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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.
Age Concern always seeks to be at the forefront in raising issues of importance as part of our continuing fight to improve the quality of life of older people. To this end we are privi leged in being able to draw on the skills of people with the commitment, expertise and enthusiasm to press for much needed change. When, some years ago, we published a book by Mervyn Eastman on old age abuse, the subject was largely unrecognized. He played a pioneering role in drawing atten tion to this difficult and sensitive topic, classifying the various types of abuse, analysing their causes, their tragic effects and the different contexts in which they were likely to occur. Earlier, when I joined Age Concern, I had been struck by the paucity of knowledge of old age abuse. My previous work with children and young people provided me with stark reminders of how much more developed both policy and prac tice were in dealing with the abuse of children. Even in that field there was still much to learn, and subsequent legislation, policy guidelines and codes of practice have taken us further down the road by constructing clear lines of accountability and by protecting and representing children at risk, by helping potential abusers and developing practice that avoids punish ing victims through removing them from their homes.
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.
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.
This first-of-its-kind work on elder abuse and mistreatment provides a comprehensive and up-to-date overview of the subject. Covering almost all regions of the world, it highlights different dimensions of elder abuse and mistreatment in terms of their prevalence, incidence, prevention, treatment, management and response from governments and civil society, academic and research communities, and society in general. Written by international specialists from various disciplinary and presenting the latest findings and data, the handbook includes sections on the Americas; the Caribbean; Europe; Central, West and South Asia; East Asia and Asia-Pacific; and Africa. The chapters offer clarity on the concept and forms of elder abuse and neglect, discuss research methodology, and provide policy options, legislative solutions and programmatic responses to give relief to older people as victims of abuse and neglect as well as to deal with the perpetrators. This book is intended for a wide range of students and researchers interested in aging, from sociology, to social work, community medicine, public health, clinical psychology, and human rights/law.
Drawing on interdisciplinary, cross-national perspectives, this open access book contributes to the development of a coherent scientific discourse on social exclusion of older people. The book considers five domains of exclusion (services; economic; social relations; civic and socio-cultural; and community and spatial domains), with three chapters dedicated to analysing different dimensions of each exclusion domain. The book also examines the interrelationships between different forms of exclusion, and how outcomes and processes of different kinds of exclusion can be related to one another. In doing so, major cross-cutting themes, such as rights and identity, inclusive service infrastructures, and displacement of marginalised older adult groups, are considered. Finally, in a series of chapters written by international policy stakeholders and policy researchers, the book analyses key policies relevant to social exclusion and older people, including debates linked to sustainable development, EU policy and social rights, welfare and pensions systems, and planning and development. The book’s approach helps to illuminate the comprehensive multidimensionality of social exclusion, and provides insight into the relative nature of disadvantage in later life. With 77 contributors working across 28 nations, the book presents a forward-looking research agenda for social exclusion amongst older people, and will be an important resource for students, researchers and policy stakeholders working on ageing.
Practical Advice for Taking Care of Loved Ones as They Get Older The rapid aging of the American population and its accompanying epidemic of dementia and Alzheimer's disease has brought about an awareness of the increasing vulnerability of our elders. Taking care of our parents and protecting them from exploitation and abuse at the hands of others can evolve into a virtual full-time occupation, especially among today’s baby boomers. The Family Guide to Preventing Elder Abuse provides a practical manual to help prepare the reader for the challenges that arise as our parents begin to lose their independence. In each chapter of this guide, a nationally recognized expert provides specific advice regarding effective actions that can be taken in order to protect loved ones in every area of their lives. They offer practical answers to such questions as: What qualities should you look for in a caretaker? What are the pros and cons of trusts and guardianships? Who do you go to if you suspect abuse of any kind? How do you best protect your own rights so that you can preserve the rights of your loved one? What should you know about dealing with hospital staff when it comes to making end-of-life decisions? The Family Guide to Preventing Elder Abuse addresses every personal, medical, financial, and legal consideration that may arise for adult children of a senior citizen.
This book provides an insight into advances in elder abuse in the areas of research, policy, practice and legislation. It provides readers with a broad understanding of the topic and considers the progress in elder abuse knowledge. The book explores the nexus of ageism and elder abuse, describes key social policies and their legislative manifestation, covers major policies and programs related to elder abuse, defines elder sexual abuse and much more. It offers the reader a comprehensive insight into new perspectives and approaches to both understanding and responding to elder abuse. As such it will be an asset to academics, students, healthcare practitioners, policy makers and the general public.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.