The Association of Elder Abuse and Substance Abuse in the Illinois Elder Abuse System

Hwalek, Melanie; Neale, Anne Victoria; Goodrich, Carolyn Stahl; Quinn, Kathleen

doi:10.1093/geront/36.5.694

Cited by 51 publications

(54 citation statements)

References 13 publications

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“…Studies also associate physical abuse and chronic verbal aggression with spouses rather than with more distant contacts (9,23), and associate financial abuse with distant relatives and nonrelatives (9). Likewise, studies associate physical and emotional abuse with caregiver substance abuse (24) and physical abuse with caregiver alcohol abuse (22). In addition, another study related caregiver substance abuse to care receiver substance abuse (24).…”

Section: Correlatesmentioning

confidence: 99%

“…Likewise, studies associate physical and emotional abuse with caregiver substance abuse (24) and physical abuse with caregiver alcohol abuse (22). In addition, another study related caregiver substance abuse to care receiver substance abuse (24). Studies in dementia report an association of physical abuse with higher caregiver burden scores (25), depression scores (25,26), general health symptom scores (27), and longer duration of caregiving (25).…”

Section: Correlatesmentioning

confidence: 99%

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Prevalence and Correlates of Elder Abuse and Neglect in a Geriatric Psychiatry Service

2002

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Objective: To determine the prevalence and correlates of 4 types of elder abuse and neglect in a geriatric psychiatry service. Method:We conducted a cross-sectional retrospective chart review of new in-and outpatients seen by the Montreal General Hospital Division of Geriatric Psychiatry in one calendar year.Results: Abuse or neglect was suspected or confirmed in 20 (16%) of 126 patients, comprising financial abuse in 16 (13%), neglect in 7 (6%), emotional abuse in 5 (4%), physical abuse in 3 (2%), and multiple abuse in 7 (6%). On bivariate analysis, patients living with nonspouse family, friends, or other persons were significantly more likely to have suffered abuse than were those living with their spouse or in a supervised setting (OR 10.5; 95%CI, 2.3 to 47.8); widowed, divorced, or separated patients were significantly more likely to have suffered abuse than were married patients (OR 4.7; 95%CI, 1.02 to 22.0). Nonsignificant trends included female sex (OR 4.1; 95%CI, 0.89 to 18.6); alcohol abuse (OR 2.1; 95%CI, 0.71 to 6.2); behaviour problems (OR 1.9; 95%CI, 0.71 to 5.2); and chronic cognitive impairment (OR 1.4; 95%CI, 0.55 to 3.8). Although living situation with nonspouse family, friends, or others and marital status of widowed, divorced, or separated were significantly associated with abuse when examined in separate logistic regression models, both were nonsignificant when examined together, suggesting collinearity. Both were retained in the model because they probably represent different aspects of vulnerability. The final model included living situation with nonspouse family, friends, or others (OR 6.1; 95%CI, 0.75 to 49.5) and widowed, divorced, or separated marital status (OR 2.4; 95%CI, 0.21 to 26.8). Nonsignificant trends included female sex (OR 2.6; 95%CI, 0.45 to 14.4); alcohol abuse (OR 2.2; 95%CI, 0.59 to 7.9); and lowest quartile on the Global Assessment of Functioning (GAF) scale (GAF < 35; OR 2.0; 95%CI, 0.64 to 6.0). Conclusions:The practical implications of our study are that elder abuse and neglect are common among patients referred to geriatric psychiatry services, that such services should have access to multidisciplinary expertise and resources to deal with abuse, and that certain situations may signal higher risk. In our setting, the situation of living with nonspouse family, friends, or other persons in a nonsupervised setting and a history of family disruption by widowhood, divorce, or separation were significant correlates of abuse. Suggestive but nonsignificant trends of potential importance (OR ³ 2.0) included female sex, alcohol abuse, and lowest quartile of functional status. Study limitations include a cross-sectional retrospective chart review design, a clinically derived sample, a small sample size, and a lack of structured instruments for several variables. (Can J Psychiatry 2002; 47;459-467)

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Section: Correlatesmentioning

confidence: 99%

Section: Correlatesmentioning

confidence: 99%

Prevalence and Correlates of Elder Abuse and Neglect in a Geriatric Psychiatry Service

2002

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“…62 Tatara's study of abuse across 18 states also found that family members were the suspected abusers in two-thirds of the cases. 63 Various characteristics of the abusing individual that have been found to be associated with abuse of an elder in a home setting, include advanced age, 64 alcoholism, 65 intellectual de cits, 66 inadequate communication skills, 67 substance abuse, 68 depression, 69 poor physical health, 70 stress, 71 social isolation, 72 nancial dif culties, 73 and dependence on the elderly individual. 74 Individuals also may be more likely to abuse the elder if they are limited in their understandin g of the elder's physical and emotional needs 75 or if they have LOUE unrealistic expectations about the elder's abilities or the likelihood of a favorable prognosis.…”

Section: Risk Factors For Elder Abuse and Neglectmentioning

confidence: 99%

Elder Abuse and Neglect in Medicine and Law: The Need for Reform

Loue¹

2001

Journal of Legal Medicine

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“…Substance abuse by a caregiver was more likely to involve physical and emotional abuse (Hwalek, Neale, Goodrich, & Quinn, 1996). When compared with elder sexual abuse victims reported to the criminal justice system (CJS), sexual abuse victims reported to APS were more likely to be abused at home (Burgess, RamseyKlawsnik, & Gregorian, 2008).…”

Section: Categories Of Studies Characteristics Associated With Abuse mentioning

confidence: 99%

“…Both groups involved primarily offspring who resided with their victims but did not have guardianship over them. Looking at over 500 Illinois cases, Hwalek et al (1996) compared substance abusers with other perpetrators and found that substance abusers more frequently physically or emotionally abused, rather than neglected or financially exploited their victims. Social workers rated cases with substance abusing perpetrators as at higher risk for continued abuse than other cases.…”

Section: Characteristics Of Alleged Perpetratorsmentioning

confidence: 99%

Informing Evidence-Based Practice: A Review of Research Analyzing Adult Protective Services Data

Ernst

Ramsey-Klawsnik²,

Schillerstrom

et al. 2014

Journal of Elder Abuse & Neglect

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The mission of Adult Protective Services (APS) is to protect older and vulnerable adults from abuse, neglect, and exploitation. The complexity of APS cases and the potential for life-changing interventions point to the need for research that examines and evaluates APS practices. A literature review identified 50 studies published during a 16-year period that used APS agencies, clients, data, or resources to test hypotheses regarding elder abuse. The analysis revealed promising efforts toward knowledge development about elder mistreatment and self-neglect. This article provides an overview of salient findings, notes the scarcity of studies that analyze the effectiveness of APS, and highlights the need for additional research. Lessons learned are described, and APS practitioners and researchers are urged to work collaboratively to develop key practice-related questions about APS processes and outcomes that can be tested with appropriate research methodologies.

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The Association of Elder Abuse and Substance Abuse in the Illinois Elder Abuse System

Cited by 51 publications

References 13 publications

Prevalence and Correlates of Elder Abuse and Neglect in a Geriatric Psychiatry Service

Prevalence and Correlates of Elder Abuse and Neglect in a Geriatric Psychiatry Service

Elder Abuse and Neglect in Medicine and Law: The Need for Reform

Informing Evidence-Based Practice: A Review of Research Analyzing Adult Protective Services Data

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