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Clinical management of elder abuse situations involves five steps: detection, assessment, planning, intervention, and follow-up. Although each clinical discipline brings a unique set of knowledge, skills, and perspectives to completing the steps, there are general considerations that universally apply in successfully identifying and treating the problem. These general considerations are described, with particular attention given to the intent behind actions, strategies for step accomplishment, and issues likely to emerge.

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This was a study involving systematic random samples of 225 male and 232 female military veterans respectively that had received services at a VAMC in the South. The purpose was to examine what ecological factors predict a diagnosis of PTSD among those veterans. As expected, gender differences in relevant predictors of PTSD were observed: Generally, interpersonal factors, depression and fearfulness were more important to PTSD among women. Among men, self-efficacy, resilience, suicidal thoughts, alcohol and other drug abuse, and combat stress were more relevant.However, physical and non-physical abuses in the family-of-origin were significantly related to PTSD for both women and men, albeit those abuses were more important for female veterans. Conceptual and family social work implications of the study were discussed. Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH.

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