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Screening for Elder Abuse: Tools and Effectiveness

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Elder Abuse

Abstract

Screening for elder abuse is defined as a process of eliciting information about abusive experiences in a caring or family relationship from older or vulnerable adults who do not have obvious sign of abuse. A cornerstone of effective screening is the development of valid and reliable screening measures. This chapter presents a systematic review of a range of approaches to screening for elder abuse and neglect and discusses issues associated with the development of effective screening instruments in this challenging area. The review focuses on two groups of measures. The first are screening measures designed to screen at the community or population level. The second are screening instruments designed for use in healthcare or institutional settings. These are usually administered by interview. The systematic review covers the origin of the scale, the structure of the scale, and the intended respondent and method of administration. In addition, details of the psychometric properties of each scale are provided along with the types of samples on which the validation was undertaken. A summary of strengths and limitations of each measure is also provided. The effectiveness of screening for elder abuse and neglect is reviewed, and future directions for the advancement of screening approaches are discussed.

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References

  1. Abdel Rahman TT, El Gaagary MM. Elder mistreatment in a rural area in Egypt. Geriatr Gerontol Int. 2012;12:532–7. doi:10.1111/j.1447-0594.2011.00780.x.

    Article  PubMed  Google Scholar 

  2. Abrams RC, Lachs M, McAvay G, Keohane DJ, Bruce ML. Predictors of self-neglect in community-dwelling elders. Am J Psychiatry. 2002;159:1729–30. doi:10.1176/appi.ajp.159.10.1724.

    Article  Google Scholar 

  3. Aish AE, Isenberg M. Effects of Oren-based nursing intervention on nutritional self-care of myocardial infarction patients. Int J Nurs Stud. 1996;33:259–70. doi:10.1016/0020-7489(95)00059-3.

    Article  CAS  PubMed  Google Scholar 

  4. Alon S, Berg-Warman A. Treatment and prevention of elder abuse and neglect—a model for intervention to prevent and treat elder abuse in Israel. J Elder Abuse Negl. 2014;26:150–71. doi:10.1080/08946566.2013.784087.

    Article  PubMed  Google Scholar 

  5. American College of Emergency Physicians (2016) Clinical and practice management: domestic family violence. American College of Emergency Physicians, Irving. Accessed 25 Oct 2016. http://www.acep.org/content.aspx?id=38378.

  6. American Medical Association (AMA). Diagnostic and treatment guidelines on elder abuse and neglect. Chicago: Author; 1992.

    Google Scholar 

  7. American Medical Association (AMA) (2007) Amendment to Opinion E-2.02, “Physicians’ obligations in preventing, identifying and treating violence and abuse”. Report of the Council on Ethical and Judicial Affairs, CEJA Report 6-I-07. Accessed 15 Dec 2015. http://www.ama-assn.org/ama/pub/about-ama/our-people/ama-councils/council-ethical-judicial-affairs/ceja-reports.page.

  8. Anthony EK, Lehning AJ, Austin MJ, Peck MD. Assessing elder mistreatment: instrument development and implications for adult protective services. J Gerontol Soc Work. 2009;52:815–36. doi:10.1080/01634370902918597.

    Article  PubMed  Google Scholar 

  9. Ayalon L. Evaluating the working conditions and exposure to abuse of Filipino home care workers in Israel: characteristics and clinical correlates. Int Psychogeriatr. 2009;21:40–9.

    Article  PubMed  Google Scholar 

  10. Ayalon L. Abuse is in the eyes of the beholder: using multiple perspectives to evaluate elder mistreatment under round-the-clock foreign home carers in Israel. Ageing Soc. 2011;31:499–520. doi:10.1017/S0144686X1000108X.

    Article  Google Scholar 

  11. Ayalon L. Reports of elder neglect by older adults, their family caregivers, and their home care workers: a test of measurement invariance. J Gerontol Psychol Sci Soc Sci. 2015;70B:432–42. doi:10.1093/geronb/gbu051.

    Article  Google Scholar 

  12. Baker MW, LaCroix AZ, Wu CY, Cochrane BB, Wallace R, Woods NF. Mortality risk associated with physical and verbal abuse in women aged 50–79. J Am Geriatr Soc. 2009;57:1799–809. doi:10.1111/j.1532-5415.2009.02429.x.

    Article  PubMed  Google Scholar 

  13. Bass DM, Anetzberger GJ, Ejaz FK. Nagpaul K. Screening tools and referral protocol for stopping abuse against older ohioans: a guide for service providers. J Elder Abuse Negl. 2001;13(2), 23–38. doi:10.1300/J084v13n02_03

    Article  Google Scholar 

  14. Beach SR, Schulz R, Williamson GM, Miller LS, Weiner MF, Lance CE. Risk factors for potentially harmful informal caregiver behavior. J Am Geriatr Soc. 2005;53:255–61. doi:10.1111/j.1532-5415.2005.53111.x.

    Article  PubMed  Google Scholar 

  15. Bharucha AJ, London AJ, Barnard D, Wactlar H, Dew MA, Reynolds CF III. Ethical considerations in the conduct of electronic surveillance research. J Law Med Ethics. 2006;34:611–9. doi:10.1111/j.1748-720X.2006.00075.x.

    Article  PubMed  Google Scholar 

  16. Biggs S, Manthorpe J, Tinker A, Doyle M, Erens B. Mistreatment of older people in the United Kingdom: findings from the first national prevalence study. J Elder Abuse Negl. 2009;21:1–14. doi:10.1080/08946560802571870.

    Article  PubMed  Google Scholar 

  17. Burnes D, Pillemer K, Caccamise PL, Mason A, Henderson CR Jr, Berman J, et al. Prevalence of and risk factors for elder abuse and neglect in the community: a population-based study. J Am Geriatr Soc. 2015;63:1906–12. doi:10.1111/jgs.13601.

    Article  PubMed  Google Scholar 

  18. Burnett J, Dyer CB, Halphen JM, Achenbaum WA, Green CE, Booker JG, Diamond PM. Four subtypes of self-neglect in older adults: results of a latent class analysis. J Am Geriatr Soc. 2014;62:1127–32. doi:10.1111/jgs.12832.

    Article  PubMed  Google Scholar 

  19. Centers for Medicare and Medicaid Services (CMS) (2013) Technical expert panel (TEP) summary report: elder mistreatment screening and follow-up plan. Author. Accessed 30 Nov 2015. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Downloads/Elder-Maltreatment-Screening-and-Follow-Up-Plan.pdf.

  20. Chan KL, Choi WMA, Fong DYT, Chow CB, Leung M, Ip P. Characteristics of family violence victims presenting to emergency departments in Hong Kong. J Emerg Med. 2013;44:249–58. doi:10.1016/j.jemermed.2012.01.061.

    Article  PubMed  Google Scholar 

  21. Chang E-S, Beck T, Simon MA, Dong X. A psychometric assessment of the psychological and social wellbeing indicators in the PINE study. J Aging Health. 2014;26:1116–36. doi:10.1077/0898264314543471.

    Article  PubMed  Google Scholar 

  22. Chang JC, Decker M, Moracco KE, Martin SL, Petersen R, Frasier PY. What happens when health care providers ask about intimate partner violence? A description of consequences from the perspectives of female survivors. J Am Med Women’s Assoc. 2003;58(2):76–81. doi:10.1016/j.pec.2004.10.008.

    Article  Google Scholar 

  23. Chokkanathan S, Lee AE. Elder mistreatment in urban India: a community based study. J Elder Abuse Negl. 2005;17(2):45–61. doi:10.1300/J084v17n02_03.

    Article  PubMed  Google Scholar 

  24. Cisler JM, Begle AM, Amstadter AB, Acierno R. Mistreatment and self-reported emotional symptoms: results from the National Elder Mistreatment Study. J Elder Abuse Negl. 2012;24:216–30. doi:10.1080/08946566.2011.652923.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Cohen M. The process of validation of a three-dimensional model for the identification of abuse in older adults. Arch Gerontol Geriatr. 2013;57:243–9. doi:10.1016/j.archger.2013.06.009.

    Article  PubMed  Google Scholar 

  26. Cohen M, Halevi-Levin S, Gagin R, Friedman G. Development of a screening tool for identifying elderly people at risk of abuse by their caregivers. J Aging Health. 2006;18:660–85. doi:10.1177/0898264306293257.

    Article  PubMed  Google Scholar 

  27. Cohen-Mansfield J, Marx MS, Rosenthal AS. A description of agitation in a nursing home. J Gerontol Soc Sci. 1989;44:577–84.

    Google Scholar 

  28. Cohen M, Halevi-Levin S, Gagin R, Friedman G. Elder abuse: disparities between older people’s disclosure of abuse, evident signs of abuse, and high risk of abuse. JAGS. 2007;55(8);1224–30. doi:10.1111/j.1532-5415.2007.01269.x

    Article  PubMed  Google Scholar 

  29. Cohen M, Halevi-Levin S, Gagin, R, Friedman G. Elder abuse in long-term care residences and the risk indicators. Ageing Soc. 2010;30:1027–40. doi:10.1017/S0144686X10000188

    Article  Google Scholar 

  30. Comijs HC, Penninx BWJH, Knipscheer KPM, van Tilburg W. Psychological distress in victims of elder mistreatment: the effects of social support and coping. J Gerontol. 1999;54B:240–5. doi:10.1093/geronb/54B.4.P240.

    Article  Google Scholar 

  31. Conrad KJ, Iris M, Ridings JW, Langley K, Anetzberger G. Self-report measure of psychological abuse of older adults. Gerontologist. 2011;51:354–66. doi:10.1093/geront/gnq103.

    Article  PubMed  Google Scholar 

  32. Conrad KJ, Iris M, Ridings JW, Langley K, Wilber KH. Self-report measure of financial exploitation of older adults. Gerontologist. 2010;50:758–73. doi:10.1093/geront/gnq054.

    Article  PubMed  Google Scholar 

  33. Conrad KJ, Iris M, Ridings JW, Fairman KP, Rosen A, Conceptualizing and measuring financial exploitation of older adults. In: Report to the National Institute of Justice. Grant #. 2006-MU-2004; 2009.

    Google Scholar 

  34. Cooper C, Katona C, Finne-Soveri H, Topinkova E, Carpenter GI, Livingston G. Indicators of elder abuse: a crossnational comparison of psychiatric morbidity and other determinants in the Ad-HOC study. Am J Geriatr Psychiatry. 2006;14:489–97. doi:10.1097/01.JGP.0000192498.18316.b6.

    Article  PubMed  Google Scholar 

  35. Cooper C, Manela M, Katona C, Livingston G. Screening for elder abuse in dementia in the LASER-AD study: prevalence, correlates and validation of instruments. Int J Geriatr Psychiatry. 2008;23:283–8. doi:10.1002/gps.1875.

    Article  PubMed  Google Scholar 

  36. Cooper C, Maxim K, Selwood A, Blanchard M, Livingston G. The sensitivity and specificity of the Modified Conflict Tactics Scale for detecting clinically significant elder abuse. Int Psychogeriatr. 2009;21:774–8. doi:10.1017/S1041610209009387.

    Article  PubMed  Google Scholar 

  37. Cooper C, Selwood A, Blanchard M, Walker Z, Blizard R, Livingston G. The determinants of family caregivers’ abusive behaviour to people with dementia: results of the CARD study. J Affect Disord. 2010;121:136–42. doi:10.1016/j.jad.2009.05.001.

    Article  CAS  PubMed  Google Scholar 

  38. Cooper C, Selwood A, Livingston G. The prevalence of elder abuse and neglect: a systematic review. Age Ageing. 2008;37:151–60. doi:10.1093/ageing/afm194.

    Article  PubMed  Google Scholar 

  39. Dai Y, Yang C, Wang H, Cheng Y, Long-term care services functional classification system. In: National Science Council of Taiwan Report (in Chinese); 1995.

    Google Scholar 

  40. De Donder L, Lang G, Penhale B, Ferreira-Alves J, Tamutiene I, Verté D, Luoma M-L. Item non-response when measuring elder abuse: influence of methodological choices. Eur J Pub Health. 2013;23:1021–6. doi:10.1093/eurpub/cks172.

    Article  Google Scholar 

  41. De Donder L, Luoma M-L, Penhale B, Lang G, Santos AJ, Tamutiene I, et al. European map of prevalence rates of elder abuse and its impact for future research. Eur J Aging. 2011;8:129–43. doi:10.1007/s10433-011-0187-3.

    Article  Google Scholar 

  42. Dong X. Do the definitions of elder mistreatment subtypes matter? Findings from the PINE Study. J Gerontol A Med Sci. 2014a;69A(S2):S68–75. doi:10.1093/gerona/glu141.

    Article  Google Scholar 

  43. Dong X. Self-neglect in an elderly community-dwelling U.S. Chinese population: findings from the Population Study of Chinese Elderly in Chicago Study. J Am Geriatr Soc. 2014b;62:2391–7. doi:10.1111/jgs.13140.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Dong X. Screening for elder abuse in healthcare settings: Why should we care, and is it a missed quality indicator? J Am Geriatr Soc. 2015;63:1686–92. doi:10.1111/jgs.1_13538.

    Article  PubMed  Google Scholar 

  45. Dong X, Beck T, Simon MA. The associations of gender, depression and elder mistreatment in a community-dwelling Chinese population: the modifying effect of social support. Arch Gerontol Geriatr. 2010a;50:202–8. doi:10.1016/j.archger.2009.03.011.

    Article  PubMed  Google Scholar 

  46. Dong X, Chang E-S, Simon MA. Physical function assessment in a community-dwelling population of U. S. Chinese older adults. J Gerontol A Med Sci. 2014e;62A:2391–7. doi:10.1093/gerona/glu205.

    Article  Google Scholar 

  47. Dong X, Simon MA. Urban and rural variations in the characteristics associated with elder mistreatment in a community-dwelling Chinese population. J Elder Abuse Negl. 2013;25:97–125. doi:10.1080/08946566.2013.751811.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Dong X, Simon MA. Vulnerability risk index profile for elder abuse in a community-dwelling population. J Am Geriatr Soc. 2014;62:10–5. doi:10.1111/jgs.12621.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Dong XQ, Simon MA. Elder self-neglect is associated with an increased rate of 30-day hospital readmission: findings from the Chicago Health and Aging Project. Gerontology. 2015;61:41–50. doi:10.1159/000360698.

    Article  PubMed  Google Scholar 

  50. Dong XQ, Simon MA, Beck TT, Farran C, McCann JJ, Mendes de Leon CF, et al. Elder abuse and mortality: The role of psychological and social wellbeing. Gerontology. 2011;57:549–58. doi:10.1159/000321881.

    Article  CAS  PubMed  Google Scholar 

  51. Dong XQ, Simon MA, Evans DA. Prevalence of self-neglect across gender, race, and socioeconomic status: findings from the Chicago Health and Aging Project. Gerontology. 2012a;58:258–68. doi:10.1159/000334256.

    Article  PubMed  Google Scholar 

  52. Dong XQ, Simon MA, Evans DA. Elder self-neglect and hospitalization: findings from the Chicago Health and Aging Project. J Am Geriatr Soc. 2012b;60:202–9. doi:10.1111/j.1532-5415.2011.03821.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Dong XQ, Simon MA, Evans DA. Prospective study of the elder self-neglect and emergency department use in a community population. Am J Emerg Med. 2012d;30:553–61. doi:10.1016/j.ajem.2011.02.008.

    Article  PubMed  Google Scholar 

  54. Dong X, Simon M, Fulmer T, Mendes de Leon CF, Rajan B, Evans DA. Physical function decline and the risk of elder self-neglect in a community-dwelling population. Gerontologist. 2010b;50:316–26.

    Article  PubMed  Google Scholar 

  55. Dong X, Simon MA, Gorbien M. Elder abuse and neglect in an urban Chinese population. J Elder Abuse Negl. 2007;19(3–4):79–96.

    Article  PubMed  Google Scholar 

  56. Dong X, Simon M, Mendes de Leon C, Fulmer T, Beck T, Hebert L, et al. Elder self-neglect and abuse and mortality risk in a community-dwelling population. J Am Med Assoc. 2009;302:517–26. doi:10.1001/jama.2009.1109.

    Article  CAS  Google Scholar 

  57. Dong XQ, Simon MA, Mosqueda L, Evans DA. The prevalence of self-neglect in a community-dwelling population: hoarding, hygiene, and environmental hazards. J Aging Health. 2012c;24:507–24. doi:10.1177/0898264311425597.

    Article  PubMed  Google Scholar 

  58. Dong X, Wilson RS, Mendes de Leon CF, Evans DA. Self-neglect and cognitive function among community-dwelling older persons. Int J Geriatr Psychiatry. 2010c;25:798–806.

    Article  PubMed  Google Scholar 

  59. Dong X, Wilson RS, Simon MA, Rajan B, Evans DA. Cognitive decline and risk of elder self-neglect: the findings from the Chicago Health and Aging Project. J Am Geriatr Soc. 2010d;58:2292–9.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Dong X. Self-neglect in an elderly community-dwelling U.S. Chinese population: findings from the Population Study of Chinese Elderly in Chicago Study. JAGS. 2014b; 62:2391–7. doi:10.1111/jgs.13140

  61. Dyer CB, Kelly PA, Pavlik VN, Lee J, Doody RS, Regev T, Smith SM. The making of a self-neglect severity scale. J Elder Abuse Negl. 2006;18:13–23. doi:10.1300/J084v18n04_03.

    Article  PubMed  Google Scholar 

  62. Dyer CB. Neglect assessment in elderly persons. J Gerontol: Med Sc. 2005;60A:1000–1. doi:10.1093/gerona/60.8.1000

    Article  Google Scholar 

  63. Edirisinghe PAS, Paranitharn P, Perera WNS, Willams SS. Elder abuse among outpatient department attendees in a tertiary care hospital in Sri Lanka. Ceylon Med J. 2014;59(3):84–9. doi:10.4038/cmj.v59i3.6527.

    Article  CAS  PubMed  Google Scholar 

  64. Eisikovits Z, Winterstein T, Lowenstein A. The national survey on elder abuse and neglect in Israel. Haifa: University of Haifa and Eshel; 2004.

    Google Scholar 

  65. Ejaz FK, Bass DM, Anetzberger GJ, Nagpaul K. Evaluating the Ohio elder abuse and domestic violence in late life screening tools and referral protocol. J Elder Abuse Negl. 2001;13(2):39–57. doi:10.1300/J084v13n02_04.

    Article  Google Scholar 

  66. Evers GCM. Appraisal of Self-Care Agency. A.S.A.-scale. Assen, NL: Van Gorcum; 1989.

    Google Scholar 

  67. Fisher BS, Regan SL. The extent and frequency of abuse in the lives of older women and their relationship with health outcomes. Gerontologist. 2006;46:200–9. doi:10.1093/geront/46.2.200.

    Article  PubMed  Google Scholar 

  68. Fraga S, Lindert J, Barros H, Torres-Gonzales F, Ioannidi-Kapolou E, Melchiorre MG, Soares JF. Elder abuse and socioeconomic inequalities: a multilevel study in 7 European countries. Prev Med. 2014;61:42–7. doi:10.1016/j.ypmed.2014.01.008.

    Article  PubMed  Google Scholar 

  69. Frost MH, Willette K. Risk for abuse/neglect: documentation of assessment data and diagnoses. J Gerontol Nurs. 1994;20:37–45. doi:10.3928/0098-9134-19940801.

    Article  CAS  PubMed  Google Scholar 

  70. Fulmer T, Guadagno L, Paveza G, VandeWeerd C, Baglioni A, Abraham I. Profiles of older adults who screen positive for neglect during an emergency department visit. J Elder Abuse Negl. 2002;14:49–60. doi:10.1300/J084v14n01_03.

    Article  Google Scholar 

  71. Fulmer T, McMahon DJ, Baer-Hines M, Forget B. Abuse, neglect, abandonment, violence, and exploitation: an analysis of all elderly patients seen in one emergency department during a six-month period. J Emerg Nurs. 1992;18:505–10. doi:10.1093/geront/45.4.525.

    Article  CAS  PubMed  Google Scholar 

  72. Fulmer T, Paveza G, Abraham I, Fairchild S. Elder neglect assessment in the emergency department. J Emerg Nurs. 2000;26(5):436–43. doi:10.1067/men.2000.110621.

    Article  CAS  PubMed  Google Scholar 

  73. Fulmer T, Paveza G, VandeWeerd C, Fairchild S, Guadagno L, Bolton-Blatt M, Norman R. Dyadic vulnerability and risk profiling for elder neglect. Gerontologist. 2005a;45:525–34. doi:10.1093/geront/45.4.525.

    Article  PubMed  Google Scholar 

  74. Fulmer T, Paveza G, VandeWeerd C, Guadagno L, Fairchild S, Norman R, Bolton-Blatt M. Neglect assessment in urban emergency departments and confirmation by an expert clinical team. J Gerontol Med Sci. 2005b;60A:1002–6. doi:10.1093/gerona/60.8.1002.

    Article  Google Scholar 

  75. Fulmer T, Rodgers RF, Pelger A. Verbal mistreatment of the elderly. J Elder Abuse Negl. 2014;26:351–64. doi:10.1080/08946566.2013.801817.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Fulmer T, Strauss S, Russell SL, Singh G, Blankenship J, Vermula R, Sutin D. Screening for elder mistreatment in dental and medical clinics. Gerondontology. 2012;29:96–105. doi:10.1111/j.1741-2358.2010.00405.x.

    Article  Google Scholar 

  77. Fulmer T, Street S, Carr K. Abuse of the elderly: screening and detection. J Emerg Nurs. 1984;10:131–40. doi:10.1067/men.2000.110621.

    Article  CAS  PubMed  Google Scholar 

  78. Fulmer T, Gurland B. Restriction as elder mistreatment: differences between caregiver and elder perceptions. J Mental Health Aging. 1996;2:89–98.

    Google Scholar 

  79. Giraldo-Rodriguez L, Rosas-Carrasco S. Development and psychometric properties of the Geriatric Mistreatment Scale. Geriatr Gerontol Int. 2013;13:887–93. doi:10.1111/ggi.12024.

    Article  Google Scholar 

  80. Guadagno L, VandeWeerd C, Stevens D, Abraham I, Paveza G, Fulmer T. Using PDAs for data collection. Appl Nurs Res. 2004;17:283–91. doi:10.1016/j.apnr.2004.09.008.

    Article  PubMed  Google Scholar 

  81. Hwalek M, Sengstock M. Assessing the probability of abuse of the elderly: toward the development of a clinical screening instrument. J Appl Gerontol. 1986;5:153–73. doi:10.1177/073346488600500205.

    Article  Google Scholar 

  82. Iris M, Conrad KJ, Ridings J. Observational measure of elder self-neglect. J Elder Abuse Negl. 2014;26:365–97. doi:10.1080/08946566.2013.801818.

    Article  PubMed  Google Scholar 

  83. Isenberg M, International research project to test Orem’s self-care deficit theory of nursing. In: Proceedings of scientific session of the 29th Biennial Convention of Sigma Theta Tau International. San Francisco: Sigma Theta Tau; 1987.

    Google Scholar 

  84. Jervis LL, Fickenscher A, Beals J, the Shielding American Indian Elders Project Team. Assessment of elder mistreatment in two American Indian samples: psychometric characteristics of the HS-EAST and the Native Elder Life-Financial Exploitation and -Neglect measures. J Appl Gerontol. 2014;33:336–56. doi:10.1177/0733464812470748.

    Article  PubMed  Google Scholar 

  85. Kaminski JW, Valle LA, Filene JH, Boyle CL. A meta-analytic review of components associated with parent training program effectiveness. J Abnorm Child Psychol. 2008;36:567–89.

    Article  PubMed  Google Scholar 

  86. Katz S. Assessing self-maintenance: activities of daily living, mobility, and instrumental activities of daily living. J Am Geriatr Soc. 1983;31:721–7.

    Article  CAS  PubMed  Google Scholar 

  87. Kelly P, Dyer C, Pavlik V, Doody R, Jogerst G. Exploring self-neglect in older adults: preliminary findings of the self-neglect severity scale and next steps. J Am Geriatr Soc. 2008;56:S253–60.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Kelly JB, Johnson MP. Differentiation among types of intimate partner violence: research update and implications for interventions. Fam Court Rev. 2008;46:476–99. doi:10.1111/j.1744-1617.2008.00215.x.

    Article  Google Scholar 

  89. Kim MH, Kown K-J, Lim Y-O, Lee Y-H. Screening scale of elder abuse. J Korean Gerontol Soc. 2006;26:819–42.

    Google Scholar 

  90. Kinney JM, Stephens MA. Caregiving Hassles Scale: assessing the daily hassles of caring for a family member with dementia. The Gerontologist. 1989;29:328–32. doi:10.1093/geront/29.3.328.

    Article  CAS  PubMed  Google Scholar 

  91. Kosberg J. Preventing elder abuse: identification of high risk factors prior to placement decisions. The Gerontologist. 1988;28:43–50. doi:10.1093/geront/28.1.43.

    Article  CAS  PubMed  Google Scholar 

  92. Kottwitz D, Bowling S. A pilot study of the elder abuse questionnaire. Kansas Nurse. 2003;78(7):4–6.

    PubMed  Google Scholar 

  93. Lachs MS, Pillemer K. Elder abuse. Lancet. 2004;364:1263–72. doi:10.1016/S0140-6736(04)17144-4.

    Article  PubMed  Google Scholar 

  94. Lachs MS, Williams C, O’Brien S, Pillemer K, Charlson M. The mortality of elder mistreatment. J Am Med Assoc. 1998;280:428–32. doi:10.1001/jama.280.5.428.

    Article  CAS  Google Scholar 

  95. Lachs MS, Pillemer KA. Abuse and neglect of elderly persons. New England J Medicine. 1995;233:437–43. doi:10.1056/NEJM199502163320706

    Article  CAS  PubMed  Google Scholar 

  96. Lang G, De Donder L, Penhale B, Ferreira-Alves J, Tamutiene I, Luoma M-L. Measuring older adults’ abuse: evaluation of formative indicators to promote brevity. Educ Gerontol. 2014;40:531–42. doi:10.1080/03601277.2013.857892.

    Article  Google Scholar 

  97. Lauder W. A survey of self-neglect in patients living in the community. J Clin Nursing. 1999;8:95–102. doi:10.1046/j.1365-2702.1999.00231.x

    Article  CAS  PubMed  Google Scholar 

  98. Laumann EO, Leitsch SA, Waite LJ. Elder mistreatment in the United States: prevalence estimates from a nationally representative study. J Gerontol B Soc Sci. 2008;63B:S248–54. doi:10.1093/geronb/63.4.S248.

    Article  Google Scholar 

  99. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86. doi:10.2190/AG.78.2.b.

    Article  CAS  PubMed  Google Scholar 

  100. Lee M, Kim K. Prevalence and risk factors for self-neglect among older adults living alone in South Korea. Int J Aging Hum Dev. 2014;78:115–31.

    Article  PubMed  Google Scholar 

  101. Liamputtong P, editor. Research methods in health: Foundations for evidence-based practice. 2nd ed. Melbourne: Oxford University Press; 2013. ISBN 9780195520064.

    Google Scholar 

  102. Lindenbach JM, Larocque S, Lavoie A-M, Garceau M-L. Older adult mistreatment risk screening: contribution to the validation of a screening tool in a domestic setting. Can J Aging. 2012;31(2):235–52. doi:10.1017/S0714980812000153

    Article  Google Scholar 

  103. Lindert J, Luna J, Torres-Gonzalez F, Barros H, Ioannidi-Kapolou E, Quattrini S, et al. Study design, sampling and assessment methods of the European study “Abuse of the Elderly in the European region’’. Eur J Pub Health. 2012;22:662–6.

    Article  Google Scholar 

  104. Litwin H, Zoabi S. A multivariate examination of explanations for the occurrence of elder abuse. Soc Work Res. 2004;28:133–42.

    Article  Google Scholar 

  105. Lorensen M, Halter IM, Evers G, Isenberg M, van Achterberg T. Cross-cultural testing of the “appraisal of self-care agency: ASA Scale” in Norway. Int J Nurs Stud. 1993;30:15–23. doi:10.1016/0020-7489(93)90089-D

    Article  CAS  PubMed  Google Scholar 

  106. Lowenstein A, Eisikovits Z, Band-Winterstein T, Enosh G. Is elder abuse and neglect a social phenomenon? Data from the first national prevalence survey in Israel. J Elder Abuse Negl. 2009;21:253–77. doi:10.1080/08946560902997637.

    Article  PubMed  Google Scholar 

  107. MacMillan HL, Wathen CN, Jamieson E, Boyle MH, Shannon HS, Ford-Gilboe M, Worster A, Lent B, Coben JH, Campbell JC, McNutt LA, McMaster Violence Against Women Research Group. Screening for intimate partner violence in health care settings: a randomized trial. J Am Med Assoc. 2009;302:493–501. doi:10.1001/jama.2009.1089.

    Article  CAS  Google Scholar 

  108. Macassa G, Viitasara E, Sundin O, Barros H, Torres Gonzales F, Ioannidi-Kapolou E, et al. Psychological abuse among older persons in Europe: A cross-sectional study. J Aggress Confl Peace Res. 2013;5:16–34. doi:10.1108/17596591311290722.

    Article  Google Scholar 

  109. Martin SL, Rentz ED, Chan RL, Givens J, Sanford C, Kupper LL, et al. Physical and sexual violence among North Carolina women: associations with physical health, mental health, and functional impairment. Women’s Health Issues. 2008;18:130–40. doi:10.1016/j.whi.2007.12.008.

    Article  PubMed  Google Scholar 

  110. McFarlane J, Parker B, Soeken K, Bullock L. Assessing for abuse during pregnancy: severity and frequency of injuries and associated entry into prenatal-care. J Am Med Assoc. 1992;267:3176–8. doi:10.1001/jama.267.23.3176.

    Article  CAS  Google Scholar 

  111. Melchiorre MG, Chiatti C, Lamura G, Torres-Gonzales F, Stankunas M, Lindert J, et al. Social support, socio-economic status, health and abuse among older people in seven European countries. PLoS One. 2013;8(1):e54856. doi:10.1371/journal.pone.0054856.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  112. Moody LE, Voss A, Lengacher CA. Assessing abuse among the elderly living in public housing. J Nurs Meas. 2000;8:61–70.

    Article  CAS  PubMed  Google Scholar 

  113. Moon A, Benton D. Tolerance of elder abuse and attitudes toward third-party intervention among African American, Korean American, and white elderly. J Multic Soc Work. 2000;8:283–303. doi:10.1300/J285v08n03_05.

    Article  Google Scholar 

  114. Moon A, Lawson K, Carpiac M, Spaziano E. Elder abuse and neglect among veterans in greater Los Angeles: prevalence, types, and intervention outcomes. J Gerontol Soc Work. 2006;46(3–4):187–204. doi:10.1300/J083v46n03_11.

    Article  PubMed  Google Scholar 

  115. Moon A, Williams O. Perceptions of elder abuse and help-seeking patterns among African-American, Caucasian American, and Korean-American elderly women. Gerontologist. 1993;33:386–95. doi:10.1093/geront/33.3.386.

    Article  CAS  PubMed  Google Scholar 

  116. Moracco KE, Cole KB. Preventing intimate partner violence is not enough. J Am Med Assoc. 2009;302:568–70. doi:10.1001/jama.2009.1135.

    Article  CAS  Google Scholar 

  117. Morris JN, Fries BE, Steel K, Ikegami N, Bernabei R, Carpenter GI, Topinková E. Comprehensive clinical assessment in community setting: applicability of the MDSHC. J Am Geriatr Soc. 1997;45:1017–24. doi:10.1111/j.1532-5415.1997.tb02975.x.

    Article  CAS  PubMed  Google Scholar 

  118. Nahmiash D, Reis M. Most successful intervention strategies for abused older adults. J Elder Abuse Negl. 2000;12:53–70. doi:10.1300/J084v12n03_03.

    Article  Google Scholar 

  119. Naik AD, Pickens S, Burnett J, Lai JM, Dyer CB. Assessing capacity in the setting of self-neglect: development of a novel screening tool for decision making capacity. J Elder Abuse Negl. 2006;18:79–91. doi:10.1080/08946566.2011.584049.

    Article  PubMed  PubMed Central  Google Scholar 

  120. National Centre on Elder Abuse (NCEA) (1998) The national elder abuse incidence study: final report september 1998. Author. Accessed 10 Dec 2015. http://aoa.gov/AoA_Programs/Elder_Rights/Elder_Abuse/docs/ABuseReport_Full.pdf.

  121. National Gerontological Nursing Association (NGNA) (2006) Position statement on elder abuse, neglect, and maltreatment. Accessed 26 Oct 2015. http://www.ngna.org/_resources/documentation/position_papers/ElderAbusePositionStatement.pdf.

  122. Naughton C, Drennan J, Lyons I, Lafferty A, Treacy M, Phelan A, et al. Elder abuse and neglect in Ireland: results from a national prevalence survey. Age Ageing. 2012;41:98–103. doi:10.1093/ageing/afr107.

    Article  PubMed  Google Scholar 

  123. Neale AV, Hwalek MA, Scott RO, Sengstock MC, Stahl C. Validation of the Hwalek-Sengstock Elder Abuse screening test. J Appl Gerontol. 1991;10:406–18. doi:10.1177/073346489101000403.

    Article  Google Scholar 

  124. Neale AV, Hwalek MA, Goodrich CS, Quinn KM. The illinois elder abuse system: program description and administrative findings. Gerontologist, 1996;36:502–11. doi:10.1093/geront/36.4.502

    Article  CAS  PubMed  Google Scholar 

  125. Nelson HD, Nygren P, McInerney Y, Klein J. Screening women and elderly adults for family and intimate partner violence: a review of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2004;140:387–96. doi:10.7326/0003-4819-140-5-200403020-00015.

    Article  PubMed  Google Scholar 

  126. Nelson HD, Bougatsos C, Blazina I (2012) Screening women for intimate partner violence and elderly and vulnerable adults for abuse: systematic review to update the 2004 U.S. Preventive Services Task Force Recommendation. Evidence Synthesis No. 92. AHRQ Publication No. 12-05167-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; 2012.

    Google Scholar 

  127. Oh J, Kim HS, Martins D, Kim H. A study of elder abuse in Korea. Int J Nurs Stud. 2006;43:203–14. doi:10.1016/j.ijnurstu.2005.03.005.

    Article  PubMed  Google Scholar 

  128. O’Brien JG. Screening for elder abuse and neglect. J Am Geriatr Soc. 2015;63:1689–91. doi:10.1111/jgs.1_13538.

    Article  PubMed  Google Scholar 

  129. Perel-Levin S. Discussing screening for elder abuse at primary health care level. Geneva: World Health Organization; 2008. Accessed 10 Nov 2015. http://www.who.int/iris/handle/10665/43523.

  130. Perez-Rojo G, Nuevo E, Sancho M, Penhale B. Validity and reliability of the Spanish version of the Caregiver Abuse Screen (CASE). Res Aging. 2015;37:63–81. doi:10.1177/0164027514522275.

    Article  PubMed  Google Scholar 

  131. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23:433–41. doi:10.1111/j.1532-5415.1975.tb00927.x.

    Article  CAS  PubMed  Google Scholar 

  132. Phillips LR. Domestic violence and aging women. Geriatr Nurs. 2000;21(4):188–93. doi:10.1067/mgn.2000.109584.

    Article  CAS  PubMed  Google Scholar 

  133. Pickens S, Naik AD, Burnett J, Kelly PA, Gleeson M, Dyer CB. The utility of the Kohlman evaluation of living skills test is associated with substantiated cases of elder self-neglect. J Am Acad Nurse Pract. 2007;19:137–42.

    Article  PubMed  PubMed Central  Google Scholar 

  134. Pinsker DM, McFarland K, Stone VE. The social vulnerability scale for older adults: an exploratory and confirmatory factor analytic study. J Elder Abuse Negl. 2011;23:246–72. doi:10.1080/08946566.2011.584049.

    Article  PubMed  Google Scholar 

  135. Pinsker DM, Stone VE, Pachana NA, Greenspan S. Social vulnerability scale for older adults: validation study. Clin Psychol. 2006;10:117–27. doi:10.1080/13284200600939918.

    Article  Google Scholar 

  136. Ploeg J, Fear J, Hutchison B, MacMillan H, Bolan G. A systematic review of interventions for elder abuse. J Elder Abuse Negl. 2009;21:187–210. doi:10.1080/08946560902997181.

    Article  PubMed  Google Scholar 

  137. Podnieks E. National survey on abuse of the elderly in Canada. J Elder Abuse Negl. 1992;4:5–58. doi:10.1300/J084v04n01_02.

    Article  Google Scholar 

  138. Reis M, Nahmiash D. Validation of the caregiver abuse screen (CASE). Can J Aging. 1995;14(Suppl. 2):45–61. doi:10.1017/S0714980800005584.

    Article  Google Scholar 

  139. Reis M, Nahmiash D. Validation of the indicators of abuse (IOA) screen. Gerontologist. 1998;38:471–80. doi:10.1093/geront/38.4.471.

    Article  CAS  PubMed  Google Scholar 

  140. Robinson BC. Validation of a Caregiver Strain Index. J Gerontol. 1983;38:344–8.

    Article  CAS  PubMed  Google Scholar 

  141. Russell SL, Fulmer T, Singh G, Vermula R, Strauss S. Screening for elder mistreatment in a dental clinic population. J Elder Abuse Negl. 2012;24:326–39. doi:10.1080/08946566.2012.661683.

    Article  PubMed  PubMed Central  Google Scholar 

  142. Saikia AM, Mahanta N, Mahanta A, Deka AJ, Kakati A. Prevalence and risk factors of abuse among community dwelling elderly of Guwahati City, Assam. Indian J Commun Med. 2015;40:279–91. doi:10.4103/0970-0218.164406.

    Article  Google Scholar 

  143. Salari SM. Infantilization as elder mistreatment: evidence from five adult day centers. J Elder Abuse Negl. 2005;17(4):53–91. doi:10.1300/J084v04_04.

    Article  Google Scholar 

  144. Schmeidel AN, Daly JM, Rosenbaum ME, Schmuch GA, Jogerst GJ. Health care professionals’ perspectives on barriers to elder abuse detection and reporting in primary care settings. J Elder Abuse Negl. 2012;24:17–36. doi:10.1080/08946566.2011.608044.

    Article  PubMed  PubMed Central  Google Scholar 

  145. Schofield MJ, Forrester-Knauss C. Surveys and questionnaires in health research. In: Liamputtong P, editor. Research methods in health: foundations for evidence-based practice. 2nd ed. Melbourne: Oxford University Press; 2013. pp. 198–218. ISBN 9780195520064.

    Google Scholar 

  146. Schofield MJ, Mishra G. Validity of self-report screening scale for elder abuse: Women’s Health Australia. Gerontologist. 2003;43:110–20. doi:10.1093/geront/43.1.110.

    Article  PubMed  Google Scholar 

  147. Schofield MJ, Mishra G. Three year health outcomes among older women at risk of elder abuse: Women’s Health Australia. Qual Life Res. 2004;13:1043–52. doi:10.1023/B:QURE.0000031343.15372.a5.

    Article  PubMed  Google Scholar 

  148. Schofield MJ, Powers JR, Loxton D. Mortality and disability outcomes of self-reported elder abuse: a 12-year prospective investigation. J Am Geriatr Soc. 2013;61:679–85. doi:10.1111/jgs.12212.

    Article  PubMed  Google Scholar 

  149. Schofield MJ, Reynolds R, Mishra GD, Powers JR, Dobson AJ. Screening for vulnerability to abuse among older women: Women’s Health Australia study. J Appl Gerontol. 2002;21:24–39. doi:10.1177/0733464802021001002.

    Article  Google Scholar 

  150. Schwartz K, McMullen T (2013) CMS elder mistreatment quality measurement initiative. Centers for Medicare and Medicaid Services. Accessed 5 Jan 2016. http://iom.nationalacademies.org/~/media/Files/Activity%20Files/Global/ViolenceForum/2013-APR-17/Presentations/02-07-McMullen.pdf.

  151. Shepard M, Campbell J. The abusive behavior inventory: a measure of psychological and physical abuse. J Interpers Violence. 1992;7:291–305. doi:10.1177/088626092007003001.

    Article  Google Scholar 

  152. Shugarman LR, Fries BE, Wolf RS, Morris JN. Identifying older people at risk of abuse during routine screening practices. J Am Geriatr Soc. 2003;51:24–31. doi:10.1034/j.1601-5215.2002.51005.x.

    Article  PubMed  Google Scholar 

  153. Soares JJF, Fraga D, Viitasara E, Stankunas M, Sundin O, Melchiorre MG, Barros H. The chronicity and severity of abuse among older persons by country: a European study. J Aggress Confl Peace Res. 2014;6:3–25. doi:10.1108/JACPR-06-2013-0015.

    Article  Google Scholar 

  154. Strasser SM, Smith M, Weaver S, Zheng S, Cao Y. Screening for elder mistreatment among older adults seeking legal assistance services. West J Emerg Med. 2013;14:309–15. doi:10.5811/westjem.2013.2.15640.

    Article  PubMed  PubMed Central  Google Scholar 

  155. Straus MA. Measuring intrafamily conflict and violence: The Conflict Tactics (CT) Scales. J Marriage Fam. 1979;41:75–88. doi:10.2307/351733.

    Article  Google Scholar 

  156. Straus MA, Hamby SL, Boney-McCoy S, Sugarman DB. The revised conflict tactics scales (CTS2): development and preliminary psychometric data. J Fam Issues. 1996;17:283–316. doi:10.1177/019251396017003001.

    Article  Google Scholar 

  157. Sumner SA, Mercy JA, Dahlberg LL, Hillis SD, Klevens J, Houry D. Violence in the United States: status, challenges, and opportunities. J Am Med Assoc. 2015;314:478–88. doi:10.1001/jama.2015.8371.

    Article  CAS  Google Scholar 

  158. Teresi JA, Ocepek-Welikson K, Ramirez M, Eimicke JP, Silver S, Van Haitsma K, et al. Development of an instrument to measure staff-reported resident-to-resident elder mistreatment (R-REM) using item response theory and other latent variable models. Gerontologist. 2013;54:460–72. doi:10.1093/geront/gnt001.

    Article  PubMed  PubMed Central  Google Scholar 

  159. Thornton M, Travis SS. Analysis of the reliability of the modified caregiver strain index. J Gerontol B Psychol Sci Soc Sci. 2003;58(2):S129. doi:10.1093/geronb/58.2.S127.

    Article  Google Scholar 

  160. Tjaden P, Thoennes N, Prevalence, incidence, and consequences of violence against women: findings from the national violence against women survey. Research in Brief. Washington, DC: US Department of Justice, National Institute of Justice, and US Department of Health and Human Services, Centers for Disease Control and Prevention; 1998. Accessed 10 Nov 2015. https://www.ncjrs.gov/pdffiles/172837.pdf.

  161. Touza C, Prado C, Segura MP. Detection scales for the risk of domestic abuse and self-negligent behavior in elderly persons (EDMA). J Elder Abuse Negl. 2012;24:312–25. doi:10.1080/08946566.2012.661682.

    Article  PubMed  Google Scholar 

  162. UK Action on Elder Abuse, What is elder abuse?; 1995. Accessed 21 Dec 2015. http://elderabuse.org.uk/what-is-elder-abuse/.

  163. US Preventive Services Task Force. Guide to clinical preventive services. 2nd ed. Baltimore: Williams & Wilkins; 1996.

    Google Scholar 

  164. Wang J-J. Psychological abuse and its characteristic correlates among elderly Taiwanese. Arch Gerontol Geriatr. 2006;42:307–18. doi:10.1016/j.archger.2005.08.006.

    Article  PubMed  Google Scholar 

  165. Wang J-J, Tseng H-F, Chen K-M. Development and testing of screening indicators for psychological abuse of older people. Arch Psychiatr Nurs. 2007;21:40–7. doi:10.1016/j.apnu.2006.09.004.

    Article  PubMed  Google Scholar 

  166. Wathen CN, MacMillan HL, Canadian Task Force on Preventive Health Care. Prevention of violence against women: recommendation statement from the Canadian Task Force on Preventive Health Care. Can Med Assoc J. 2003;169:582–4.

    Google Scholar 

  167. Winkworth G, McArthur M. A practice framework to guide screening and assessment in the Australian Family Relationship Centres and Advice Line. Child Fam Soc Work. 2009;14:410–9. doi:10.1111/j.1365-2206.2009.00612.x.

    Article  Google Scholar 

  168. World Health Organization (WHO). World report on violence and health. Geneva: Author; 2002.

    Google Scholar 

  169. World Health Organization (WHO). A global response to elder abuse and neglect: building primary health care capacity to deal with the problem world-wide: main report. Geneva: Author; 2008.

    Google Scholar 

  170. Wu L, Chen H, Hu Y, Xiang H, Yu X, Zhang T, Cao Z, Wang Y. Prevalence and associated factors of elder mistreatment in a rural community in People’s Republic of China: a cross-sectional study. PLoS One. 2012;7(3):e33857. doi:10.1371/journal.pone.0033857.

    Article  CAS  Google Scholar 

  171. Yaffe MJ, Weiss D, Lithwick M. Seniors’ self-administration of the elder abuse suspicion index (EASI): a feasibility study. J Elder Abuse Negl. 2012;24:277–92. doi:10.1080/08946566.2011.652930.

    Article  PubMed  Google Scholar 

  172. Yaffe MJ, Wolfson C, Lithwick M, Weiss D. Development and validation of a tool to improve physician identification of elder abuse: The Elder Abuse Suspicion Index (EASI). J Elder Abuse Negl. 2008;20:276–300. doi:10.1080/08946560801973168.

    Article  PubMed  Google Scholar 

  173. Yan E, Tang CS. Prevalence and psychological impact of Chinese elder abuse. J Interpers Violence. 2001;16:1158–74. doi:10.1177/088626001016011004.

    Article  Google Scholar 

  174. Yan E, Tang C. Elder abuse by caregivers: a study of prevalence and risk factors in Hong Kong Chinese families. J Fam Violence. 2004;19:269–77. doi:10.1023/B:JOFV.0000042077.95692.71.

    Article  Google Scholar 

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  1. Department of Psychology and Counselling, La Trobe University, Melbourne, VIC, 3086, Australia

    Margot J. Schofield

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    Margot J. Schofield

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    XinQi Dong

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Schofield, M.J. (2017). Screening for Elder Abuse: Tools and Effectiveness. In: Dong, X. (eds) Elder Abuse. Springer, Cham. https://doi.org/10.1007/978-3-319-47504-2_9

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