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The purpose of this paper is to explore the significant and high death toll of COVID-19 on care home residents and social care staff in England and Wales. These mortality figures, alongside differential treatment of residents and staff during the pandemic, are conceptualized as a form of structural abuse. Arguments are made for the inclusion of structural abuse as a separate category of elder abuse.

This paper is predominantly conceptual but it also draws on available secondary data, such as mortality statistics, media reports and developing research.

The lack of appropriate personal protective equipment, paucity of guidance and high mortality rate among care home staff and residents during the pandemic is indicative of social discourses that, when underpinned by ageism, reflect structural elder abuse.

The research is limited by its focus on a specific time period and its recency. It is also limited in not being based on primary empirical research but it remains exploratory and conceptual and provides a base for ongoing research in this area.

If structural elder abuse was to be included in classifications, it demands a rethink of social and health-care services and the policies and practices associated with them and reinforces the government message that safeguarding is everyone’s business.

Research concerning the effects and impact of COVID-19 are still in their early stages. However, the central element of originality in the paper concerns the linking of practices, policies and underlying social assumptions and structural, or societally ingrained, elder abuse.

This paper aims to explore Joint couple payments under Universal Credit which tend to privilege male partners. This may entrap women in abusive relationships, foster poverty which are indicative of gendered structural abuse.

Through a critical review of the literature and qualitative interviews with third sector support workers, the authors explore the impacts that Universal Credit has on women, especially those in abusive partnerships.

Current welfare processes reinforce patriarchal assumptions and are indicative of the structural abuse of women. This has increased during the lockdowns imposed to tackle COVID-19.

Changes are needed in the ways in which welfare benefits are disbursed. Gendered structural abuses should be explicitly considered when working with women who experience domestic violence and abuse.

This paper argues that there needs to be a wider a recognition of gender power relations and the concept of structural abuse in policy formation and implementation.

Discriminatory abuse has been a distinct category of abuse in safeguarding adults policy since 2000, but it is rarely used in practice, according to recent official statistics. As part of a larger project, the authors undertook a literature review to clarify the concept, explore reasons for low reporting and consider recommendations for practice. The purpose of this paper is to present the findings of this literature review.

This literature review comprises 35 sources, which were identified using three academic databases, reference harvesting and sector-specific websites. Findings were developed through thematic analysis of the data.

The literature review demonstrates that definitions of discriminatory abuse stretch from an interpersonal emphasis in policy documents to a more structural approach. There are open questions about the status of discriminatory abuse as a category of abuse due to the complicated interface between discriminatory motivations and the abusive acts through which they are experienced. A range of factors can obscure its identification, particularly the hidden, stigmatised and normalised nature of discriminatory abuse. Some recommendations for practice are identified, but more work is needed to develop the practice vocabulary and required skills.

This study brings together existing research on discriminatory abuse to argue that it is time to revive this understanding of abuse and develop safeguarding practice with adults who have protected characteristics.

This study aims to explore the risk and protective factors of abuse on older adults by family caregivers, with a special focus on the protective role of caregiver resilience in elder abuse.

This cross-sectional survey was conducted on a purposive sample of 600 family caregivers of community-dwelling older adults in Hong Kong (mean age = 71.04 and female = 67.2%). Caregivers reported in a guided interview about elder abuse behaviours, caregiver burden, care recipients’ agitated behaviours, caregiver resilience, self-efficacy, social support and basic demographic characteristics. Hierarchical linear regression analyses were conducted to examine the predictors of different forms of elder abuse.

Caregiver resilience was predictive of lower levels of verbal abuse, physical abuse, injury and financial exploitation but not potentially harmful behaviour (PHB). Social support was independent with all forms of elder abuse, while self-efficacy predicted greater physical abuse after the adjustment of confounding variables. Caregiver burden and agitated behaviours by care recipients remained as significant risk factors in the final models when protective factors were considered.

This study extends current knowledge on the protecting role of resilience in elder abuse in family caregiving. Mixed findings revealed on social support and self-efficacy also highlight the complexity of the prediction of caregiver abuse. Further research should address this area.

The findings of this study warrant the inclusion of caregiver resilience as a key component in developing interventions to prevent elder abuse. Addressing caregiver burden and agitated behaviours have the potential in preventing elder abuse.

The findings raise awareness of the importance of supporting caregivers in the community to prevent elder abuse.

Research concerning the protective factors of elder abuse is in a preliminary stage. To the best of the authors’ knowledge, this study is among the first which successfully demonstrates the protective role of resilience in caregiver abuse on older adults. The findings shed invaluable light on the design of effective interventions.

This paper examines three competing perspectives about appropriate positionings for disabled women in relation to abuse. It concludes that structural oppression must be challenged and proposes that the issue of disabled women and abuse is worthy of much greater attention and collaborative discussion.

The purpose of this paper is to interrogate and develop the conceptualisation of discriminatory abuse in safeguarding adults policy and practice beyond the current interpersonal definition. The paper draws on Safeguarding Adults Reviews (SARs) that refer to discriminatory abuse or safeguarding practice with adults who have care and support needs and protected characteristics.

A search of the national network repository of SARs identified 27 published reviews for inclusion. The contents were thematically analysed to understand how discrimination was experienced in these cases. Fricker’s “Epistemic Injustice” theory was adopted as a conceptual framework, informing the analysis of findings.

Evidence from SARs provides a challenge to the interpersonal emphasis on language and behaviour in national policy. Although the reviews acknowledge that interpersonal abuse occurs, a close reading spotlights practitioner and institutional bias, and inattention to social, structural and contextual factors. The silence on these matters in policy provides a narrow frame for interpreting such abuse. This suggests significant potential for epistemic injustice and signals a need to acknowledge these social, structural and contextual factors in safeguarding practice.

Discriminatory abuse is an under-researched and under-utilised category of abuse in safeguarding adults practice. The paper adopts Fricker’s theory of “Epistemic Injustice” to highlight the silencing potential of current policy approaches to discriminatory abuse to suggest a more inclusive and structural framing for safeguarding practice with those targeted due to their protected characteristics.

Although some research has been done with entertainment workers in KTV bars, little has been done to gain a qualitative understanding of the vulnerabilities of masseuse women. This is due to a prevalent focus on girls under 18 years, thereby excluding most masseuses. The paper aims to discuss these issues.

In total, 98 female participants completed an interview answering both open and closed questions concerning relationships, stigma and discrimination and personal sexual abuse among other topics.

This study finds that many women working in the massage parlor industry are vulnerable to various threats, including sexual exploitation and abuse. Dependency structures within the massage parlor as well as with their families seem to play a key role in the life situations that can be positive as well as negative, and in some cases both.

The findings provide a baseline evaluation of the vulnerable conditions of the massage industry for women in Cambodia. Specifically, that stigma, discrimination, physical and sexual abuse, as well as a lack of access to education are all vulnerabilities not commonly covered, especially with adult women working in the entertainment industry. This research has been adapted from the original transcript “Strive, No Matter What” (Miles et al., 2014).

The paper seeks to understand the reality of life and vulnerabilities as perceived by Phnom Penh’s female masseuses in the lower-priced massage parlors which is largely unknown.

Social policy and professional practice across the island of Ireland is dominated by the WHO definition of elder abuse and national and professional interpretations of what constitutes elder abuse. Top-down, generalist knowledge of the abuse of older people have facilitated paternalistic and protectionist policies and services designed to protect older vulnerable adults across the Republic of Ireland and Northern Ireland. However, a qualitative study involving 58 older people in six focus groups held across Ireland highlights an alternative understanding of elder abuse grounded in the subjective experiences of older people across urban and rural communities on the island. Indigenous ways of knowing offer a broader and more inclusive understanding of the experience of elder abuse (Lafferty et al., 2012; Dow and Joosten, 2012) together with opportunities for the prevention of ageism and the empowering of older people across the jurisdictions.

A description of how elder abuse is defined at the global and national level is then compared with the findings of an all-Ireland study of older people's older conceptualisation of elder abuse (Begley et al., 2012) at the local level.

Understanding indigenous perceptions of elder abuse has significant implications for the delivery of cultural relevant social policy and professional practice across Ireland.

Given the exploratory nature of this study, there are significant methodological limitations to its replication, the representativeness of the participants involved and the generalisability of the findings.

However, this study provides unique insights about how some older people conceptualised elder abuse across different cultural and political contexts across Ireland as compared with national and global definitions.

The study on older people's conceptualisation of elder abuse was the first all-Ireland attempt to contribute to the body of knowledge on indigenous perspectives on elder abuse.