Elder Abuse, Neglect, and Exploitation

Abstract

Along with health care providers, social workers are the professionals most likely to be responsible for detecting signs of elder maltreatment and providing interventions and preventive services. In this study, using data from a county adult protective services unit, we discuss the complex nature of domestic elder maltreatment, identify risk factors for different types of maltreatment, and recommend prevention strategies. Specifically, we compare self-neglecting elders and those abused and/or neglected by others. Of the latter, we further compare risk factors for physical and emotional/psychological abuse and/or neglect with risk factors for financial exploitation only. The risk factors analyzed include elders' gender, age, living arrangement, acute or chronic health conditions, mental health status, cognitive deficits, size of social support, and alcohol abuse. As preventive strategies, we discuss case-management services, caregiver support services, and alcohol/substance abuse screening and treatment.

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