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Article
Publication date: 1 June 1998

Judy Callaghan

Elder abuse has come to be recognized as any act of both commission or omission that causes harm or loss to elderly people. This can include active or passive neglect…

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Abstract

Elder abuse has come to be recognized as any act of both commission or omission that causes harm or loss to elderly people. This can include active or passive neglect, violence, sexual or emotional abuse, various kinds of theft, and deprivation of the person’s human rights. Elder abuse has many causes. The Hastings and Prince Edward Council on Aging developed an Elder Abuse Community Response Protocol to help address this problem.

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Leadership in Health Services, vol. 11 no. 2
Type: Research Article
ISSN: 1366-0756

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Article
Publication date: 1 December 2006

Pavel Puchkov

This paper details findings from a research study on elder abuse and neglect undertaken in Russia. A survey of 2881 older people aged 60 years and older who were known to…

Abstract

This paper details findings from a research study on elder abuse and neglect undertaken in Russia. A survey of 2881 older people aged 60 years and older who were known to Social Services in four districts of Saratov was undertaken to explore the extent of elder abuse and neglect in these areas. Psychological and emotional forms of abuse were found to be the most prevalent form of abuse across all districts.

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The Journal of Adult Protection, vol. 8 no. 4
Type: Research Article
ISSN: 1466-8203

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Article
Publication date: 11 August 2021

João Filipe Fundinho, Diana Cunha Pereira and José Ferreira-Alves

The study of theoretical models explaining elder abuse has been one of the main gaps in the literature of the field. The extent of support of each theory is not clear…

Abstract

Purpose

The study of theoretical models explaining elder abuse has been one of the main gaps in the literature of the field. The extent of support of each theory is not clear. This study aims to conduct a systematic review to examine research supporting or opposing six theories of elder abuse: caregiver stress theory, social exchange theory, social learning theory, bidirectional theory, dyadic discord theory and the psychopathology of the caregiver.

Design/methodology/approach

This study conducts a systematic review of the literature. Seven databases were searched six times using different keywords about each theory.

Findings

This paper finds 26,229 references and then organised and analysed these references using pre-established criteria. In total, 89 papers were selected, which contained 117 results of interest; these papers were summarised and assessed for conceptual, methodological and evidence quality. The results showed evidence in favour of all the explored theories, except for social learning theory, whose results indicate multiple interpretations of the theory. This study finishes this paper by proposing that each of these theories might explain different facets of elder abuse and that more research is necessary to understand how the predictions of these different theories interact.

Originality/value

This paper presents an extensive review of the literature on theoretical explanations of elder abuse. The findings can be of value for selecting theories for prevention programmes or providing a summary of the evidence for researchers and practitioners interested in the theoretical explanation of elder abuse.

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The Journal of Adult Protection, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1466-8203

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Book part
Publication date: 30 November 2020

Bridget Penhale

Issues and developments that have occurred in relation to elder abuse, specifically concerning the domestic setting, will be briefly explored. Over the last 15 years…

Abstract

Issues and developments that have occurred in relation to elder abuse, specifically concerning the domestic setting, will be briefly explored. Over the last 15 years, there has been increasing global recognition of abuse and neglect of older people who might be at risk of such forms of harm, as a social problem needing attention. The role of the media and media representations of elder abuse are clearly of relevance here and are the main focus of this chapter.

Around 500,000 older people are believed to be abused at any one time in the United Kingdom, with most victims of elder abuse being older women with a chronic illness or disability, according to statistics provided by the government information service (NHS Digital, 2019). Most of the abuse recorded relates to domestic settings within communities.

Gender-based violence and abuse amongst older women may be overlooked by health and social care providers. For older women, their gender seems to be forgotten or becomes hidden. Media representation of abuse against older people, particularly older women, does not assist this situation.

Against the backdrop of the global ageing population, it is fundamental that the particular experiences, needs and rights of older people are adequately understood, and that health and care professionals respond appropriately. This chapter explores these issues, in particular the role of the digital media and representations of elder abuse in familial settings and its impact on victims, potential victims, perpetrators, health and social care service providers and the general public.

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Gendered Domestic Violence and Abuse in Popular Culture
Type: Book
ISBN: 978-1-83867-781-7

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Article
Publication date: 21 October 2020

Wenche Malmedal and Christiana Anyan

The aim of this study was to explore how Ghanaian staff in nursing homes and hospitals perceive abuse and neglect of older adults as well as to explore the nature and…

Abstract

Purpose

The aim of this study was to explore how Ghanaian staff in nursing homes and hospitals perceive abuse and neglect of older adults as well as to explore the nature and scope of abuse and neglect of older adults as it exists in Ghana.

Design/methodology/approach

This exploratory study used a qualitative research methodology that sets out to explore staff’s perception of elder abuse in nursing homes and hospitals in Ghana. Five nursing assistants and two caregivers were interviewed in two nursing homes and four nurses were interviewed in one hospital. A semi-structured interview guide was used for data collection.

Findings

The findings showed that elder abuse occurs in both hospitals and nursing homes, which might be attributed to different personal, situational and institutional characteristics as well as cultural and traditional value systems. Various factors at the level of interpersonal relationships contributed to elder abuse. Situational characteristics such as aggressive exchanges between residents and health workers and institutional characteristics such as limited facilities and resources to care for residents are all factors that were implicated in elder abuse. Finally, culture and traditional views, beliefs system and socioeconomic factors seem to be implicated in elder abuse and neglect.

Originality/value

To the best of the authors’ knowledge, this is the first study that explores elder abuse and neglect in Ghanaian nursing homes and hospitals.

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The Journal of Adult Protection, vol. 22 no. 5
Type: Research Article
ISSN: 1466-8203

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Article
Publication date: 10 November 2020

Camille Huggins, Akeem Modeste-James and Jennifer Rouse

This study aims to examine primary care physicians who are in a tenable position to identify signs of abuse in older adults as well as provide an opportunity to safeguard…

Abstract

Purpose

This study aims to examine primary care physicians who are in a tenable position to identify signs of abuse in older adults as well as provide an opportunity to safeguard them from abuse. Yet little is known about their clinical decision-making process during a clinic visit to detect abuse of older adults and provide adequate support in the Caribbean.

Design/methodology/approach

Fourteen primary care physicians working in a government operated free clinic were interviewed about their clinical decision-making process, in a narrative analysis format on the small island state of Trinidad and Tobago.

Findings

Primary care physicians expressed lack of knowledge about the primary health-care clinics’ protocols and procedures regarding abuse of older adults. Lack of attendance to educational in-service programs on recognizing and reporting abuse of older adults. A hands-off approach with non-medical abuse issues. Last there is no uniform assessments among the different types of physicians.

Practical implications

Although these findings are among primary care physicians located in Trinidad and Tobago, the context may be applied to primary care settings in other Caribbean islands. Major focus should be geared towards increasing awareness among the public and health-care professionals.

Originality/value

Sparse research on small island states regarding safeguarding policies for older adults who experience abuse.

Details

The Journal of Adult Protection, vol. 23 no. 1
Type: Research Article
ISSN: 1466-8203

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Article
Publication date: 9 October 2017

Sarah Wydall and Rebecca Zerk

The purpose of this paper is to explore professionals’ perceptions of the barriers to help-seeking for victim-survivors of domestic abuse aged 60 years and over…

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1489

Abstract

Purpose

The purpose of this paper is to explore professionals’ perceptions of the barriers to help-seeking for victim-survivors of domestic abuse aged 60 years and over. Help-seeking as defined by Anderson and Saunders (2003) is not a single act or decision, but a complex and continuous process, victims engage in when seeking support.

Design/methodology/approach

A total of 50 qualitative semi-structured interviews were conducted with statutory practitioners and managers from 21 out of 22 local authorities in Wales. The research team worked collaboratively to produce a coding scheme which was subjected to a systematic coding exercise using the software package NVivo.

Findings

Professionals believed that older people’s “interconnectedness” with family, social embeddedness in the community and “meanings of the home” influenced help-seeking. The research suggests that for older victim-survivors of domestic abuse, age discrimination by practitioners, compounds older people’s experiences of help-seeking, restricting the range, quality and type of support provided. The paper demonstrates that a significant shift is required in practice to ensure that older people are in a position to make informed choices and their wishes are central in the decision-making process.

Research limitations/implications

Further qualitative research is needed to explore what older people themselves believe are the factors that impact on statutory service engagement.

Originality/value

This study is the first in the UK to conduct Pan-Wales research on professionals’ views on help-seeking behaviours of older people. One of the key findings from the study is that professionals from the statutory sector feel that connections to the home and social networks strongly influence help-seeking for older victim-survivors of domestic abuse.

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The Journal of Adult Protection, vol. 19 no. 5
Type: Research Article
ISSN: 1466-8203

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Article
Publication date: 7 October 2014

XinQi Dong, E-Shien Chang, Esther Wong and Melissa A. Simon

The purpose of this paper is to explore US Chinese older adults’ views regarding elder abuse interventions in order to understand barriers and facilitators of help-seeking…

Abstract

Purpose

The purpose of this paper is to explore US Chinese older adults’ views regarding elder abuse interventions in order to understand barriers and facilitators of help-seeking behaviors.

Design/methodology/approach

The study design was qualitative, using a grounded theory approach to data collection and analysis. Community-based participatory research approach was implemented to partner with the Chicago Chinese community. A total of 37 community-dwelling Chinese older adults (age 60+) participated in focus group discussions.

Findings

Participants viewed many benefits of intervention programs. Perceived barriers were categorized under cultural, social, and structural barriers. Facilitators to implement interventions included increasing education and public health awareness, integrating social support with existing community social services, as well as setting an interdisciplinary team. Perpetrators intervention strategies were also discussed.

Originality/value

This study has wide policy and practice implications for designing and deploying interventions with respect to elder abuse outcome. Modifying the cultural, social, and structural barriers that affect health behavior of Chinese older adults contribute to the salience of elder abuse interventions in this under-served.

Details

The Journal of Adult Protection, vol. 16 no. 5
Type: Research Article
ISSN: 1466-8203

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Article
Publication date: 11 July 2018

Avanish Bhai Patel and Anindya J. Mishra

Elder abuse is the matter of grave concern in recent times in India. Today, older people are facing the abusive behaviour such as maltreatment, mental and physical torture…

Abstract

Purpose

Elder abuse is the matter of grave concern in recent times in India. Today, older people are facing the abusive behaviour such as maltreatment, mental and physical torture and heedless ignominy from the family and the society. The purpose of this paper is to examine the nature of elder abuse in Indian socio-cultural context and also focuses on the causes of elder abuse and abusers.

Design/methodology/approach

Mixed method design has been applied in this paper. The study has been conducted from October 2012-January 2013 on a sample of 220 older people living in both rural and urban areas of Lucknow, India. The data have been analysed through descriptive and narrative analysis.

Findings

The study finds that the emotional abuse is more common among the older people, which raises the feeling of insecurity, depression and isolation. The study also points out that the respect, honour, status and authority which were enjoyed by the elderly in the traditional society, have gradually started declining. Moreover, the study finds that the family members, do not provide proper food, clothing and medical facilities in rural areas.

Research limitations/implications

Since the sample of older respondents was small and focused on those living in a particular area of one state, the authors cannot generalise from this study to include the great diversity of experience and difference in perceptions among the older people even within a particular state. However, widespread and diverse types of accounts of elder abuse were reported even in these settings, which can help indicate areas for future research and policies.

Originality/value

This is an original paper, which is based on the experiences of older people living in rural-urban areas and discussed the elder abuse in socio-cultural context.

Details

Quality in Ageing and Older Adults, vol. 19 no. 2
Type: Research Article
ISSN: 1471-7794

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Article
Publication date: 7 October 2014

Celia Chow and Agnes Tiwari

The purpose of this paper is to explore the following questions. First, what are the experiences of family caregivers in caring for community-dwelling stroke survivors…

Abstract

Purpose

The purpose of this paper is to explore the following questions. First, what are the experiences of family caregivers in caring for community-dwelling stroke survivors? Second, what services help or do not help the caregivers in managing their caregiving role?

Design/methodology/approach

A qualitative study was conducted with a total of six focus group interviews with 29 stroke caregivers selected using convenience sampling in a local community centre. All interviews were recorded and transcribed for content analysis.

Findings

The results pointed to three main themes working together to facilitate desirable outcomes in caregiving and prevent elder abuse: factors contributing to caregiver stress and factors that have a buffering effect on caregiver stress and unmet needs identified from caregivers’ experiences.

Research limitations/implications

The authors found that there were a number of factors contributing to caregiver stress. The findings matched with the concept that caregiver stress should not be considered as the primary cause of elder abuse. Findings provided information for further research to investigate positive coping and adjustment for stroke survivors, caregivers and their families.

Practical implications

Policy makers and service providers may consider specific policies and tailor-made services to enhance the effectiveness of current practice. The themes emerging from the study could be further reviewed in a longitudinal way to explore the cost-effectiveness, the outcomes and trajectory of interventional programmes.

Social implications

Education would be essential to let the public understand caregivers’ difficulties and needs. Prevention of elder abuse may be approached with a range of risk factors for both perpetrating and being elder abuse victim.

Originality/value

From the findings of the study, the authors found that there were service gaps within policy and interventions. Concrete suggestions for improving the public's attitude and public facilities/transport for the disabled were captured in the study. In addition to personal resilience, caregivers had a strong wish for a supportive environment and services that would facilitate a better caregiving outcome.

Details

The Journal of Adult Protection, vol. 16 no. 5
Type: Research Article
ISSN: 1466-8203

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