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.

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.

As an increasing percentage of our population moves into their elder years, there is a growing concern about elder care issues. What constitutes maltreatment? What laws are in place to protect elders from danger? When should a lawsuit be considered? These are just as few of the questions James T. O'Reilly addresses in this publication. The author presents a number of real-life scenarios and offers expert advice on how to prevent harmful situations as well as how to take appropriate legal action if necessary. O'Reilly explores each situation in detail so readers can make informed decisions to maximize the responsiveness of each option. Topics covered include understanding the risks to the safety of elders, how the government protects elders against risk, medication issues for elders and abuse and assault. How to Protect Elders from Harm is a must-have resource for anyone interest in learning more about protecting elders from insufficient care or maltreatment.

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.

"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.

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Nearly 1.6 million Americans now live in nursing homes. That number will double in the next twenty years, as medical science lengthens our life expectancies and the senior population grows. Inevitably, most of us will have to supervise the care of aging parents or grandparents, and every one of us faces the prospect of growing old and possibly frail. Thirty percent of elderly Americans say they would rather die than move into a nursing home. Their fears are well founded: Inspection documents show that more than a quarter of the nursing homes in the United States have been repeatedly cited for violations that caused serious harm or death to residents. In California, fully one-third caused serious injury or death, and less than 2 percent of nursing homes had no violations!

Result of a joint research program undertaken by the World Health Organization Ageing and Life Course Dept. and the Center for Interdisciplinary Gerontology at the University of Geneva.

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.