Elder Abuse and Neglect Risk Alleviation in Protective Services

David P. R. Burnes · Victoria M. Rizzo · Erin Courtney

23 citations0/0 files storedJournal of Interpersonal Violence

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Elder Abuse and Neglect Intimate Partner and Family Violence Child Abuse and Trauma

Abstract

Little is known about conditions associated with favorable elder mistreatment (EM) case outcomes. The fundamental goal of EM protective service programs is to alleviate risk associated with substantiated cases of elder abuse and neglect. Using the EM socio-cultural model, this study examined victim, perpetrator, victim-perpetrator relationship, social embeddedness, and socio-cultural factors predicting risk alleviation of EM cases. Data from a random sample of EM protective social service cases (n = 250) at a large community agency in New York City were collected and coded by multiple, independent raters. Multinomial and binary logistic regression were used to examine undifferentiated risk alleviation for the entire sample of EM cases as well as differentiated financial, emotional, and physical abuse sub-types. Undifferentiated EM risk alleviation was associated with male victim gender, older victim age, previous community help-seeking, and victim-perpetrator dyads characterized by a separate living arrangement and shorter term abuse longevity. Financial abuse cases with younger perpetrators were less likely to have risk reduction. Physical abuse risk reduction was less likely when the perpetrator was male and the victim-perpetrator dyad included different genders. Distinct findings across EM sub-types suggest a need to develop targeted practice strategies with clients experiencing different forms of EM. Findings highlight a need to develop EM protective service infrastructure around perpetrator rehabilitation.

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References

2009Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States: The National Elder Mistreatment Study 2013Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America 1998The Mortality of Elder Mistreatment 2008Elder Mistreatment in the United States: Prevalence Estimates From a Nationally Representative Study 2009Elder Self-neglect and Abuse and Mortality Risk in a Community-Dwelling Population 2009A Systematic Review of Interventions for Elder Abuse 2011Prevalence and Correlates of Elder Mistreatment in South Carolina: The South Carolina Elder Mistreatment Study 1990Helping elderly victims: the reality of elder abuse

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2017Varying Appraisals of Elder Mistreatment Among Victims: Findings from a Population-Based Study 2017Development of short-form measures to assess four types of elder mistreatment: Findings from an evidence-based study of APS elder abuse substantiation decisions 2020Exploring Risk of Elder Abuse Revictimization: Development of a Model to Inform Community Response Interventions 2015The Case for Individualized Goal Attainment Scaling Measurement in Elder Abuse Interventions

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