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Elder abuse in long-term care residences and the risk indicators

Published online by Cambridge University Press:  16 March 2010

MIRI COHEN ,
SARAH HALEVY-LEVIN ,
RONI GAGIN ,
DANA PRILTUZKY  and
GIDEON FRIEDMAN
MIRI COHEN*
Affiliation:
Department of Gerontology, University of Haifa, Haifa, Israel.
SARAH HALEVY-LEVIN
Affiliation:
The Geriatric Unit, Hadassah Medical Center, Jerusalem, Israel.
RONI GAGIN
Affiliation:
Social Work Department, Rambam Medical Center, Haifa, Israel.
DANA PRILTUZKY
Affiliation:
Department of Gerontology, University of Haifa, Haifa, Israel.
GIDEON FRIEDMAN
Affiliation:
The Geriatric Unit, Hadassah Medical Center, Jerusalem, Israel.
*
Address for correspondence: Miri Cohen, School of Social Work, Haifa University, Mount Carmel, Haifa31905, Israel E-mail: cohenm@research.haifa.ac.il
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Abstract

The aim of the study was to assess the prevalence of abuse among the residents of long-term care facilities in Israel, and its associations with risk indicators. Seventy-one such residents aged 70 or more years were assessed in the internal and orthopaedic departments of two university medical centres for possible abuse by carers at the long-term facilities from which they were admitted. The study collected socio-demographic and health profiles and a list of maltreatment or abusive acts, and administered the Signs of Abuse Inventory and the Expanded Indicators of Abuse Questionnaire. Among the 71 residents, 31 per cent reported some form of maltreatment, most being instances of disrespectful behaviour. Signs of abuse, mostly of neglect, were detected in 22.5 per cent of the sample. Hierarchical regression analysis revealed that higher scores on risk indicators and higher dependence on others for the activities of daily living significantly associated with reported abuse, while age, gender, risk indicators and lower blood albumin level (being an indicator of worse nutritional and health status) significantly associated with identified signs of abuse. It is concluded that direct questioning mainly discloses instances of disrespectful behaviours and humiliation, while the assessment of signs of abuse is more sensitive to cases of neglect. Risk indicators were found to be reliable indicators of abuse. Routine screening for these indicators is recommended to improve detection and thereby to prevent abuse in long-term care facilities.

Keywords

elder abuselong-term facilitiessigns of abuserisk indicators
Type
Research Article
Information
Ageing & Society , Volume 30 , Issue 6 , August 2010 , pp. 1027 - 1040
Copyright
Copyright © Cambridge University Press 2010

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