Identifying Older People at Risk of Abuse During Routine Screening Practices

Lisa R. Shugarman · Brant E. Fries · Rosalie S. Wolf · John N. Morris

159 citations0/0 files storedJournal of the American Geriatrics Society

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Elder Abuse and Neglect Child Abuse and Trauma Child Abuse and Related Trauma

Abstract

OBJECTIVES: To examine the association between various characteristics of community-based older people and a constructed measure of potential elder abuse. DESIGN: Cross-sectional design. SETTING: Public community-based long-term care programs in Michigan. PARTICIPANTS: Individuals aged 60 and older seeking home and community-based services in Michigan between November 1996 and October 1997 (N = 701). MEASUREMENTS: Data were collected using the Minimum Data Set for Home Care (MDS-HC) assessment. The dependent variable is a constructed measure of potential elder abuse reflecting physical and emotional abuse and neglect. Independent variables include demographic characteristics; diagnoses; behavioral measures; and cognitive, physical, and social functioning. RESULTS: Several measures of social support and social function were strongly associated with the signs of a potentially abusive environment: brittle support (odds ratio (OR) = 3.5, 90% confidence interval (CI) = 1.5-8.1), older person feels lonely (OR = 2.4, 90% CI = 1.3-4.5), and older person expresses conflict with family/friends (OR = 2.3, 90% CI = 1.2-4.3). Home care participants' alcohol abuse, psychiatric illness, lack of ease interacting with others, and short-term memory problems were also significantly associated with the signs of potential elder abuse. CONCLUSIONS: The results of this study suggest that the signs of potential elder abuse are associated with a diminishing social network and poor social functioning, although some characteristics of the older person's health are contributing factors. Improved understanding of the link between those characteristics and potential abuse will help healthcare providers, case managers, and others identify older people at high risk of abuse.

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References

1988The Prevalence of Elder Abuse: A Random Sample Survey 1993Elder Abuse 1997Risk Factors for Reported Elder Abuse and Neglect: A Nine-Year Observational Cohort Study 1992National Survey on Abuse of the Elderly in Canada 2000The High Prevalence of Depression and Dementia in Elder Abuse or Neglect 1992Severe Family Violence and Alzheimer's Disease: Prevalence and Risk Factors 1990Abuse of elderly people by their carers.1998Validation of the Indicators of Abuse (IOA) Screen

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2016Interventions for preventing abuse in the elderly 2010Abuse of older Chinese with dementia by family caregivers: an inquiry into the role of caregiver burden 2013A Review on the Prevalence and Measurement of Elder Abuse in the Community 2017The National Elder Mistreatment Study: An 8-year longitudinal study of outcomes 2006Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place 2006Indicators of Elder Abuse: A Crossnational Comparison of Psychiatric Morbidity and Other Determinants in the Ad-HOC Study

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