Older People’s Conceptualization of Elder Abuse and Neglect

Taylor, Brian J.; Killick, Campbell; O’Brien, Marita A.; Begley, Emer; Carter-Anand, Janet

doi:10.1080/08946566.2013.795881

Cited by 43 publications

(22 citation statements)

References 45 publications

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“…It will be important to include older people in such a review so that the views of those most personally impacted by abuse are included in decisions about what constitutes abuse and how best to respond. This call echoes that of Taylor et al (2014). This may require a rethink about the processes used for framework development.…”

Section: Discussionmentioning

confidence: 99%

“…Brandl and Raymond (2012) together with Taylor et al (2014) add that there can be unintended consequences of focussing on the micro-system. These include the minimising of abuser accountability, and a failure to explore interventions to prevent and ameliorate abuse beyond those that offer support in caring situations.…”

Section: An Ecological Perspectivementioning

confidence: 99%

“…Walsh, Olson, Ploeg, Lohfeld and MacMillan (2010) and Taylor et al (2014) explore elder abuse from an older person's perspective. These studies conclude that 'othering' of older people happens.…”

Section: A Critical Perspectivementioning

confidence: 99%

“…These include abuse in marginalised communities (Ploeg, Lohfeld & Walsh, 2013); managing risk (Milne, Cambridge, Beadle-Brown Mansell & Whelton, 2013); prevalence (Aciemo, Hemandex, Amstadter, Resnick, Steve, Muzzy & Kilpatrick 2010); conceptualisation (Nerenberg, 2008, Harbison et al, 2012, older people's perceptions (Naughton, Drennan & Attracta, 2014;Taylor, Killick, O'Brien, Begley & Cater-Anand, 2014) and approaches to intervention (Alon & Berg-Warman, 2014;Wangmo, Teaster, Grace, Wong, Mendiondo, Blandford, Fisher & Fardo, 2014).…”

Section: Chapter 3: Definitional and Theoretical Uncertainty: A Litermentioning

confidence: 99%

“…They point to the limited discussion on oppression at policy level, in spite of policy decisions potentially contributing to an unequal distribution of resources, which in turn may reduce opportunities and choices available to older people (Harbison, 1999;Haaken, 2008;Phillipson, 2013). Advocates of a critical approach campaign for a human rights response to elder abuse where interventions focus on empowerment and advocacy rather than protection (Phelan, 2008;Harbison et al, 2012;Anand et al, 2014).…”

Section: A Critical Perspectivementioning

confidence: 99%

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A cog in the wheel or an agent of change: Knowledge use and practice with older people who are abused in Aotearoa/New Zealand

Brook¹

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Across the past three decades a growing national and international concern about elder abuse is evident in policy, research and social and health care practice. There is currently a considerable body of literature on prevalence, predictors and risk factors as well as debates about definitions, conceptualisations and appropriate legal, policy and practice responses. There is more limited research on how the conceptualisations of ageing and elder abuse shape professional practice. Knowledge use and social work practice in elder abuse in the context of Aotearoa/New Zealand is the focus of this thesis.This thesis presents a qualitative exploratory study of elder abuse practice as reported by twenty social workers engaged in frontline elder abuse work throughout Aotearoa/New Zealand. The purposive sample of social workers practised in a variety of settings and were situated in different geographic locations across the country. The primary focus of this study is to explore how elder abuse is understood, how cases of In individual semi-structured interviews, participants were asked to describe their understandings of elder abuse, to explore the knowledge they use to inform these understandings, and to give details about what actions they take when encountering situations of abuse.An interpretative, social constructionist approach to this research was taken. All twenty accounts of practice were analysed thematically. This provided a means by which the processes of, and influences on, meaning, knowledge use and response-making could be scrutinised, and an understanding of elder abuse practice in Aotearoa/New Zealand could be discerned.The findings indicate that the term 'elder abuse' is universally recognised and articulated in practice, but when explored in depth, understandings about what constitutes elder abuse varied, were dependent on the knowledge individual social ii | P a g e workers brought to their practice, and on the context in which the practice occurred. This knowledge was not always explicitly used and consequently was often left unscrutinised. The use of tacit knowledge was seen to facilitate the establishment of patterns of practice that have become customary and are left unchallenged.The influence of the context on what could or could not be done to respond to elder abuse was acknowledged by many of these social workers. Beyond the immediate resource constraints that were recognised as limiting their options to address abuse, the significance of the socio-economic-historic-cultural-political context and how this informed and shaped social work practice (and the experiences of older people) were not readily identified by most. When these factors were noted, they were largely considered to be insurmountable.The findings from this study highlight that a narrow approach is taken by most of the social workers in this study when working with older people who are abused. There is little demonstrated understanding the socio/political context in which the abuse occurs, and the systemic issues that may co...

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Section: Discussionmentioning

confidence: 99%

Section: An Ecological Perspectivementioning

confidence: 99%

Section: A Critical Perspectivementioning

confidence: 99%

Section: Chapter 3: Definitional and Theoretical Uncertainty: A Litermentioning

confidence: 99%

Section: A Critical Perspectivementioning

confidence: 99%

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A cog in the wheel or an agent of change: Knowledge use and practice with older people who are abused in Aotearoa/New Zealand

Brook¹

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Chronic disease and elder mistreatment: A meta‐analysis

Wong

Cafferky

Alejandro

2021

Int J Geriat Psychiatry

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Objective: This meta-analysis investigated the relationships between chronic diseases and different forms of elder mistreatment (physical, emotional, sexual, financial, neglect, or overall abuse).Method: Twelve different chronic disease risk markers linked to elder mistreatment were gathered from 48 studies (yielding 178 effect sizes (ESs) and a combined sample size of n = 390,785), then organized in to four broad chronic disease categories: endocrine disease, heart disease, neurological disease, and other chronic diseases. Data were analyzed with Comprehensive Meta-Analysis Software using a random effects approach.Results: Neurological disease (odds ratio [OR] = 1.51), endocrine disease (OR = 1.38), heart disease (OR = 1.17), and other chronic diseases (OR = 1.26) were all significantly associated with elder mistreatments. Neurological disease (OR = 1.51) was found to have a significantly stronger association with elder mistreatment when compared to the heart disease category (OR = 1.17) and the other chronic disease category (OR = 1.26). When specifically investigating emotional abuse, there was a significantly stronger link with neurological disease (OR = 1.48) compared to other chronic diseases (OR = 1.21). Conclusions:This study provides the first meta-analytic benchmarks for understanding the links between chronic disease risk markers and different forms of elder mistreatment. K E Y W O R D S chronic disease, elder abuse, elder mistreatment, meta-analysis Key points� To our knowledge, this study was the first meta-analysis to explore the empirical links between chronic diseases and various forms of older adult victimization.� This meta-analysis found that neurological disease had a significantly stronger association with elder mistreatment compared to other chronic diseases.� The authors of this study suggest that future research should investigate whether older adults experience potentially more frequent or more severe mistreatment in relation to the progressive nature of their chronic diseases.

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