Assessment of elder mistreatment is hindered by a myriad of factors, including inconsistent definitions, divergent and untested theories of causation, and limited research attention to the problem. In addition to these difficulties, professionals encounter complex situations requiring considerable clinical assessment skills and decision-making capacity. Adult Protective Services (APS) workers, as well as mandated reporters such as healthcare providers and social workers, need an assessment tool that can reliably and accurately assess for elder mistreatment. Based on a structured review of screening and assessment instruments, this article discusses the psychometric properties of 15 instruments and the relevance to APS. Implications of the findings for future research, practice, and policy are discussed.
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http://dx.doi.org/10.1080/01634370902918597 | DOI Listing |
Alzheimers Dement
December 2024
Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India, Manipal, Karnataka, India.
Background: Abuse of older adults is a sociopolitical issue that is often hidden. People living with dementia are more vulnerable to abuse due to their cognitive and physical impairments. Caring for a person with dementia is quite challenging.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
Centre for Research in Aging - Donald Berman Maimonides Geriatric Centre, Montreal, QC, Canada.
Background: Screening for elder abuse can cause victims to experience feelings of unpleasantness and/or relive painful memories which can be an ethical concern. Ensuring the safety of all participants/users, in our case long-term care (LTC) residents, is of the utmost importance.
Method: Drawing from approaches used in the intimate partner violence and clinical trials literature, we developed a novel typology of harm and a series of procedures to evaluate any negative consequences that might be incurred as a result of participating in the Piloting the Elder Abuse Suspicion Index-long term care: A Mixed Methods Feasibility Study.
Alzheimers Dement
December 2024
CIUSSS du Centre-Ouest-de-l'île-de-Montréal, Montreal, QC, Canada.
Background: Long-term care (LTC) residents are a previously untested and highly vulnerable population at risk of elder abuse (EA) and its many negative health outcomes. The detection of elder abuse within the LTC context is urgent and time-sensitive.
Objective: The overarching aim of this study is to evaluate the feasibility of implementing the Elder Abuse Suspicion Index - long-term care (EASI-ltc): the first comprehensive detection tool of its kind designed specifically to identify the abuse of cognitively-apt persons living in LTC.
Alzheimers Dement
December 2024
Yale University, New Haven, CT, USA.
Background: Elder abuse (EA) is a major public health problem and older people living with dementia (PLWD) are not likely to self-report EA. As a result, identification of EA remains low, and providers often miss the opportunity to identify EA during Emergency Department (ED) visits. We present a pilot study on adapting an evidence-informed intervention to motivate PLWD to self-report abuse despite existing cognitive challenges.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
National Institute of Mental Health and Neurosciences, Bangalore, India.
The population of older adults in India is projected to increase from the current estimate of 150 million to 350 million by the year 2050. The prevalence of older adults with mental health problems including dementia is also increasing rapidly. The socio-cultural changes in the joint family system have necessitated the increasing requirement of formal caregivers for supporting the care of older adults in home as well as residential care institutions.
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