework to examine the dissemination and implementation of the adult protective services national voluntary consensus guidelines.
This study examined the dissemination and implementation of the Guidelines across APS programs in the US. Researchers used the Diffusion of Innovations Theory to develop a survey sent to APS directors in all states. Forty-two states responded, and results were used to select a subset of states in which to conduct in-depth interviews. Awareness of the Guidelines was widespread but varied. Reported use of the Guidelines indicates that states are working to incorporate them into their practices. Respondents identified the need for more research and training in evidence-based practices. PMID: 32186476 [PubMed - as supplied...
Source: Journal of Elder Abuse and Neglect - March 20, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Capacity evaluations for adult protective services: videoconference or in-person interviews.
This article describes this evidence-informed process and how telecommunication technology is incorporated to expand the reach of the service. PMID: 32178601 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - March 19, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Perceptions of plea bargaining in cases of elder financial abuse.
Authors: Riederer AM, Golding JM Abstract The present study investigated perceptions of plea bargains in elder financial abuse. Approximately 78-90% of felony convictions are the result of plea bargains, yet very little work examines the public's perceptions of it. Additionally, elders lose an estimated $2.6-36.5 billion dollars each year to financial abuse and exploitation. Participants were recruited from Mturk (N = 74) and completed a mixed-factors 2 (Amount of Money Stolen: $5,000 vs. $50,000) x 2 (Relationship of Victim and Perpetrator: son vs. caretaker) x 2 (Type of Sentence: reduced jail sentence vs. p...
Source: Journal of Elder Abuse and Neglect - March 14, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Validation of REAGERA-S: a new self-administered instrument to identify elder abuse and lifetime experiences of abuse in hospitalized older adults.
This study aimed to develop and validate REAGERA-S, a self-administered instrument to identify elder abuse as well as lifetime experiences of abuse in older adults. REAGERA-S consists of nine questions concerning physical, emotional, sexual, financial abuse and neglect. Participants were recruited among patients (≥ 65 years) admitted to acute in-hospital care (n = 179). Exclusion criteria were insufficient physical, cognitive, or language capacity to complete the instrument. A semi-structured interview conducted by a physician was used as a gold standard against which to assess the REAGERA-S. The final ve...
Source: Journal of Elder Abuse and Neglect - March 11, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Older and wiser: age differences in susceptibility to investment fraud: the protective role of emotional intelligence.
Authors: Mueller EA, Wood SA, Hanoch Y, Huang Y, Reed CL Abstract There have been inconsistent results regarding whether older adults are more vulnerable to fraud than younger adults. The two main goals of this study were to investigate the claim that there is an age-related vulnerability to fraud and to examine whether emotional intelligence (EI) may be associated with fraud susceptibility. Participants (N = 281; 18-82 years; M = 53.4) were recruited via Amazon's Mechanical Turk and completed measures of EI, decision-making, and scam susceptibility. Participants who scored higher on "ability&qu...
Source: Journal of Elder Abuse and Neglect - March 11, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Socioecological indicators of senior financial exploitation: an application of data science to 8,800 substantiated mistreatment cases.
This study distinguishes socioecological factors strongly associated with the presence of FE during protective service investigations. These findings support existing and new indicators of FE and could inform protective service investigation practices. PMID: 32151209 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - March 11, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Developing a rigorous, systematic methodology to identify and categorize elder mistreatment in criminal justice data.
Authors: Dion S, Gogia K, Elman A, Clark S, Ulrey P, Connolly MT, Lewis S, LoFaso VM, Lachs MS, Wartell J, Rosen T Abstract Elder mistreatment is complex, with cases typically requiring integrated responses from social services, medicine, civil law, and criminal justice. Only limited research exists describing elder mistreatment prosecution and its impact. Researchers have not yet examined administrative prosecutorial data to explore mistreatment response, and no standardized analytic approach exists. We developed a rigorous, systematic methodologic approach to identify elder mistreatment cases in prosecutorial dat...
Source: Journal of Elder Abuse and Neglect - March 11, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Elder abuse protocols: identifying key features and establishing evidence for their use and effectiveness.
Authors: Blundell B, Warren A, Moir E Abstract Written protocols may guide staff responses to elder abuse. Their effectiveness is unclear, as protocols are generally unevaluated. This project aimed to review, evaluate, and update the Alliance for the Prevention of Elder Abuse: Western Australia's 2013 Protocol. A critical literature review identified key features of elder abuse protocols. Three focus groups (N = 19), and an online survey (N = 44) examined the usefulness and effectiveness of the 2013 Protocol and identified improvements. Seventy percent of survey respondents (n = 31) we...
Source: Journal of Elder Abuse and Neglect - March 6, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Vulnerability to fraud among Chinese older adults: do personality traits and loneliness matter?
This study examined correlates of the vulnerability to fraud among a group of urban Chinese older adults, focusing on the influence of personality traits and loneliness. A non-probability sample of 321 older participants recruited from six urban communities in Tianjin, China participated in a survey. Key measures included the Elder Risk for Fraud Scale, the short Big Five Inventory, and the Emotional-Social Loneliness Inventory. Regression analyses found that agreeableness personality was associated with lower risks for fraud while social loneliness was associated with higher risks for fraud. Older participants who needed ...
Source: Journal of Elder Abuse and Neglect - February 23, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Clinical recognition of elder maltreatment and intention to report among primary care doctors.
This study aimed to determine the primary care doctors' ability to recognize elder maltreatment and their intentions to report on such conditions. About 358 primary care doctors participated in this study. Outcomes were assessed using a validated five context-relevant clinical vignettes. Primary care doctor's recognition of sexual abuse was highest (91.0%); while the lowest (70.2%) in case signifying physical abuse. Despite being able to ascertain elder maltreatment, the intention to report the event is generally low even for cases exemplifying physical abuse, emotional abuse and neglect. However, intentions to report case...
Source: Journal of Elder Abuse and Neglect - February 23, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Screening for elder abuse in geriatric outpatients: reliability and validity of the Iranian version Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST).
Authors: Aminalroaya R, Alizadeh-Khoei M, Hormozi S, Sharifi F, Taati F Abstract The present research seeks the notion of the appropriateness of "Hwalek-Sengstock Elder Abuse Screening Test (H-S/East)", and psychometric properties to analyses cultural aspects of elder abuse in the Iranian community dwellers referred to clinics. In this cross-sectional validation study 364 participants, 60 years and over were selected from outpatient' clinics. The SF-36, GDS-15, and AMT scores were used for concurrent validity. The Brief Abuse Screen for the Elderly (BASE) scale was examined to determine the sensitivi...
Source: Journal of Elder Abuse and Neglect - February 6, 2020 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Elder sexual abuse and implicit agism: examining the warm-incompetent bias among mock jurors.
Authors: Syme ML, Cohn TJ Abstract Implicit ageist beliefs about the warmth and incompetence of older adults may influence jurors' perceptions and judgments of an older adult's competence in legal cases hinging on capacity and consent, including elder sexual abuse. However, little is known about the nuances of implicit agism in elder sexual abuse cases, and if it can be attenuated. The current study proposed to address these gaps via a randomized vignette design administered to a community sample of 391 US adults. Mock juror participants evaluated an elder sexual abuse case involving an older married couple, i...
Source: Journal of Elder Abuse and Neglect - November 27, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Determination of abuse and depression in the elderly.
This study was conducted to assess abuse and depression in elderly individuals. The universe of this descriptive and cross-sectional study consisted of individuals over the age of 65 years who were attending in a university at Turkish Republic of Northern Cyprus hospital between October 2017 and March 2018. The sample consisted of a total of 310 elderly individuals. In the study, the Geriatric Depression Scale and the Hwalek-Sengstock Elder Abuse Screening Test were used as data collection tools. It was determined that abuse and depression scores were high in elderly individuals who were single, who had an primary sch...
Source: Journal of Elder Abuse and Neglect - November 14, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Can artificial intelligence help identify elder abuse and neglect?
Authors: Rosen T, Zhang Y, Bao Y, Clark S, Elman A, Wen K, Jeng P, Lachs MS Abstract A health care encounter is a potentially critical opportunity to detect elder abuse and initiate intervention. Unfortunately, health care providers currently very seldom identify elder abuse. Through development of advanced data analytics techniques such as machine learning, artificial intelligence has the potential to dramatically improve elder abuse identification in health care settings. PMID: 31713474 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - November 14, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Advancing methodologies to increase end-user engagement with complex interventions: The case of co-designing the Australian elder abuse screening instrument (AuSI).
This study aimed to develop an effective and acceptable elder abuse screening instrument by engaging with frontline professionals through a co-design process. To date, co-design methodologies are recommended to ensure successful adoption and implementation of complex interventions by end-users, but the scholarship is limited on the specific steps to achieve this as well as the pragmatics of such work. Addressing this lacunae, results demonstrate how qualitative methods align with a co-design approach; underscore the importance of multidisciplinary perspectives; showcase how to streamline complex processes into routine prac...
Source: Journal of Elder Abuse and Neglect - October 27, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

A randomized-control trial testing the impact of a multidisciplinary team response to older adult maltreatment.
Authors: DePrince AP, Hasche LK, Olomi JM, Wright NM, Labus J Abstract Forensic center multidisciplinary teams (MDTs) have emerged to address older adult maltreatment; however, little research is available on this approach. The current study employed a randomized-control design to test the impact of a victim-focused, forensic center MDT relative to usual care (UC) on older adult victim and criminal justice outcomes. Cases of abuse, neglect, and/or financial exploitation involving a perpetrator in a position of trust were randomly assigned to MDT or UC. Outcomes were assessed via interviews with older adult victims,...
Source: Journal of Elder Abuse and Neglect - October 27, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Prevalence of elder abuse and associated factors among community-dwelling older adults in Iran.
Authors: Mohseni M, Rashedi V, Iranpour A, Naghibzadeh Tahami A, Borhaninejad V Abstract The aim of this study was to investigate the prevalence of elder abuse and associated factors among community-dwelling older adults Kerman province, Iran. In this cross-sectional descriptive study, 200 elderly people in Kerman were included using multi-stage sampling. 51.4% of the elderly reported abuse. 17.5% reported physical abuse, 20.9% reported verbal abuse, and 26.4% reported non-verbal abuse. Also, 11.5% reported self-neglect and 6.5% were neglected by others. 11.4% of the elderly reported abandonment and 14.9% reported ...
Source: Journal of Elder Abuse and Neglect - October 24, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Elder abuse and mistreatment: results from medicare claims data.
Authors: Mouton CP, Haas A, Karmarkar A, Kuo YF, Ottenbacher K Abstract Elder abuse and mistreatment (EM) continues to be a growing problem as the US population ages. Despite the growth, detection of EM continues to lag. However, Medicare claims data and the electronic health record might provide an opportunity to encourage better detection. We evaluated Medicare claims data from 2012-2014 for beneficiaries who had a diagnostic code for EM discharged from any types of facility. We extracted records for 10,181 individuals examining demographic characteristics, residential characteristics, residential location, type ...
Source: Journal of Elder Abuse and Neglect - October 22, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

A brief report on older people's experience of cybercrime victimization in Mumbai, India.
Authors: Tripathi K, Robertson S, Cooper C Abstract As internet penetration increases in Lower and Middle Income Countries (LMIC), more older people are now conducting financial transactions online and using social media to stay in touch with family and friends. We discuss concerns that existing financial regulations and controls in India may afford older people insufficient protection from cybercrime, using qualitative interviews from our recent study exploring older people's experiences of cybercrime in Mumbai. PMID: 31590617 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - October 9, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

The impact of effort-reward imbalance on loneliness of the elderly: the multiple mediation effect of social support and control belief in social domain.
Discussion: The study suggests that ERI can influence loneliness through decreasing social support and subsequently reducing control belief in social domain. PMID: 31507252 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - September 12, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Addressing elder abuse in rural and remote communities: social policy, prevention and responses.
This article reports the findings of an international scoping literature review focussed on social policy, prevention, and service responses to elder abuse in rural and remote communities. Forty-seven articles were included in the review, and fourteen types of prevention or service responses were identified in the literature, including several Indigenous-specific initiatives. The review highlighted the need for meaningful inclusion of rural and remote communities in elder abuse policy, as well as the importance of community consultation and consideration of the local context in developing prevention and response initiative...
Source: Journal of Elder Abuse and Neglect - September 5, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

A longitudinal, cross-lagged panel analysis of loneliness and depression among community-based older adults.
This study also highlights the need to assess and to manage the two symptoms simultaneously. PMID: 31462180 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - August 31, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Mistreated older adults with dementia in the home: practitioner experience and unattainable professional agency.
Authors: Lindenbach J, Larocque S, Morgan DG, Jacklin K Abstract The experience of practitioners who encounter mistreatment of an older adult with dementia by a caregiver in the home has received little attention in the literature. A critical research methodology aimed to understand the experience of professional agency, the ability to control outcomes and act in a meaningful way, of health and social service practitioners when encountering these cases in the home. Fifty-one practitioners from urban, rural and Northeastern communities in Ontario participated in semi-structured interviews, reflective journals, as we...
Source: Journal of Elder Abuse and Neglect - August 29, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Toward a better understanding of the elder abuse forensic center model: comparing and contrasting four programs in California.
This study expands on previous single-site research by conducting a cross-site multimethod evaluation of four established FCs to better describe the model and inform its replication with fidelity. Data were compiled from FC administrative data, site visits completed from 2011-2012, and a follow-up telephone interviews conducted in 2018. Site characteristics, processes, desired outcomes, and long-term sustainability were compared. All FCs had dedicated staff who convened a multidisciplinary team (MDT) of medical, legal, and social services providers to jointly engage in case review, consultation, and provision of supportive...
Source: Journal of Elder Abuse and Neglect - August 21, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Perceptions of elder abuse and neglect by older Chinese immigrants in Canada.
This study investigates how older adults perceive elder abuse and neglect in the context of migration and ageing. Based on a qualitative study of recent Chinese older immigrants in the Greater Toronto Area in Canada, it seeks to understand how migration and ageing processes, both of which engender cultural and contextual changes, shape and reshape views of elder abuse and neglect. The study argues that culture is important in older immigrants' perceptions of elder abuse and neglect, yet individuals with the same cultural roots may differ in their conceptualizations. Further, such perceptions could change through interactio...
Source: Journal of Elder Abuse and Neglect - August 11, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Why are older adults victims of fraud? Current knowledge and prospects regarding older adults' vulnerability to fraud.
Authors: Shao J, Zhang Q, Ren Y, Li X, Lin T Abstract Older adults are disproportionately targeted by various kinds of fraud, which result in irreversible economic losses and great psychological distress. Over the past years, researchers have conducted systematic research on the prevalence, under-reporting, and research methods of fraud victimization in older adults. Research paradigms regarding fraud victimization among older adults have mainly included cognitive, emotion regulation and motivation, and comprehensive paradigms. Factors shown to influence fraud victimization among older adults include cognitive decl...
Source: Journal of Elder Abuse and Neglect - June 6, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

"Opening the door": developing and pilot testing an adult protective services worker engagement training in New York city.
"Opening the door": developing and pilot testing an adult protective services worker engagement training in New York city. J Elder Abuse Negl. 2019 Mar 23;:1-18 Authors: Halarewicz AK, Gelman C, Ghesquiere A, Rogers G Abstract 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 ...
Source: Journal of Elder Abuse and Neglect - March 27, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Abuse, neglect and exploitation in assisted living: an examination of long-term care ombudsman complaint data.
Authors: Magruder KJ, Fields NL, Xu L Abstract 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 ...
Source: Journal of Elder Abuse and Neglect - March 24, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Disclosure among victims of elder abuse in healthcare settings: a missing piece in the overall effort toward detection.
Authors: Truong C, Burnes D, Alaggia R, Elman A, Rosen T 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 artic...
Source: Journal of Elder Abuse and Neglect - March 20, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

The Interview for Decisional Abilities (IDA): a tool to assess the decisional capacity of abused and neglected older adults.
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. PMID: 30810485 [PubMed - as suppli...
Source: Journal of Elder Abuse and Neglect - March 1, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Contextualizing mistreatment in cognitive impairment in Latin America.
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. PMID: 30810492 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - March 1, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

A new role for imaging in the diagnosis of physical elder abuse: results of a qualitative study with radiologists and frontline providers.
Authors: Lee M, Rosen T, Murphy K, Sagar P Abstract 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. Our interviews revealed that radiologis...
Source: Journal of Elder Abuse and Neglect - February 12, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Pilot testing the detection of elder abuse through emergency care technicians (DETECT) screening tool: results from the DETECT pilot project.
CONCLUSIONS: The DETECT tool was easily incorporated into medic's field-based practice and resulted in an increase in medic generated reports of EA to APS. Future research designed to evaluate the tool's validity and reliability are warranted. PMID: 30614399 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - January 9, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Credulity rather than general trust may increase vulnerability to fraud in older adults: a moderated mediation model.
Authors: Shao J, Du W, Lin T, Li X, Li J, Lei H Abstract 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. Susceptibil...
Source: Journal of Elder Abuse and Neglect - January 9, 2019 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Assessment of financial decision making: an informant scale.
Authors: Campbell RC, Lichtenberg PA, Hall LN, Teresi JA, Ocepek-Welikson K Abstract 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 th...
Source: Journal of Elder Abuse and Neglect - December 21, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Abuse and older lesbian, gay bisexual, and trans (LGBT) people: a commentary and research agenda.
Authors: Westwood S Abstract 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. Th...
Source: Journal of Elder Abuse and Neglect - November 20, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Family caregivers' perceptions of maltreatment of older adults with dementia: findings from the northwest of Spain.
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. At the institutional level, we noted that lack of support from the gov...
Source: Journal of Elder Abuse and Neglect - November 17, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Cross-validation of the screening scale in an adult protective services sample.
Authors: Campbell RJ, Gross E, Lichtenberg PA Abstract 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 exploitatio...
Source: Journal of Elder Abuse and Neglect - November 10, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Development and Spanish translation of the Weinberg Center Risk and Abuse Prevention Screen (WC-RAPS).
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. Seven of the 11 original items were modified, a double-barreled item was segregated into two, one item deleted, and three additional items included to create the final 13 WC-RAPS items. The multi-step approach implemented for the Spanish conversion evi...
Source: Journal of Elder Abuse and Neglect - November 10, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Improving medicolegal death investigative gaps of fatal elder abuse.
Authors: Drake SA, Pickens S, Wolf DA, Thimsen K Abstract 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 recommendat...
Source: Journal of Elder Abuse and Neglect - October 31, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Resident-to-resident elder mistreatment (R-REM): a study in residential structures for elderly people (ERI) in Portugal.
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. PMID: 30358523 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - October 27, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Methodological approaches to the analyses of elder abuse screening measures: Application of latent variable measurement modeling to the WC-RAPS.
CONCLUSION: Evidence supported the reliability and concurrent criterion validity of the risk and abuse subscales in an ethnically diverse cohort. PMID: 30346897 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - October 24, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

The prevalence of elder abuse and neglect in Iran: a systematic review and meta-analysis.
Authors: Arab-Zozani M, Mostafazadeh N, Arab-Zozani Z, Ghoddoosi-Nejad D, Hassanipour S, Soares JJF Abstract 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 PROSPER...
Source: Journal of Elder Abuse and Neglect - October 5, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Family members' experiences and management of resident-to-resident abuse in long-term residential care.
DISCUSSION: Families are actively managing RRA in long-term residential care. Policies and programs, including educational supports, should be developed to validate and support families. PMID: 30222059 [PubMed - as supplied by publisher] (Source: Journal of Elder Abuse and Neglect)
Source: Journal of Elder Abuse and Neglect - September 18, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research

Addressing the measurement challenge in elder abuse interventions: need for a severity framework.
Authors: Burnes D, Lachs MS, Pillemer K 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 e...
Source: Journal of Elder Abuse and Neglect - September 15, 2018 Category: Geriatrics Tags: J Elder Abuse Negl Source Type: research