Elder Abuse and Neglect Among Veterans in Greater Los Angeles: Prevalence, Types, and Intervention Outcomes
Elder Abuse and Neglect Among Veterans in Greater Los Angeles: Prevalence, Types, and Intervention Outcomes
复制标题
DOI：
10.1300/j083v46n03_11
复制
发表时间：
2006-01-01
影响因子：
3.2
通讯作者：
Spaziano, Eleanor
中科院分区：
文献类型：
--
作者：
Moon, Ailee;Lawson, Kerianne;Spaziano, Eleanor
本研究探讨了老年人虐待/忽视的患病率，类型和干预结果的退伍军人人口。一项对575名退伍军人的医疗记录的审查发现，31名退伍军人（5.4%）代表他们提交了虐待老人的报告。这些退伍军人在三年内曾接受过洛杉矶退伍军人事务老年门诊诊所的服务。老年人（80岁以上）、白人和非洲裔美国退伍军人中虐待/忽视老年人的患病率较高。31名受害者中有8人遭受了一种以上的虐待，包括自我忽视。经济虐待和自我忽视是最常见的报告类型。在大多数案件中，家庭成员是肇事者，自我忽视除外。然而，四分之三的经济虐待案件是由非家庭成员犯下的。几乎一半的受害者患有痴呆症，8人患有临床抑郁症。最常见的干预措施是将受害者从不安全的家中转移到养老院或寄宿和护理设施，然后安排监护。这些干预措施最常用于患有痴呆症的受害者，监护权通常与另一种类型的干预措施一起安排，例如搬到养老院。留在家中的受害者接受监护或外部支助服务，或两者兼而有之。本研究呼吁在多个环境中对虐待/忽视老年人进行更全面和系统的研究，以便为预防和发现老年人虐待和忽视老年人以及有效干预老年人提供有用的信息。(C)出版社：The Haworth Press，Inc. All rights reserved.
This study examined the prevalence, types, and intervention outcomes of elder abuse/neglect among a veteran population. A review of medical records of 575 veterans who had received services from the Veteran's Affairs Geriatric Outpatient Clinic in Los Angeles during a three-year period found 31 veterans (5.4%) who had an elder abuse report filed on their behalf. Prevalence of elder abuse/neglect was higher among older (80+) and Caucasian and African American veterans. Eight of 31 victims suffered from more than one type of elder abuse including self-neglect. Financial abuse and self-neglect were the most commonly reported types. Family members were perpetrators in the majority of the cases, excluding self-neglect. However, three-quarters of financial abuse cases were committed by non-family members. Almost one-half of the victims had dementia and eight were clinically depressed. The most common intervention was to move victims from their unsafe home into a nursing home or board and care facility, followed by conservatorship arrangement. These interventions were most frequently used for victims with dementia, and conservatorship was often arranged with another type of intervention, such as a move to a nursing home. Victims who remained at home received conservatorship or outside supportive services or a combination of both. This study calls for more comprehensive and systematic research on elder abuse/neglect at multi-settings in order to generate useful information for prevention and detection of, and effective intervention in elder abuse and neglect in the veteran population. (C) 2006 by The Haworth Press, Inc. All rights reserved.