Abuse and neglect of the elderly: Are emergency department personnel aware of mandatory reporting laws?

Clark-Daniels, Carolyn L.; Daniels, R. Steven; Baumhover, Lorin A.

doi:10.1016/s0196-0644(05)82556-9

Cited by 45 publications

(13 citation statements)

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“…[4][5][6] The prevalence of elder abuse, including physical abuse, psychological abuse, fi nancial exploitation, and neglect, is between 2% and 10%. 4,[7][8][9][10][11][12] Risk factors include a shared living environment, cognitive or functional impairment, depression, and alcohol abuse.…”

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confidence: 99%

“…21 These concerns may lead physicians to not report cases even when they appear. 5,22,23 Some studies suggest that physicians' lack of familiarity with state reporting laws may contribute to underreporting of elder abuse, 5,23,24 whereas others cite controversy over its effectiveness. 22,25,26 Researchers have examined similar controversies concerning mandatory reporting of child abuse and intimate partner violence.…”

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confidence: 99%

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Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place

Rodríguez¹

2006

The Annals of Family Medicine

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PURPOSE Despite mandated reporting laws that require physicians to report elder abuse, physicians have low rates of reporting. The purpose of this study was to identify physician's perspectives on mandated reporting of elder abuse.METHODS Individual, semistructured interviews were conducted with 20 primary care physicians practicing in a variety of settings and caring for a diverse patient population in the Los Angeles area. Interviewers collected information on physicians' perspectives about factors that may infl uence physicians' likelihood to report elder abuse. The interviews were recorded and transcribed verbatim. Transcripts were analyzed using a grounded theory approach based on the constant comparative method and the emergence of the core category of paradox to best account for the most problematic elder abuse situations faced by physicians.RESULTS During the interviews 3 paradoxes were expressed by physicians about the mandatory reporting of elder abuse. Specifi cally, mandatory reporting was related to both perceptions of increases and decreases in physician-patient rapport, patient quality of life, and physician control or ability to decide what is in the best interest of the patient. These paradoxes appear to be primarily hidden or unconscious, yet they infl uence the conscious decision process of whether to report.CONCLUSIONS Primary care physicians appear to be subject to paradoxes of reporting that contribute to the underreporting of elder abuse. These paradoxes and alternative modes of managing paradoxes are important and should be addressed in educational and training programs for physicians, and systematic evaluation of these issues may help to inform future legislation in this area. Further studies are needed to assess the generalizability of these fi ndings to other groups of clinicians.

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confidence: 99%

Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place

Rodríguez¹

2006

The Annals of Family Medicine

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“…For students, being relatively youthful, living for the first time independently, and among other students, may increase their vulnerability and reduce their willingness to report fellow students who may have sexually assaulted them. There has been some examination of the first two populations (i.e., elderly and domestic violence victims), particularly the extent of MR targeting these populations (Durborow et al, 2010;Stiegel & Klem, 2007), reporting prevalence (Clark-Daniels, Daniels, & Baumhover, 1990;Sachs, Peek, Baraff, & Hasselblad, 1998), and victim welfare (Goodrich, 1997;Hyman, Schillinger, & Lo, 1995). However, because extension of MR to college students is most recent, scholarship on the merits and shortcomings of the practice is noticeably absent.…”

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confidence: 99%

Mandatory Reporting (MR) in Higher Education

Mancini

Pickett

Call

et al. 2016

Criminal Justice Review

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Mandatory reporting (MR) policies concerning sexual assault victimization now extend to institutions of higher education. The laws are new and thus controversial since relatively little investigation into their impact has occurred. Additionally, since the laws require disclosure to police, at times, even in instances where victims object, opponents have expressed concerns about potential unintended effects, such as diminished victim autonomy. Perhaps, though, the most glaring question involves how college students perceive the policies. Because students are the focus of the laws, this investigation evaluates student opinion about MR, including approval for the policy, the likelihood of personally reporting under MR, perceptions of faculty compliance, and expected outcomes of MR laws. Findings suggest overwhelming support for MR, substantial likelihood of personally reporting assault under the law, and strong belief in faculty compliance. Not least, although students recognize both the positive and negative possibilities of the law, higher percentages believed in the law's potential benefits (e.g., increase university accountability). Implications for research and policy are discussed.

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“…Without adequate education, it is unlikely that health care providers will be aware of the laws, regulations, and responsibilities regarding cases of elder abuse or neglect (Clark- Daniels et al, 1990;Wolf, 1988). Health practitioners and students can learn to deal with potential inner conflict and increase awareness and objectivity.…”

Section: Discharge Planmentioning

confidence: 99%

A case study of an abused older woman

Mitchell

Smyth

1994

Health Care for Women International

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Because little is known about elder abuse, it is difficult to propose strategies for primary prevention or to select the most efficacious strategies to deal with abuse. Intervening is also complicated by personal and professional values that often have their origin in one's own family. Elder abuse is a complex challenge to health professionals, making assessment, diagnosis, treatment, and evaluation difficult. Using a case study approach, we illustrate these complexities, describe the dynamics, and apply a decision-making model to the management of a case of abuse. Theoretical research and background information are woven into the discussion of the case to explain further the dynamics.

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Abuse and neglect of the elderly: Are emergency department personnel aware of mandatory reporting laws?

Cited by 45 publications

References 2 publications

Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place

Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place

Mandatory Reporting (MR) in Higher Education

A case study of an abused older woman

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