The purpose of this descriptive study was to understand the nature, extent, and challenges confronted by APS programs in United States providing services older clients affected opioids. design involved a two-step process: Phase I telephone interviews with state-level Adult Protective Services administrators from 11 states considered be “hot-bed states” for opioid epidemic. Findings administrator informed questions II individual small groups local workers same states. Key findings that...

Purpose: The purpose of this study was to develop a profile sexual abuse cases among adults aged 60 and older receiving attention from Adult Protective Services units in Virginia over 5-year period. Design Methods: We used bivariate analysis characterize (n = 82) experiencing the circumstances abuse. multiple correspondence analysis, multivariate method, explore relationships between characteristics type experienced. Results: Most victims were women, ages 70 89, residing nursing home....

ABSTRACT This article reports research findings concerning 119 alleged sexual perpetrators who were reported to state authorities for abusing elderly individuals residing in care facilities. The largest group of accused was employees the facilities, followed by facility residents. Family members victims and visitors facilities also among those as sexually abusive. Investigation allegations Adult Protective Services regulatory staff resulted 32 these being confirmed against vulnerable elders....

Abstract: Although reports of intimate partner violence (IPV) decrease with age, a significant number aging women experience IPV in their relationships. The structure and culture rural environments may inadvertently conceal against inhibit prevention treatment efforts. Guided by an ecological community framework, 3 focus groups involving 24 professionals working victims Kentucky in‐depth interviews 10 who had experienced were conducted to examine the trajectory of, responses to, late life....

Abstract Background and Objectives The opioid crisis has run rampant throughout America, with communities in rural Appalachia especially hard hit. While the direct effects of use disorder on individuals, families, are well documented, an unforeseen consequence this is abuse older adults by family members or paid caregivers addiction. purpose study was to characterize cases opioid-involved elder compared where opioids were not involved. Research Design Methods Guided lifecourse ecological...

Previous research on the sexual abuse of older adults has revealed few cases men. The first national study vulnerable in facilities, reported this article, collected data alleged, investigated, and substantiated abuse. This 26 screened for investigation concerning alleged men (aged 50 older) residing nursing homes. Cases occurred five states within a six month time period. Of these cases, were confirmed upon by Adult Protective Services or other regulatory agencies. Victims tended to be...

In response to a growing and worldwide recognition of elder abuse, the WorldView Environmental Scan on Elder Abuse was undertaken. It represented an attempt collect both information nature problem abuse responses it from global perspective. The first its kind, gathered about as well related legislation policy, services programs, educational resources needs, training, past ongoing research. A total 53 countries responded survey questionnaire, with 362 respondents representing six world...

This article provides a context and overview for what is known about polyvictimization in later life. Drawing from previous literature, the includes definition of phenomenon, as well theoretical constructs by which it may be understood. We place other forms within elder abuse, recognize frameworks conceptualizing life, distinguish between at younger ages The paper concludes with implications framework research, practice, policy.

SUMMARY Elder abuse multidisciplinary teams (MDTs) include professionals from diverse disciplines who work together to review cases of elder and address systemic problems. Using an e-mail survey format, the authors received information 31 MDT coordinators across country representing fatality teams, financial specialist medically oriented "traditional" teams. The provided on functions their perform, importance specific functions, reviewed, composition policies procedures, administration,...

Aggregated data from APS case files of sexually abused adults in Virginia aged 60 years and older were collected July 1, 1996-June 30, 1999, yielding a total 42 substantiated cases for the three collection. Data reveal demographic trends; ability to care self; type, pattern, place abuse; information on witnesses alleged offenders; resolution outcomes. Results show that majority (n = 40) concerned women over 70 age residing facilities; offenders men 40). Most not prosecuted. Implications...

The Graduate Center for Gerontology at the University of Kentucky incorporates three levels mentoring in its PhD program. This project assessed satisfaction with peer and faculty explored their perceived benefits purposes. Core affiliate current graduated students were surveyed. Participants seemed satisfied they giving receiving, although all groups discussed limitations. Peer mentors seen as social support advice givers, while viewed responsible direction skill-building. These results can...

Objectives: This study explored the impact of being 'unbefriended' for residents in Canadian long-term care (LTC) homes. Residents are if they lack decision-making capacity and family or friends to act as their legal representative. Research suggests that unbefriended individuals may have unmet needs experience poor quality due limited social support. Our specific objectives were identify resident characteristics, needs, implications life.Methods: We conducted semi-structured interviews with...

Aggregated data from 125 substantiated Adult Protective Services cases of sexually abused women were collected during a 5-year period. Women older than 59 years represented 63% the cases. Regardless age, most common types abuse involved sexualized kissing and fondling unwelcome sexual interest in women’s body. Most identified perpetrators males. Family members likely to living community, whereas facilities usually experienced by another resident. Perpetrators prosecuted convicted six About...

Abstract Aggregated data from APS case files of sexually abused older women between the agesof70 and 89living in nursing homes were collected over a five-year period, yielding total 50 substantiated cases. The most common types sexual abuse involved instances sexualized kissing fondling unwelcome interest women's body. All alleged perpetrators male; they typically 70 years age residents home. In only three cases was offender prosecuted court one these convicted. Implications for future...

Abstract Informal (i.e., unpaid) long-term care for disabled older adults is often chronic, but it only recently that research has considered the longitudinal implications of family caregiving. In particular, investigators have conceptualized caregiving as a “career,” and within career, number diverse trajectories transitions can occur. Following summary these findings, this paper considers how influence potentially address key policy practice concerns, especially in delivery support...

To explore primary care providers' HIV prevention practices for older adults. Primary perceptions and awareness were explored to understand factors that affect their provision of materials screening adults.Data collected through 24 semistructured interviews with providers (i.e., physicians, physician assistants, nurse practitioners) who see patients than 50 years.Results reveal facilitators barriers adults among understanding behaviors. Individual, patient, institutional, societal influenced...

Data from Virginia Adult Protective Services (APS) case files of 95 abused women aged 60 years and older were assessed to establish demographic trends; ability care for self; type, pattern, place abuse; information on witnesses alleged offenders; resolution outcomes. The most common types mistreatment reported neglect, exploitation, physical abuse. typically had several functional limitations dependent upon their family members care. Most cases not prosecuted, the majority remain at risk...

This article explores the issue of sexual abuse vulnerable younger and older adults living in long-term care facilities. Clinical findings regarding who are elderly or have disabilities presented, practice implications for psychiatric nurses discussed. A review relevant existing literature previous research is provided. study presently under way then described. first national care. seeks to fill current knowledge gaps inform nursing other professionals responsible adults.

During a 4-year period, aggregated data from Adult Protective Services case files in Virginia revealed 17 cases of sexually abused young, middle-age, and old men. The most common types sexual abuse across age groups involved instances sexualized kissing fondling unwelcome interest the individual men's bodies. majority alleged perpetrators were male; they typically similar to men resided same residential facility. In none was perpetrator prosecuted. Only two continued be at risk further by...

Using Bronfenbrenner's ecological systems model, this study examined allegations of elder abuse made to Kentucky Adult Protective Services (APS) and the investigation that followed, in order understand how APS addressed needs abused elders. Elder during week were collected using 3 tools. Allegations resulting investigations analyzed. During week, received 1,002 calls alleging abuse. Of these, 483 categorized as reports needing protective services, with 177 screened for 167 actually...

This study examined 64 cases of sexual victimization women ages 65+ (mean = 81) living in facilities that were investigated by APS and regulatory agencies five states over a six-month period. Typically, abuse involved molestation (53%) unwelcome interest the body (20%). Abilities needs substantiated unsubstantiated comparable. Resident perpetrators more likely to be than staff or any other perpetrator (p 0.008). Our results underscore need evaluate differences associated with gender, age,...