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Chapter 54 - The Mistreatment of Older Adults

from Section IV - Principles of Care for the Elderly

Published online by Cambridge University Press:  30 June 2022

By
Seyed Parham Khalili  and
Laura Mosqueda
Edited by
Jan Busby-Whitehead ,
Samuel C. Durso ,
Christine Arenson ,
Rebecca Elon ,
Mary H. Palmer  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso
Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon
Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer
Affiliation:
University of North Carolina, Chapel Hill
William Reichel
Affiliation:
Georgetown University Medical Center
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Summary

Elder mistreatment is common and often overlooked by health-care providers. It may include physical abuse, psychological and emotional abuse, sexual abuse, financial exploitation, and neglect. While any older adult may be susceptible, particular mitigating factors discussed in this chapter include cognitive impairment and dementia, multimorbidity, substance use, socioeconomics and culture, and social isolation. Strategies for approaching clinical cases, identifying signs and symptoms, and developing interventions are explored using illustrative cases and selected findings from the growing literature on elder mistreatment across care settings.

Keywords

elder mistreatmentelder abuseneglectexploitationfraudscamscaregiver
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 664 - 674
Publisher: Cambridge University Press
Print publication year: 2022

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References

National Research Council Panel to Review Risk and Prevalence of Elder Abuse and Neglect. The National Academies Collection: Reports funded by National Institutes of Health. In: Bonnie, RJ, Wallace, RB, eds. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: National Academies Press (US), National Academy of Sciences, 2003.Google Scholar
Yon, Y, Mikton, CR, Gassoumis, ZD, Wilber, KH. Elder abuse prevalence in community settings: A systematic review and meta-analysis. Lancet Glob Health. 2017; 5(2):e147–e156.Google Scholar
Lachs, MS, Pillemer, KA. Elder abuse. N Engl J Med. 2015; 373(20):1947–1956.CrossRefGoogle ScholarPubMed
Acierno, R, Hernandez, MA, Amstadter, AB, Resnick, HS, Steve, K, Muzzy, W, et al. Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. Am J Public Health. 2010; 100(2):292–297.CrossRefGoogle ScholarPubMed
Williams, JL, Racette, EH, Hernandez-Tejada, MA, Acierno, R. Prevalence of elder polyvictimization in the United States: Data from the National Elder Mistreatment Study. J Interpers Violence. 2017; 886260517715604.Google Scholar
McDonald, L, Sheppard, C, Hitzig, SL, Spalter, T, Mathur, A, Mukhi, JS. Resident-to-resident abuse: A scoping review. Can J Aging. 2015; 34(2):215–236.Google Scholar
Castle, N, Beach, S. Elder abuse in assisted living. J Appl Gerontol. 2013; 32(2):248–267.Google Scholar
Castle, NG. Resident-to-resident abuse in nursing homes as reported by nurse aides. J Elder Abuse Negl. 2012; 24(4):340–356.Google Scholar
Laumann, EO, Leitsch, SA, Waite, LJ. Elder mistreatment in the United States: Prevalence estimates from a nationally representative study. J Gerontol B Psychol Sci Soc Sci. 2008; 63(4):S248–s254.Google Scholar
DeLiema, M, Gassoumis, ZD, Homeier, DC, Wilber, KH. Determining prevalence and correlates of elder abuse using promotores: Low-income immigrant Latinos report high rates of abuse and neglect. J Am Geriatr Soc. 2012; 60(7):1333–1339.Google Scholar
Burnes, D, Rizzo, VM, Gorroochurn, P, Pollack, MH, Lachs, MS. Understanding service utilization in cases of elder abuse to inform best practices. J Appl Gerontol. 2016; 35(10):1036–1057.CrossRefGoogle ScholarPubMed
Beach, SR, Schulz, R, Castle, NG, Rosen, J. Financial exploitation and psychological mistreatment among older adults: differences between African Americans and non-African Americans in a population-based survey. Gerontologist. 2010; 50(6):744–757.Google Scholar
Dong, X, Chen, R, Simon, MA. Elder mistreatment in U.S. community-dwelling Chinese older women. Violence Against Women. 2016; 22(9):1097–1112.Google Scholar
Dong, X, Simon, MA. Elder abuse as a risk factor for hospitalization in older persons. JAMA Intern Med. 2013; 173(10):911–917.Google Scholar
Dong, XQ. Elder abuse: Systematic review and implications for practice. J Am Geriatr Soc. 2015; 63(6):1214–1238.Google Scholar
Schofield, MJ, Powers, JR, Loxton, D. Mortality and disability outcomes of self-reported elder abuse: A 12-year prospective investigation. J Am Geriatr Soc. 2013; 61(5):679–685.Google Scholar
Lachs, MS, Williams, CS, O’Brien, S, Pillemer, KA, Charlson, ME. The mortality of elder mistreatment. JAMA. 1998; 280(5):428–432.Google Scholar
Acierno, R, Hernandez-Tejada, MA, Anetzberger, GJ, Loew, D, Muzzy, W. The National Elder Mistreatment Study: An 8-year longitudinal study of outcomes. J Elder Abuse Negl. 2017; 29(4):254–269.CrossRefGoogle ScholarPubMed
Acierno, R, Watkins, J, Hernandez-Tejada, MA, Muzzy, W, Frook, G, Steedley, M, et al. Mental health correlates of financial mistreatment in the National Elder Mistreatment Study wave II. J Aging Health. 2019; 31(7):1196–1211.Google Scholar
Hernandez-Tejada, MA, Frook, G, Steedley, M, Watkins, J, Acierno, R. Demographic-based risk of reporting psychopathology and poor health among mistreated older adults in the National Elder Mistreatment Study wave II. Aging Ment Health. 2020; 24(1):22–26.Google Scholar
Burnes, D, Lachs, MS, Burnette, D, Pillemer, K. Varying appraisals of elder mistreatment among victims: Findings from a population-based study. J Gerontol B Psychol Sci Soc Sci. 2019; 74(5):881–890.Google Scholar
Breckman, R, Burnes, D, Ross, S, Marshall, PC, Suitor, JJ, Lachs, MS, et al. When helping hurts: Nonabusing family, friends, and neighbors in the lives of elder mistreatment victims. Gerontologist. 2018; 58(4):719–723.Google Scholar
Johannesen, M, LoGiudice, D. Elder abuse: A systematic review of risk factors in community-dwelling elders. Age Ageing. 2013; 42(3):292–298.Google Scholar
Cooper, C, Livingston, G. Mental health/psychiatric issues in elder abuse and neglect. Clin Geriatr Med. 2014; 30(4):839–850.Google Scholar
Labrum, T, Solomon, PL. Elder mistreatment perpetrators with substance abuse and/or mental health conditions: Results from the National Elder Mistreatment study. Psychiatr Q. 2018; 89(1):117–128.Google Scholar
Amstadter, AB, Cisler, JM, McCauley, JL, Hernandez, MA, Muzzy, W, Acierno, R. Do incident and perpetrator characteristics of elder mistreatment differ by gender of the victim? Results from the National Elder Mistreatment Study. J Elder Abuse Negl. 2011; 23(1):43–57.Google Scholar
Han, SD, Boyle, PA, James, BD, Yu, L, Bennett, DA. Mild cognitive impairment and susceptibility to scams in old age. J Alzheimers Dis. 2016; 49(3):845–851.Google Scholar
Burnes, D, Henderson, C, Sheppard, C, Zhao, R, Pillemer, K, Lachs, MS. Prevalence of financial fraud and scams among older adults in the United States: A systematic review and meta-analysis. Am J Public Health. 2017; 107(8):e13–e21.Google Scholar
DeLiema, M. Elder fraud and financial exploitation: Application of routine activity theory. Gerontologist. 2018; 58(4):706–718.Google Scholar
Wood, S, Rakela, B, Liu, PJ, Navarro, AE, Bernatz, S, Wilber, KH, et al. Neuropsychological profiles of victims of financial elder exploitation at the Los Angeles county elder abuse forensic center. J Elder Abuse Negl. 2014; 26(4):414–423.Google Scholar
Wong, JS, Breslau, H, McSorley, VE, Wroblewski, KE, Howe, MJK, Waite, LJ. The social relationship context of elder mistreatment. Gerontologist. 2019. 60(6):1029–1039.Google Scholar
Schafer, MH, Koltai, J. Does embeddedness protect? Personal network density and vulnerability to mistreatment among older American adults. J Gerontol B Psychol Sci Soc Sci. 2015; 70(4):597–606.Google Scholar
Beach, SR, Schulz, R, Sneed, R. Associations between social support, social networks, and financial exploitation in older adults. J Appl Gerontol. 2018; 37(8):990–1011.Google Scholar
Fraga Dominguez, S, Storey, JE, Glorney, E. Help-seeking behavior in victims of elder abuse: A systematic review. Trauma Violence Abuse. 2019; 1524838019860616.Google Scholar
Burnes, D, Acierno, R, Hernandez-Tejada, M. Help-seeking among victims of elder abuse: Findings from the National Elder Mistreatment Study. J Gerontol B Psychol Sci Soc Sci. 2019; 74(5):891–896.Google Scholar
DeLiema, M, Yonashiro-Cho, J, Gassoumis, ZD, Yon, Y, Conrad, KJ. Using latent class analysis to identify profiles of elder abuse perpetrators. J Gerontol B Psychol Sci Soc Sci. 2018; 73(5):e49–e58.Google Scholar
Conrad, KJ, Liu, PJ, Iris, M. Examining the role of substance abuse in elder mistreatment: Results from mistreatment investigations. J Interpers Violence. 2019; 34(2):366–391.Google Scholar
Richmond, NL, Zimmerman, S, Reeve, BB, Dayaa, JA, Davis, ME, Bowen, SB, et al. Ability of older adults to report elder abuse: An emergency department-based cross-sectional study. J Am Geriatr Soc. 2020; 68(1):170–175.Google Scholar
Gallione, C, Dal Molin, A, Cristina, FVB, Ferns, H, Mattioli, M, Suardi, B. Screening tools for identification of elder abuse: A systematic review. J Clin Nurs. 2017; 26(15–16):2154–2176.Google Scholar
Feltner, C, Wallace, I, Berkman, N, Kistler, CE, Middleton, JC, Barclay, C, et al. Screening for intimate partner violence, elder abuse, and abuse of vulnerable adults: Evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2018; 320(16):1688–1701.Google Scholar
Brijnath, B, Gahan, L, Gaffy, E, Dow, B. “Build rapport, otherwise no screening tools in the world are going to help”: Frontline service providers’ views on current screening tools for elder abuse. Gerontologist. 2020; 60(3):472–482.Google Scholar
Conrad, KJ, Conrad, KM. Abuser risk measure: Reports by alleged victims to adult protective services. Gerontologist. 2019; 59(5):e403–e414.Google Scholar
Evans, CS, Hunold, KM, Rosen, T, Platts-Mills, TF. Diagnosis of elder abuse in U.S. emergency departments. J Am Geriatr Soc. 2017; 65(1):91–97.Google Scholar
Powers, JS. Common presentations of elder abuse in health care settings. Clin Geriatr Med. 2014; 30(4):729–741.Google Scholar
Rosen, T, Stern, ME, Elman, A, Mulcare, MR. Identifying and initiating intervention for elder abuse and neglect in the emergency department. Clin Geriatr Med. 2018; 34(3):435–451.Google Scholar
Gibbs, LM. Understanding the medical markers of elder abuse and neglect: Physical examination findings. Clin Geriatr Med. 2014; 30(4):687–712.Google Scholar
Rosen, T, Bloemen, EM, LoFaso, VM, Clark, S, Flomenbaum, NE, Lachs, MS. Emergency department presentations for injuries in older adults independently known to be victims of elder abuse. J Emerg Med. 2016; 50(3):518–526.Google Scholar
LoFaso, VM, Rosen, T. Medical and laboratory indicators of elder abuse and neglect. Clin Geriatr Med. 2014; 30(4):713–728.Google Scholar
Rosen, T, Elman, A, Dion, S, Delgado, D, Demetres, M, Breckman, R, et al. Review of programs to combat elder mistreatment: Focus on hospitals and level of resources needed. J Am Geriatr Soc. 2019; 67(6):1286–1294.Google Scholar
Baker, PR, Francis, DP, Hairi, NN, Othman, S, Choo, WY. Interventions for preventing abuse in the elderly. Cochrane Database Syst Rev. 2016; 2016(8):Cd010321. doi: 10.1002/14651858.CD010321.pub2.Google Scholar
Ayalon, L, Lev, S, Green, O, Nevo, U. A systematic review and meta-analysis of interventions designed to prevent or stop elder maltreatment. Age Ageing. 2016; 45(2):216–227.Google Scholar
Fearing, G, Sheppard, CL, McDonald, L, Beaulieu, M, Hitzig, SL. A systematic review on community-based interventions for elder abuse and neglect. J Elder Abuse Negl. 2017; 29(2–3):102–133.Google Scholar
Mosqueda, L, Burnight, K, Gironda, MW, Moore, AA, Robinson, J, Olsen, B. The abuse intervention model: A pragmatic approach to intervention for elder mistreatment. J Am Geriatr Soc. 2016; 64(9):1879–1883.Google Scholar
Du Mont, J, Kosa, SD, Kia, H, Spencer, C, Yaffe, M, Macdonald, S. Development and evaluation of a social inclusion framework for a comprehensive hospital-based elder abuse intervention. PLoS One. 2020; 15(6):e0234195.Google Scholar
Rosen, T, Lien, C, Stern, ME, Bloemen, EM, Mysliwiec, R, McCarthy, TJ, et al. Emergency medical services perspectives on identifying and reporting victims of elder abuse, neglect, and self-neglect. J Emerg Med. 2017; 53(4):573–582.Google Scholar
Cannell, B, Livingston, M, Burnett, J, Parayil, M, Reingle Gonzalez, JM. Evaluation of the detection of elder mistreatment through emergency care technicians project screening tool. JAMA Netw Open. 2020; 3(5):e204099.Google Scholar
Rosen, T, Mehta-Naik, N, Elman, A, Mulcare, MR, Stern, ME, Clark, S, et al. Improving quality of care in hospitals for victims of elder mistreatment: Development of the vulnerable elder protection team. Jt Comm J Qual Patient Saf. 2018; 44(3):164–171.Google Scholar
Cooper, C, Barber, J, Griffin, M, Rapaport, P, Livingston, G. Effectiveness of START psychological intervention in reducing abuse by dementia family carers: randomized controlled trial. Int Psychogeriatr. 2016; 28(6):881–887.Google Scholar
Makaroun, LK, Bachrach, RL, Rosland, AM. Elder abuse in the time of COVID-19: Increased risks for older adults and their caregivers. Am J Geriatr Psychiatry. 2020; 28(8):876–880.Google Scholar
The National Adult Protective Services Association – The National Committee for the Prevention of Elder Abuse. The 2004 Survey of State Adult Protective Services: Abuse of Adults 60 Years of Age and Older Report. Washington, DC: National Center on Elder Abuse, 2006.Google Scholar
American Bar Association. Adult Protective Services Reporting Chart, 2020 [updated December 2019]. www.americanbar.org/content/dam/aba/administrative/law_aging/2020-elder-abuse-reporting-chart.pdf?eType=EmailBlastContent&eId=ed64ab8e-28fa-405b-930d-f4d812fb840d.Google Scholar
US Administration for Community Living (ACL) and Administration on Aging (AoA) Eldercare Locator. https://eldercare.acl.gov/Public/Index.aspx.Google Scholar

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