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Elder Mistreatment in U.S. Residential Care Facilities: The Scope of the Problem
Authors:Linda R Phillips PhD RN FAAN FGSA  Guifang Guo PhD RN  Haesook Kim PhD RN
Institution:1. School of Nursing , University of California–Los Angeles , Los Angeles , California , USA lrphillips@sonnet.ucla.edu;3. School of Nursing , Peking University , Beijing , China;4. School of Nursing , University of California–Los Angeles , Los Angeles , California , USA
Abstract:Many in the United States believe elder mistreatment in long-term care is serious and widespread, but until recently few studies focused on the problem. This study was designed to describe the scope of mistreatment in assisted living facilities (ALFs) in Arizona during a 3-year period. Findings showed that receiving citations for elder mistreatment was relatively rare. However, analysis of narrative reports from only 7% of facilities showed 598 allegations of mistreatment in complaint investigations, of which 372 (62.2%) were substantiated and given citations for something other than mistreatment. Results show that elder mistreatment in ALFs is seriously underidentified, even by state inspectors.
Keywords:assisted living  elder abuse  elder neglect  long-term care  residential care
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