Elder Abuse Prevention And Intervention

The abuse of elderly persons is fast becoming one of the major problems in the care of this vulnerable age group. These acts aren't isolated to nursing homes either. It happens in the home as well, even sometimes perpetrated by members of the victim's own family. If you're planning to move into a nursing home, or are planning to move a family member into one or under the care of someone else, learning how to deal with elder abuse properly will help a lot in preventing its occurrence. How will you know that you're being abused? When and how will you report the deed? These are all important points to understand so that you're prepared to deal with the situation immediately, or better yet, prevent it from happening in the first place. This book will help you learn how to recognize and deal with abuse in nursing homes and at home by discussing both prevention and intervention in detail.

Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings. Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community.

This report provides descriptions of training resource manuals currently available in Canada and used to train health care professionals & front-line workers in the detection, intervention, and prevention of abuse of the elderly. The manuals include workbooks, resource guides, information on running workshops on elder abuse, intervention guides, handbooks for service providers, and information on developing protocols. Information provided for each manual, if available, includes name, address, and phone number of organization that produced the resource; date produced; name of contact person; name of funding organization; language; description of content; and organizations using the resource. Descriptions are arranged alphabetically by province, with a separate section for manuals produced at multiple sites. Recommendations are made at the end regarding the dissemination & evaluation of training manuals.

"I found this book to be informative, well-researched, and well-thought out...The book is an asset to students, scholars, and seasoned practioners alike." --International Perspectives in Victimology "Lisa Nerenberg provides the first comprehensive look at elder abuse prevention trends and strategies. Drawing from existing models and examining salient factors, she outlines approaches to intervention that consider victims and perpetrators and engage communities and service systems. She also offers meaningful response to the many challenges endemic to elder abuse work. As a result, Lisa gives hope to the field." "Beginning as a grassroots advocate a quarter century ago in San Francisco, Lisa developed and tested many viable elder abuse prevention programs herself through the local elder abuse network before exploring best practices elsewhere. This unique evolution and perspective gives her the depth and breadth of understanding needed to write a book like this, able to resonate equally with adult protective service workers struggling to manage caseloads of vulnerable elders, law enforcement personnel trying to prosecute abusers, and academics searching for effective responses to the problem."-- --Georgia J. Anetzberger, PhD, ACSW Assistant Professor of Health Care Administration at Cleveland State University and Editor of the Journal of Elder Abuse & Neglect Recipient of the Legal Assistance for Seniors' "Leading the Fight for Seniors' Rights" annual award for 2007! Drawing from over twenty years of experience helping communities improve their response to elder abuse, Lisa Nerenberg describes what agencies, communities, tribes, states, and national organizations are doing to prevent abuse, treat its effects, and ensure justice. She further explores what remains to be done and offers a plan for the future. In doing so, she addresses the broader challenges of fortifying the long-term care, protective service, and legal systems to meet the new and imminent demands of a burgeoning elderly population. In short, the book is about making communities safer places to grow old. Ms. Nerenberg begins by exploring trends that have shaped or defined practice in the field of elder abuse prevention including the Supreme Court's Olmstead decision; a shift in focus from protecting to empowering victims; an increasingly multicultural elderly population; the "globalization" of the field; and heightened understanding of the "psychology of victimization" (or why victims do what they do and perhaps more importantly, why they often don't do what professionals think they should). She further describes eight models and theories on which practice has been based ranging from the widely recognized adult protective service and domestic violence prevention models to lesser-known approaches such as the family preservation and restorative justice models. She describes specific interventions and approaches that each model has contributed, their benefits and limitations, what is known about their impact, and factors that dictate what responses are appropriate to specific settings and situations. In addition to describing techniques used by individual practitioners, the author outlines strategies and services that agencies, communities, states, tribes, courts, and national organizations have designed, which include elder forensics centers, elder courts, family justice centers, elder shelters, "hybrid" multidisciplinary teams, fraud prevention programs, support groups, restorative justice programs, and culturally specific outreach campaigns. She details progressive public policy initiatives, which range from statutes that provide for the mandatory reporting of deaths in nursing homes, to efforts to improve the collection and distribution of restitution, to laws that address the role of undue influence in elder abuse.

Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles have addressed the shameful problem that abusersâ€"and sometimes the abused themselvesâ€"want to conceal. Elder Mistreatment in an Aging America takes a giant step toward broadening our understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it. The book includes a discussion of the conceptual, methodological, and logistical issues needed to create a solid research base as well as the ethical concerns that must be considered when working with older subjects. It also looks at problems in determination of a report's reliability and the role of physicians, EMTs, and others who are among the first to recognize situations of mistreatment. Elder Mistreatment in an Aging America will be of interest to anyone concerned about the elderly and ways to intervene when abuse is suspected, including family members, caregivers, and advocates for the elderly. It will also be of interest to researchers, research sponsors, and policy makers who need to know how to advance our knowledge of this problem.

The main objective of the paper is to explore the involvement and empowerment of older Canadians as it relates to the abuse of seniors. It comprises five sections. The initial section presents the objectives of the exercise, the methodology and the key definitions used throughout the paper. Section 2 focuses on the realities, obstacles and future approaches to expanding the involvement of seniors in prevention and intervention activities related to the abuse of older persons. The third section describes the projects funded through the Family Violence Prevention Division. Section 4 explores the opportunities for greater seniors' involvement along a continuum of activities and roles. Finally, section 5 summarizes these opportunities on the continuum and suggests ways for the family violence initiative to support future prevention and intervention efforts across Canada.

Additional keywords : minorities, minority seniors, senior citizens, refugees, new immigrants, non-English speaking older people, violence.