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Severe self-neglect: an epidemiological and historical perspective
Edward Lee Poythress1, Jason Burnett, Aanand D Naik
1Department of General Medicine, Baylor College of Medicine, Ben Taub General Hospital, Harris County Hospital District, Houston, TX, USA.
Journal of Elder Abuse & Neglect
|November 2, 2007
Summary
Severe self-neglect in older adults involves multiple deficits and risks, requiring a comprehensive approach. Further research is vital for effective screening and interventions for this vulnerable population.
Area of Science:
- Gerontology
- Psychiatry
- Social Work
Background:
- Severe self-neglect in older adults is characterized by deficits across social, functional, and physical domains.
- Affected individuals often exhibit poor personal hygiene, domestic squalor, and hoarding behaviors.
Observation:
- Self-neglect in older adults presents a continuum, often associated with cognitive and affective disorders.
- Hoarding behavior in severe self-neglect is not limited to specific socioeconomic groups.
Findings:
- Severe self-neglect poses significant threats to individual health and public safety.
- This population requires an interdisciplinary, multidimensional approach for care.
Implications:
- Effective screening tools and interventions are needed for practitioners.
- Addressing severe self-neglect can reduce morbidity, mortality, and the need for nursing home placement.
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