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From page 527...
... , 401 intergenerational transmission of mistreatment, 99 Adult Protective Service Reports, 167 Adult protective services, 6, 22, 23, 24-25, 27, 32, 42, 50, 80, 82, 101, 245, 332, 505 cost factors, 126, 239 criminal justice system and, 124-125, 126, 127-128, 129 evaluation of effectiveness, 6, 32, 122, 124-127, 139, 506 financial abuse, 390, 394, 405(n.25) , 417, 436, 437 funding, 14, 126, 239, 240, 418-419 gender factors, 96 historical perspectives, 13-15, 17, 238240, 506 legislation, 27, 28, 115, 124, 181-182, 185, 189, 411-412, 418-419, 505, 506-507 nursing homes and, 456-460 racial/ethnic factors, 97
From page 528...
... , 104, a, , 360-362 109, 342, 365, 402 Arizona, 183, 433 Arkansas, 183-184 INDEX Assessment, see Evaluation of interventions; Screening and case identification Assessment Protocol for Physicians, 365 Assisted-living settings, 4-5, 10-11, 62, 64, 80, 86, 133, 134, 467, 469 Attitudes, 242, 264, 278-279, 284, 296, 297, 299, 503 see also Depression; Emotional abuse; Trust relationships about aging and the elderly, 63, 168, 242, 264-265, 271-272, 276, 296, 299, 400, 406 financial abuse, 391-392, 396, 399-402, 404, 406, 407, 414, 415, 429, 438 long-term care settings, 10, 446-447 screening and case identification, 109, 242, 264-265, 271-272, 276, 278-279, 284, 293, 294, 296, 299, 396 sexual abuse, 264, 278 stigma, 69, 242, 243, 264, 278-279, 332, 415, 429, 503 _ _ _ ~ 7 see also Guardianship and power of attorney financial abuse, 52, 390, 398, 411-412, 413, 423, 433-434 reporting of abuse, 52, 123, 390, 411412, 413 B Banks and banking, 130, 388, 396, 398, 426 incidence and prevalence research, 73, 244 prevention of abuse, 132, 296, 414, 430, 431-433, 435, 437 reporting practices, 411(n.36) , 412, 421 Bedsores, see Decubiti Belmont Report, 303-304, 305, 306, 309, 311, 316-318, 319-320, 321, 327, 334 Benjamin Rose Institute, 239 Biomarkers, 3, 23, 74, 84, 101-102, 340, ~lacks, see African Americans Blenkner, Margaret, 239, 243 Block grants, 14
From page 529...
... , 152, 448, 457-459, 460462, 479 see also Health Care Financing Administration (HCFA) Medicaid, 128, 134, 448, 451, 457, 466, 479 Medicare, 294, 448, 451, 456-457 Child abuse and neglect, 126, 277-281, 339-340 cognitive status of children, 116- 117, 404-406 community-level factors, 16, 126, 505, 510-516 criminal justice system, 116-117, 280281, 507 financial abuse models, 402-408 forensics, 339-340, 360-361 historical perspectives, 12-13, 14, 16-17, 18-19, 126, 339, 383, 501, 506 hospitals, 503, 504 incidence and prevalence research, 13, 277-281, 287 informed consent, 143 intergenerational transmission of mistreatment, 99 international perspectives, 13, 506 isolation, 35, 36, 52, 56, 448, 450 legislation, 13, 14, 506, 507-510 LONGSCAN, 329, 330, 331, 333 public education, 267-268, 505, 517518 reporting practices, 13, 123, 329(n.6)
From page 530...
... nursing homes, 451, 452, 482 prospective studies, 90-91 recall problems, 90-91, 264 residential care facilities, 465, 466, 467, 482 screening and case identification, 76, 83, 105, 109, 114, 116-117, 270272, 273, 284, 314, 366-367, 396, 397 INDEX state legislation, 35, 36, 184, 405, 406 theoretical models, 66, 70 Cohort studies, see Longitudinal studies Colleges and universities, see Academic research Colorado, 186-187 Common Rule, see Federal Policy for the Protection of Human Subjects Community Based Education Model for Identification and Prevention of Elder Abuse, 277 Community-level factors, 2, 3, 4, 7, 24, 91, 122, 151, 170, 522 see also Adult protective services; Assisted-living settings; Criminal justice system; Families and households; Hospitals; Local government child protection, 16, 126, 505, 510-516 domestic violence, 505, 510, 510-516 evaluation of interventions, 122, 128 financial abuse, 430-432, 436 incidence and prevalence data, xiii, 71, 80, 86, 87 interdisciplinary approaches, 131-132 professional specialization and collaboration, 130-133 screening and case identification, 104 106, 107, 109, 114, 115 Competence With Compassion, 136-137 Comprehensive Drug Abuse Prevention and Control Act, 145-146 I, Comprehensive Geriatric Assessment, 364 Computer applications, 169, 170 financial abuse, 392, 395, 398, 431 forensics, 362 OSCAR database, 457, 471, 476-477, 478 residential care databases, 471, 476-477, 478 screening and case identification, 108109 telephone interviews, 281, 283, 285-286, 287 Confidentiality, 33, 83, 145-147, 304, 308309, 312, 323-324, 328, 329330, 334, 411 Confinement, see Isolation and confinement; Restraints Conflicts Tactics Scale (CTS)
From page 531...
... 531 ~ , , 105-106,115,116-117,127-128 theoretical models, 65 witnesses, 116-117,127-128,129-130, 421 Cross-sectional studies, 72,169 Cultural factors, see Sociocultural factors D Deaths, see Fatalities Decubiti, 340,343,348,349-350,360,372 Definitional issues, 3,30,34-59,61,133, 150,238,244,245,384,448450 age factors, 41-42,43,90,115,124, 181-237 (passim) , 246 caregiver abuse and neglect, general, 1, 39,40-41,44,49, 51-53, 61, 181-237 (passim)
From page 532...
... , 246-247 Dehydration, 119, 166, 183, 186, 272, 340, 351-352, 372, 448, 463 Delaware, 187-188 Dementia, 126, 152, 168, 175, 516-517 see also Guardianship and power of attorney financial guardianship, 53 forensics, 355, 356-357, 362-363, 366 incidence and prevalence and, 10, 246, 262, 270, 276, 286, 451, 452 nursing homes, 451, 452, 482, 485, 486 research, informed consent, 6, 140, 141143 residential care facilities, 469, 482 risk factors, 92, 93-94, 451 screening and case identification, 114, 116-117, 270, 276, 277, 366 theoretical models, 66 Demographic factors, 168 see also Geographic factors; Marriage and marital status; Race/ethnicity; Rural areas; Sociocultural factors; Socioeconomic status; Urban areas adult children, 11 aging of general population, xiii, 9-10, 78, 152 INDEX incidence of mistreatment, xiii, 73, 86, 266, 269 nursing homes, 452 residential care facilities, 465 Denmark, 74 Department of Health and Human Services (DHHS) , 304 see also Administration on Aging Agency for Healthcare Research and Quality, 12, 152 Centers for Disease Control and Protection (CDC)
From page 533...
... ; Cognitive impairments; Dementia; Long-term care settings; Nursing homes definitional issues, 35, 36, 37, 50, 188 emotional abuse, 28 evaluation of interventions, 124 financial abuse, 391-392, 395, 401, 406, 409, 422, 435 forensics, 343 incidence and prevalence, 10, 11, 264, 265, 270-271, 285 residential care facilities, 465, 466 screening and case identification, 109, 114, 117, 270-271, 294 state law, 35, 36, 37, 124, 181-237 theoretical models, 64, 70 Diagnostic and Treatment Guidelines on Elder Abuse and Neglect (AMA) , 104, 109 Diseases and disorders, 11, 97-98 see also Dementia; Disabled persons; Fatalities; Forensics; Long-term care settings; Medical interventions; Mental illness; Nursing homes AIDS, 69 financial abuse, 399, 409 geriatric syndrome, 89-90 historical perspectives, 14, 61, 69 incidence and prevalence of mistreatment and, 10, 76, 79, 81 religious/spiritual treatment, state law, 35, 200, 202, 204, 206, 214, 220, 228, 236 residential care facilities, 471 screening and case identification, 105, 108, 109, 117 theoretical models, 61, 66, 68, 69 District of Columbia, 189 Domestic violence, 15, 501-522 see also Child abuse and neglect; Families and households; Intimate partner mistreatment; Marriage and marital status intergenerational transmission of mistreatment, 99 533 Dresser, Rebecca, 140, 141, 148, 256, 303338 Drug abuse, see Substance abuse Drugs, see Medications Duress, see Undue influence and duress Dyer, Carmel Bitondo, 79, 256, 339-381 E Economic factors, 16 see also Cost factors; Financial abuse; Funding; Socioeconomic status Incidence and prevalence research, 79, 81-82, 87, 270, 280 Institutional mistreatment, 66, 67 research ethics, 313, 321, 322 status inequality, theoretical models, 61, 62, 63, 64, 241 theoretical models, other, 66, 67 victim compensation, 130, 419-420 Education and training, see Professional education; Public education Elder Abuse Attitudes and Behavior Intention Scale, 276 Elder Abuse Detection Indicators, 277 Elder Abuse Screening Test, see HwalekSengstock Elder Abuse Screening Test (HSEAST)
From page 534...
... , 306, 312, 313, 320-322, 326, 331, 334 private sector, 307, 323-324 research, general, 6, 32-33, 140-149, 303-338, 482-483 funding, 305, 307, 321, 323, 327 sampling, 144 socioeconomic status, 327 Ethnicity, see Race/ethnicity Evaluation of interventions, xiii, 2, 5, 6, 12, 17-18, 25, 32, 121-139, 285 see also Ethical issues; Outcome measures; Reporting practices adult protective services, 6, 32, 122, 124-127, 139, 506 child and domestic abuse, 501-525 community-level factors, 122, 128 cost factors, 121, 126 criminal justice system, 32, 122, 127128, 129-130, 131 emergency medical services, 124, 128, 139 ethical issues, 303, 305 informed consent, 6, 140, 141-143 financial abuse, 418-429 funding, 121, 131, 137-138 guidelines for measurement, 46-47 Expertise, 169, 170 see also Interdisciplinary approaches; Professional education; specific disciplines and specific expertise committee biographical sketches, 249259 definitional issues, 45-47 financial abuse, criminal investigation, 421 forensics, 366, 369-370, 373, 375 guidelines for measurement, 45-47, 5758 peer review, 18, 74, 152, 321 specialists, 130-131, 132-133, 272; see also specific experts Exploitation, 1, 9, 11, 13, 14, 18, 25, 28 see also Financial abuse
From page 535...
... , 20, 26-27, 55, 85, 166-167, 244, 271, 274275, 300-302 ethical issues, research, 322, 324 financial abuse, 40-41, 96, 382, 385, 392, 395, 397, 398, 399, 414, 415, 438 preventive measures, 430-431, 437 historical perspectives, 12, 14, 15, 240, 501, 502 home health workers, 52, 127-128 incidence and prevalence research, 74, 76, 85, 86, 261, 262, 264-267, 268-269, 270-273, 274-275, 284 informed consent, research, 143, 147148, 311, 314-315 intergenerational transmission of mistreatment, 99 nursing homes, 453-454, 462, 482 reporting practices, 122, 123, 414, 453454, 462, 473-474 residential care facilities, 467, 473-474, 482 risk factors, 88, 91, 92, 96, 98-99, 100, 242 screening and case identification, 104, 113-114, 270, 271, 273, 293, 294, 295-297 state law, definitional issues, 35, 36, 181-237 (passim) , 244-246 theoretical models, 62, 63, 70, 138 Fatalities, 239 see also Forensics child abuse, 340 financial abuse, 392, 393 incidence and prevalence data, 76, 78, 80, 243 interdisciplinary investigation, 132 long-term care settings, 447 suicide, 78 535 Federal Bureau of Investigation (FBI)
From page 536...
... international perspectives, 390, 394 intimate partners, 394, 401, 402-403, 408-410 isolation and, 393, 395, 397, 402, 435 marriage and marital status, 394, 401, 402-403, 408-410 medical services, 397, 399, 416, 435-436 mental illness, 397, 399 neglect, 387, 395, 409 professional education, of specialists, 130, 131, 132, 419, 432, 436, 437 protective orders, 418, 425 psychological factors, 391, 392, 399, 401, 409 race/ethnicity factors, 388, 390-391, 394 reporting requirements, 123, 383, 391, 393, 410-418 research recommendations, 3, 7, 436-439 risk factors, 92, 96, 393-402 screening and case identification, 110113, 166-167, 274, 293, 295, 300, 382, 421, 429-436, 438 self-abuse and neglect, 397, 414 sociocultural factors, 388, 393, 395, 397, 417, 438 preventive measures, 430-431, 435 socioeconomic status, 394 state law, definitional issues, 35, 38, 181-237 (passim) , 247 state programs, 14 strangers, 52, 110-113, 261, 384, 400 theoretical models, 65 trust relationships, 382, 385, 387, 392, 393, 395, 401-402, 415 undue influence and duress, 131, 192, 195, 197, 203, 206-207, 210, 211,212,219,222,226,231, 233, 237, 304, 309, 312, 386, 387, 389, 400, 404, 405, 407, 425 Finland, 244 Florida, 125, 189-191 Food, see Nutrition Food and Drug Administration (FDA)
From page 537...
... , 454, 471, 472 Fraud, 131, 132, 134, 185, 207, 210, 211, 213,216,221,227,231,236, 340, 359, 360, 372, 385, 387, 400, 404-405, 412-413, 422-423, 424, 438 Medicaid, 456 Fulmer Restriction Scale, 167 Funding, 1-2, 11-12, 27, 42, 150 adult protective services, 14, 126, 239, 240, 418-419 block grants, 14 ethical issues, research, 305, 307, 321, 323, 327 evaluation of interventions, 121, 131, 137-138 forensics, 341 incidence and prevalence and, 3-4, 71, 84-86, 244 interdisciplinary approaches, 131 Medicaid, 128 population-based studies, 3, 84-85 prevention, 121, 131, 418-419 professional education, 32, 132, 133, 151 protective care, 14, 126, 239, 240, 418419 537 research, general, 1-2, 6-7, 11-12, 21-22, 24-25, 33, 42, 71, 95, 140, 150, 151-152, 521-522 screening and case identification, 105 G Gender factors, 60, 96, 168, 176, 242-243, 294 see also Intimate partner mistreatment; Marriage and marital status; Sexual abuse financial abuse, 394-395 institutional settings, 100 long-term care settings, 447 violent crime victims, 269 General Accounting Office, 413 Georgia, 191 -192 Geographic factors, 4 see also Community-level factors; Urban areas; specific states and countries incidence and prevalence and, 72, 79, 81-82, 86, 283, 284 rural areas, 61, 66, 67 screening and case identification, 104, 106, 107 telephone interviews, 283 theoretical models, 61, 62, 66, 67 Geriatric syndrome, 89-90 Government role, see Federal government; Local government; State government Guardianship and power of attorney, 13, 51, 239 financial abuse, 40-41, 184, 191, 192, 200, 210, 212, 227, 389, 398399, 413, 418, 426-429, 433 preventive measures, 431 forensics, 341, 344 informed consent for research participation, 314, 315-316, 321, 328 professional education, 130, 131 reporting requirements, 123 state legislation, 137, 182, 184, 191, 192, 200, 210, 211, 212, 213, 217, 222, 227, 234 Guidelines for Defining Public Health Research and Public Health NonResearch, 306-307
From page 538...
... , 457 Centers for Medicare and Medicaid Services (CMS) , 152,448,457459,460-462,479 Medicaid, 128,134,448,451,457,466, 479 Medicare, 294,448,451,456-457 Health factors, see Activities of daily living; Disabled persons; Diseases and disorders; Medical interventions Heirs, see Inheritance Historical perspectives, 12-18,72-73,88, 238-240,501 INDEX Home health workers, 52,127-128 Hospitals, 4,6,128,139,371 see also Emergency departments/ response services child abuse and domestic violence, 503, 504 definition of abuse, 56 incidence and prevalence data, 79,268269,471 screening and case identification, 105, 503,504 theoretical models, 65 Hotlines, 75,124,167,168,270 Household settings, see Families and households; Marriage and marital status Hwalek-Sengstock Elder Abuse Screening Test (HSEAST)
From page 539...
... , 411 research ethics, 304, 308-309, 313, 319321, 323-324, 331 informed consent, 142, 143, 148149, 304, 316(n.4) , 317-319, 323 theoretical models, 62, 64, 66-69 Institutional settings see also Adult protective services; Assisted-living settings; Hospitals; Long-term care settings; Nursing homes evaluation of interventions, 122, 128, 133-137 financial abuse, 385 incidence and prevalence and, 73, 76, 77, 79, 82, 83, 384 inspections, 80, 134, 137 medications, 36
From page 540...
... , 10, 11 Interdisciplinary approaches, 7, 32, 130133, 366 adult protective services, 126, 138 community-level factors, 131 -132 forensics, 366, 369-370, 375 inspection of institutions, 137 professional education, 130-131 International perspectives, 14, 506 see also specific countries child abuse prevention, 13, 506 financial abuse, 390, 394 incidence and prevalence, 73-74,243-245 International Society for Prevention of Child Abuse and Neglect, 13 Interventions, 4, 6, 14 see also Evaluation of interventions; Preventive interventions; Remedial interventions; Screening and case identification child abuse and domestic violence, 501525 (passim) committee recommendations, 4, 6 cost factors, 18, 282, 286, 287, 510 geriatric syndrome, 90 intimate partner abuse, 501-525 (passim)
From page 541...
... INDEX Law enforcement, see Criminal justice system; Police Lawyers, see Attorneys LEAD methodology, 45-47, 59, 106-107, 115, 118 Legal issues, general, 262(n.1) , 328-329 see also Criminal justice system; Ethical issues; Fiduciaries; Forensics; Guardianship and power of attorney; Informed consent; Legislation; Regulatory issues civil justice interventions, 28, 32, 130, 131, 134, 145, 221, 251, 255, 324, 341, 342, 343, 362, 374, 421, 423-429 confidentiality, 33, 83 financial abuse, cost factors, 422, 429, 434-435 historical perspectives, 12-13, 239, 240 screening and case identification, 106 Legislation, 42, 125, 240 see also Regulatory issues; State government Age Discrimination in Employment Act, 42 child abuse and domestic violence, 13, 14, 506, 507-510 Child Abuse Prevention and Treatment Act, 13 Comprehensive Drug Abuse Prevention and Control Act, 145-146 financial abuse, 386, 418 Older Americans Act, 15, 42, 131, 240 Omnibus Budget Reconciliation Act, 450, 451 Public Health Service Act, 145, 146, 323 reporting requirements, 125 Social Security Act, 13, 14, 239 Victims of Crime Act, 419-420 Local government see also Adult protective services; Community-level factors; Criminal justice system financial abuse, 436 institutional inspections, 137 screening and case identification, 115, 436 Longitudinal studies, 4, 72, 78, 86, 102, 170, 171, 194-195 clinical studies, 5, 86-87, 243 ethical issues, 329, 330-331, 333 informed consent, 313 541 incidence and prevalence research, 133134 research recommendations, 4, 5, 7, 65, 72, 78, 86-87 theoretical models, 65 LONGSCAN, 329, 330, 331, 333 Long-Term Care Ombudsman program, 457 Long-term care settings, 4-5, 10-11, 18, 150-151, 176, 446-500 see also Assisted-living settings; Institutional settings; Nursing homes; Residential care facilities attitudes, 10, 446-447 cognitive impairments, 446, 451, 452, 465, 466, 467, 482 definitional issues, 203, 448-450 forensics, 371, 488 incidence and prevalence, 4-5, 450-483, 487-489 ombudsmen, 25, 122, 123, 125, 131, 134, 137, 169, 170, 366, 373, 448, 450, 453, 456-460, 463 sexual abuse, 452 Louisiana, 199-200 M MacArthur Risk Assessment, 333 Maine, 200-201 Malnutrition, see Nutrition Maltreatment, see Child abuse and neglect; Definitional issues; Domestic violence; Emotional abuse; Exploitation; Financial abuse; Self-abuse/self-neglect; Sexual abuse Marriage and marital status, 168, 242, 296 see also Intimate partner abuse financial abuse, 394, 401, 402-403, 408410 residential care facilities, 465 theoretical models, 63 Massachusetts, 202-203, 246, 405 Mass media, 15, 519 McFeeley, Patricia, 256-257, 339-381 Medicaid, 128, 134, 448, 451, 457, 466, 479 Medical Expenditure Panel Survey (MEPS)
From page 542...
... , 479 Minnesota, 125, 205-207 INDEX Minorities, see Race/ethnicity Mississippi, 207-208 Missouri, 208-210 Mistreatment, see Child abuse and neglect; Definitional issues; Domestic violence; Emotional abuse; Exploitation; Financial abuse; Self-abuse/self-neglect; Sexual abuse Models and modeling, see Definitional issues; Theory and theoretical models Montana, 210-211 Mortality, see Fatalities Mount Sinai/Victim Services Agency Elder Abuse Project Questionnaire, 365 Multidisciplinary approaches, see Interdisciplinary approaches N National Association of Adult Protective Services Administrators, 126 National Bioethics Advisory Commission (NBAC) , 306, 312, 313, 320-322, 326, 331, 334 National Center for Injury Prevention, 80 National Center on Elder Abuse (NCEA)
From page 543...
... state law, 124, 387 Nevada, 212-213 New Hampshire, 213 New Jersey, 213-214 New Mexico, 214-215 New York, 216-217, 432 North Carolina, 217-219 North Dakota, 219 Nurse Aid Registry, 471 Nurses and nursing, 21, 22, 41, 52, 60, 61, 73, 169,272 adult protective services and, 456-460 cognitive impairments, 451, 452, 482 543 communication deficits of residents, 452, 462 definition of abuse, 448-449 financial abuse, 435 home health workers, 52, 127-128 neglect, 449-450, 462-464, 469 reporting practices, 460-462, 470, 472473, 474-476 research ethics, 313 residential care facilities, 470, 472-473, 485-487, 490 staff, 134-135, 136-137, 448-449, 455, 456, 459, 460-464, 485-487, 490 registries, 460-462, 483, 484, 485487, 490-491 Nursing homes, 11, 13-14, 176, 351, 447, 450-464 activities of daily living (ADLs) , 452, 479 adult protective services and, 13-14, 239, 243 cognitive impairments, 313, 333, 351 decubiti, 345 definition of mistreatment, 18, 51, 52, 448-450 dementia, 451, 452, 482, 485, 486 demographics, 11, 447 emotional abuse, 448, 449, 451, 454455, 462 evaluation of interventions, 125, 133137 (passim)
From page 544...
... , 303-338 see also Ethical issues; Federal government; Funding; Legislation; Local government; Standards; State government advocacy, 14, 15, 17, 130, 136, 239, 251, 256, 316, 356, 388, 418, 419,422,423,429,430,489, 490, 505-506, 516 Population-based studies, xiv, 2, 23-24, 73, 74, 76-77 biomarkers and, 84 committee recommendations, 3, 30-31 funding, 3, 84-85 Power of attorney, see Guardianship and power of attorney Prevalence, see Incidence and prevalence Preventive interventions, 2, 12,285, 517-519 see also Adult protective services; Professional education; Public education; Screening and case .
From page 545...
... , 270277, 280-281, 293-302, 365, 366, 504 R Race/ethnicity, 97, 171 African Americans, 97, 269, 390-391, 466 financial abuse, 388, 390-391, 394 incidence and prevalence and risk factors, 82, 269 informed consent, language issues, 312 nursing homes, 451, 452 residential care facilities, 465 screening and case identification, 114 theoretical models, 61, 62, 64 Records and record-keeping, 21, 22, 23, 35, 45, 46, 53, 55, 71, 74, 78 see also Reporting practices computer applications, 108-109, 120
From page 546...
... , 411 research ethics, 27, 140, 303-309, 315319, 328 Belmont Report, 303-304, 305, 306, 309, 311, 316-318, 319-320, 321, 327, 334 Federal Policy for the Protection of Human Subjects (Common Rule) , 304, 305, 306, 307-309, 312, 314, 319, 323, 325-326 Religious institutions, 243 screening and case identification, 114 state law, definitional issues, 35, 200, 202, 204, 206, 214, 220, 228, 236 Remedial interventions, 2, 12 see also Adult protective services; Criminal justice system; Medical interventions case management,4-5, 105-106,116, 277 civil justice interventions, 28, 32, 130, 131, 134, 145, 221, 251, 255, 324, 341, 342, 343, 362, 374, 421, 423-429 committee recommendations, 4, 6 epidemiology, 78 financial abuse, 418-429 informal, 93, 123 screening and case identification, 105 INDEX victim compensation.
From page 547...
... ethical guidelines, 144 incidence and prevalence of abuse, 74, 86,87,282,283,284,286 long-term care facilities, 478-481 Screening and case identification, 23-24,65, 76-77,88,104-120,166-167, 169,242,503-505 see also Forensics; Professional education; Reporting practices; Risk factors abandonment, 112-113 activities of daily living (ADLs) , 105, 270-271 adult protective services, 104,105-106, 115-116,124,167,261,267, 277,365 attitudinal factors, 109, 242,264-265, 271-272,276,278-279,284, 293,294,296,299,396 biomarkers, 3,23,74,84,101-102,340, 360-362 caregivers, 104-120, 166-167,242,270, 271-277,293-302 (passim)
From page 548...
... socioeconomic status, 114 standards, 106-107, 112, 113-114, 115, 116-118, 363-364, 370, 372 state government, 115, 488 statistical analysis 107-108, 110-113, 270-272, 273, 277 time factors, 105, 106, 107, 113, 114, 115, 238, 243, 282, 296, 365, 367 trust relationships, general, 109, 113, 114, 118, 293 violence, physical, 110-113, 114, 117, 118-120, 273-276, 278, 283-284, 293, 294, 297, 403 Screening Protocol for Identification of Abuse and Neglect of the Elderly, 277 Self-abuse/self-neglect, 1, 19 adult protective services, 126-127 definitional issues, 35, 36, 40, 41, 81 guidelines for measurement, 44 state law, 35, 36 financial abuse and, 397, 414 forensics, 343 Sentinel reports, 22-23, 55, 74, 77, 128, 172, 244,246,261, 262, 266-268,277, 278, 284, 286, 287, 394 child abuse and neglect, 267, 268 Sex differences, see Gender factors Sexual abuse, 16-17, 127, 280, 281 see also Intimate partner mistreatment definitional issues, 35, 49, 183-237 (passim) , 280, 281 forensics, 340, 358-359, 372 incidence and prevalence, 75, 78, 275, 276, 280, 284 nursing homes, 359, 451, 452, 485 state law, definitional issues, 35, 183237 (passim)
From page 549...
... stigma, 69, 242, 243, 264, 278-279, 332, 415, 429, 503 theoretical models, 60, 61, 62-64, 67, 68, 91, 240 Socioeconomic status, 171 ethical research, 327 financial abuse, 394 incidence and prevalence research, 8182, 262, 282-283 Medicaid, 128, 134, 448, 451, 457, 466. 479 residential care facilities, 466, 467, 480 screening and case identification, 114 telephone interviews, 282-283 theoretical models, 61, 62, 63, 64, 241 South Carolina, 226-227 South Dakota, 227-228 Spouses, see Intimate partner mistreatment; Marriage and marital status Standards, 6, 27, 45, 56, 342 see also Definitional issues; Ethical issues; Institutional review boards; Regulatory issues financial abuse, proof of, 423-424 forensics, 363-364, 370, 372 guidelines for measurement, 45-47, 56, 58-59 hospital accreditation, 128 informed consent, 6, 140, 141-143, 309311 LEAD methodology, 45-47, 59, 106107, 115, 118 residential care facilities, 464-465 549 screening and case identification, 106107, 112, 113-114, 115, 116118, 363-364, 370, 372 Supplemental Security Income (SSI)
From page 550...
... nursing homes, 200, 208, 448, 457, 460 462 reporting practices, 122-126, 144-148, 286, 328-329, 448, 471-472, 476-477, 482-483 residential care facilities, 469, 470, 471, 476-477 victims and family members, to screening and case identification, 115, 488 Sweden, 74 theoretical models, 66 Statistical analyses, 170-174 screening and case identification, 107 108, 110-113, 270-272, 273, 277 T 1 h Strangers, abuse by, 1 definitional issues, 40 guidelines for measurement, 44, 52 state law, definitional issues, 35 financial, 52, 110-113, 261, 384, 400 incidence and prevalence, 74, 261, 283, 284 Substance abuse, 94, 95, 145-146, 242, 366, 398, 399 Suicide, 78 Sullivan, Louis, 240 Supplemental Security Income (SSI) , 466, 467 Surgeon General, 240 Surveillance, 4, 42, 46, 59, 75, 79, 80, 87 Surveys, xiii, 2, 75, 79, 82-83, 84-86, 168 177 (passim)
From page 551...
... . r remlsslon, ~ residential care facilities, family visit intervals, 467 risk factors, 5, 65, 69 screening and case identification, 105, 106, 107, 113, 114, 115, 238, 243, 282, 296, 365, 367 Trust relationships, general, 2, 3, 58 see also Caregiver abuse and neglect; Guardianship and power of attorney 551 definitional issues, 39, 40-41, 43, 44, 61, 238, 384-385 guidelines for measurement, 44, 4748, 51-53, 57 financial abuse, 382, 385, 387, 392, 393, 395, 401-402, 415 incidence and prevalence of abuse, 74, 77 risk factors, 88, 91 screening and case identification, 109, 113, 114, 118, 293 theoretical models, 63, 66, 91 U Understanding Child Abuse and Neglect, ...
From page 552...
... measures of mistreatment, table, 20, 2627, 55, 85, 166-167, 262, 273276, 278, 283-284, 285 nursing homes, 448-450, 451, 452-454, 455 screening and case identification, 110113, 114, 117, 118-120, 273276, 278, 283-284, 293, 294, 297, 403 Virginia, 231-232 Vulnerability, general, 100-101 adult protective services, 124 age factors, 41-42, 43 definitional issues, 39, 41-42, 43, 50, 182-237 (passim) , 246-247 financial abuse, 401 theoretical models, 64 W Washington, D.C., see District of Columbia Washington, 232-234 Weight loss, 340, 350-351, 448, 464 West Virginia, 234 Wisconsin, 125, 234-236 Witnesses, criminal justice system, 116-117, 127-128, 129-130, 421 Wolf, Rosalie, 238-248, 257 Wolfe, David, 127, 257, 501-525 Wyoming, 236-237


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