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.

In this second edition of their classic volume, the authors present their elder abuse diagnosis and intervention model. This comprehensive model of detection, assessment, and intervention enables the practitioner first to identify the type of elder mistreatment, including physical, sexual, psychological, and financial. It then provides systematic and realistic interventions. This updated edition also includes information on legal interventions with suggestions on how the practitioner should act in the courtroom, give testimony, document findings, and prepare for legal involvement with the criminal justice system. Actual legal tools are included in the appendix. This is a classic resource for all health professionals who work with the elderly.

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.

Elder Abuse: Forensic, Legal and Medical Aspects focuses on the psychological, financial and physical abuse and neglect that is widespread in elder abuse across socioeconomic levels. It provides expert information on forensic and legal topics that professionals need to understand to confront these crimes. The topics included are those most important in the detection and prosecution of elder abuse. Identification and epidemiology are discussed, as are types and presentations of abuse. Written at a level for both professionals and students who wish to gain a broader understanding of specific forensic topics in elder maltreatment, this book is an ideal source. - Covers the physical, sexual, financial and psychological types of elder abuse - Includes a section on domestic violence in the elderly, as well as wound identification - Provides a multidisciplinary approach that is emphasized with special sections on death investigation, evidence collection, the medical examiner's responsibilities, and the response of the justice system

This book provides a global comprehensive and systematic state-of-the review of this field that fills the gaps between research, practice, and policy. The book addresses the epidemiology of the issue and the global prevalence of elder abuse in both developed and developing countries, which synthesizes the most up-to-date data about risk factors and protective factors associated with elder abuse and consequences of elder abuse; clinical assessment and management of elder abuse, including screening, detection, management of elder abuse, and the role of decision making capacity and forensic approaches; practice and services that describe adult protective services, legal justice, elder court systems, and guardianship system; elder abuse and culture, which provides more in-depth anthropological and ethnographic experiences; policy issues, which highlights the elder justice movement, GAO reports, elder justice act, older American act and elder justice coordinating council; and future directions, which explores translational research, practice, education/training and policy issues surrounding elder abuse. Elder Abuse: Research, Practice and Policy is a useful resource for aging researchers, social services, general internists, family medicine physicians, social workers, nurses, and legal professionals interested in the issues of elder abuse.

The mistreatment of older people is categorized in many societies as “elder abuse and neglect,” yet the concept has not been subjected to rigorous critical inquiry. Instead, it has most often represented the interests of professionals, academics, and governments, while policy makers and researchers frequently overlook or disregard the complexity of issues that fall under this designation. Contesting Elder Abuse and Neglect questions existing understandings about the mistreatment of older people. It explores how and why the designation “elder abuse and neglect” came to be and shows how this term masks problems concerning the mistreatment of older people, their place in society, and how they see themselves. Joan R. Harbison and her colleagues expose how supposed solutions to the problem of abuse can take their toll on those people they were originally intended to protect. The book is an important contribution to the literature that encourages new thinking about issues concerning the mistreatment of older people.

Provide the most effective service possible to help victims of this growing social problem Elder Abuse and Mistreatment is a comprehensive overview of current policy issues, new practice models, and up-to-date research on elder abuse and neglect. Experts in the field provide insight into elder abuse with newly examined populations to create an understanding of how to design service plans for victims of abuse and family mistreatment. The book addresses all forms of abuse and neglect, examining the value issues and ethical dilemmas that social workers face in providing service to elderly abuse victims and their families. Elder abuse and neglect is a social problem of increasing concern to policymakers, practitioners, and researchers in the United States and around the world. Elder Abuse and Mistreatment incorporates health, mental health, and social service perspectives that assist social work and health care professionals with interdisciplinary teamwork. The book examines the Elder Justice Act, the Madrid 2002 International Plan of Action on Ageing, new and emerging practice modalities and international models such as shelter programs and support groups, and the latest research on practice methods, elder abuse with special populations, and interventions with victim-abuse dyads. Topics examined in Elder Abuse and Mistreatment include: abuse reporting statutes the roles of agencies involved in abuse investigations service commonly needed by victims funding sources common impediments to service delivery adult protective services (APS) local, state, and federal policies social and economic inclusion self-determination long-term care and nursing homes consumer fraud and financial abuse dependency and compliance and much more Elder Abuse and Mistreatment: Policy, Practice, and Research is an essential resource for educators and students of social work, nursing, and public health, and for social work practitioners.

This book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the “silver tsunami.” Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management. This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.

Helping mental health clinicians anticipate, recognize and respond to elder abuse, this book quickly summarizes risk and protective factors, the important role of cognition and capacity and clinicians' legal and ethical obligations to report suspected or known elder abuse.