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J Interpers Violence 2020 Jul 4:886260520934440. Epub 2020 Jul 4.

University of Haifa, Israel.

The phenomenon of Sexual Assault against Women in Late Life (SAWLL) has received increasing research attention in recent years. Yet, there is still only scant knowledge on it, compared with research on the sexual assault of younger women. Sexual assault is considered a sensitive topic, generally characterized by a conspiracy of silence. Read More

Arch Gerontol Geriatr 2020 Jun 17;90:104152. Epub 2020 Jun 17.

Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum, Nicolaus Copernicus University, Toruń, Poland.

Objective: The aim of the present work was to exploring the prevalence, perpetrators and predictors of elder psychological abuse.

Method: We conducted the cross- sectional study, based on a hospitalized community. The sample consisted of 200 respondents aged ≥60. Read More

Int Psychogeriatr 2020 Jul 1:1-14. Epub 2020 Jul 1.

The Department of Hebrew Language, The Hebrew University of Jerusalem.

J Appl Gerontol 2020 Jun 25:733464820933432. Epub 2020 Jun 25.

Weill Cornell Medicine, New York, NY, USA.

A focus of community-based elder abuse response programs (EARP), such as Adult Protective Services, is to reduce the risk of revictimization among substantiated victims. While elder abuse (EA) risk factor research has predominantly focused on understanding the risk of initial EA onset among the general older adult population, understanding of risk among substantiated victims is weak. This study sought to identify conditions that perpetuate EA among substantiated victims. Read More

J Elder Abuse Negl 2020 Jun 24:1-17. Epub 2020 Jun 24.

Institute for Health, Health Care Policy and Aging Research, Rutgers, the State University of New Jersey , New Brunswick, NJ, USA.

Elder abuse is a pervasive public health issue. The relationship between personality traits and elder abuse remains unclear. This study aims to examine the associations between neuroticism, conscientiousness, and elder abuse. Read More

BMC Geriatr 2020 Jun 23;20(1):220. Epub 2020 Jun 23.

Arora Health Initiative, Bangalore, India.

Background: Globally, elder abuse is a common form of violence against the elderly. This study examines the association of disability and functional ability measures with elder abuse in India.

Methods: Cross-sectional data from the UNFPA's 'Building Knowledge Base on Population Ageing in India' (BKPAI 2011) have been analysed. Read More

Australas J Ageing 2020 Jun;39 Suppl 1:65-70

Durham Law School, Palatine Centre, Durham University, Durham, UK.

Objectives: To explore the extent, nature and consequences of sexual violence in later life.

Methods: Data were obtained from all police forces in England, Wales and Northern Ireland on rape and sexual assault by penetration (Sexual Offences Act 2003) offences involving a victim aged ≥ 60 years, recorded between 1 January 2009 and 31 December 2013. Qualitative interviews were conducted with 27 practitioners working in specialist violence or age-related organisations and with three female survivors. Read More

J Clin Nurs 2020 Jun 20. Epub 2020 Jun 20.

School of Nursing, Southern Medical University, Guangzhou, China.

Aims And Objectives: To explore the relationship between personality traits, caring characteristics and abuse tendency among professional caregivers of older people with dementia in long-term care facilities in China.

Background: Elder abuse is a serious global health problem and human right violation with high incidence among older people with dementia. There are many investigations about impact factors of risk of abuse among family caregivers of older people with dementia. Read More

J Elder Abuse Negl 2020 Jun 18:1-8. Epub 2020 Jun 18.

Department of Emergency Medicine, Weill Cornell Medicine , New York, NY, USA.

Multidisciplinary teams (MDTs) represent a prominent and growing form of elder abuse intervention in communities across the U.S. and around the world. Read More

Generations 2020 ;44(1):103-105

Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.

Elder mistreatment is an important public health problem that can be prevented. By investing in upstream prevention and taking a multigenerational approach, the U.S. Read More

J Interpers Violence 2020 Jun 15:886260520928639. Epub 2020 Jun 15.

Liverpool John Moores University, UK.

The aim of this study was to thematically explore the relationship between crime scene behaviors and background characteristics of offenders who commit sexual offenses against female victims aged 60 years or more. Research and understanding of offense behaviors in this area is extremely limited; therefore, the study sought to provide a preliminary understanding and multivariate model of offense behaviors in cases where older female adults were sexually abused. Twenty-seven crime scene behaviors from 143 rape or attempted rape cases of an older adult victim were analyzed; frequency data were computed to provide base rate information, and Smallest Space Analysis provided a visual representation of the co-occurrence of crime scene behaviors. Read More

Am J Geriatr Psychiatry 2020 May 19. Epub 2020 May 19.

Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System (LKM, RLB, A-MR), Pittsburgh, PA; Department of Medicine, University of Pittsburgh School of Medicine (LKM, A-MR), Pittsburgh, PA.

Ann Emerg Med 2020 Jun 10. Epub 2020 Jun 10.

Division of Geriatrics and Palliative Care, Weill Cornell Medicine/New York-Presbyterian Hospital, New York, NY.

The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at https://www. Read More

Int J Environ Res Public Health 2020 Jun 9;17(11). Epub 2020 Jun 9.

Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, International Centre for Reproductive Health (ICRH), Ghent University, C. Heymanslaan 10, ICRH, 9000 Ghent, Belgium.

Sexual violence (SV) is an important public health issue with a major impact on victims and their peers, offspring and community. However, SV in older adults is under-researched. This paper aims to establish the prevalence and nature of SV in older adults in Europe, link this with existing policies and health care workers' response to sexual health needs in older age, and critically revise the currently used frameworks in public health research. Read More

Cien Saude Colet 2020 Jun 24;25(6):2153-2175. Epub 2018 Sep 24.

Hospital das Clínicas, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901, Recife, PE, Brasil.

Elder abuse is a complex public health problem. It is of fundamental importance to ascertain which factors are associated with each specific type of abuse, as a way of enabling the creation of evidence-based public policies. The aim of the present study was to systematically review the literature regarding analytical epidemiological studies of factors associated with elder abuse. Read More

Cien Saude Colet 2020 Jun 14;25(6):2143-2152. Epub 2018 Sep 14.

Departamento de Odontologia, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte. Av. Senador Salgado Filho 1787, Lagoa Nova. 59056-000, Natal, RN, Brasil.

The scope of this study is violence perpetrated against the elderly. It aims to analyze the international scientific production on violence against the elderly. It involved bibliometric research carried out in the ISI Web of Knowledge/Web of ScienceTM database, in which the search terms "elder,"violence" or "abuse" and "health care" were used, in the period between the years 1991 and 2016. Read More

J Elder Abuse Negl 2020 Jun;32(3):295-315

The John A. Hartford Foundation , New York, NY, USA.

Emergency Department (ED) visits provide an important but seldom realized opportunity to identify elder mistreatment. Many screening tools exist, including several that are brief and may be effective, but few have been specifically designed for or tested in EDs. In addition to the absence of validated tools, other challenges with implementing ED elder mistreatment screening include difficulty integrating anything longer than a few questions into a busy clinical encounter and resources required to respond to positive screens. Read More

PLoS One 2020 5;15(6):e0234195. Epub 2020 Jun 5.

Ontario Network of Sexual Assault/Domestic Violence Treatments Centres, Toronto, Ontario, Canada.

A framework of social inclusion can promote equity and aid in preventing and addressing the abuse of older adults. Our objective was to build a social inclusion framework for a comprehensive hospital-based elder abuse intervention being developed. Potential components of such a framework, namely, health determinants and guiding principles, were extracted from a systematic scoping review of existing responses (e. Read More

J Nurs Educ 2020 Jun;59(6):331-335

Background: With more than 1 million older adults being abused each year, it is imperative for nurses to be knowledgeable about signs and symptoms of elder abuse, assessment, and interventions. This article describes a three-part learning strategy consisting of lecture, simulation using standardized patients (SPs), and debriefing to educate prelicensure nursing students about how to identify, assess, and report elder abuse. Furthermore, the effects of the teaching strategies were assessed. Read More

J Pastoral Care Counsel 2020 Jun;74(2):147-149

Center for Advocacy for the Rights and Interests of the Elderly, Philadelphia, USA.

This article presents a solution for a critical issue, that is, elder abuse, and is focused on prevention through education and training for staff. Pastoral care and mental health professionals can benefit by using this film and curriculum for professional development when providing counseling, or when caring for elder clients on a long-term basis. Read More

Cureus 2020 Apr 30;12(4):e7906. Epub 2020 Apr 30.

Medicine, University College of Medical Sciences, New Delhi, IND.

Objective Our aim in this study is to assess the prevalence of abuse in elders with psychiatric illness and its association with various sociodemographic variables. Methods This cross-sectional comparative study included 300 elderly (aged more than 65 years) patients divided into two groups. Group 1 consisted of 150 patients with psychiatric illnesses presenting to the psychiatry outpatient department (OPD), whereas group 2 comprised 150 patients with somatic illnesses presenting to the OPDs of other departments. Read More

J Immigr Minor Health 2020 Jun 2. Epub 2020 Jun 2.

Department of Physiology, Pharmacology/Toxicology, Division of Biomedical Sciences, College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Elder abuse is an emerging worldwide public health, human right, and social priority for governments and health policy makers. The aim of the current study was to provide an in-depth quantitative analysis of literature on elder abuse published in academic journals. A bibliometric method was implemented using Scopus database for the study period from 1950 to 2017. Read More

J Interpers Violence 2020 Jun 2:886260520922354. Epub 2020 Jun 2.

King Abdulaziz University, Jeddah, Saudi Arabia.

Elder mistreatment is common in both community and institutional settings. However, the prevalence of elder mistreatment and its association with risk factors in sheltered homes are unknown. The primary objective of this study was to determine the prevalence and types of mistreatment among elderly living in sheltered homes. Read More

J Interpers Violence 2020 Jun 1:886260520922356. Epub 2020 Jun 1.

Virginia Polytechnic Institute and State University, Blacksburg, USA.

Limited research on elder abuse among American Indians and Alaska Natives (AIANs) suggests a higher prevalence of abuse. Using data from the National Elder Mistreatment Study (NEMS), we compared contextual characteristics and elder mistreatment prevalence rates from a community-based sample of AIAN ( = 195) and Black ( = 437) and White ( = 5,013) respondents. There were differences in the prevalence of 16 abuse types and the 23 contextual variables. Read More

J Elder Abuse Negl 2020 May 31:1-3. Epub 2020 May 31.

Departments of Family Medicine, McGill University and St. Mary's Hospital Center , Montreal, Quebec, Canada.

Positive doctor-patient relationships have been noted to be possible facilitators in the identification of elder abuse. A case from family practice is cited in which an enduring and well-appreciated relationship unintentionally set up potential for mistreatment. Considerations to factors beyond traditional elder abuse risk factors should be kept in mind. Read More

J Elder Abuse Negl 2020 Jun 27;32(3):197-200. Epub 2020 May 27.

Journal of Elder Abuse & Neglect, Biden Institute of Public Policy at the University of Delaware , Newark, Delaware, USA.

Friends and colleagues describe the legacy of and pay tribute to Lori Stiegel, elder justice champion, who died earlier this year. Read More

Gerodontology 2020 Jun;37(2):100-101

University of British Colombia.

Acad Med 2020 May 12. Epub 2020 May 12.

A. Ellis is a fourth-year medical student, Northeast Ohio Medical University, Rootstown, Ohio; email: ORCID: https://orcid.org/0000-0002-4257-0138. K.M. Stiff is resident physician, Department of Internal Medicine, the MetroHealth System, Cleveland, Ohio. E.N. Mostow is professor and chair, Division of Dermatology, Northeast Ohio Medical University, Rootstown, Ohio.

J Interpers Violence 2020 May 12:886260520918580. Epub 2020 May 12.

Ministry of Health Malaysia, Putrajaya, Malaysia.

Elder abuse and neglect (EAN) goes largely unrecognized and underreported globally by health care professionals. Despite acknowledging their role to intervene elder abuse, health care professionals lacked knowledge and skills in this issue. This is a single-blinded, three-armed, cluster randomized controlled trials aimed to evaluate the effectiveness of the face-to-face mproving urses' dtection and managment of eler abuse and neglect (I-NEED) intensive training program and I-NEED educational video in improving primary care nurses' knowledge, attitude, and confidence to intervene EAN; 390 primary care nurses were randomized equally into two intervention groups-ITP group (intensive training program) and ITP+ group (intensive training program and educational video)-and a control group. Read More

J Appl Gerontol 2020 07 8;39(7):690-699. Epub 2020 May 8.

Weill Cornell Medicine/NewYork-Presbyterian Hospital, Department of Emergency Medicine, New York, NY, USA.

New York City is currently experiencing an outbreak of COVID-19, a highly contagious and potentially deadly virus, which is particularly dangerous for older adults. This pandemic has led to public health policies including social distancing and stay-at-home orders. We explore here the impact of this unique crisis on victims of elder mistreatment and people at risk of victimization. Read More

JAMA Netw Open 2020 May 1;3(5):e204099. Epub 2020 May 1.

Department of Epidemiology, Human Genetics and Environmental Sciences, University of Texas School of Public Health, Dallas.

Importance: Elder mistreatment is underdetected and underreported. The more than 800 000 medics providing services in every county in the United States represent an important and underused surveillance system.

Objective: To investigate the association between the Detection of Elder Mistreatment Through Emergency Care Technician (DETECT) screening tool use and the number of medic reports made to Adult Protective Services (APS) over a period of approximately 3 years. Read More

J Elder Abuse Negl 2020 Apr 26:1-10. Epub 2020 Apr 26.

Faculty of Dentistry, University of British Columbia, Vancouver, Canada.

The intra- and extra-oral signs of physical abuse and neglect can appear visible to a dental professional during routine care. Yet, little is known about the existing pedagogies employed to discuss elder abuse and neglect in undergraduate dental education and the level of knowledge undergraduate dental students have about elder abuse and neglect. The purpose of this commentary is to present a literature review exploring how the subject of elder abuse and neglect is taught in dental schools and to discuss the results of a brief knowledge-based questionnaire focused on elder abuse and neglect applied to Canadian undergraduate dental students. Read More

J Elder Abuse Negl 2020 Apr 23:1-11. Epub 2020 Apr 23.

Department of Legal and Forensic Medicine, University of Genova, Genova, Italy.

Elder abuse is a form of violence that is often misunderstood and still underestimated. This kind of abuse is classified in physical abuse, psychological abuse, financial abuse, sexual abuse, neglect and self-neglect. In this study, 784 cases of dead people over 65 years of age were retrospectively analyzed: in all cases, the cause of death was determined by the autopsy. Read More

J Family Med Prim Care 2020 Feb 28;9(2):714-720. Epub 2020 Feb 28.

S.N Medical College, Jodhpur, Rajasthan, India.

Background: Ageing is an inescapable reality of human existence. The elderly population of India is steadily increasing with growing mental health needs which pose many challenges for the health care system. The aim of this study is to assess anxiety, depression, and cognitive disorders among urban and rural elderly and to explore the availability of social support mechanisms and a responsive health system for elderly. Read More

J Am Geriatr Soc 2020 Jul 27;68(7):1386-1387. Epub 2020 Apr 27.

Department of Family Medicine, University of Southern California, Los Angeles, California, USA.

J Adv Nurs 2020 Apr 17. Epub 2020 Apr 17.

Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.

Aim: To synthesize what is known about elder abuse and relationship factors associated with abuse between caregivers and older people with memory disorders at home.

Background: Concerns about abuse in the caring relationship between older people with memory disorders and family caregivers have increased. Abuse is associated with negative outcomes on older people's health, quality of life, and zest for life. Read More

J Prev Med Public Health 2020 Mar 30;53(2):89-97. Epub 2019 Dec 30.

Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran.

Objectives: The quality of life (QoL) of the elderly and elder abuse are growing public health concerns. This study aimed to evaluate the prevalence of abuse and the association between QoL and abuse in older adults.

Methods: Multistage random cluster sampling, along with valid QoL (LEIPAD: LEIden, the Netherlands; PADua, Italy; Helsinki, Finland) and abuse questionnaires, were used to assess QoL and elder abuse. Read More

Psychogeriatrics 2020 Apr 6. Epub 2020 Apr 6.

Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, India.

Background: Elder abuse is an important public health problem hidden from public view in spite of its detrimental effect on physical and mental health. In the last three decades, there is responsiveness toward abuse of children and spouses worldwide but even today abuse and neglect of aged people seem to be the matter of least concern. This study aims to reveal the magnitude of elder abuse and its predictors. Read More

J Aging Soc Policy 2020 Jul-Oct;32(4-5):310-315. Epub 2020 Apr 3.

Professor, School of Law, University of Michigan , Ann Arbor, Michigan, USA.

The elderly in long-term care (LTC) and their caregiving staff are at elevated risk from COVID-19. Outbreaks in LTC facilities can threaten the health care system. COVID-19 suppression should focus on testing and infection control at LTC facilities. Read More

J Elder Abuse Negl 2020 Jun 3;32(3):259-274. Epub 2020 Apr 3.

Division of Health Policy and Administration, School of Public Health, University of Illinois at Chicago , Chicago, Illinois, USA.

Can standardized assessment contribute to improving Adult Protective Services (APS) practice? In this exploratory study, San Francisco and Napa APS utilized a newly developed short self-neglect assessment to test how standardized measures provide information for substantiation decision making. Findings demonstrated satisfactory reliability and validity for the short self-neglect assessment, and analyses revealed important issues that could improve practice. Review of outliers revealed: (1) problems using the assessment tool, (2) misunderstandings of APS procedures, and (3) struggles navigating the case management system. Read More

Rev Prat 2019 Nov;69(9):1028-1031

École de travail social de l'université de Sherbrooke, chaire de recherche sur la maltraitance envers les personnes aînées, centre de recherche sur le vieillissement du centre intégré universitaire de santé et de services sociaux de l'Estrie et du centre hospitalier universitaire de Sherbrooke, Sherbrooke, Canada.

Mistreatmen of older adults : scientific knowledge and practice avenues. Drawn from recent, high-level quality research (meta-analyses, systematic recensions, synthesis reports), a summary of the state of scientific knowledge on the mistreatment of older adults is developed across five themes: definition, extent, risk factors, consequences, and practices. A critical reflection and intervention approaches are included. Read More

J Am Geriatr Soc 2020 Mar 30. Epub 2020 Mar 30.

Adult Protective Services Division, Texas Department of Family and Protective Services, Austin, Texas, USA.

Background: Previous research has identified several barriers faced by clinicians in detecting and reporting elder abuse, such as lack of knowledge about the process to report suspected cases of abuse and lack of access to experts to consult with. A novel intervention was designed and tested that embedded two Adult Protective Services (APS) specialists in a healthcare system operating primary care clinics serving a large Medicare population.

Objectives: To examine the types of roles the APS specialists played in the healthcare system and the number and types of cases of suspected abuse among older patients that clinicians consulted them about and reported to APS. Read More

J Subst Abuse Treat 2020 Mar;112S:34-40

Division of General Internal Medicine, Duke University Medical Center, United States of America.

Background: The National Drug Abuse Treatment Clinical Trials Network (CTN) called for its national nodes to promote the translation of evidence-based interventions from substance use disorder (SUD) research into clinical practices. This collaborative demonstration project engaged CTN-affiliated practice-based research networks (PBRNs) in research that describes aspects of opioid prescribing in primary care.

Methods: Six PBRNs queried electronic health records from a convenience sample of 134 practices (84 participants) to identify the percent of adult patients with an office visit who were prescribed an opioid medication from October 1, 2015, to September 30, 2016, and, of those, the percent also prescribed a sedative in that year. Read More

Gerontologist 2020 Mar 25. Epub 2020 Mar 25.

Institute of Gerontology and Department of Psychology, Wayne State University, Detroit, Michigan.

Background And Objectives: Context can influence or overwhelm the intellectual and cognitive aspects of financial decision making but has only recently received increased attention. The construct validity of conceptual subscales from a financial decision-making scale was examined in the context of their relationship to financial exploitation.

Research Design And Methods: Two hundred forty-two community-based participants were recruited into the study. Read More

Soc Work Health Care 2020 Apr 25;59(4):236-256. Epub 2020 Mar 25.

Department of Social Work, Atatürk University, Erzurum, Turkey.

In this study, face-to-face interviews were conducted with older people who applied to the family health center (N = 152) in the traditional rural district of Turkey. Although the prevalence rate was 23%, the mean value of "Characteristics of the elder that make him or her vulnerable to abuse" subscale (X̄ = .37) was highest among other subscales. Read More

J Elder Abuse Negl 2020 Jun 22;32(3):275-294. Epub 2020 Mar 22.

Department of Sociology, Anthropology and Social Work, Central Michigan University , Mount Pleasant, Michigan, USA.

The current article presents the results of an exploratory research that examined 16 homicides perpetrated by grandchildren against their own grandmothers in Ghana, West Africa. The term grannicide was coined by the present author and employed in the current analysis to denote the slaying of a grandmother by her grandchildren. Data for the present study were extracted from various Ghanaian print and electronic media. Read More

J Elder Abuse Negl 2020 Jun 18;32(3):201-216. Epub 2020 Mar 18.

Columbus VA Ambulatory Care Center , Columbus, Ohio, USA.

The National Voluntary Consensus Guidelines for Adult Protective Services (APS) were released in 2016 by the Administration for Community Living. These Guidelines help standardize systems to ensure the protection of older adults and adults with disabilities against abuse, neglect, and financial exploitation. Since their release, the extent to which state APS programs are aware of and using the Guidelines is unknown. Read More

J Elder Abuse Negl 2020 Jun 17;32(3):235-258. Epub 2020 Mar 17.

School of Communication Studies, Kent State University , Kent, Ohio, USA.

The goal of the current study was to examine the roles of communication neglect and caregiver traits (i.e., anger and hostility) in explaining caregivers' tendency to engage in abusive behaviors - specifically, whether such tendency is likely to occur in situations where caregivers perceive older care receivers displaying cognitive impairment or problem behaviors. Read More

J Elder Abuse Negl 2020 Mar-May;32(2):121-133. Epub 2020 Mar 16.

Division of Geriatric and Palliative Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, USA.

The Geriatrician clinicians of the Texas Elder Abuse and Mistreatment Institute - Forensic Assessment Center Network (TEAM-FACN) in Houston, have many years of experience providing capacity assessment services for Adult Protective Services (APS) and Texas courts. A process has developed which is efficient, consistent, and evidence-informed. In the last two years, telecommunication has been added to this process to conduct assessments of APS clients in areas of Texas remote from the Houston area. Read More

BMC Health Serv Res 2020 Mar 12;20(1):199. Epub 2020 Mar 12.

Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology NTNU, Trondheim, Norway.

Background: The definition and understanding of elder abuse and neglect in nursing homes can vary in different jurisdictions as well as among health care staff, researchers, family members and residents themselves. Different understandings of what constitutes abuse and its severity make it difficult to compare findings in the literature on elder abuse in nursing homes and complicate identification, reporting, and managing the problem. Knowledge about nursing home leaders' perceptions of elder abuse and neglect is of particular interest since their understanding of the phenomenon will affect what they signal to staff as important to report and how they investigate adverse events to ensure residents' safety. Read More