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Elder Abuse

One of the most recent social problems to impact people all around the world that many people are unaware of is the abuse of elders. Whether it’s by trusted friends and family members or mistreatment by a hired care taker, elders are not being given the same respect they were many years ago. Like most things this maltreatment has always been around, but in the last few decades it has shown its face much more often. According to Gibbs (2010), “In the past 30 years, awareness of elder abuse has been raised by a minority of professionals in healthcare, social services, law enforcement and public service” (p534). To help give a more adequate view of this issue, the definition of elder abuse and mistreatment, the effects on the elders themselves, what some of the causes are, and what is being done to help prevent and/or solve this problem will be covered in this essay. After reading and understanding this issue, from the causes and effects, to the possible solutions, spotting and doing something to help stop the problem may be much easier. Before knowing and understanding the effects of this blossoming issue one must be fully aware of what it actually is. Elder abuse is best defined by Laura Mosqueda (2010) as “The mistreatment or neglect of an older adult. The mistreatment/neglect may be intentional or unintentional, and may either harm the elder or put them at significant risk of harm” (p214). There is usually a specific group of people that commit the acts of abuse, and they are not always criminals on the streets. Many definitions require that the perpetrator is in a position of trust relative to the elder, such as a family member or paid caregiver or contracted worker (Mosqueda, 2010, p214). When people think of abuse, most only think of physical or emotional, but just as there is more than one type of offender, there is also more than one type of abuse that can take place. Mosqueda (2010) says, “Categories of abuse by others include physical, emotional, financial, sexual and neglect” (p215). This is such a relatively new concern that the severity and reality of it may come as a shock to many. What drives people to commit such foul acts to these elders that deserve the utmost respect? What could possibly cause elder abuse? From pure cold heartedness to taking out frustrations on the elders, there are many reasons for people’s cruel actions. Cikovic and Payne (2005) both agree that “Offenders regard their actions as responses to stressful situations” (p61). In some cases the abuse or neglect upon elders may not be intentional, or a mere lack of training and experience. After conducting a study to “investigate student nurses' perception, knowledge and awareness of elder abuse” (Lai, Y. K. C., Lo, L. K. S., & Tsui, M. C., 2010, p283), the conclusion showed that nurses-to-be, who are expected to be part of the joint force to protect older people against abuse, did not find themselves adequately prepared to fulfill this responsibility (Lai, Y. K. C., Lo, L. K. S., & Tsui, M. C., 2010). Another reason for people to abuse elders may be a reaction to the way the elders act. Their actions could push the wrong buttons in some causing them to harm or neglect the elderly. Nerenburg (2005) writes in her article on the National Center of Elder Abuse, “Not only do staff strike back against aggressive residents, but severely confused and aggressive residents are more likely to be denied opportunities for personal choice” (p1). It is a sad reality that there is anything that could cause someone to harm an elder, the one’s that paved the way for today’s youth. On the brighter side, there are a number of different agencies and organizations that have recognized this growing concern. The nation offers numerous organizations and agencies, some of which are: Michigan Adult Protective Services, American Association of Retired Persons (AARP), and the Older Americans Act. There are many other organizations and agencies that can potentially help save an elder’s life, these are some of the most known.
Michigan Adult Protective Services was mandated by Public Act 519 of 1982. They’re purpose is to investigate any allegations of abuse, neglect, or exploitation and provide protection to vulnerable adults. Once they are contacted they are to begin an investigation within 24 hours (Adult Protective Services 2005). With this procedure in place adults in Michigan can be just a little more at ease knowing they are safer. The Adult Protective Services (APS) Program provides services to a growing number of cases. More than 9,390 APS investigations were completed in Calendar Year 2001. The APS average monthly caseload nearly doubled from FY 1993 to FY 2002 (APS 2005). This is a significant increase in numbers and if the average keeps increasing then Michigan alone will be that much closer to having more lives saved. Especially with other programs in place such throughout the country such as the American Association of Retired Persons (AARP). AARP is by far the nation’s leading organization for people over the age of 50. AARP is a nonprofit, nonpartisan organization with memberships that help people ages 50 and over have freedom, independence, choices, and control in ways that are affordable and in their best interest. This helps improve their lives and society as a whole (American Association of Retired Persons 2011). Several of its divisions have services or special programs related to elder abuse. These include the Fraud Fighters Program Kit, Abused Elders or Older Battered Women. (AARP 2011) American Association of Retired Persons has numerous numbers to call if an elder is in an abusive situation of any sort. If the abuse in endangering their lives there are shelters that AARP provides. They also provide the elders with information to help prevent the abuse from even taking place. With an organization like this in place for all 50 states, Puerto Rico, and the US Virgin Islands, there are millions of people that will have better protection for themselves. If becoming a member is not something an elder wants, they can look into the Older American Act. The Older American Act of 1965 (OAA) is the major source of federal funding and guidelines for organizing and delivering social services to the elderly (Journal of the American Dietetic Association 2006). This act supports numerous programs for the elders, some of which are senior nutrition programs, home and community based care, and programs to fight elder abuse. The OAA has been very successful in changing the lives of elders all around the world. With the services and programs it provides many elders are living a lot better. The success of this act is proven in the fact that OAA funding was at $1.4 billion in economic year 2005.
Along with these agencies and organizations there are a lot of solutions being proposed by numbers experts. The American Psychological Association has quite a few proposals implemented, some of which have already been put into motion, while many others are still awaiting their turn. Some of these proposals are education; give the care giver time off, and care give support groups. APA says, “Education is the cornerstone in preventing elder abuse” (American Psychological Association 2011). By educating the public, and giving them the opportunity to gain proper knowledge on the issue there would be an increase in awareness and the possible affect could be lives saved. Along with education giving the care giver time off can change their mood and attitude drastically there by changing the way they interact with the elderly. “Every caregiver needs time alone, free from the worry and responsibility of looking after someone else's needs” (APA 2011). Besides time to themselves, care givers should also have some type of support group that can relate to their frustrations, concerns, or joys when caring for elders. Everyone needs support of some type, and this could help the care givers release some of their built up anger or stress. “Having other people to talk to is an important part of relieving tensions” (APA 2011). With these proposed solutions in place the nation will be one step closer to minimizing elder abuse. If these aren’t implemented any time soon there are always other social institutions that can help alleviate the issue.
There are a number of social institutions that can help with the ending of elder abuse. Not only are there numerous institutions, a majority of them have proven to be quite helpful when it comes to elder abuse. Two of the major institutions that are of great service to the nation are the National Center on Elder Abuse (NSEA) and the Center for Advocacy for the Rights and Interests of the Elderly (CARIE). Both of these institutions have a lot to offer pertaining to elder abuse. They are both working to help prevent and stop any on-going abuse.
The National Center on Elder Abuse’s mission statement is as follows “The National Center on Elder Abuse (NCEA), directed by the U.S. Administration on Aging, is committed to helping national, state, and local partners in the field be fully prepared to ensure that older Americans will live with dignity, integrity, independence, and without abuse, neglect, and exploitation” (National Center on Elder Abuse 2011). With a mission statement like this how could one not believe in their institution? “The NCEA is a resource for policy makers, social service and health care practitioners, the justice system, researchers, advocates, and families” (NCEA 2011). In order to fulfill their mission the NCEA disseminates elder abuse information to experts in the field, and provides assistance and training to states and community-based organizations. Furthermore, the NCEA will serve as a national clearinghouse of information for elder rights advocates, law enforcement, legal professionals, public policy leaders, researchers, and others working to ensure that all older Americans will live with dignity, integrity, independence, and without abuse, neglect, and exploitation (NCEA 2011). In addition to their work, the Center for Advocacy for the Rights and Interests of the Elderly (CARIE) is working just as hard to fulfill some of the same goals.
CARIE is a “non-profit institution, based in Philadelphia, dedicated to improving the quality of life for vulnerable older people” (Center for Advocacy for the Rights and Interests of the Elderly 2011). CARIE helps adults live more freely without the worry of having to deal with abuse or neglect. They are trained specifically to help those that have been abused and to care for elders without abusing them. “Because frail older adults often lack the ability to advocate on their own behalf without assistance, CARIE provides individual advocacy through direct service and systemic advocacy through education and public policy initiatives” (CARIE 2011). CARIE can be of help in many ways and is a resource that many elders should take advantage of.
Elder abuse is a fairly new issue amongst our world which can affect anyone at any time. Whether it is yourself, or you own family, it can happen. From stress to poor training, there are many reasons as to why people find it ok to abuse elders. Since this has becoming a recurring problem throughout the world there have been many organizations and agencies created in order to help such as, AARP, APS, and the Older American Act. They are all in place to help prevent and help alleviate elder abuse. To go right along with those, the efforts of NCEA and CARIE cannot be forgotten. They are showing a drastic improvement since these institutions have been put into place. I believe that with these helpful efforts from these organizations and institutions, a lot or proper training, and more educated adults, elder abuse can be avoided.

Reference List
About. (2011). Center for Advocacy for the Rights and Interests of the Elderly. Retrieved November 20, 2011, from http://www.carie.org

About Us. (2011, May 31). National Center on Elder Abuse. Retrieved November 20, 2011, from http://www.ncea.aoa.gov

Adult Protective Services. (2005). Department of Human Services. Retrieved November 20,
2011, from http://www.michigan.gov

Cikovic, Richard, and Brian K. Payne. "An empirical examination of the characteristics, consequences, and causes of elder abuse in nursing homes." Journal of Elder Abuse & Neglect 7.4 (2005): 61+. Academic OneFile. Web. 23 Nov. 2011.

"Congress considers 'streamlined' Older Americans Act." Journal of the American Dietetic Association 96.4 (2006): 328. Academic OneFile. Web. 27 Nov. 2011.

Elder Abuse and Neglect: In Search Of Solutions. (2011). American Psychological Association. Retrieved November 20, 2011, from http://www.apa.org

Gibbs, Lisa, and Laura Mosqueda. "Elder abuse: a medical perspective." Aging Health 6.6 (2010): 739+. Academic OneFile. Web. 23 Nov. 2011.

Lai, Claudia Kam Yuk, Shirley Ka Lai Lo, and Chi Man Tsui. "Student nurses' perception and understanding of elder abuse."International Journal of Older People Nursing 5.4 (2010): 283+. Academic OneFile. Web. 23 Nov. 2011.

Nerenburg, Lisa. “Abuse in Nursing Homes” National Center on Elder Abuse May 2005. http://www.ncea.aoa.gov

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