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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.
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
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.
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.
Your Turn is the first book for adults who were abused and maltreated by older family members who are now faced with the aging and death of those abusive elders. This book discusses the reasons that this normal life passage has become especially difficult for adult survivors, drawing on psychological research about the long-term effects of childhood maltreatment. It then addresses how adult survivors can move through this time of time and make it into an opportunity for their own healing. Specific suggestions for self-care and strategies for decision-making are presented. An extensive list of written and on-line resources on a variety of related topics is included in the book. Your Turn is the only book that speaks to the special concerns of adult survivors of childhood maltreatment who are at this juncture in their lives.
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.
“Opens doors to richer, more connected relationships by naming the elephant in the room ‘Childhood Emotional Neglect’” (Harville Hendrix, PhD & Helen Lakelly Hunt, PhD, authors of the New York Times bestseller Getting the Love You Want). Since the publication of Running on Empty: Overcome Your Childhood Emotional Neglect, many thousands of people have learned that invisible Childhood Emotional Neglect, or CEN, has been weighing on them their entire lives, and are now in the process of recovery. Running on Empty No More: Transform Your Relationships will offer even more solutions for the effects of CEN on people’s lives: how to talk about CEN, and heal it, in relationships with partners, parents, and children. “Filled with examples of well-meaning people struggling in their relationships, Jonice Webb not only illustrates what’s missing between adults and their parents, husbands, and their wives, and parents and their children; she also explains exactly what to do about it.” —Terry Real, internationally recognized family therapist, speaker and author, Good Morning America, The Today Show, 20/20, Oprah, and The New York Times “You will find practical solutions for everyday life to heal yourself and your relationships. This is a terrific new resource that I will be recommending to many clients now and in the future!” —Dr. Karyl McBride, author of Will I Ever Be Good Enough?
Will you be able to help and protect yourself when you grow frail? How can you stop elderly abuse by personality exploration and learning which pitfalls to avoid? Are you more a directive or an informative person? Do you ask for direction and easily give it? Or do you seek and give information? Your stance can help you take action to prevent elderly abuse-for yourself and others. How will you position yourself to avoid, prevent, and stop abuse of the aged? What can you do right now? Preliminary findings of four research studies made by the U.S. Department of Health and Human Services suggest that some potential causes of abuse of the elderly include the following: 1. The majority of abused elderly cannot care for themselves. 2. The abuser was experiencing stress. Often the elderly victims and the care they required were identified as the source of stress. 3. Violence begets violence. It's banked throughout life and spent on the person who has the least power over us. Sometimes violence continues from generation to generation as the normative response to stress. 4. Most older individuals are not abandoned by their children. Seventy-five percent of the elderly live with these children or live less than 30 minutes away. Eighty percent of home care to the aged is provided by family members living in the same household. 5. The middle aged adult today is more likely to have a living parent than his counterpart of the past.