The Application of the Culturagram in Cross-Cultural Practice with Elder Abuse Victims

ABSTRACT

This article discusses the application of the Culturagram, a screening instrument designed to assist practitioners to work more effectively in the assessment and detection of family abuse among immigrant elders. Case studies of selected immigrant groups are presented to illustrate how the Culturagram can be used to promote culturally sensitive practice with immigrant families where elder abuse may be a factor. Assessment, detection, and intervention strategies specific to selected immigrant groups are included in the discussion.     

Awareness of Elder Abuse Among Community Health and Social Care Staff in Northern Ireland: An Exploratory Study

ABSTRACT

This article reports on one of the first surveys of multi-disciplinary staff awareness of elder abuse in this region of the United Kingdom (UK). Forty staff from eight professional groups in the Southern Health and Services Board area were surveyed about their knowledge of elder abuse, the types of help they thought they could offer the abused and the abuser, and the level of abuse in their current caseload. Thirty-five per cent of respondents had cases of physical, psychological, financial, and sexual abuse as well as care-giver neglect of people aged 65 and over in their caseloads. The findings suggest that while staff had differing levels of awareness of elder abuse, further training is necessary.     

Powerlessness and Abuse and Neglect of Older Adults

ABSTRACT

This article is a qualitative study which addresses the interacting relationship between the environmental context of care giving and abuse and neglect of older adults. These are examined through a thematic content analysis of risk factors identified in sixteen ‘in depth’ interviews of abused and neglected victims including two of their abusers. The interviews provide a portrait of their past and present situations, their roles and relationships and the process through which the interviewees move into their described process of powerlessness.

The interviewees are analysed through a critical, systemic, ecological analysis of the historical, gender and cultural perspectives of the interviewees. Through the relationships of the victims and their abusers in the macro, meso, exo and micro systems, questions are raised about the growing debate regarding changes in family patterns and demographics that affect how societies define the provision of care to their dependent adults. They demonstrate that violence is produced by complex interacting systems and significant events, that impact on the life courses of some older adults and some care givers leading them into powerless positions and resulting in abuse and neglect.     

Self-Neglect: Implications for Prosecutors

ABSTRACT

Historically, the view of elder mistreatment in the United States has been similar to that of child abuse and has been detrimental to the understanding of elder mistreatment. Until recently, there was little understanding of the complexity of elder mistreatment and the legal system lacked appropriate laws with which to handle this growing problem. Over the last two decades, legislation, laws, and criminal codes of conduct have been developed to tackle the problem of elder mistreatment. However, little knowledge or understanding of the public health problems and legal implications related to the most common form of elder mistreatment referred to Adult Protective Services (APS), elder self-neglect, is available. The growth of this national problem has expanded the role of the legal system and pushed the development of interdisciplinary research with the intent of defining and understanding the problem of self-neglect and with the ultimate goal of expanding intervention strategies. The Consortium for Research in Elder Self-Neglect of Texas (CREST) is the leader in this field and the pilot study suggests numerous medical and legal implications for both intervention and future research.     

Depression and Elder Abuse and Neglect Among a Community-Dwelling Chinese Elderly Population

ABSTRACT

Our recent survey of an elderly cohort in mainland China suggests that elder abuse and neglect are common. Unfortunately, there is minimal knowledge about the risk factors for elder abuse and neglect among this population. We aimed to examine depression as a risk factor for elder abuse and neglect among Chinese elderly. A cross-sectional study was performed in a major urban medical center in NanJing, China. Depression was assessed using the Geriatric Depression Scale and direct questions were asked regarding abuse and neglect experienced by the elderly since the age of 60; 412 patients completed the survey. The mean age of the participants was 70 and 34% were female. Depression was found in 12% of the participants and elder abuse and neglect was found in 35% of the participants. After multiple logistical regression, feeling of dissatisfaction with life (OR, 2.92; 95% CI, 1.51–5.68, p < 0.001), often being bored (OR, 2.91; CI, 1.53–5.55, p < 0.001), often feeling helpless (OR, 2.79; CI, 1.35–5.76, p < 0.001), and feeling worthless (OR, 2.16; CI, 1.10–4.22, p < 0.001) were associated with increased risk of elder abuse and neglect. Multiple logistic regression modeling showed that depression is independently associated with elder abuse and neglect (OR, 3.26; CI, 1.49–7.10, p < 0.003). These findings suggest that depression is a significant risk factor associated with elder abuse and neglect among Chinese elderly.     

新农保背景下农村老年人的社会支持与生活满意度研究

通过对福建省农村老年人抽样调查的数据分析,发现农村老年人的生活满意度受到了年龄、身体健康状况、经济状况、新农保的养老金金额以及来自家庭、社区、国家层面的生病照顾、经济支持、生活支持和情感支持的影响。其中,包含新农保在内的经济支持是影响农村老年人生活满意度的最显著因素。     

虚假诉讼研究

虚假诉讼行为既包括虚构事实或者法律关系的诉讼行为,也包括虽有足够的事实和法律依据但以诉讼的方式追求诉讼请求以外的其他目的的诉讼行为。虚假诉讼的实施主体包括一方当事人、双方当事人等不同类型,有时裁判机构工作人员也可能参与虚假诉讼行为。依据虚假诉讼虚假的内容并结合其参与主体,虚假诉讼可以划分为恶意诉讼、滥用程序以及串通诉讼三种类型。虚假诉讼基于不法目的而提起,根据不法目的,虚假诉讼可以划分为侵害型、解除型、掩盖型、确定型四种类型。虚假诉讼的认定,应当结合国情考虑公共政策等因素综合进行。     

“Child perpetrators of sexual abuse”: The emergence of a problematic deviant category

This article critically examines the emergence in the professional literature of a new category of criminal deviant: the very young juvenile “sexual offender” (“child perpetrator”). It is argued that current research and writings on “child perpetrators” 1) fail to adhere to established tenets of scientific inquiry; 2) attempt to pathologize species‐typical behaviors; and 3) reflect symbolic opposition to widespread sexual license perceived to have resulted from the “sex positive” interpretive changes regarding sexuality that occurred during the late 1960s and early 1970s. Interactionist methods are applied in tracing three decades of interpretive changes regarding sexual behavior as reflected in the content of professional and popular sexological literature from the mid 1960s to the present. It is concluded that the writings on “child perpetrators” constitute an anomalous but predictable development in the field when considered against the background of recent trends in sexual discourse, professional ideology, and the current widespread perception among many Americans that children are no longer safe from harm while engaged in their normal daily activities.     

Validation of a Measure of Intimate Partner Abuse With Couples Participating in Divorce Mediation

Critics of court mandated divorce mediation have raised awareness of the need for screening measures to assess intimate partner abuse. This study validates a new instrument that is a revised version of the Partner Abuse Scales developed by Walter Hudson in the 1990s. The Relationship Behavior Rating Scale (RBRS) correlates highly with the original scales and subscales developed from the original and RBRS items have equally high reliability. The new scale is a reliable measure for intimate partner abuse in divorce mediation.     

The E.S.S.E. Group Model

Social work practitioners today are having to deal with ever-increasing numbers of families falling into the at risk category. At the same time, the issues and problems facing these family units are often overwhelming and challenging to resolve. The E.S.S.E. Group Model, outlined in this article, is a new research based approach that was designed to address the most relevant concerns facing families today. It is a unique program that combines family life education within a support group framework. Initially, the model was developed for several school districts in the midwest. Counseling personnel had identified a need for a parent training program that would elicit higher levels of participation. The E.S.S.E. Model accomplishes that goal through its structured yet individualized curriculum along with its parallel and conjoint group set-up. The specific content and process guidelines of this new approach make it easy for clinicians to duplicate in a wide variety of settings. One of the model's curriculums is outlined in detail in this article. Readers will find that the E.S.S.E. program serves as an excellent example of the type of group intervention needed today to help revitalize at-risk families.