Elder Abuse Detection and Intervention: A Collaborative Approach (Springer Series on Ethics, Law and Aging)

Contents......Page 8
Preface......Page 12
Introduction......Page 14
Acknowledgments......Page 20
SECTION ONE: UNDERSTANDING ELDER ABUSE......Page 22
ONE: Historical Context......Page 24
Historical Context......Page 26
Systems' Responses to Elder Abuse......Page 28
Introduction......Page 38
Age......Page 40
Health and Functional Status of the Victim......Page 41
Gender......Page 42
Relationship Between Victim and Abuser......Page 43
Forms of Elder Abuse......Page 44
Conclusion......Page 56
THREE: Dynamics of Elder Abuse......Page 58
Why Does Elder Abuse Occur?......Page 59
Why Specific Forms of Elder Abuse Occur......Page 65
Why Does An Older Person Who Is Being Harmed Maintain a Relationship with the Abuser?......Page 73
Conclusion......Page 78
SECTION TWO: RESPONDING TO ELDER ABUSE......Page 80
FOUR: Identification and Reporting......Page 82
Identifying Elder Abuse......Page 83
Indicators of Elder Abuse......Page 85
Abuse and Neglect in Long-term Care Facilities......Page 91
Reporting/Referring Elder Abuse......Page 95
Additional Considerations for Reporting/Referring Abuse in Facilities......Page 97
Conclusion......Page 98
Adult Protective Services......Page 100
Criminal Justice System......Page 104
Civil Justice System......Page 109
Health Care System......Page 110
Domestic Violence and Sexual Assault Programs......Page 114
Additional Agencies That May Offer Useful Services for Elder Abuse Victims......Page 117
Conclusion......Page 121
SECTION THREE: COLLABORATION......Page 122
Overview......Page 124
Historical Perspective......Page 125
Collaborative and Noncollaborative Approaches to Elder Abuse......Page 126
Collaborative Approaches......Page 128
Advantages of Elder Abuse Collaborations......Page 131
Professional Visions and Philosophies......Page 137
Challenges Relating to Historical Distrust and Poor Prior Interactions......Page 139
Challenges Relating to Definition and Understanding of Elder Abuse......Page 141
Challenges Relating to Setting......Page 142
Challenges Related to Legal Requirements and Limitations......Page 144
Challenges Relating to Roles......Page 145
Challenges Related to Personality Conflicts......Page 147
Team Member Obstacles......Page 148
Deviation From Accepted Procedures......Page 149
Long-term Team Sustainability......Page 150
Conclusion......Page 151
Informal Multidisciplinary Responses......Page 152
Case 1: Emotional and Physical Abuse and Financial Exploitation......Page 153
Effective Interventions Through Collaboration......Page 155
Case 2: Caregiver Neglect......Page 160
Guiding Principles: Empowerment and Self-Determination......Page 163
Case 3: Domestic Violence......Page 164
Case 4: Betty: A Case of Self-Neglect......Page 167
Case 5: Sexual Abuse in a Licensed Facility......Page 170
Conclusion......Page 173
Steps of Team Processes......Page 176
Planning Phase......Page 177
Evaluation......Page 185
Sustaining Team Effort......Page 189
Conducting Strategic Planning......Page 190
Utilizing Data to Direct Research......Page 191
Dissemination of Information About the Team......Page 192
SECTION FOUR: ACCOMPLISHING THE WORK......Page 194
Phase I: Case Referral......Page 196
Phase II: Assessment or Investigation......Page 200
Phase III: Crafting an Intervention Plan......Page 203
Phase IV: Implementation of the Intervention Plan......Page 206
Multi-Agency Case: Doris......Page 211
Single-Agency Case: Estelle......Page 215
TEN: Enhancing Victim Safety Through Collaboration......Page 218
Elder Abuse Can Lead to Serious Harm or Death......Page 219
Case Illustration......Page 233
ELEVEN: A Collaborative Model for Holding Abusers Accountable......Page 240
Law Enforcement......Page 241
Conclusion......Page 257
Introduction......Page 258
Importance of Systems Review and Change......Page 259
Conclusion......Page 273
SECTION FIVE: WHERE DO WE GO FROM HERE?......Page 274
THIRTEEN: Strategies to End Elder Abuse......Page 276
Need for Strategic Initiatives......Page 277
Advocating for Social Change......Page 279
Improving Services and Remedies for Current Victims......Page 281
Helping Future Victims by Expanding Knowledge Through Data Collection and Research......Page 291
Conclusion......Page 297
APPENDIX A......Page 300
REFERENCES......Page 304
A......Page 316
C......Page 317
E......Page 319
F......Page 320
H......Page 321
L......Page 322
N......Page 323
O......Page 324
P......Page 325
S......Page 326
T......Page 327
W......Page 328