Self-Neglect and Neglect of Vulnerable Older Adults: Reexamination of Etiology

Namkee G. Choi · Jinseok Kim · Joan Asseff

59 citations0/0 files storedJournal of Gerontological Social Work

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Elder Abuse and Neglect Aging, Elder Care, and Social Issues Child Abuse and Trauma

Abstract

Using assessment and investigation data from the reported APS cases in Texas, this study examines the types of elder self-neglect and neglect, including medical neglect. It then examines the association between self-neglect and neglect and individual economic resources as well as health care and social service programs for the poor. The findings show that elder self-neglect/neglect is, in large part, attributable to frail older adults' and their families' lack of resources to pay for essential goods and services and the inadequate healthcare and other formal support programs for the older adults and their caregivers. This inadequate public policy coverage, rather than individual and intrafamily risk factors per se, needs to be considered as a significant cause of elder self-neglect/neglect.

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References

1998The Mortality of Elder Mistreatment 2008The prevalence of elder abuse and neglect: a systematic review 2000The High Prevalence of Depression and Dementia in Elder Abuse or Neglect 2000Elder Abuse, Neglect, and Exploitation 1993Diagnostic and treatment guidelines on elder abuse and neglect 2002Predictors of Self-Neglect in Community-Dwelling Elders 2005Dyadic Vulnerability and Risk Profiling for Elder Neglect 2001Quantifying the Problem of Abuse and Neglect in Adults—Analysis of a Statewide Database

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2013Informing Evidence-Based Practice: A Review of Research Analyzing Adult Protective Services Data 2009Physical Function Decline and the Risk of Elder Self-neglect in a Community-Dwelling Population 2011Elder Abuse and Neglect in a Population Offering Care by a Primary Health Care Center in Izmir, Turkey 2011A Prospective Population-Based Study of Differences in Elder Self-Neglect and Mortality Between Black and White Older Adults 2015Correlates of depression in self-neglecting older adults: A cross-sectional study examining the role of alcohol abuse and pain in increasing vulnerability

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