Full Description
Cases of elder abuse and neglect are challenging, complex and dangerous. Health care practitioners are regularly faced with these cases but are often unable and untrained to adequately respond. Practitioners are typically working in silos without the support of a team. This book will assist health care practitioners, medical trainees, Geriatrics fellows, social workers, nurses and other professionals find the next best steps in approaching these difficult cases through the lens of experts in the field.
This book is presented in a case-based format, with each case emphasizing the importance of a team approach and highlighting the contributions of multiple disciplines in the final case formulation. Each chapter focuses on a particular case report of a specific type of abuse followed by an evidence-based background section on that subject. Several authors with varied expertise relevant to the case provide their perspective on the case (psychiatry, medicine, social work, legal, law enforcement, government policy, victim advocates, etc.). At the end of each presented case are several take-aways for professionals.
The field of Elder Abuse has realized that the team approach is crucial to successfully resolving cases, and multidisciplinary teams are being funded throughout the country toward that end. The lessons learned from these teams with suggested approaches to client-centered services are shared in this book. This book is unique in its case-based format and contributions of multiple experts in the field describing their unique perspective.
Contents
Foreword by Risa Breckman, LCSW.- Overview of the History of Elder Abuse and Neglect.- Physical Abuse: The case of JS-Presents to law enforcement.- Case presentation.- Overview of physical abuse.- Risk factors.- Bruising patters and other physical findings.- Radiological findings.- Reporting to / working with law enforcement.- Assessing capacity.- Safety planning.- Financial Abuse: The case of ML-Presents to DA office.- Case presentation.- Overview of financial abuse.- Risk factors for victimization.- New research on brain imaging.- Common scams Interventions.- Communicating with financial institutions.- Power of attorney.- Societal impact.- Sexual Abuse: The case of PD-Presents to the Emergency Room.- Case presentation.- Overview of sexual abuse.- Risk factors.- Characteristics of perpetrators.- Nursing home incidents.- Role of the SANE nurse.- Trauma informed interviewing.- PTSD and other sequelae.- Emotional Abuse: Case of TK-Presents to Psychiatrist.- Case presentation.- Overview of emotional abuse.- Risk factors.- Characteristics of perpetrators.- Theories of emotional abuse.- Depression and other sequelae.- Post-traumatic stress.- Trauma informed interviewing.- Intentional Neglect: Case of AV-Presents to Primary Care setting.- Case presentation.- Overview of neglect.- Risk factors.- Characteristics of perpetrators.- Physical findings.- Laboratory findings.- Assessing motives and intent.- Determining criminality.- Unintentional Neglect: Case of VT-Presents to in-patient hospital setting.- Case presentation.- Overview of unintentional neglect.- Risk factors.- Institutional responsibilities.- Assessing need for guardianship.- Ethical dilemmas.- Caregiver support.- Self-neglect: Case of KL-Presents to community social service agency.- Case presentation.- Overview of self-neglect.- Psychiatric underpinnings.- Understanding hoarding behavior.- Reporting to APS.- Legal ramifications/eviction.- Assessing role for guardianship.- Ethical concerns.- Institutional Neglect: Case of SW-Presents to Dept. Health/ Attorney General, Case presentation.- Overview of institutional neglect.- Resident: resident aggression.- Medical findings.- Institutional responsibilities of NH.- Reporting to oversight agencies.- Role of the Ombudsman.- Undue Influence: Case of KP-Presents to Financial institution/Elder Law.- Case presentation.- Overview of undue influence.- Risk factors.- Assessing capacity.- Ethical concerns.- Determining validity of POA.- The Voice of the Victim: A Survivor's Story.- Interview with the victim/Case Presentation.- Overview of victimization from the victim's perspective.- Role of professionals in helping.- Safety Planning.- Separatingfrom the Perpetrator/Abuser.- Life without abuse.
