Reviewgreen2019

Review of Programs to Combat Elder Mistreatment: Focus on Hospitals and Level of Resources Needed

Tony Rosen · Alyssa Elman · Diana Delgado · Michelle R. Demetres · Risa Breckman · Kristin Lees Haggerty +9 more

49 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

BACKGROUND: Elder mistreatment is common and has serious social and medical consequences for victims. Though programs to combat this mistreatment have been developed and implemented for more than three decades, previous systematic literature reviews have found few successful ones. OBJECTIVE: To conduct a more comprehensive examination of programs to improve elder mistreatment identification, intervention, or prevention, including those that had not undergone evaluation. DESIGN: Systematic review. SETTING: Ovid MEDLINE, Ovid EMBASE, Cochrane Library, PsycINFO Elton B. Stephens Co. (EBSCO), AgeLine, CINAHL. MEASUREMENTS: We abstracted key information about each program and categorized programs into 14 types and 9 subtypes. For programs that reported an impact evaluation, we systematically assessed the study quality. We also systematically examined the potential for programs to be successfully implemented in environments with limited resources available. RESULTS: We found 116 articles describing 115 elder mistreatment programs. Of these articles, 43% focused on improving prevention, 50% focused on identification, and 95% focused on intervention, with 66% having multiple foci. The most common types of program were: educational (53%), multidisciplinary team (MDT) (21%), psychoeducation/therapy/counseling (15%), and legal services/support (8%). Of the programs, 13% integrated an acute-care hospital, 43% had high potential to work in low-resource environments, and 57% reported an attempt to evaluate program impact, but only 2% used a high-quality study design. CONCLUSION: Many programs to combat elder mistreatment have been developed and implemented, with the majority focusing on education and MDT development. Though more than half reported evaluation of program impact, few used high-quality study design. Many have the potential to work in low-resource environments. Acute-care hospitals were infrequently integrated into programs.

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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 2011'Scoping the scope' of a cochrane review 2016Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies 1998The Mortality of Elder Mistreatment 2015Elder Abuse: Systematic Review and Implications for Practice 2015Elder Abuse 2008The SQUIRE (Standards for QUality Improvement Reporting Excellence) guidelines for quality improvement reporting: explanation and elaboration 2004Elder abuse

Cited by

2020Do interventions to prevent or stop abuse and neglect among older adults work? A systematic review of reviews 2021Elder Abuse Vulnerability and Risk Factors: Is Financial Abuse Different From Other Subtypes?2020Multicenter Validation of an Emergency Department–Based Screening Tool to Identify Elder Abuse 2021Development and usability evaluation of VOICES : A digital health tool to identify elder mistreatment 2023The Context of Elder Maltreatment: an Opportunity for Prevention Science

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