Enhancing National Policy and Programs to Address Elder Abuse

Dong, XinQi

doi:10.1001/jama.2011.835

Cited by 51 publications

(38 citation statements)

References 3 publications

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“…This study has important practical and policy implications [27]. For health care professionals who care for older adults, screening for elder abuse should occur alongside the screening for cognitive impairment.…”

Section: Discussionmentioning

confidence: 99%

Association of Cognitive Function and Risk for Elder Abuse in a Community-Dwelling Population

Dong

Simon

Rajan

et al. 2011

Dement Geriatr Cogn Disord

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Aim: This study aimed to examine the cross-sectional association between cognitive function and elder abuse. Methods: The Chicago Health and Aging Project (CHAP) is a population-based study conducted in a geographically defined community (n = 8,932). We identified 238 CHAP participants who had elder abuse reported to a social services agency. Cognitive function was assessed using the Mini-Mental State Examination (MMSE), the Symbol Digit Modalities Test (perceptual speed), and both immediate and delayed recall of the East Boston Memory Test (episodic memory). An index of global cognitive function scores was derived by averaging the z-scores of all tests. Logistic regression models were used to assess the association of cognitive function domains and risk of elder abuse. Results: After adjusting for confounders, lowest tertiles of global cognition (odd’s ratio, OR 4.18, 95% confidence interval, 95% CI 2.44–7.15), MMSE (OR 2.97, 95% CI 1.93–4.57), episodic memory (OR 2.27, 95% CI 1.49–3.43) and perceptual speed (OR 2.37, 95% CI 1.51–3.73) were associated with increased risk of elder abuse. The lowest levels of global cognitive function were associated with an increased risk of physical abuse (OR 3.56, 95% CI 1.08–11.67), emotional abuse (OR 3.02, 95% CI 1.41–6.44), caregiver neglect (OR 6.24, 95% CI 2.68–14.54), and financial exploitation (OR 3.71, 95% CI 1.88–7.32). Conclusion: Lower levels of global cognitive function, MMSE, episodic memory and perceptual speed are associated with an increased risk of elder abuse.

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Section: Discussionmentioning

confidence: 99%

Association of Cognitive Function and Risk for Elder Abuse in a Community-Dwelling Population

Dong

Simon

Rajan

et al. 2011

Dement Geriatr Cogn Disord

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“…Increased federal leadership and resources are needed to fulfill the promise of the law. 50 Taken together, policies at the federal and state levels were designed to reduce abuse and improve the quality of care for older adults with dementia. Yet there have been many implementation challenges, such as insufficient funding and inadequate training for people working with older adults who have dementia.…”

Section: ▸The Elder Justice Actmentioning

confidence: 99%

Elder Abuse And Dementia: A Review Of The Research And Health Policy

2014

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Older adults with dementia may be at high risk for abuse, but the topic has not been well studied. We conducted a literature review to examine the relationships between elder abuse and dementia. We found that psychological abuse was the most common form of abuse among older adults, with estimates of its prevalence ranging from 27.9 percent to 62.3 percent. Physical abuse was estimated to affect 3.5-23.1 percent of older adults with dementia. We also found that many older adults experienced multiple forms of abuse simultaneously, and the risk of mortality from abuse and self-neglect may be higher in older adults with greater levels of cognitive impairment. We summarize programs and policies related to the abuse of older adults with dementia, including adult protective services, mandatory elder abuse reporting, and the Long-Term Care Ombudsman Program. We also summarize aspects of the National Alzheimer's Project Act, the Older Americans Act, and the Elder Justice Act. In spite of a recent increase in research and policy developments on elder abuse, challenges such as insufficient funding, limited knowledge about elder abuse, a lack of funding for the implementation of federal and state programs relevant to elder abuse and dementia, and a lack of dementia-specific training for front-line health care staff persist. Stronger programs targeting the well-being of older adults with dementia are needed.

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“…Among many components of the OAA, protection of older adults and elder justice-related activities are critical components that must be sustained and expanded. Comprehensive advocacy and policy efforts are needed to push for the issues of elder abuse in these legislations at the local community, city, state and federal levels [29]. …”

Section: Practical and Policy Implicationsmentioning

confidence: 99%

Elder Abuse and Psychological Well-Being: A Systematic Review and Implications for Research and Policy - A Mini Review

et al. 2012

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Elder abuse and psychological distress are both important geriatric syndromes and are independently associated with premature morbidity and mortality. Despite recent advances, there has been little systematic exploration of the association between elder abuse and psychological distress. This systematic review synthesizes the qualitative and quantitative studies on the relationship between elder abuse and psychological distress, namely psychological distress as a risk factor and/or a consequence of elder abuse. Moreover, through this review, future research directions for elder abuse and psychological distress and their implications for practice and policy to improve the health and aging of vulnerable populations are also highlighted.

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Enhancing National Policy and Programs to Address Elder Abuse

Cited by 51 publications

References 3 publications

Association of Cognitive Function and Risk for Elder Abuse in a Community-Dwelling Population

Association of Cognitive Function and Risk for Elder Abuse in a Community-Dwelling Population

Elder Abuse And Dementia: A Review Of The Research And Health Policy

Elder Abuse and Psychological Well-Being: A Systematic Review and Implications for Research and Policy - A Mini Review

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