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Dyadic vulnerability and risk profiling for elder neglect.

Terry Fulmer1, Gregory Paveza, Carla VandeWeerd

  • 1Steinhardt School of Education, Division of Nursing, New York University, 246 Greene Street, New York, NY 10003-6677, USA. terryfulmer.don@nyu.edu

The Gerontologist
|July 30, 2005
PubMed
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Elder neglect is a significant issue, with caregiver and elder factors like childhood trauma and functional status contributing to neglect. Interdisciplinary teams are crucial for identifying neglect risk factors in older adults.

Area of Science:

  • Gerontology
  • Social Work
  • Psychiatry

Background:

  • Elder neglect constitutes a substantial portion of adult protective services reports.
  • Understanding the multifactorial nature of elder neglect is critical for effective intervention.

Purpose of the Study:

  • To investigate the independent contributions of elder and caregiver factors to neglect using a risk-and-vulnerability model.
  • To provide empirical data on the predictors of elder neglect.

Main Methods:

  • Older adults and their caregivers were recruited from emergency departments.
  • A diagnosis of neglect was established by an expert assessment team.
  • Independent interviews were conducted with elders and their caregivers.

Main Results:

Related Experiment Videos

  • Caregiver factors such as functional status, childhood trauma, and personality significantly predicted neglect.
  • Elder vulnerability factors including cognitive status, functional status, depression, social support, childhood trauma, and personality were also significant predictors.
  • The risk-and-vulnerability model identified key variables within both domains.

Conclusions:

  • Interdisciplinary assessment teams in emergency departments are vital for screening elder neglect.
  • The risk-and-vulnerability model offers a framework for understanding the complex dynamics of elder neglect.
  • Independent data collection from elder-caregiver dyads is essential for accurate diagnosis and intervention planning.