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Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

Index

A

Abandonment, 36, 184, 188, 199, 216, 222, 225, 236, 357

screening and case identification, 112-113

Abrasions and lacerations, 54, 118, 119, 340, 344-345, 359, 360, 361, 372, 449, 454

Abuse, see Child abuse and neglect;

Definitional issues;

Domestic violence;

Emotional abuse;

Exploitation;

Financial abuse;

Self-abuse/self-neglect;

Sexual abuse

Academic research, 6, 13, 60, 139, 521

Acierno, Ronald, 77, 78, 79, 81, 255, 261-302

Activities of daily living (ADLs), 10, 11, 98

adult protective services, 125

nursing homes, 452, 479

residential care facilities, 466, 469, 479

screening and case identification, 105, 270-271

Administration on Aging, 21-22, 132, 151, 246, 266-267

National Center on Elder Abuse, 15, 22-23, 132, 265-266, 385, 389-390

Administration on Developmental Disabilities and Rehabilitation Research, 7, 150, 152

Adult children of elderly persons, 11, 91, 95, 96-97, 168, 274, 293-302 (passim), 401

intergenerational transmission of mistreatment, 99

Adult Protective Service Reports, 167

Adult protective services, 6, 22, 23, 24-25, 27, 32, 42, 50, 80, 82, 101, 245, 332, 505

cost factors, 126, 239

criminal justice system and, 124-125, 126, 127-128, 129

evaluation of effectiveness, 6, 32, 122, 124-127, 139, 506

financial abuse, 390, 394, 405(n.25), 417, 436, 437

funding, 14, 126, 239, 240, 418-419

gender factors, 96

historical perspectives, 13-15, 17, 238-240, 506

legislation, 27, 28, 115, 124, 181-182, 185, 189, 411-412, 418-419, 505, 506-507

nursing homes and, 456-460

racial/ethnic factors, 97

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

reporting practices, 27, 28, 115, 122, 167, 261, 267, 383-384, 411-412, 417, 456-460

residential care facilities, 465

response time, 124, 129-130

risk factors, 96, 97, 98

screening and case identification, 104, 105-106, 115-116, 124, 167, 261 267, 277, 365

self-abuse and neglect, 126-127

theoretical models, 60, 65

Advisory Board on Child Abuse and Neglect, 16

Advocacy, 14, 15, 17, 130, 136, 239, 251, 256, 316, 356, 388, 418, 419, 422, 423, 429, 430, 489, 490, 505-506, 516

African Americans, 97, 269, 390-391, 466

Age Discrimination in Employment Act, 42

Age factors, 171, 175, 176, 268-269

attitudes about aging and the elderly, 63, 168, 242, 264-265, 271-272, 276, 296, 299, 400, 406

definitional issues, 41-42, 43, 90, 115, 124, 181-237 (passim), 246

financial abuse, perpetrators, 401

forensics, 341, 344-360 (passim)

long-term care settings, 447

nursing homes, 452

perceptions of behavior, 168

population, aging of, xiii, 9-10, 78, 152

screening and case identification, 115, 294

state legislation, 27, 28, 115, 124, 181-182, 185

vulnerability, general, 41-42, 43

Agency for Healthcare Research and Quality, 12, 152

AIDS, 69

Alabama, 21, 181-182, 394, 424

Alaska, 182

Alcohol abuse, 21, 91, 94, 95, 242, 270, 282, 293, 294, 296, 299, 355, 357, 398

Alzheimer’s disease, see Dementia American College of Emergency Response, 170

American Medical Association (AMA), 104, 109, 342, 365, 402

Arizona, 183, 433

Arkansas, 183-184

Assessment, see Evaluation of interventions;

Screening and case identification

Assessment Protocol for Physicians, 365

Assisted-living settings, 4-5, 10-11, 62, 64, 80, 86, 133, 134, 467, 469

Attitudes, 242, 264, 278-279, 284, 296, 297, 299, 503

see also Depression;

Emotional abuse;

Trust relationships

about aging and the elderly, 63, 168, 242, 264-265, 271-272, 276, 296, 299, 400, 406

financial abuse, 391-392, 396, 399-402, 404, 406, 407, 414, 415, 429, 438

long-term care settings, 10, 446-447

screening and case identification, 109, 242, 264-265, 271-272, 276, 278-279, 284, 293, 294, 296, 299, 396

sexual abuse, 264, 278

stigma, 69, 242, 243, 264, 278-279, 332, 415, 429, 503

Attorneys, 304

see also Guardianship and power of attorney

financial abuse, 52, 390, 398, 411-412, 413, 423, 433-434

reporting of abuse, 52, 123, 390, 411-412, 413

B

Banks and banking, 130, 388, 396, 398, 426

incidence and prevalence research, 73, 244

prevention of abuse, 132, 296, 414, 430, 431-433, 435, 437

reporting practices, 411(n.36), 412, 421

Bedsores, see Decubiti

Belmont Report, 303-304, 305, 306, 309, 311, 316-318, 319-320, 321, 327, 334

Benjamin Rose Institute, 239

Biomarkers, 3, 23, 74, 84, 101-102, 340, 360-362

Blacks, see African Americans

Blenkner, Margaret, 239, 243

Block grants, 14

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

Board and care homes, see Residential care facilities

Brief Abuse Screen for the Elderly, 100-111, 366

Bruises, 20, 49, 54, 114, 116, 117, 119, 120, 127, 166, 183, 186, 216, 340, 342-343, 345-347, 454

Bureau of Justice Statistics, 268

Burns, 20, 54, 119, 120, 166, 183, 186, 216, 226, 340, 343, 353-354, 371-372

C

California, 127, 184-185

Canada

financial abuse, 390, 394

incidence and prevalence, 74, 390

legislation, 506

Caregiver abuse and neglect, xiii, 7, 11, 15, 17, 26, 30, 33, 42, 44, 122, 240

see also Assisted-living settings;Institutional settings;

Long-term care settings;

Medical interventions;

Nurses and nursing;

Nursing homes;

Restraints;

Trust relationships

Alzheimer’s patients, 10, 92, 93-95

child abuse model, 403

definitional issues, 1, 39, 40-41, 44, 49, 51-53, 61, 181-237 (passim), 342

ethical issues, research, 322, 333-334

informed consent, 143, 147-148, 311, 314-315, 333-334

financial, 40-41, 65, 385, 388, 395, 397-400, 435-436

forensics, 342, 343-381 (passim)

incidence and prevalence, 73, 74, 76, 261, 270-273

respite care, 93, 94-95, 125, 130, 270

risk factors, 93-95, 98-103

screening and case identification, 104-120, 166-167, 242, 270, 271-277, 293-302 (passim), 504-505

institutional staff, 100, 134-135, 490, 504-505

theoretical models, 61, 63, 64-65, 69-70

Caregiver Abuse Screen (CAS), 112-113, 271

Case-control studies, see Controlled studies

Case management, 4-5, 105-106, 116, 277

see also Screening and case identification

Center for Mental Health Services, 152

Centers for Disease Control and Protection (CDC), 80, 306-307

Centers for Medicare and Medicaid Services (CMS), 152, 448, 457-459, 460-462, 479

see also Health Care Financing Administration (HCFA)

Medicaid, 128, 134, 448, 451, 457, 466, 479

Medicare, 294, 448, 451, 456-457

Child abuse and neglect, 126, 277-281, 339-340

cognitive status of children, 116-117, 404-406

community-level factors, 16, 126, 505, 510-516

criminal justice system, 116-117, 280-281, 507

financial abuse models, 402-408

forensics, 339-340, 360-361

historical perspectives, 12-13, 14, 16-17, 18-19, 126, 339, 383, 501, 506

hospitals, 503, 504

incidence and prevalence research, 13, 277-281, 287

informed consent, 143

intergenerational transmission of mistreatment, 99

international perspectives, 13, 506

isolation, 35, 36, 52, 56, 448, 450

legislation, 13, 14, 506, 507-510

LONGSCAN, 329, 330, 331, 333

public education, 267-268, 505, 517-518

reporting practices, 13, 123, 329(n.6), 330

research ethics, 143, 315-316, 329-331, 333

research methodology, general, xiii-xiv, 18-19, 23, 26-27, 245, 262-263, 267, 268

risk factors, 88, 91, 99, 103, 242, 503-504

screening and case identification, 116-117, 119, 267, 273, 403-404, 503-505

sentinel reports, 267, 268

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

Child Abuse Prevention and Treatment Act, 13

Children, adult, see Adult children of elderly persons;

Household settings

Civil justice interventions, 28, 32, 130, 131, 134, 145, 221, 251, 255, 324, 341, 342, 343, 362, 374, 421, 423-429

Clinical practices and research, 4, 5, 25, 45, 334-381

see also Ethical issues;

Forensics;

Medical interventions;

Screening and case identification

guidelines for measurement, 45, 144

incidence and prevalence of mistreatment, 71, 76

measures of mistreatment, table, 166-167

Coalition of Advocates for the Rights and Interest of the Elderly (CARIE), 136-137, 489

Cognitive impairments, 6, 14, 76, 125, 169, 262-263, 264, 340

see also Dementia;

Guardianship and power of attorney, 76, 83, 270-272, 273, 284

child abuse, general, 404-406

child abuse witnesses, 116-117

definitional issues, 35, 36, 50, 406

financial abuse, 391-392, 393, 395, 396, 397, 404-406, 407, 413, 421, 422, 433-434, 435, 438

forensics, 343, 354-357, 360, 366-367, 371-372

incidence and prevalence research, 76, 83, 270-272, 273, 284, 286, 287, 451

informed consent, 6, 140, 141-143, 309-311, 312, 314-317

long-term care settings, 446, 451, 452, 465, 466, 467, 482

medications, effects of, 264, 406(n.29)

nursing homes, 451, 452, 482

prospective studies, 90-91

recall problems, 90-91, 264

residential care facilities, 465, 466, 467, 482

screening and case identification, 76, 83, 105, 109, 114, 116-117, 270-272, 273, 284, 314, 366-367, 396, 397

state legislation, 35, 36, 184, 405, 406

theoretical models, 66, 70

Cohort studies, see Longitudinal studies

Colleges and universities, see Academic research

Colorado, 186-187

Common Rule, see Federal Policy for the Protection of Human Subjects

Community Based Education Model for Identification and Prevention of Elder Abuse, 277

Community-level factors, 2, 3, 4, 7, 24, 91, 122, 151, 170, 522

see also Adult protective services;

Assisted-living settings;

Criminal justice system;

Families and households;

Hospitals;

Local government

child protection, 16, 126, 505, 510-516

domestic violence, 505, 510, 510-516

evaluation of interventions, 122, 128

financial abuse, 430-432, 436

incidence and prevalence data, xiii, 71, 80, 86, 87

interdisciplinary approaches, 131-132

professional specialization and collaboration, 130-133

screening and case identification, 104, 106, 107, 109, 114, 115

Competence With Compassion, 136-137

Comprehensive Drug Abuse Prevention and Control Act, 145-146

Comprehensive Geriatric Assessment, 364

Computer applications, 169, 170

financial abuse, 392, 395, 398, 431

forensics, 362

OSCAR database, 457, 471, 476-477, 478

residential care databases, 471, 476-477, 478

screening and case identification, 108-109

telephone interviews, 281, 283, 285-286, 287

Confidentiality, 33, 83, 145-147, 304, 308-309, 312, 323-324, 328, 329-330, 334, 411

Confinement, see Isolation and confinement;

Restraints

Conflicts Tactics Scale (CTS), 20, 26-27, 55, 85, 166-167, 244, 271, 274-275, 300-302

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

Connecticut, 187

Connolly, Marie-Therese, 255-256, 339-381

Controlled studies, 2, 25, 72, 90, 91, 168, 174

abuser dependency, 96, 241

adult protective services, 239

alcohol abuse, 95

disabled persons, 98-99

household settings, 137-138

screening and case identification, 110-111

Cost factors, xiii, 286

see also Funding

adult protective services, 126, 239

community-level programs, 510

evaluation of interventions, 121, 126

financial abuse, legal interventions, 422, 429, 434-435

incidence and prevalence data, 80, 265, 282, 286, 287

interventions, general, 18, 282, 286, 287, 510

interviews, 18, 282, 286, 287, 510

research ethics, evaluation, 313, 321, 322

residential care facilities, 467

risk factors and, 89

screening and case identification, 104, 106, 120, 267, 282

sentinel reports, 267

Criminal justice system, 15, 28, 55, 245-246

see also Forensics; Legislation; Police

adult protective services and, 124-125, 126, 127-128, 129

child abuse, 116-117, 280-281, 507

evaluation of, 32, 122, 127-128, 129-130, 131

Federal Bureau of Investigation (FBI), 268, 269, 284, 285-286

financial abuse, 392, 393, 400, 411-412, 420-423

historical perspectives, 15, 240, 506

incidence and prevalence research, 71, 77, 261, 264, 267-269, 280, 284, 287

institutional inspections, 137

police, 16, 21, 60, 73, 81, 93, 104, 122, 123, 125, 127, 129, 131, 138, 269, 282, 341, 422

professional education, 127-131 (passim)

protective orders, 418, 425

reporting practices, 123, 267-269, 279

screening and case identification, 104, 105-106, 115, 116-117, 127-128

theoretical models, 65

witnesses, 116-117, 127-128, 129-130, 421

Cross-sectional studies, 72, 169

Cultural factors, see Sociocultural factors

D

Deaths, see Fatalities

Decubiti, 340, 343, 348, 349-350, 360, 372

Definitional issues, 3, 30, 34-59, 61, 133, 150, 238, 244, 245, 384, 448-450

age factors, 41-42, 43, 90, 115, 124, 181-237 (passim), 246

caregiver abuse and neglect, general, 1, 39, 40-41, 44, 49, 51-53, 61, 181-237 (passim), 342

cognitive impairments, 35, 36, 50, 406

disabled persons, 35, 36, 37, 50, 188

elder mistreatment, general, 1, 2, 4, 19-21, 30, 73, 108, 114-115

emotional abuse, 28, 35, 36, 54-55, 448, 449

epidemiology, 72, 73, 75-77, 85, 87, 266, 278, 280

ethics, research, 306, 307, 308, 310

expert judgment, 45-47

families, 35, 36, 181-237 (passim), 244-246

forensics, 341, 342, 343, 344, 364

harm, general, 1, 3, 28, 34, 39, 40

guidelines for measurement, 48, 53-55, 56-58

institutional settings, general, 35, 36, 37, 187-188, 194, 196, 201, 202, 209, 214, 215, 217, 218, 220, 221, 222, 223, 225-226, 233, 235

isolation and confinement, 35, 36, 181-237 (passim)

medications, 35, 52, 56, 81

mental illness, 50

neglect, 19, 20-21, 34-37 (passim), 39, 41, 44, 181-237 (passim), 342, 449-450

guidelines for measurement, 44, 56

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

older person, 47-48, 50, 343

operational, 42-45, 47-59, 75, 108

protective factors, 48, 49, 50, 58

psychological factors, 50, 448

residential care facilities, 4, 465, 475

risk factors, 5, 20-21, 35, 72, 89

guidelines for measurement, 48, 49-50, 58, 81-82, 85

screening and case identification, 108, 114-115, 266, 278

self-abuse and neglect, 35, 36, 40, 41, 81

guidelines for measurement, 44

sexual abuse, 35, 49, 183-237 (passim), 280, 281

state legislation, 13, 28, 34-39, 44, 60, 181-237, 384, 385, 400

strangers, abuse by, 35, 40, 44, 52

trust relationships, 39, 40-41, 43, 44, 61, 238, 384-385

guidelines for measurement, 44, 47-48, 51-53, 57

vulnerability, general, 39, 41-42, 43, 50, 182-237 (passim), 246-247

Dehydration, 119, 166, 183, 186, 272, 340, 351-352, 372, 448, 463

Delaware, 187-188

Dementia, 126, 152, 168, 175, 516-517

see also Guardianship and power of attorney

financial guardianship, 53

forensics, 355, 356-357, 362-363, 366

incidence and prevalence and, 10, 246, 262, 270, 276, 286, 451, 452

nursing homes, 451, 452, 482, 485, 486

research, informed consent, 6, 140, 141-143

residential care facilities, 469, 482

risk factors, 92, 93-94, 451

screening and case identification, 114, 116-117, 270, 276, 277, 366

theoretical models, 66

Demographic factors, 168

see also Geographic factors;

Marriage and marital status;

Race/ethnicity;

Rural areas;

Sociocultural factors;

Socioeconomic status;

Urban areas

adult children, 11

aging of general population, xiii, 9-10, 78, 152

incidence of mistreatment, xiii, 73, 86, 266, 269

nursing homes, 452

residential care facilities, 465

Denmark, 74

Department of Health and Human Services (DHHS), 304

see also Administration on Aging

Agency for Healthcare Research and Quality, 12, 152

Centers for Disease Control and Protection (CDC), 80, 306-307

Centers for Medicare and Medicaid Services (CMS), 152, 448, 457-459, 460-462, 479

ethical issues, research,

confidentiality, 33, 145, 146-147, 323

Federal Policy for the Protection of Human Subjects (Common Rule), 304, 305, 306, 307-309, 312, 314, 319, 323, 325-326, 332, 334

informed consent, 149, 315, 316(n.4)

Food and Drug Administration (FDA), 140, 307-308

forensics, 341, 363

Health Care Financing Administration (HCFA), 152, 448, 457-459

National Institute on Aging (NIA), 2, 6-7, 11, 12, 24-25, 95, 144, 149, 150, 151, 243, 483

National Institutes of Health (NIH), 12

confidentiality, 33, 145, 146-147

informed consent, 149

nursing homes, 457, 479

Office of the Assistant Secretary for Planning and Evaluation, 3, 479-480

Department of Justice, 132, 151

Bureau of Justice Statistics, 268

forensics, 341

National Institute of Justice, 7, 131, 137-138, 150

Department of Veterans’ Affairs, 431

Depression, 54, 64, 66, 69, 94-95, 100, 117, 242, 243, 366

financial abuse, 392

forensics, 355, 357, 362-363, 366

Descriptive studies, 27, 44, 53, 55, 87, 168-177 (passim), 359, 365, 371

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

Detection and Treatment of Elderly Abuse and Neglect , 277

Diagnosis, see Forensics; Screening and case identification

Disabled persons, 7, 11, 42, 97-98, 100-101, 150, 171, 241-242

see also Activities of daily living (ADLs);

Cognitive impairments;

Dementia;

Long-term care settings;

Nursing homes

definitional issues, 35, 36, 37, 50, 188

emotional abuse, 28

evaluation of interventions, 124

financial abuse, 391-392, 395, 401, 406, 409, 422, 435

forensics, 343

incidence and prevalence, 10, 11, 264, 265, 270-271, 285

residential care facilities, 465, 466

screening and case identification, 109, 114, 117, 270-271, 294

state law, 35, 36, 37, 124, 181-237

theoretical models, 64, 70

Diagnostic and Treatment Guidelines on Elder Abuse and Neglect (AMA), 104, 109

Diseases and disorders, 11, 97-98

see also Dementia;

Disabled persons;

Fatalities;

Forensics;

Long-term care settings;

Medical interventions;

Mental illness;

Nursing homes

AIDS, 69

financial abuse, 399, 409

geriatric syndrome, 89-90

historical perspectives, 14, 61, 69

incidence and prevalence of mistreatment and, 10, 76, 79, 81

religious/spiritual treatment, state law, 35, 200, 202, 204, 206, 214, 220, 228, 236

residential care facilities, 471

screening and case identification, 105, 108, 109, 117

theoretical models, 61, 66, 68, 69

District of Columbia, 189

Domestic violence, 15, 501-522

see also Child abuse and neglect;

Families and households;

Intimate partner mistreatment;

Marriage and marital status

intergenerational transmission of mistreatment, 99

Dresser, Rebecca, 140, 141, 148, 256, 303-338

Drug abuse, see Substance abuse

Drugs, see Medications

Duress, see Undue influence and duress

Dyer, Carmel Bitondo, 79, 256, 339-381

E

Economic factors, 16

see also Cost factors; Financial abuse; Funding; Socioeconomic status

incidence and prevalence research, 79, 81-82, 87, 270, 280

institutional mistreatment, 66, 67

research ethics, 313, 321, 322

status inequality, theoretical models, 61, 62, 63, 64, 241

theoretical models, other, 66, 67

victim compensation, 130, 419-420

Education and training, see Professional education;

Public education

Elder Abuse Attitudes and Behavior Intention Scale, 276

Elder Abuse Detection Indicators, 277

Elder Abuse Screening Test, see Hwalek-Sengstock Elder Abuse Screening Test (HSEAST)

Elder Assessment Instrument (EAI), 112-113, 166-167, 272, 294-295, 365

Emergency departments/response services, 23-24, 170, 243

committee recommendations, 6, 139

evaluation of effectiveness, 124, 128, 139

financial abuse reporting, 416(n.39)

incidence and prevalence data, 79, 471, 472-473

reporting practices, 472-473

screening and case identification, 107, 109

Emotional abuse, 3

see also Isolation and confinement

definitional issues, 28, 35, 36, 54-55, 448, 449

financial abuse, impacts of, 391, 392, 399, 409

forensics, 340

incidence and prevalence, 74, 275, 284, 451, 454-455

institutional settings, general, 99

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

nursing homes, 448, 449, 451, 454-455, 462

research ethics, 322

screening and case identification, 105, 109, 110-111, 117, 166-167, 275, 295, 296

social embarrassment, 57, 339-340

state law, definitional issues, 35, 36, 181-237 (passim)

theoretical models, 63, 64

Epidemiology, 24-25, 71, 75-84, 261-302

see also Demographic factors;

Incidence and prevalence;

Population-based studies;

Reporting practices;

Risk factors

definitional issues, 72, 73, 75-77, 85, 87, 266, 278, 280

forensics and, 371, 373-374

screening and case identification, 107

surveillance, 4, 42, 46, 59, 75, 79, 80, 87

Established Population for Epidemiologic Studies in the Elderly (EPESE), 24-25

Ethical issues

see also Informed consent

caregiver abuse and neglect, 322, 333-334

informed consent, 143, 147-148, 311, 314-315, 333-334

child abuse and neglect, 315-316, 329-331, 333

confidentiality, 33, 83, 145-147, 304, 308-309, 312, 323-324, 328, 329-330, 334, 411

cost factors, 313, 321, 322

definitional issues, 306, 307, 308, 310

Department of Health and Human Services (DHHS),

Federal Policy for the Protection of Human Subjects (Common Rule), 304, 305, 306, 307-309, 312, 314, 319, 323, 325-326, 332, 334

informed consent, 149, 315, 316(n.4)

families, 322, 324

informed consent, 143, 147-148, 311, 314-315

harm, general, 311, 319, 321-322, 324-326, 329

institutional review boards (IRBs), 304, 308-309, 313, 319-321, 323-324, 331

informed consent, 142, 143, 148-149, 304, 316(n.4), 317-319, 323

interviews, 311, 312, 323

National Bioethics Advisory Commission (NBAC), 306, 312, 313, 320-322, 326, 331, 334

private sector, 307, 323-324

research, general, 6, 32-33, 140-149, 303-338, 482-483

funding, 305, 307, 321, 323, 327

sampling, 144

socioeconomic status, 327

Ethnicity, see Race/ethnicity

Evaluation of interventions, xiii, 2, 5, 6, 12, 17-18, 25, 32, 121-139, 285

see also Ethical issues;

Outcome measures;

Reporting practices

adult protective services, 6, 32, 122, 124-127, 139, 506

child and domestic abuse, 501-525

community-level factors, 122, 128

cost factors, 121, 126

criminal justice system, 32, 122, 127-128, 129-130, 131

emergency medical services, 124, 128, 139

ethical issues, 303, 305

informed consent, 6, 140, 141-143

financial abuse, 418-429

funding, 121, 131, 137-138

guidelines for measurement, 46-47

Expertise, 169, 170

see also Interdisciplinary approaches;

Professional education;

specific disciplines and specific expertise

committee biographical sketches, 249-259

definitional issues, 45-47

financial abuse, criminal investigation, 421

forensics, 366, 369-370, 373, 375

guidelines for measurement, 45-47, 57-58

peer review, 18, 74, 152, 321

specialists, 130-131, 132-133, 272;

see also specific experts

Exploitation, 1, 9, 11, 13, 14, 18, 25, 28

see also Financial abuse

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

F

Families and households, 18, 24, 133, 137-138, 173, 176, 177, 342, 384-385, 501-522 (passim)

see also Adult children of elderly persons;

Child abuse and neglect;

Intimate partner mistreatment;

Marriage and marital status

committee research recommendations, 4, 7, 70

Conflicts Tactics Scale (CTS), 20, 26-27, 55, 85, 166-167, 244, 271, 274-275, 300-302

ethical issues, research, 322, 324

financial abuse, 40-41, 96, 382, 385, 392, 395, 397, 398, 399, 414, 415, 438

preventive measures, 430-431, 437

historical perspectives, 12, 14, 15, 240, 501, 502

home health workers, 52, 127-128

incidence and prevalence research, 74, 76, 85, 86, 261, 262, 264-267, 268-269, 270-273, 274-275, 284

informed consent, research, 143, 147-148, 311, 314-315

intergenerational transmission of mistreatment, 99

nursing homes, 453-454, 462, 482

reporting practices, 122, 123, 414, 453-454, 462, 473-474

residential care facilities, 467, 473-474, 482

risk factors, 88, 91, 92, 96, 98-99, 100, 242

screening and case identification, 104, 113-114, 270, 271, 273, 293, 294, 295-297

state law, definitional issues, 35, 36, 181-237 (passim), 244-246

theoretical models, 62, 63, 70, 138

Fatalities, 239

see also Forensics

child abuse, 340

financial abuse, 392, 393

incidence and prevalence data, 76, 78, 80, 243

interdisciplinary investigation, 132

long-term care settings, 447

suicide, 78

Federal Bureau of Investigation (FBI), 268, 269, 284, 285-286

Federal government, 6-7, 239-240

see also Funding;

Legislation;

specific agencies and departments

funding

ethical guidelines, 32-33

protective measures, 14, 18

research, 1-2, 6-7, 11-12, 21-22, 24-25, 33

historical perspectives, 12-15

National Bioethics Advisory Commission (NBAC), 306, 312, 313, 320-322, 326, 331, 334

nursing homes, 449-450

reporting requirements, 125

residential care facilities, 464-465

Federal Policy for the Protection of Human Subjects (Common Rule), 304, 305, 306, 307-309, 312, 314, 319, 323, 325-326, 332, 334

Fiduciaries, 28, 41, 132, 385, 389, 390, 403, 419, 426(n.49), 427, 428

preventive measures, 434-435, 436

state legislation, definitions, 190-191, 192, 197, 203, 206, 211, 218, 219

Financial abuse, 167, 359-360, 382-445

see also Banks and banking;

Fiduciaries;

Guardianship and power of attorney

abuser dependency, 96, 241, 242, 270, 293, 296, 300, 387(n.11)

adult protective services, 390, 394, 405(n.25), 417, 436, 437

attitudes and, 391-392, 396, 399-402, 404, 406, 407, 414, 415, 429, 438

attorneys, 52, 390, 398, 411-412, 413, 423, 433-434

caregiver abuse and neglect, 40-41, 65, 385, 388, 395, 397-400, 435-436

child abuse models, 402-408

cognitive impairments, 393, 395, 396, 397, 404-406, 407, 413, 421, 422, 433-434, 435, 438

community-level factors, 430-432, 436

computer technology, 392, 395, 398, 431

cost factors, legal interventions, 422, 429, 434-435

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

criminal justice system, 392, 393, 400, 411-412, 420-423

definitional issues, 35, 38, 40-41, 382(n.1), 385-386, 388-389, 409, 415, 420-421

guidelines for measurement, 51-53, 54-55

disabled persons, 391-392, 395, 401, 406, 409, 422, 435

emotional impacts of, 391, 392, 399, 409

families, 40-41, 96, 382, 385, 392, 395, 397, 398, 399, 414, 415, 438

preventive measures, 430-431, 437

forensics, 340

fraud, 131, 132, 134, 185, 207, 210, 211, 213, 216, 221, 227, 231, 236, 340, 359, 360, 372, 385, 387, 400, 404-405

gender factors, 394-395

incidence and prevalence, 1, 9, 11, 74, 243-244, 274, 389-391, 401, 437-438

inheritance, 392, 399, 403(n.22)

international perspectives, 390, 394

intimate partners, 394, 401, 402-403, 408-410

isolation and, 393, 395, 397, 402, 435

marriage and marital status, 394, 401, 402-403, 408-410

medical services, 397, 399, 416, 435-436

mental illness, 397, 399

neglect, 387, 395, 409

professional education, of specialists, 130, 131, 132, 419, 432, 436, 437

protective orders, 418, 425

psychological factors, 391, 392, 399, 401, 409

race/ethnicity factors, 388, 390-391, 394

reporting requirements, 123, 383, 391, 393, 410-418

research recommendations, 3, 7, 436-439

risk factors, 92, 96, 393-402

screening and case identification, 110-113, 166-167, 274, 293, 295, 300, 382, 421, 429-436, 438

self-abuse and neglect, 397, 414

sociocultural factors, 388, 393, 395, 397, 417, 438

preventive measures, 430-431, 435

socioeconomic status, 394

state law, definitional issues, 35, 38, 181-237 (passim), 247

state programs, 14

strangers, 52, 110-113, 261, 384, 400

theoretical models, 65

trust relationships, 382, 385, 387, 392, 393, 395, 401-402, 415

undue influence and duress, 131, 192, 195, 197, 203, 206-207, 210, 211, 212, 219, 222, 226, 231, 233, 237, 304, 309, 312, 386, 387, 389, 400, 404, 405, 407, 425

Finland, 244

Florida, 125, 189-191

Food, see Nutrition

Food and Drug Administration (FDA), 140, 307-308

Foreign countries, see International perspectives;

specific countries

Forensics, 65, 101-102, 119-120, 129, 132, 339-381

abrasions and lacerations, 54, 118, 119, 340, 344-345, 359, 360, 361, 372, 454

age factors, 341, 344-360 (passim)

biomarkers, 3, 23, 74, 84, 101-102, 340, 360-362

bruises, 20, 49, 54, 114, 116, 117, 119, 120, 127, 166, 183, 186, 216, 340, 342-343, 345-347, 454

burns, 119, 120, 340, 343, 353-354

caregiver abuse and neglect, 342, 343-381 (passim)

centers, 368-369, 375

child abuse and neglect, 339-340, 360-361

cognitive impairments, 343, 354-357, 360, 366-367, 371-372

computer applications, 362

decubiti, 340, 343, 348, 349-350, 360, 372

definitional issues, 341, 342, 343, 344, 364

dementia, 355, 356-357, 362-363, 366

depression, 355, 357, 362-363, 366

emotional abuse, , 340

epidemiology, 371, 373-374

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

fractures, 20, 79, 114, 118, 119, 120, 127, 166, 183, 255, 340, 342-343, 347-348, 360, 362, 371, 372, 373, 448(n.2), 454, 471, 472

interdisciplinary approaches, 366, 369-370, 375

medications, use of, 340, 343, 352-353

mental illness, 340, 355, 357, 362-363, 366, 371-372

neglect, 342, 343, 372

dehydration, 119, 340, 351-352, 372, 448, 463

hygiene, 340, 350, 357-358, 360, 448, 463

malnutrition, 340, 350-351, 448, 464

restraints, 340, 348-349

self-abuse and neglect, 343

sexual abuse, 340, 358-359, 372

standards, 363-364, 370, 372

violence, physical, 340, 342-343, 360-362

Fractures, 20, 79, 114, 118, 119, 120, 127, 166, 183, 255, 340, 342-343, 347-348, 360, 362, 371, 372, 373, 448(n.2), 454, 471, 472

Fraud, 131, 132, 134, 185, 207, 210, 211, 213, 216, 221, 227, 231, 236, 340, 359, 360, 372, 385, 387, 400, 404-405, 412-413, 422-423, 424, 438

Medicaid, 456

Fulmer Restriction Scale, 167

Funding, 1-2, 11-12, 27, 42, 150

adult protective services, 14, 126, 239, 240, 418-419

block grants, 14

ethical issues, research, 305, 307, 321, 323, 327

evaluation of interventions, 121, 131, 137-138

forensics, 341

incidence and prevalence and, 3-4, 71, 84-86, 244

interdisciplinary approaches, 131

Medicaid, 128

population-based studies, 3, 84-85

prevention, 121, 131, 418-419

professional education, 32, 132, 133, 151

protective care, 14, 126, 239, 240, 418-419

research, general, 1-2, 6-7, 11-12, 21-22, 24-25, 33, 42, 71, 95, 140, 150, 151-152, 521-522

screening and case identification, 105

G

Gender factors, 60, 96, 168, 176, 242-243, 294

see also Intimate partner mistreatment;

Marriage and marital status;

Sexual abuse

financial abuse, 394-395

institutional settings, 100

long-term care settings, 447

violent crime victims, 269

General Accounting Office, 413

Georgia, 191-192

Geographic factors, 4

see also Community-level factors;

Urban areas;

specific states and countries

incidence and prevalence and, 72, 79, 81-82, 86, 283, 284

rural areas, 61, 66, 67

screening and case identification, 104, 106, 107

telephone interviews, 283

theoretical models, 61, 62, 66, 67

Geriatric syndrome, 89-90

Government role, see Federal government;

Local government;

State government

Guardianship and power of attorney, 13, 51, 239

financial abuse, 40-41, 184, 191, 192, 200, 210, 212, 227, 389, 398-399, 413, 418, 426-429, 433

preventive measures, 431

forensics, 341, 344

informed consent for research participation, 314, 315-316, 321, 328

professional education, 130, 131

reporting requirements, 123

state legislation, 137, 182, 184, 191, 192, 200, 210, 211, 212, 213, 217, 222, 227, 234

Guidelines for Defining Public Health Research and Public Health Non-Research, 306-307

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

H

Hafemeister, Thomas, 256, 382-445

HALF (health, attitudes toward aging, living arrangements, and finances), 271-272, 298-302

Handicapped persons, see Disabled persons

Harm, general

see also Emotional abuse;

Financial abuse;

Risk factors;

Violence, physical abuse

definitional issues, 1, 3, 28, 34, 39, 40

guidelines for measurement, 48, 53-55, 56-58

informed consent, 311

intent to, 56-57

research ethics, 311, 319, 321-322, 324-326, 329

Hawaii, 192-193

Hawes, Catherine, 133-134, 137, 256, 446-500

Health Care Financing Administration (HCFA), 457

Centers for Medicare and Medicaid Services (CMS), 152, 448, 457-459, 460-462, 479

Medicaid, 128, 134, 448, 451, 457, 466, 479

Medicare, 294, 448, 451, 456-457

Health factors, see Activities of daily living;

Disabled persons;

Diseases and disorders;

Medical interventions

Heirs, see Inheritance

Historical perspectives, 12-18, 72-73, 88, 238-240, 501

adult protective services, 13-15, 17, 238-240, 506

aging of general population, xiii, 9-10, 78, 152

child abuse and neglect, 12-13, 14, 16-17, 18-19, 126, 339, 383, 501, 506

criminal justice system, 15, 240, 506

diseases and disorders, general, 14, 61, 69

family factors, 12, 14, 15, 240, 501, 502

forensics, 339

incidence and prevalence and, 72-73, 383-384

research on abuse, 11-12, 23, 24-25, 90-91, 383

residential care facilities, 468-469

theoretical models, 61, 240-241

Home health workers, 52, 127-128

Hospitals, 4, 6, 128, 139, 371

see also Emergency departments/response services

child abuse and domestic violence, 503, 504

definition of abuse, 56

incidence and prevalence data, 79, 268-269, 471

screening and case identification, 105, 503, 504

theoretical models, 65

Hotlines, 75, 124, 167, 168, 270

Household settings, see Families and households;

Marriage and marital status

Hwalek-Sengstock Elder Abuse Screening Test (HSEAST), 110-111, 112, 166-167, 172, 271, 273-274, 293, 366

Hygiene, 136, 169, 192, 217, 218, 340, 350, 357-358, 360, 448, 463

decubiti, 340, 343, 348, 349-350, 360, 372

I

Idaho, 193

Illinois, 193-195, 246-247, 390

Improving the Quality of Long-Term Care, 133

Incidence and prevalence, xiii, 1, 9, 13-14, 71-87, 169, 170, 172, 177, 243-245, 383-384

see also Reporting practices;

Surveys

caregiver abuse and neglect, general, 73, 74, 76, 261, 270-273

child abuse, 13, 278-281, 287

cognitive impairments, 76, 83, 270-272, 273, 284, 286, 287, 451

dementia and, 10, 246, 262, 270, 276, 286, 451, 452

community-level factors, xiii, 71, 80, 86, 87

cost of research, 80, 265, 282, 286, 287

criminal justice system, 71, 77, 261, 264, 267-269, 280, 284, 287

definitional issues, 20-21, 71, 75-84

dementia and, 10, 246, 262, 270, 276, 286, 451, 452

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

demographic factors, general, xiii, 73, 86, 266, 269

disabled persons, 10, 11, 264, 265, 270-271, 285

diseases and disorders and, 137-138, 150

economic factors, 79, 81-82, 87, 270, 280

emergency medical services data, 79, 471, 472-473

emotional abuse, 74, 275, 284, 451, 454-455

families, general, 74, 76, 85, 86, 261, 262, 264-267, 268-269, 270-273, 274-275, 284

forensics and, 371, 373-374

funding to assess, 3-4, 71, 84-86, 244

geographic factors, 72, 79, 81-82, 86, 283, 284

historical perspectives, 72-73, 383-384

hospitals, 79, 268-269, 471

international perspectives, 73-74, 243-245

interviews, 74, 76, 83, 243-244, 261, 264-265, 270-277, 278, 281-283, 285-287

long-term care facilities, 133-134

mental illness and, 87, 270, 282

neglect, 74, 81, 173, 274, 462-464

protective factors and, 71, 73, 76, 79-80

questionnaires, 74, 86, 270-277, 280-281, 287

race/ethnicity factors, 82, 269

research methodology, general, 2-5, 10, 22-23, 24, 30-31, 71-87, 243-245, 261-302

sampling, 74, 86, 87, 282, 283, 284, 286

sexual abuse, 75, 78, 275, 276, 280, 284

sociocultural factors, 79, 81-82, 87, 270, 280

socioeconomic status, 81-82, 262, 282-283

strangers, abuse by, 74, 261, 283, 284

theoretical models, 60, 87

trust relationships, general, 74, 77

urban areas, 73, 269, 275

violence, physical, 74, 76, 79, 81, 85, 262, 273-276, 278, 283-285, 287, 451, 452-453, 455

Indiana, 195-196, 473

Indicators of Abuse Screen (IOA), 110-111, 167, 270-271, 296-297

Individual personal factors, 5, 89, 97, 242, 266, 284

see also Alcohol abuse;

Diseases and disorders;

Gender factors;

Psychological factors;

Race/ethnicity

theoretical models, 61, 62, 63, 67, 91

Informed consent, 6, 140-143, 145-147, 309-319, 323, 328, 332-334

see also Guardianship and power of attorney

child abuse and neglect, 143

cognitive impairments, 6, 140, 141-143, 309-311, 312, 314-317

mental illness, 6, 140, 141-143

families, 143, 147-148, 311, 314-315

financial abuse, 405

guardianship, informed consent for research, 314, 315-316, 321, 328

institutional review boards (IRBs), 142, 143, 148-149, 304, 316(n.4), 317-319, 323

interviews, 311, 312

language issues, 312

standards, 6, 140, 141-143, 309-311

Inheritance, 392, 399, 403(n.22)

Iowa, 195-197

Inspection of institutional facilities, 80, 84, 134, 137

Institutional review boards (IRBs), 6, 7, 27, 32-33, 140, 143-145, 148-149

licensing, 80, 134, 316(n.4), 411

research ethics, 304, 308-309, 313, 319-321, 323-324, 331

informed consent, 142, 143, 148- 149, 304, 316(n.4), 317-319, 323

theoretical models, 62, 64, 66-69

Institutional settings

see also Adult protective services;

Assisted-living settings;

Hospitals;

Long-term care settings;

Nursing homes

evaluation of interventions, 122, 128, 133-137

financial abuse, 385

incidence and prevalence and, 73, 76, 77, 79, 82, 83, 384

inspections, 80, 134, 137

medications, 36

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

population-based studies, 3, 73

professional education for staff, 115, 127-128, 134, 136-137, 485-487, 488, 517, 518

record linkage, 83

restraints, 36, 52

risk factors, 99-100, 102

screening and case identification, 104, 109

state law, definitional issues, 35, 36, 37, 187-188, 194, 196, 201, 202, 209, 214, 215, 217, 218, 220, 221, 222, 223, 225-226, 233, 235

violent abuse, 99-100, 181-237 (passim)

Instrumental activities of daily living (IADLs), 10, 11

Interdisciplinary approaches, 7, 32, 130-133, 366

adult protective services, 126, 138

community-level factors, 131-132

forensics, 366, 369-370, 375

inspection of institutions, 137

professional education, 130-131

International perspectives, 14, 506

see also specific countries

child abuse prevention, 13, 506

financial abuse, 390, 394

incidence and prevalence, 73-74, 243-245

International Society for Prevention of Child Abuse and Neglect, 13

Interventions, 4, 6, 14

see also Evaluation of interventions;

Preventive interventions;

Remedial interventions;

Screening and case identification

child abuse and domestic violence, 501-525 (passim)

committee recommendations, 4, 6

cost factors, 18, 282, 286, 287, 510

geriatric syndrome, 90

intimate partner abuse, 501-525 (passim)

theoretical models, 69-70

Interviews, 176

see also Questionnaires;

Telephone

ethical issues, 323

informed consent, 311, 312

incidence and prevalence, 74, 76, 83, 243-244, 261, 264-265, 270-277, 278, 281-283, 285-287

long-term care staff/ residents, 481-482

screening and case identification, 110-113, 115, 120, 166-173 (passim), 270-276, 277, 281-283

Intimate partner mistreatment, 17, 18, 26-27, 91, 96-97

see also Marriage and marital status

community-level factors, 505, 510-516

definitional issues, 402(n.20)

financial abuse, 394, 401, 402-403, 408-410

intergenerational transmission of mistreatment, 99

interventions, 501-525 (passim)

violent, 41, 55, 63, 65, 99, 241-242, 261-262(n.1), 271, 274, 300-302, 409-410, 502-503, 504-522 (passim)

Isolation and confinement, 166-167, 293, 294, 300

see also Restraints

definitional issues, 35, 36, 52, 56, 448, 450

financial abuse, 393, 395, 397, 402, 435

institutional settings, 100

nursing homes, 448, 450, 454

residential care facilities, 466-467

risk factors, 91, 93, 241, 270, 293, 294, 300

state law, definitional issues, 35, 36, 181-237 (passim)

theoretical models, 64, 91

J

Joint Commission on Accreditation and Health Care Organizations, 128, 363-364

Journal of the American Medical Association, 13

K

Kansas, 197-198

Kentucky, 198-199

L

Lacerations, see Abrasions and lacerations

Language issues

informed consent, 312

nursing homes, communication deficits, 452, 462

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

Law enforcement, see Criminal justice system;

Police

Lawyers, see Attorneys

LEAD methodology, 45-47, 59, 106-107, 115, 118

Legal issues, general, 262(n.1), 328-329

see also Criminal justice system;

Ethical issues;

Fiduciaries;

Forensics;

Guardianship and power of attorney;

Informed consent;

Legislation;

Regulatory issues

civil justice interventions, 28, 32, 130, 131, 134, 145, 221, 251, 255, 324, 341, 342, 343, 362, 374, 421, 423-429

confidentiality, 33, 83

financial abuse, cost factors, 422, 429, 434-435

historical perspectives, 12-13, 239, 240

screening and case identification, 106

Legislation, 42, 125, 240

see also Regulatory issues;

State government

Age Discrimination in Employment Act, 42

child abuse and domestic violence, 13, 14, 506, 507-510

Child Abuse Prevention and Treatment Act, 13

Comprehensive Drug Abuse Prevention and Control Act, 145-146

financial abuse, 386, 418

Older Americans Act, 15, 42, 131, 240

Omnibus Budget Reconciliation Act, 450, 451

Public Health Service Act, 145, 146, 323

reporting requirements, 125

Social Security Act, 13, 14, 239

Victims of Crime Act, 419-420

Local government

see also Adult protective services;

Community-level factors;

Criminal justice system

financial abuse, 436

institutional inspections, 137

screening and case identification, 115, 436

Longitudinal studies, 4, 72, 78, 86, 102, 170, 171, 194-195

clinical studies, 5, 86-87, 243

ethical issues, 329, 330-331, 333

informed consent, 313

incidence and prevalence research, 133-134

research recommendations, 4, 5, 7, 65, 72, 78, 86-87

theoretical models, 65

LONGSCAN, 329, 330, 331, 333

Long-Term Care Ombudsman program, 457

Long-term care settings, 4-5, 10-11, 18, 150-151, 176, 446-500

see also Assisted-living settings;

Institutional settings;

Nursing homes;

Residential care facilities

attitudes, 10, 446-447

cognitive impairments, 446, 451, 452, 465, 466, 467, 482

definitional issues, 203, 448-450

forensics, 371, 488

incidence and prevalence, 4-5, 450-483, 487-489

ombudsmen, 25, 122, 123, 125, 131, 134, 137, 169, 170, 366, 373, 448, 450, 453, 456-460, 463

sexual abuse, 452

Louisiana, 199-200

M

MacArthur Risk Assessment, 333

Maine, 200-201

Malnutrition, see Nutrition

Maltreatment, see Child abuse and neglect;

Definitional issues;

Domestic violence;

Emotional abuse;

Exploitation;

Financial abuse;

Self-abuse/self-neglect;

Sexual abuse

Marriage and marital status, 168, 242, 296

see also Intimate partner abuse

financial abuse, 394, 401, 402-403, 408-410

residential care facilities, 465

theoretical models, 63

Massachusetts, 202-203, 246, 405

Mass media, 15, 519

McFeeley, Patricia, 256-257, 339-381

Medicaid, 128, 134, 448, 451, 457, 466, 479

Medical Expenditure Panel Survey (MEPS), 479

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

Medical interventions, 79-80, 150-151

see also Clinical practices and research;

Emergency departments/response services;

Forensics;

Nurses and nursing;

Physicians

biomarkers, 3, 23, 74, 84, 101-102, 340, 360-362

community-level programs, 510-512

evaluation of interventions, 122, 127-129

financial abuse, 397, 399, 416, 435-436

Medicaid, 128, 134, 448, 451, 457, 466, 479

Medicare, 294, 448, 451, 456-457

screening during, 75, 104, 108, 127-128

state legislation, 181-237 (passim)

Medicare, 294, 448, 451, 456-457

Medications

cognitive effects, 264, 406(n.29)

definition of maltreatment, 35, 52, 56, 81

financial abuse, 406(n.29)

forensics, 340, 343, 352-353

residential care facilities, 466, 467, 468-469

restraints, 52, 448, 466, 468-469

screening and case identification, 108, 293, 295

Mental illness, 12, 50

see also Cognitive impairments;

Dementia;

Depression

alcohol abuse, 21, 91, 94, 95, 242, 270, 282, 293, 294, 296, 299, 355, 357, 398

financial abuse and, 397, 399

forensics, 340, 355, 357, 362-363, 366, 371-372

incidence and prevalence of mistreatment and, 87, 270, 282

informed consent, 6, 140, 141-143

reporting requirements, 122

residential care facilities, 465, 466, 467

as risk factor, general, 94-95, 242

screening and case identification, 109, 117, 270, 282, 294, 296

substance abuse, 94, 95, 145-146, 242, 366, 398, 399

theoretical models, 63, 64, 240-241

Michigan, 203-204, 473

Minimum Data Set (MDS), 479

Minnesota, 125, 205-207

Minorities, see Race/ethnicity

Mississippi, 207-208

Missouri, 208-210

Mistreatment, see Child abuse and neglect;

Definitional issues;

Domestic violence;

Emotional abuse;

Exploitation;

Financial abuse;

Self-abuse/self-neglect;

Sexual abuse

Models and modeling, see Definitional issues;

Theory and theoretical models

Montana, 210-211

Mortality, see Fatalities

Mount Sinai/Victim Services Agency Elder Abuse Project Questionnaire, 365

Multidisciplinary approaches, see Interdisciplinary approaches

N

National Association of Adult Protective Services Administrators, 126

National Bioethics Advisory Commission (NBAC), 306, 312, 313, 320-322, 326, 331, 334

National Center for Injury Prevention, 80

National Center on Elder Abuse (NCEA), 15, 22-23, 132, 265-266, 385, 389-390

National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research, 315-316, 319-320, 327

National Crime Victimization Survey (NCVS), 268-269

National Elder Abuse Incidence Study (NEAIS), 263, 266-267, 277, 286

financial abuse, 383, 394, 401, 412, 417, 432, 437

National Incident Based Reporting System (NIBRS), 268, 269

National Institute of Justice, 7, 131, 137-138, 150

National Institute on Aging (NIA), 2, 6-7, 11, 12, 24-25, 95, 144, 149, 150, 151, 243, 483

National Institutes of Health (NIH), 12

confidentiality, 33, 145, 146-147

informed consent, 149

National Long Term Care Survey, 11

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

National Mortality Followback Survey, 447

National Ombudsman Reporting System (NORS), 457

National Survey of Adolescents, 279, 285

National Violent Death Reporting System, 80

National Women’s Study, 279, 280-281, 285

Nebraska, 211

Neglect, general, xiii, xiv, 5, 11, 12, 13, 14, 17, 22-23, 95, 168

see Child abuse and neglect;

Isolation and confinement;

Nutrition;

Restraints;

Self-abuse/self-neglect

abandonment, 36, 184, 188, 199, 216, 222, 225, 236, 357

community-level programs, 510

decubiti, 340, 343, 348, 349-350, 360, 372

definitional issues, 19, 20-21, 34-37 (passim), 39, 41, 44, 181-237 (passim), 342, 449-450

guidelines for measurement, 44, 56

dehydration, 119, 166, 183, 186, 272, 340, 351-352, 372, 448, 463

financial, 387, 395, 409

forensics, 342, 343, 372

hygiene, 136, 169, 192, 217, 218, 340, 350, 357-358, 360, 448, 463

incidence and prevalence, 74, 81, 173, 274, 462-464

malnutrition, 340, 350-351, 448, 464

nursing homes, 449-450, 462-464, 469

residential care facilities, 467-468

restraints, 340, 348-349

screening and case identification, 110-113, 118, 119, 274, 293-302 (passim)

state law, 124, 387

Nevada, 212-213

New Hampshire, 213

New Jersey, 213-214

New Mexico, 214-215

New York, 216-217, 432

North Carolina, 217-219

North Dakota, 219

Nurse Aid Registry, 471

Nurses and nursing, 21, 22, 41, 52, 60, 61, 73, 169, 272

adult protective services and, 456-460

cognitive impairments, 451, 452, 482

communication deficits of residents, 452, 462

definition of abuse, 448-449

financial abuse, 435

home health workers, 52, 127-128

neglect, 449-450, 462-464, 469

reporting practices, 460-462, 470, 472-473, 474-476

research ethics, 313

residential care facilities, 470, 472-473, 485-487, 490

staff, 134-135, 136-137, 448-449, 455, 456, 459, 460-464, 485-487, 490

registries, 460-462, 483, 484, 485-487, 490-491

Nursing homes, 11, 13-14, 176, 351, 447, 450-464

activities of daily living (ADLs), 452, 479

adult protective services and, 13-14, 239, 243

cognitive impairments, 313, 333, 351

decubiti, 345

definition of mistreatment, 18, 51, 52, 448-450

dementia, 451, 452, 482, 485, 486

demographics, 11, 447

emotional abuse, 448, 449, 451, 454-455, 462

evaluation of interventions, 125, 133-137 (passim)

families and, 453-454, 462, 482

financial abuse, 51, 52, 384, 385, 389, 411, 412, 414

forensics, 347, 350, 351-352, 359, 364, 367, 371, 375

incidence and prevalence of mistreatment, xiii, 77, 79-80, 86, 99, 176, 447, 450-464, 471, 477-483

isolation and confinement, 448, 450, 454

number of elderly in, 10-11, 151, 447

nutrition, 350, 351-352

preventive measures, 7, 151, 152, 455, 489-491

reporting practices, 446-447, 450-464, 471

research ethics, 313, 333, 482-483

risk factors, 64, 66, 99, 100, 102, 451-453, 479, 483-491

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

sampling, 478-481

screening and case identification, 104, 109, 113, 117, 119, 357, 488

sexual abuse, 359, 451, 452, 485

state government, general, 200, 208, 448, 457, 460-462

state legislation, definitional issues, 200, 208, 448

theoretical models, 62, 64, 66

violent abuse, 448-450, 451, 452-454, 455

Nutrition

dehydration, 119, 166, 183, 186, 272, 340, 351-352, 372, 448, 463

Elder Assessment Instrument (EAI), 166-167, 272, 294, 365

forensics, 340, 350-351, 360, 448, 464

nursing homes, 350, 351-352

weight loss, 340, 350-351, 448, 464

O

Occurrence of mistreatment, see Incidence and prevalence

Office for Human Research Protections, 6-7, 33, 149, 151

Office of Behavioral and Social Science Research on Women’s Health, 12

Office of the Assistant Secretary for Planning and Evaluation, 3, 479-480

Ohio, 219-221

Oklahoma, 221-222

Older Americans Act, 15, 42, 131, 240

Ombudsmen, 25, 122, 123, 125, 131, 134, 137, 169, 170, 366, 373, 448, 450, 453, 456-460, 463, 467, 468, 470, 471, 473-474, 485, 488-489

Omnibus Budget Reconciliation Act, 450, 451

Online Survey Certification and Reporting System (OSCAR), 471

Oregon, 223

OSCAR database, 457, 471, 476-477, 478

Outcome measures, 3, 4, 5-6, 78-79, 86-87, 243, 284

see also Fatalities

adult protective services, 126

committee recommendations, 4-6 (passim), 45, 137-139

guidelines for measurement, 45, 50

screening and case identification, 108

strangers, abuse by, 261

theoretical models, 62-64

P

Pennsylvania, 21, 223-234

Pepper, Claude, 14-15, 18, 239, 240

Pharmaceuticals, see Medications

Physical abuse, see Restraints;

Sexual abuse;

Violence, physical abuse

Physicians, 13, 21, 41, 60, 109, 123, 127, 170, 175, 199

reporting practices, 472

research ethics, 313

screening and case identification, 278, 293, 365

Police, 16, 21, 60, 73, 81, 93, 104, 122, 123, 125, 127, 129, 130, 132, 137, 138, 269, 282

financial abuse, 422

forensics, 341

Political and policy issues, 1, 7, 14-15, 18, 238-240, 262(n.1), 303-338

see also Ethical issues;

Federal government;

Funding;

Legislation;

Local government;

Standards;

State government

advocacy, 14, 15, 17, 130, 136, 239, 251, 256, 316, 356, 388, 418, 419, 422, 423, 429, 430, 489, 490, 505-506, 516

Population-based studies, xiv, 2, 23-24, 73, 74, 76-77

biomarkers and, 84

committee recommendations, 3, 30-31

funding, 3, 84-85

Power of attorney, see Guardianship and power of attorney

Prevalence, see Incidence and prevalence

Preventive interventions, 2, 12, 285, 517-519

see also Adult protective services;

Professional education;

Public education;

Screening and case identification

child abuse and domestic violence, 501-522 (passim)

committee recommendations, 4, 6, 139, 151

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

financial abuse, 418-419, 429-436, 437

banks and banking, 132, 296, 414, 430, 431-433, 435, 437

funding, 121, 131, 418-419

historical perspectives, 12, 15

incidence and prevalence and, 71, 78, 86

institutional settings, 13

nursing homes, 7, 151, 152, 455, 489-491

research, ethical guidelines, 144, 306-307

residential care facilities, 489-491

risk factors and, 88-89

theoretical models, 69-70

Privacy, see Confidentiality

Private sector, 7, 32, 151, 152

see also Attorneys;

Banks and banking

financial abuse, 433

incidence and prevalence and funding, 71

research ethics, 307, 323-324

Professional education, 32

adult protective services, 126

criminal justice system, 127-131 (passim)

financial abuse, 130, 131, 132, 419, 432, 436, 437

funding, 32, 132, 133, 151

guardianship and power of attorney, 130, 131

institutional staff, 115, 127-128, 134, 136-137, 485-487, 488, 517, 518

interdisciplinary approaches, 130-131

reporting requirements, 123, 266-267

screening and case identification, 115, 127-128

sentinels, 22-23, 55, 74, 77, 128, 172, 244, 246, 261, 262, 266-268, 277, 278, 284, 286, 287, 394

specialists, general, 130-131, 132-133

Prospective studies, 2, 24-25, 90-91, 334

see also Ethical issues

Protective factors, 101-103

see also Interventions

definitional issues, 48, 49, 50, 58

disabled persons, 98

incidence and prevalence and, 71, 73, 76, 79-80

Protective orders, 418, 425

Protective services, see Adult protective services

Protocol for Health Care Professionals, 277

Psychological factors, 24, 97

see also Attitudes;

Cognitive impairments;

Emotional abuse;

Isolation and confinement;

Mental illness

community-level programs, 510-512

definitional issues, 50, 448

effects of mistreatment, 3, 4, 35, 58, 64, 78, 79, 87, 279, 284, 391

financial abuse, 391, 392, 399, 401, 409

nursing homes, 448

theoretical models, 63, 64, 66, 68, 69, 240-241

trust relationships, 2, 3

Public education, 267-268, 517-518

child abuse, 267-268, 505, 517-518

mass media, 15, 519

reporting practices, 123, 267-268

screening and case identification, 105, 107

Public Health Service Act, 145, 146, 323

Q

QUALCARE Scale, 166-167, 173, 174

Questionnaires

see also specific instruments and surveys

incidence and prevalence of abuse, 74, 86, 270-277, 280-281, 287

screening and case identification, 110-113, 120, 166-173 (passim), 270-277, 280-281, 293-302, 365, 366, 504

R

Race/ethnicity, 97, 171

African Americans, 97, 269, 390-391, 466

financial abuse, 388, 390-391, 394

incidence and prevalence and risk factors, 82, 269

informed consent, language issues, 312

nursing homes, 451, 452

residential care facilities, 465

screening and case identification, 114

theoretical models, 61, 62, 64

Records and record-keeping, 21, 22, 23, 35, 45, 46, 53, 55, 71, 74, 78

see also Reporting practices

computer applications, 108-109, 120

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

ethical issues, 308, 324

financial, 54

incidence and prevalence, 83-84, 261, 262, 265-266, 267, 269, 286, 287

linkages, 3, 5, 25, 75, 83-84, 108-109, 120, 267, 286

screening and case identification, 108-109, 120, 261, 262, 265-266, 267

Registries, 107, 125, 135, 482, 483, 484, 485-487, 490-491

nursing homes, 450, 460-462

residential care facilities, 470, 474-476

Regulatory issues, 133

see also Institutional review boards (IRBs);

Legislation;

Standards

assisted-living settings, 133

hospital accreditation, 128

institutional facilities, 7, 66, 133-134, 490-491

inspection of, 80, 134, 137

licensing, 80, 134, 316(n.4), 411

research ethics, 27, 140, 303-309, 315-319, 328

Belmont Report, 303-304, 305, 306, 309, 311, 316-318, 319-320, 321, 327, 334

Federal Policy for the Protection of Human Subjects (Common Rule), 304, 305, 306, 307-309, 312, 314, 319, 323, 325-326

Religious institutions, 243

screening and case identification, 114

state law, definitional issues, 35, 200, 202, 204, 206, 214, 220, 228, 236

Remedial interventions, 2, 12

see also Adult protective services;

Criminal justice system;

Medical interventions

case management, 4-5, 105-106, 116, 277

civil justice interventions, 28, 32, 130, 131, 134, 145, 221, 251, 255, 324, 341, 342, 343, 362, 374, 421, 423-429

committee recommendations, 4, 6

epidemiology, 78

financial abuse, 418-429

informal, 93, 123

screening and case identification, 105

victim compensation, 130, 419-420

victim services networks, 365, 419-420

victim/witness assistance, 129-130

Reporting practices, 76, 122-124, 126, 175, 177, 264, 265-268, 269, 383

see also Confidentiality;

Records and record-keeping;

Registries

adult protective services, 27, 28, 115, 122, 167, 261, 267, 383-384, 411-412, 417, 456-460

attorneys, 52, 123, 390, 411-412, 413

child abuse, 13, 16, 123, 329(n.6), 330

committee recommendations, 6, 33, 139

emergency medical services, 472-473

ethical issues, 324, 328-333, 334-335

evaluation of, 122-124

families, 122, 123, 414, 453-454, 462, 473-474

financial abuse, 123, 383, 391, 393, 410-418

banks and banking, 411(n.36), 412, 421

forensics, 374-375

guardianship and power of attorney, 123

guidelines for measurement, 55

nurses, 460-462, 470, 472-473, 474-476

nursing homes, 446-447, 450-464, 471

professional accounts, 21-23

professional education, 123, 266-267

public education, 123, 267-268

sentinel reports, 22-23, 55, 74, 77, 128, 172, 244, 246, 261, 262, 266- 268, 277, 278, 284, 286, 287, 394

state government, general, 122-126, 144-148, 286, 328-329, 448, 471-472, 476-477, 482-483

state legislation, 13, 18, 33, 60, 122-124, 267, 410-418

surveillance, 4, 42, 46, 59, 75, 79, 80, 87

Residential care facilities, 4, 464-469

see also Assisted-living settings;

Institutional settings;

Long-term care settings;

Nursing homes;

Respite care

activities of daily living (ADLs), 466, 469, 479

cognitive impairments, 465, 466, 467, 482

databases, 471, 476-477, 478

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

definitional issues, 4, 465, 475

state legislation, 198, 210, 237

disabled persons, 465, 466

evaluation of interventions, 122, 126, 133-134, 137

families and, 467, 473-474, 482

financial abuse, 384

forensics, 344, 372, 375

historical perspectives, 468-469

incidence and prevalence of mistreatment, 80, 86, 464-483

isolation, 466-467

medications, 466, 467, 468-469

mental illness, 465, 466, 467

neglect, 467-468

number of elderly in, 10

nurses, 470, 472-473, 485-487, 490

reporting practices, 470-477

research ethics, 303, 313, 482-483

restraints, 466, 468-469

risk factors, 465-468, 479, 483-491

sampling, 478-481

screening and case identification, 114, 488

sociocultural factors, 466-467

socioeconomic status, 466, 467, 480

standards, 464-465

Respite care, 93, 94-95, 125, 130, 270

Restraints, 36, 52, 448, 455

chemical, 52, 448, 466, 468-469

forensics, 340, 348-349

state law, legal definitions, 181-237 (passim), 469

Retrospective studies, see Controlled studies;

Longitudinal studies

Rhode Island, 224-226

Risk factors, 1, 14, 88-103, 124, 170, 241-242, 262-263, 284-285

see also Epidemiology;

Forensics;

Incidence and prevalence;

Screening and case identification;

Vulnerability, general

abuser dependency, 96, 241, 242, 270, 293, 296, 300

adult protective services, 96, 97, 98

caregivers, general, 93-95, 98-103

child abuse and domestic violence, 88, 91, 99, 103, 242, 503-504

definitional issues, 5, 20-21, 35, 72, 89

guidelines for measurement, 48, 49-50, 58, 81-82, 85

dementia, 92, 93-94, 451

families, 88, 91, 92, 96, 98-99, 100, 242

geriatric syndrome, 89-90

incidence and prevalence and, 71, 72, 81-82, 85, 86-87, 261-302

isolation, 91, 93, 241, 270, 293, 294, 300

nursing homes, 64, 66, 99, 100, 102, 451-453, 479, 483-491

race/ethnicity, 82, 269

research ethics, 309-310, 311, 313, 319, 320-326, 329-334

see also Informed consent

research recommendations, 3, 5, 31, 489

residential care facilities, 465-468, 479, 483-491

sociocultural, 88, 91, 241, 270

theoretical models, 60-70, 87

Risk of Future Abuse instrument, 170

Rural areas, theoretical models, 61, 66, 67

S

Sampling, 4-5, 22-23, 24-25, 27, 90, 124, 168-177 (passim)

ethical guidelines, 144

incidence and prevalence of abuse, 74, 86, 87, 282, 283, 284, 286

long-term care facilities, 478-481

Screening and case identification, 23-24, 65, 76-77, 88, 104-120, 166-167, 169, 242, 503-505

see also Forensics;

Professional education;

Reporting practices;

Risk factors

abandonment, 112-113

activities of daily living (ADLs), 105, 270-271

adult protective services, 104, 105-106, 115-116, 124, 167, 261, 267, 277, 365

attitudinal factors, 109, 242, 264-265, 271-272, 276, 278-279, 284, 293, 294, 296, 299, 396

biomarkers, 3, 23, 74, 84, 101-102, 340, 360-362

caregivers, 104-120, 166-167, 242, 270, 271-277, 293-302 (passim), 504-505

child abuse and domestic violence, 116-117, 119, 267, 273, 403-404, 503-505

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

cognitive impairments, 76, 83, 105, 109, 114, 116-117, 270-272, 273, 284, 314, 366-367, 396, 397

committee recommendations, 3, 4, 5-6, 31

community-level factors, 104, 106, 107, 109, 114, 115

computer applications, 108-109

cost factors, 104, 106, 120, 267, 282

criminal justice system, 104, 105-106, 115, 116-117, 127-128

dementia, 114, 116-117, 270, 276, 277, 366

disabled persons, 109, 114, 117, 270-271, 294

diseases and disorders, 105, 108, 109, 117

emergency medical services, 107, 109

emotional abuse, 105, 109, 110-111, 117, 166-167, 275, 295, 296

epidemiology, 107

expertise, 45-47, 57-58

families, 104, 113-114, 270, 271, 273, 293, 294, 295-297

financial abuse, 132, 396-399, 419, 403-404, 432, 436-437

forensics, 363-368, 370, 372, 375

funding, 105

geographic factors, 104, 106, 107

historical perspectives, 73

hospitals, 105, 503, 504

incidence and prevalence of abuse, 74-77, 79-80, 270-273

institutional staff, screening of, 100, 134-135, 490, 504-505

interdisciplinary approaches, 131-132

interviews, 110-113, 115, 120, 166-173 (passim), 270-276, 277, 281-283

medical care specialists, 75, 104, 108, 127-128

medications, 108, 293, 295

mental illness, 109, 117, 270, 282, 294, 296

neglect, 110-113, 118, 119, 274, 293-302 (passim)

state law, 124, 387

nursing homes, 104, 109, 113, 117, 119, 357, 488

physicians, 278, 293, 365

prescreening, 5, 107, 120

professional education, 115, 127-128

public education, 105, 107

questionnaires, 110-113, 120, 166-173 (passim), 270-277, 280-281, 293-302, 365, 366, 504

records and record-keeping, 108-109, 120, 261, 262, 265-266, 267

registries, 107

religious institutions, 114

research, informed consent, 6, 141

residential care facilities, 108, 114-115, 266, 278

sociocultural factors, 114, 270, 280, 293-296 (passim)

socioeconomic status, 114

standards, 106-107, 112, 113-114, 115, 116-118, 363-364, 370, 372

state government, 115, 488

statistical analysis 107-108, 110-113, 270-272, 273, 277

time factors, 105, 106, 107, 113, 114, 115, 238, 243, 282, 296, 365, 367

trust relationships, general, 109, 113, 114, 118, 293

violence, physical, 110-113, 114, 117, 118-120, 273-276, 278, 283-284, 293, 294, 297, 403

Screening Protocol for Identification of Abuse and Neglect of the Elderly, 277

Self-abuse/self-neglect, 1, 19

adult protective services, 126-127

definitional issues, 35, 36, 40, 41, 81

guidelines for measurement, 44

state law, 35, 36

financial abuse and, 397, 414

forensics, 343

Sentinel reports, 22-23, 55, 74, 77, 128, 172, 244, 246, 261, 262, 266-268, 277, 278, 284, 286, 287, 394

child abuse and neglect, 267, 268

Sex differences, see Gender factors

Sexual abuse, 16-17, 127, 280, 281

see also Intimate partner mistreatment

definitional issues, 35, 49, 183-237 (passim), 280, 281

forensics, 340, 358-359, 372

incidence and prevalence, 75, 78, 275, 276, 280, 284

nursing homes, 359, 451, 452, 485

state law, definitional issues, 35, 183-237 (passim)

stigma, 264, 278

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

Social Security Act, 13, 14, 239

Social Security Administration, 431

Sociocultural factors

see also Demographic factors;

Ethical issues;

Families and households;

Institutional settings;

Isolation and confinement;

Race/ethnicity;

Religious institutions

financial abuse, 388, 393, 395, 397, 417, 438

preventive measures, 430-431, 435

incidence and prevalence and, 79, 81-82, 87, 270, 280

residential care facilities, 466-467

risk factors, 88, 91, 241, 270

screening and case identification, 114, 270, 280, 293-296 (passim)

stigma, 69, 242, 243, 264, 278-279, 332, 415, 429, 503

theoretical models, 60, 61, 62-64, 67, 68, 91, 240

Socioeconomic status, 171

ethical research, 327

financial abuse, 394

incidence and prevalence research, 81-82, 262, 282-283

Medicaid, 128, 134, 448, 451, 457, 466, 479

residential care facilities, 466, 467, 480

screening and case identification, 114

telephone interviews, 282-283

theoretical models, 61, 62, 63, 64, 241

South Carolina, 226-227

South Dakota, 227-228

Spouses, see Intimate partner mistreatment;

Marriage and marital status

Standards, 6, 27, 45, 56, 342

see also Definitional issues;

Ethical issues;

Institutional review boards;

Regulatory issues

financial abuse, proof of, 423-424

forensics, 363-364, 370, 372

guidelines for measurement, 45-47, 56, 58-59

hospital accreditation, 128

informed consent, 6, 140, 141-143, 309-311

LEAD methodology, 45-47, 59, 106-107, 115, 118

residential care facilities, 464-465

screening and case identification, 106-107, 112, 113-114, 115, 116-118, 363-364, 370, 372

Supplemental Security Income (SSI), 466, 467

State government

see also Criminal justice system;

specific states

adult protective services, 14, 18, 124, 167, 239

child abuse legislation, 13, 123, 506, 507-508

confidentiality, 33, 304

disabled persons, definitional issues, 35, 36, 37, 124, 181-237 (passim)

elder abuse legislation, 14, 19, 28, 130, 143, 144, 245

adult protective services, 27, 28, 115, 124, 181-182, 185, 189, 411- 412, 417, 418-419, 505, 506-507

age factors, 27, 28, 115, 124, 181-182, 185

cognitive impairments, 35, 36, 184, 405, 406

definitional issues, 13, 28, 34-39, 44, 60, 181-237, 384, 385, 400

fiduciaries, 190-191, 192, 197, 203, 206, 211, 218, 219

financial abuse, 13, 14, 18, 28, 184-236 (passim), 384, 386-387, 405, 406, 410-418, 422, 423-429, 433, 439

fraud, 185, 207, 210, 211, 213, 216, 221, 227, 231, 236, 387

forensics, 343-344

guardianship and power of attorney, 137, 182, 184, 191, 192, 200, 210, 211, 212, 213, 217, 222, 227, 234

individual statutes, 181-237

informed consent, 142-143, 145-148, 314

institutional settings, general, 35, 36, 37, 187-188, 194, 196, 201, 202, 209, 214, 215, 217, 218, 220, 221, 222, 223, 225-226, 233, 235

medical care, 181-237 (passim)

neglect, 34-37, 44, 124, 181-237 (passim), 387

nursing homes, 200, 208, 448

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

religious institutions, 35, 200, 202, 204, 206, 214, 220, 228, 236

reporting requirements, 13, 18, 33, 60, 122-126, 144-148, 267, 286, 328-329, 410-418, 448

residential care, 13, 28, 34-39, 44, 60, 198, 210, 237

screening and case identification, 115-116, 124

sexual abuse, 35, 183-237 (passim)

vulnerability, 39, 41-42, 43, 50, 182-237 (passim), 246-247

financial abuse, 137, 182, 184-236 (passim), 384, 386-387, 390, 405, 406, 410-418, 419, 422-429

funding, 7, 14, 419

historical perspectives, 13, 14

institutional settings, inspections, 80, 84, 134, 137;

see also Institutional review boards (IRBs)

nursing homes, 200, 208, 448, 457, 460-462

reporting practices, 122-126, 144-148, 286, 328-329, 448, 471-472, 476-477, 482-483

residential care facilities, 469, 470, 471, 476-477

screening and case identification, 115, 488

theoretical models, 66

Statistical analyses, 170-174

screening and case identification, 107-108, 110-113, 270-272, 273, 277

Strangers, abuse by, 1

definitional issues, 40

guidelines for measurement, 44, 52

state law, definitional issues, 35

financial, 52, 110-113, 261, 384, 400

incidence and prevalence, 74, 261, 283, 284

Substance abuse, 94, 95, 145-146, 242, 366, 398, 399

Suicide, 78

Sullivan, Louis, 240

Supplemental Security Income (SSI), 466, 467

Surgeon General, 240

Surveillance, 4, 42, 46, 59, 75, 79, 80, 87

Surveys, xiii, 2, 75, 79, 82-83, 84-86, 168-177 (passim), 243-244

see also Interviews, Questionnaires

community, 23, 81

criminal justice, 268-269

harm measurement, 53

mail, 21

Medical Expenditure Panel Survey (MEPS), 479

National Crime Victimization Survey (NCVS), 268-269

National Elder Abuse Incidence Study (NEAIS), 263, 266-267, 277, 286

financial abuse, 383, 394, 401, 412, 417, 432, 437

National Long Term Care Survey, 11

National Mortality Followback Survey, 447

National Survey of Adolescents, 279, 285

National Women’s Study, 279, 280-281, 285

nursing homes, 464

Online Survey Certification and Reporting System (OSCAR), 471

population-based, 3, 4, 11, 24, 45, 30, 82-83

of professionals, 21, 23

screening and case identification, 115

telephone, 73-74, 82, 243, 261, 280, 281-283, 285-286, 287, 481

victims and family members, 26

Sweden, 74

T

Telephone

computer applications, 281, 283, 285-286, 287

hotlines, 75, 124, 167, 168, 270

surveys, 73-74, 82, 243, 261, 280, 281-283, 285-286, 287, 481

telemarketing fraud, 438

Temporal factors, see Time factors

Tennessee, 228

Texas, 228-229

Theory and theoretical models, 60-70, 87, 91, 240-241, 271, 283

see also Definitional issues

adult protective services, 60, 65

caregiver abuse and neglect, general, 61, 63, 64-65, 69-70

cognitive impairments, 66, 70

dementia, 66

disabled persons, 64, 70

diseases and disorders, 61, 66, 68, 69

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

emotional abuse, 63, 64

families, 62, 63, 70, 138

geographic factors, 61, 62, 66, 67

historical perspectives, 61, 240-241

individual personal factors, 61, 62, 63, 67, 91

institutional review boards (IRBs), 62, 64, 66-69

isolation, 64, 91

lacking, 2, 27, 521

longitudinal research, 30, 87

mental illness, 63, 64, 240-241

nursing homes, 62, 64, 66

psychological factors, 63, 64, 66, 68, 69, 240-241

race/ethnicity factors, 61, 62, 64

risk factors, 60-70, 87

rural areas, 61, 66, 67

sociocultural factors, 60, 61, 62-64, 67, 68, 91, 240

socioeconomic status, 61, 62, 63, 64, 241

state government, 66

trust relationships, 63, 66, 91

urban areas, 61, 67

Time factors, 3

see also Longitudinal studies

adult protective services, response time, 124, 129-130

agency/researcher cooperation, 26

child abuse, 280, 281, 510

community-level programs, 510

criminal justice system, 129-130

epidemiology, 72, 77, 78, 87, 238, 243, 282

financial abuse investigations, 422

financial abuse reporting, 411

guidelines for measurement, 47, 54-55, 87

household settings, 137-138

intensity of abuse, 5

nursing home use, 447

remission, 5

residential care facilities, family visit intervals, 467

risk factors, 5, 65, 69

screening and case identification, 105, 106, 107, 113, 114, 115, 238, 243, 282, 296, 365, 367

Trust relationships, general, 2, 3, 58

see also Caregiver abuse and neglect;

Guardianship and power of attorney

definitional issues, 39, 40-41, 43, 44, 61, 238, 384-385

guidelines for measurement, 44, 47-48, 51-53, 57

financial abuse, 382, 385, 387, 392, 393, 395, 401-402, 415

incidence and prevalence of abuse, 74, 77

risk factors, 88, 91

screening and case identification, 109, 113, 114, 118, 293

theoretical models, 63, 66, 91

U

Understanding Child Abuse and Neglect, xiii-xiv

Undue influence and duress, 131, 192, 195, 197, 203, 206-207, 210, 211, 212, 219, 222, 226, 231, 233, 237, 304, 309, 312, 386, 387, 389, 400, 404, 405, 407, 425

Uniform Crime Reports (UCR), 268, 269, 284, 285-286

United Kingdom, 244

Universities and colleges, see Academic research

Urban areas, 512

incidence and prevalence, 73, 269, 275

theoretical models, 61, 67

Utah, 229-230

V

Vermont, 230-231

Veteran’s Administration, 431

Victim services networks, 365, 419-420

Victims of Crime Act, 419-420

Violence, physical abuse, 78, 168, 173, 245-246

see also Child abuse and neglect;

Criminal justice system;

Sexual abuse

abrasions and lacerations, 54, 118, 119, 340, 344-345, 359, 360, 361, 372, 449, 454

adult protective services, 125

alcohol abuse, 95

Alzheimer’s patients, 93-94

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
×

bruises, 20, 49, 54, 114, 116, 117, 119, 120, 127, 166, 183, 186, 216, 340, 342-343, 345-347, 454

burns, 20, 54, 119, 120, 166, 183, 186, 216, 226, 340, 343, 353-354, 371-372

Conflicts Tactics Scale (CTS), 20, 26-27, 55, 85, 166-167, 244, 271, 274-275, 300-302

definitional issues, 35, 36, 238, 244, 342, 448-450

guidelines for measurement, 48-49, 54-55, 56, 57

state statutes, 35, 36, 181-237 (passim)

financial abuse and, 403, 404, 409-410, 419

forensics, 340, 342-343, 360-362

fractures, 119, 120, 127, 166, 183, 255, 340, 342-343, 347-348, 360, 362, 371, 372, 373, 448(n.2), 454, 471, 472

gender of violent crime victims, 269

incidence and prevalence, 74, 76, 79, 81, 85, 262, 273-276, 278, 283-285, 287, 451, 452-453, 455

institutional settings, 99-100, 181-237 (passim)

intergenerational transmission of mistreatment, 99

intimate partner violence, 41, 55, 63, 65, 99, 241-242, 261-262(n.1), 271, 274, 300-302, 409-410, 502-503, 504-522 (passim)

measures of mistreatment, table, 20, 26-27, 55, 85, 166-167, 262, 273-276, 278, 283-284, 285

nursing homes, 448-450, 451, 452-454, 455

screening and case identification, 110-113, 114, 117, 118-120, 273-276, 278, 283-284, 293, 294, 297, 403

Virginia, 231-232

Vulnerability, general, 100-101

adult protective services, 124

age factors, 41-42, 43

definitional issues, 39, 41-42, 43, 50, 182-237 (passim), 246-247

financial abuse, 401

theoretical models, 64

W

Washington, D.C., see District of Columbia

Washington, 232-234

Weight loss, 340, 350-351, 448, 464

West Virginia, 234

Wisconsin, 125, 234-236

Witnesses, criminal justice system, 116-117, 127-128, 129-130, 421

Wolf, Rosalie, 238-248, 257

Wolfe, David, 127, 257, 501-525

Wyoming, 236-237

Suggested Citation:"Index." National Research Council. 2003. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press. doi: 10.17226/10406.
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Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America Get This Book
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Since the late 1970s when Congressman Claude Pepper held widely publicized hearings on the mistreatment of the elderly, policy makers and practitioners have sought ways to protect older Americans from physical, psychological, and financial abuse. Yet, during the last 20 years fewer than 50 articles have addressed the shameful problem that abusers—and sometimes the abused themselves—want to conceal.

Elder Mistreatment in an Aging America takes a giant step toward broadening our understanding of the mistreatment of the elderly and recommends specific research and funding strategies that can be used to deepen it. The book includes a discussion of the conceptual, methodological, and logistical issues needed to create a solid research base as well as the ethical concerns that must be considered when working with older subjects. It also looks at problems in determination of a report’s reliability and the role of physicians, EMTs, and others who are among the first to recognize situations of mistreatment.

Elder Mistreatment in an Aging America will be of interest to anyone concerned about the elderly and ways to intervene when abuse is suspected, including family members, caregivers, and advocates for the elderly. It will also be of interest to researchers, research sponsors, and policy makers who need to know how to advance our knowledge of this problem.

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