Elder Mistreatment Abuse, Neglect, and Exploitation in an Aging America (2003) / Chapter Skim
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Appendix C: Elder Abuse and Neglect: History and Concepts
Appendix C: Elder Abuse and Neglect: History and Concepts
Pages 238-248
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From page 238... ...
HISTORY Although elder abuse first appeared on the national scene in the late 1970s, the formal efforts to help vulnerable elders began at least two decades before that time. Public welfare officials were faced with an increasNOTE: This is an edited transcript of the text of a presentation to the Panel on Elder Abuse and Neglect, May 24, 2001.
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From page 239... ...
She matched a group of elders receiving protective services with a group from the community who were receiving traditional services and found that, during the grant period, those who received protective services had a higher mortality rate and higher nursing home placement rate than those who received traditional services. But the advocates for the system went right ahead with their work in the Congress and in 1974, despite some of the findings of that study and five other studies that showed these protective services units to be very costly and of questionable effect (U.S.
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From page 240... ...
Initially the conceptualization of this issue was not of adults needing protection and safety. It became an aging issue, whereas initially the response involved public welfare and the social services and legal services.
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From page 241... ...
Heist has examined this issue in relation to child abuse, but it has subsequently been presented in a broader context by the Committee on Interventions of Family Violence (National Research Council and Institute of Medicine, 1998) as an ecological model that incorporates and links individual-level psychopathology and interpersonal relationships in the context of the overall sociocultural environment.
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From page 242... ...
The second category, interpersonal characteristics, includes poor relationships with the caregiver, marital or family conflict, lack of empathy for the elder, and financial dependence. CONSEQUENCES There has been very little work done on the consequences of elder abuse, in terms of both the effect on physical health and on mental health.
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From page 243... ...
used an existing National Institute on Aging cohort study that looked at the status of the abused elders over a period of 13 years, examining statistics of physical health, mental health, social situations, even religious habits, and so forth. They merged that dataset with one from the adult protective services unit serving New Haven, Connecticut.
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From page 244... ...
Researchers in the United Kingdom wanted to do a similar study but they couldn't get it through their human subjects review panel, so they added a few questions from the Boston study to another annual survey in the United Kingdom (Ogg and Bennett, 1992~. They concluded that overall, 5 percent of the elders 65 and over had been abused or neglected or exploited (about 2 percent had been physically abused)
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From page 245... ...
Currently some demonstration projects are trying to do that. About 470,790 reports came to adult protective services units in the year 1999, with all states reporting (including Guam and the District of Columbia)
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From page 246... ...
Karl Pillemer: I think one of the reasons for some of the confusion is that there are two strands or traditions of research that have been used. One is the Murray Strauss school of family violence research, which is equally applicable to child abuse or wife abuse when you take a survey approach.
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From page 247... ...
National Center on Elder Abuse 1998 National Elder Abuse Incidence Study: Final Report. Washington, DC: American Public Human Services Association in collaboration with Westat, Inc.
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From page 248... ...
Government Printing Office.
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