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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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Elder Abuse
and Its
Prevention

Workshop Summary

Rachel M. Taylor, Rapporteur

Forum on Global Violence Prevention

Board on Global Health

             INSTITUTE OF MEDICINE AND       
NATIONAL RESEARCH COUNCIL
                         OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×

THE NATIONAL ACADEMIES PRESS   500 Fifth Street, NW   Washington, DC 20001

NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This workshop summary was supported by contracts between the National Academy of Sciences and the Department of Health and Human Services: Administration on Aging, Office on Women’s Health; Anheuser-Busch InBev; the Archstone Foundation; the Avon Foundation for Women; BD (Becton, Dickinson and Company); Catholic Health Initiatives; the Centers for Disease Control and Prevention; the Department of Justice: National Institute of Justice; Eli Lilly and Company; the F Felix Foundation; the Fetzer Institute; the Foundation to Promote Open Society; the Joyce Foundation; John E. Fogarty International Center; Kaiser Permanente; LeadingAge; Merck & Co., Inc.; the National Institutes of Health: National Institute on Alcoholism and Alcohol Abuse, National Institute on Drug Abuse, Office of Research on Women’s Health; the Robert Wood Johnson Foundation; and Wells Fargo Advisors. The views presented in this summary do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

International Standard Book Number-13: 978-0-309-29351-8
International Standard Book Number-10: 0-309-29351-0

Additional copies of this workshop summary are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2014 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine) and NRC (National Research Council). 2014. Elder abuse and its prevention: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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PLANNING COMMITTEE FOR WORKSHOP ON
ELDER ABUSE AND ITS PREVENTION1

JACQUELYN C. CAMPBELL (Co-Chair), Anna D. Wolf Chair and Professor, Johns Hopkins University School of Nursing

XINQI DONG (Co-Chair), Associate Director, Rush Institute for Health Aging; Associate Professor of Medicine, Behavioral Sciences, and Gerontological Nursing, Rush University Medical Center

TERRY T. FULMER, Dean, Bouvé College of Health Sciences, Northeastern University

JEFFREY E. HALL, Behavioral Scientist and Acting Team Lead, Morbidity and Behavioral Surveillance Team Surveillance Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention

ALEXANDRE KALACHE, President, International Longevity Centre–Brazil

TARA L. MCMULLEN, Health Analyst, Quality Measures & Health Assessment Group, Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services

EDWIN L. WALKER, Deputy Assistant Secretary, Program Operations, Administration on Aging

_____________________

1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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FORUM ON GLOBAL VIOLENCE PREVENTION1

JACQUELYN C. CAMPBELL (Co-Chair), Anna D. Wolf Chair and Professor, Johns Hopkins University School of Nursing

MARK L. ROSENBERG (Co-Chair), President and Chief Executive Officer, The Task Force for Global Health

ALBERT J. ALLEN, Senior Medical Fellow, Bioethics and Pediatric Capabilities, Global Medical Affairs and Development Center of Excellence, Eli Lilly and Company

CLARE ANDERSON, Deputy Commissioner, Administration on Children, Youth and Families, Department of Health and Human Services (until June 2013)

FRANCES ASHE-GOINS, Deputy Director, Office on Women’s Health, Department of Health and Human Services

KATRINA BAUM, Senior Research Officer, Office of Research Partnerships, National Institute of Justice, Department of Justice (until January 2014)

SUSAN BISSELL, Associate Director, Child Protection Section, United Nations Children’s Fund

ARTURO CERVANTES TREJO, Professor and Chair of Public Health, Anahuac Institute of Public Health, Mexico

XINQI DONG, Associate Director, Rush Institute for Health Aging; Associate Professor of Medicine, Behavioral Sciences, and Gerontological Nursing, Rush University Medical Center

AMIE GIANINO, Senior Global Director, Beer & Better World, Anheuser-Busch InBev (until December 2013)

KATHY GREENLEE, Assistant Secretary for Aging, Administration on Aging, Department of Health and Human Services

GENE GUERRERO, Director, Crime and Violence Prevention Initiative, Open Society Foundations (until June 2013)

RODRIGO V. GUERRERO, Mayor, Cali, Colombia

DAVID HEMENWAY, Professor of Health Policy; Director, Injury Control Research Center and the Youth Violence Prevention Center, Harvard University School of Public Health

FRANCES HENRY, Advisor, F Felix Foundation

LARKE NAHME HUANG, Senior Advisor, Office of the Administrator, Substance Abuse and Mental Health Services Administration, Department of Health and Human Services (until June 2013)

_____________________

1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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L. ROWELL HUESMANN, Amos N. Tversky Collegiate Professor of Psychology and Communication Studies; Director, Research Center for Group Dynamics, Institute for Social Research, University of Michigan

CAROL M. KURZIG, President, Avon Foundation for Women

JACQUELINE LLOYD, Health Scientist Administrator, National Institute on Drug Abuse, National Institutes of Health, Department of Health and Human Services (until June 2013)

JANE ISAACS LOWE, Senior Advisor for Program Development, Robert Wood Johnson Foundation

BRIGID MCCAW, Medical Director, NCal Family Violence Prevention Program, Kaiser Permanente

JAMES A. MERCY, Special Advisor for Strategic Directions, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention

MICHELE MOLONEY-KITTS, Managing Director, Together for Girls

LAURA MOSQUEDA, Associate Dean of Primary Care, University of California, Irvine, School of Medicine

MARGARET M. MURRAY, Director, Global Alcohol Research Program, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Department of Health and Human Services

MICHAEL PHILLIPS, Director, Suicide Research and Prevention Center, Shanghai Jiao Tong University School of Medicine

COLLEEN SCANLON, Senior Vice President, Advocacy, Catholic Health Initiatives

EVELYN TOMASZEWSKI, Senior Policy Advisor, Human Rights and International Affairs, National Association of Social Workers

ELIZABETH WARD, Chair, Violence Prevention Alliance, University of the West Indies, Mona Campus

IOM Staff

RACHEL M. TAYLOR, Associate Program Officer

MEGAN M. PEREZ, Research Assistant

AUDREY AVILA, Intern

NIKITA SRINIVASAN, Intern

CHRISTEN WOODS, Intern

DEEPALI M. PATEL, Program Officer (until February 2013)

KIMBERLY SCOTT, Senior Program Officer (from June 2013)

KATHERINE M. BLAKESLEE, IPA

MELISSA A. SIMON, Institute of Medicine Anniversary Fellow

JULIE WILTSHIRE, Financial Officer

PATRICK W. KELLEY, Senior Board Director, Board on Global Health

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this report:

GEORGIA J. ANETZBERGER, Cleveland State University

CLAUDIA COOPER, University College London

JEFFREY HALL, Centers for Disease Control and Prevention

PAMELA TEASTER, University of Kentucky

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by David B. Reuben, University of California, Los Angeles. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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Acknowledgments

The Forum on Global Violence Prevention was established to develop multisectoral collaboration among stakeholders. Violence prevention is a cross-disciplinary field that could benefit from increased dialogue among researchers, policy makers, funders, and practitioners. As awareness of the insidious and pervasive nature of violence grows, so too does the imperative to mitigate and prevent it. The Forum seeks to illuminate and explore evidence-based approaches to the prevention of violence.

A number of individuals contributed to the development of this workshop and report. These include a number of staff members from the Institute of Medicine and the National Academies: Charlee Alexander, Daniel Bethea, Karen Campion, Leigh Carroll, Marton Cavani, Colin Fink, Meg Ginivan, Wendy Keenan, Patrick Kelley, Jillian Laffrey, Eileen Milner, Crysti Park, Jose Portillo, Patsy Powell, and Julie Wiltshire. The Forum staff, including Megan Perez, Kimberly Scott, and Rachel Taylor, put forth considerable effort to ensure this workshop’s success.

The planning committee contributed hours of service to develop and execute the agenda, with the guidance of Forum membership. Reviewers also provided thoughtful remarks in reading the draft manuscript. Finally, these efforts would not be possible without the work of the Forum membership itself, an esteemed body of individuals dedicated to the concept that violence is preventable.

This workshop was made possible through the support of the Forum sponsors and the workshop sponsors: Cedar Village, Cincinnati; The Hebrew Home at Riverdale; the Jewish Home of Fairfield County, Connecticut; LeadingAge; Merck & Co., Inc.; and Wells Fargo Advisors.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×

The overall successful functioning of the Forum and its activities depends on the generosity of its sponsors. Financial support for the Forum on Global Violence Prevention is provided by the Department of Health and Human Services: Administration on Aging, Office on Women’s Health; Anheuser-Busch InBev; the Archstone Foundation; the Avon Foundation for Women; BD (Becton, Dickinson and Company); Catholic Health Initiatives; the Centers for Disease Control and Prevention; the Department of Justice: National Institute of Justice; Eli Lilly and Company; the F Felix Foundation; the Fetzer Institute; the Foundation to Promote Open Society; the Joyce Foundation; John E. Fogarty International Center; Kaiser Permanente; the National Institutes of Health: National Institute on Alcoholism and Alcohol Abuse, National Institute on Drug Abuse, Office of Research on Women’s Health; and the Robert Wood Johnson Foundation.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
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Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings.

Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community.

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