Identification of Elder Abuse in Institutional Settings:

Sengstock, Mary C.; Msn, Marilyn R. McFarland; Hwalek, Melanie

doi:10.1300/j084v02n01_03

Cited by 6 publications

(7 citation statements)

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“…Although researchers have endeavored to establish incidence and prevalence rates of elder abuse in LTC (Cohen, Halevy-Levin, Gagin, Prilutzky, & Friedman, 2010), most studies addressing this topic have failed to produce generalizable information (Gibbs & Mosqueda, 2004). This is due, in part, not only to the multiple barriers affecting elder abuse detection in LTC (including inconsistencies defining the phenomenon) but also to the lack of measurement instruments designed to specifically identify abuse in institutions (Pillemer & Finkelhor, 1988; Sengstock, McFarland, & Hwalek, 1990). The hidden nature of abuse in institutions has also contributed to the paucity of systematic research on this topic (Baker & Heitkemper, 2005; Cooper, Selwood, & Livingston, 2008).…”

Section: Barriers To the Study Of Elder Abuse In Ltcmentioning

confidence: 99%

Adapting the Elder Abuse Suspicion Index© for Use in Long-Term Care: A Mixed-Methods Approach

et al. 2017

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Currently available elder abuse screening and identification tools have limitations for use in long-term care (LTC). This mixed-methods study sought to explore the appropriateness of using the Elder Abuse Suspicion Index© (a suspicion tool originally created for use with older adults in the ambulatory setting with Mini-Mental State Examination scores ≥ 24) with similarly cognitively functioning persons residing in LTC. Results were informed by a literature review, Internet-based consultations with elder abuse experts across Canada ( n = 19), and data obtained from two purposively selected focus groups ( n = 7 local elder abuse experts; n = 7 experienced front-line LTC clinicians). Analyses resulted in the development of a nine-question tool, the EASI-ltc, designed to raise suspicion of EA in cognitively intact older adults residing in LTC (with little or no cognitive impairment). Notable modifications to the original Elder Abuse Suspicion Index

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Section: Barriers To the Study Of Elder Abuse In Ltcmentioning

confidence: 99%

Adapting the Elder Abuse Suspicion Index© for Use in Long-Term Care: A Mixed-Methods Approach

et al. 2017

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“…Physical assault includes direct attacks where the perpetrator makes contact with the victim or propels an object or substance at the victim (Sengstock et al, 1990). Examples are slapping, kicking, punching, misusing physical or chemical restraints, and cutting with a knife.…”

Section: Types Of Abuse Requiring Law Enforcement and Aps Collaborationmentioning

confidence: 99%

“…But if I hit him, I wouldn't be able to stop and he'd be dead" (Mattar, 2004). Much of the literature includes sexual abuse as physical assault (Sengstock et al, 1990). For the purposes at hand, sexual abuse is separated from physical assault as it has distinct investigation and intervention methodologies.…”

Section: Types Of Abuse Requiring Law Enforcement and Aps Collaborationmentioning

confidence: 99%

“…There is no reason to believe that these statistics do not reflect the situation throughout the U.S. Neglect is the failure to provide the goods, care and services that are essential to the well-being of a dependent older person (Sengstock et al, 1990). Examples include being burned from water that is too hot, lack of repositioning resulting in bedsores, or strangulation through inappropriate mechanical restraints.…”

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confidence: 99%

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A Policy Perspective on Elder Justice Through APS and Law Enforcement Collaboration

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2006

Journal of Gerontological Social Work

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The policy issues involved in the social problem of elder victimization could fill volumes. Even the policy issues involved in the new concept of elder justice are multi-faceted. Through the lens of a policy analysis perspective, the history, ideologies, politics, social movements, and economics of policies that promote the collaboration between adult protective services and law enforcement are examined. The analysis of state and local policies as well as a promising federal legislative initiative will, hopefully, help policy advocates understand from where the movement toward collaboration between adult protective services and law enforcement has come as well as where it may be headed.

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“…Violation of personal rights is another indicator of abuse in institutions that include depriving a patient of free choice, privacy, and decision-making. In addition, the staff may avoid consulting a patient about the admission process, proposed care plan, treatment decisions and other important topics (thus taking away a patient’s control over both major and routine issues), and breach patient confidentiality [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

Development and psychometric properties of the hospitalized elder abuse questionnaire (HEAQ): a mixed methods study

et al. 2022

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Background Older patients are more vulnerable and prone to abuse and neglect in hospitals and acute care settings. The present study aimed to develop and assess the psychometric properties of a questionnaire for screening abuse in hospitalized older adults. Methods This study was conducted from October 2017 to September 2019 using the exploratory sequential mixed-methods research design. The participants were selected among those admitted to various wards of six teaching hospitals affiliated with Shiraz University of Medical Sciences, Shiraz, Iran. In the qualitative phase of the study, using the inductive content analysis method, the concept of abuse in hospitalized older adults was extracted through individual in-depth semi-structured interviews with 16 older patients and 11 family caregivers. Based on qualitative findings and a review of existing literature, an initial version of the questionnaire was developed. In the quantitative phase of the study, the psychometric properties (face, content, construct, and convergent validity; internal consistency and stability) of the questionnaire were examined. Results Based on qualitative findings and literature review, a pool of 154 candidate items was defined. These items were reduced to 37 after initial refinement, qualitative and quantitative face and content validity, and item analysis. The outcome of principal component analysis further reduced the number of items to 27, which were grouped into 5 components, namely “Shortcomings in management and care facility”, “Neglect of professional commitments”, “Physical and psychological abuse”, “Protracted treatment process”, and “Invasion of privacy”. The explained variance of these 5 components was 50.09% of the overall variability of the questionnaire. The convergent validity of the questionnaire was acceptable (P < 0.00, r = − 0.44). Cronbach’s alpha coefficient and intraclass correlation coefficient for the entire questionnaire were 0.89 and 0.92, respectively; indicating high reliability and stability of the questionnaire. Conclusion The hospitalized elder abuse questionnaire (HEAQ) has acceptable psychometric properties. It is recommended to use HEAQ to screen for suspected cases of abuse of hospitalized older adults.

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Identification of Elder Abuse in Institutional Settings:

Cited by 6 publications

References 0 publications

Adapting the Elder Abuse Suspicion Index© for Use in Long-Term Care: A Mixed-Methods Approach

Adapting the Elder Abuse Suspicion Index© for Use in Long-Term Care: A Mixed-Methods Approach

A Policy Perspective on Elder Justice Through APS and Law Enforcement Collaboration

Development and psychometric properties of the hospitalized elder abuse questionnaire (HEAQ): a mixed methods study

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