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Emergency department and hospital-based programs responding to elder mistreatment: developing consensus about an idea

Elizabeth M Bloemen1, Alyssa Elman2, Sarah Tietz1

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Elder mistreatment is a serious, under-recognized problem. This paper introduces interdisciplinary teams in emergency departments and hospitals designed to identify and assist older adults experiencing abuse.

Keywords:
Elder abuseelder mistreatmentelder mistreatment program

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Area of Science:

  • Gerontology
  • Public Health
  • Emergency Medicine

Background:

  • Elder mistreatment is prevalent and often overlooked in healthcare settings.
  • Emergency departments and hospitals are critical points for identifying at-risk older adults.
  • Current identification and intervention strategies for elder mistreatment are insufficient.

Purpose of the Study:

  • To describe the structure and function of two interdisciplinary elder mistreatment response teams.
  • To highlight the potential of hospital-based and emergency department interventions for elder abuse.
  • To introduce a special issue focused on improving elder mistreatment identification and care.

Main Methods:

  • Description of two established interdisciplinary teams addressing elder mistreatment.
  • Review of the operational models for emergency department and hospital-based interventions.
  • Synthesis of findings presented in a dedicated special issue.

Main Results:

  • Interdisciplinary teams offer a viable model for addressing elder mistreatment in acute care settings.
  • Clinical encounters in emergency departments and hospitals present opportunities for intervention.
  • The described teams demonstrate a practical approach to identifying and supporting mistreated elders.

Conclusions:

  • Hospital and emergency department-based interdisciplinary teams are crucial for combating elder mistreatment.
  • Enhanced identification and response systems are needed to protect vulnerable older adults.
  • This work sets the stage for further research and implementation of effective elder abuse interventions.