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Self-Neglect and Neglect of Vulnerable Older Adults: Reexamination of Etiology
Authors:Namkee G Choi  Jinseok Kim  Joan Asseff
Institution:1. School of Social Work , University of Texas at Austin , Austin, Texas, USA nchoi@mail.utexas.edu;3. College of Social Work , University of South Carolina , Columbus, South Carolina, USA;4. West Oaks Rehabilitation and Healthcare Center , Austin, Texas, USA
Abstract:Using assessment and investigation data from the reported APS cases in Texas, this study examines the types of elder self-neglect and neglect, including medical neglect. It then examines the association between self-neglect and neglect and individual economic resources as well as health care and social service programs for the poor. The findings show that elder self-neglect/neglect is, in large part, attributable to frail older adults' and their families' lack of resources to pay for essential goods and services and the inadequate healthcare and other formal support programs for the older adults and their caregivers. This inadequate public policy coverage, rather than individual and intrafamily risk factors per se, needs to be considered as a significant cause of elder self-neglect/neglect.
Keywords:Adult Protective Services  self-neglect/neglect  elder abuse  elder maltreatment  cognitive impairment  chronic health problems  low income  Medicaid
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