Improving the Identification of and Responses to Victims of Elder Mistreatment.

Rand health quarterly Pub Date : 2025-03-17 eCollection Date: 2025-03-01
Lynn Langton, Duren Banks, Madison Fann, Dulani Woods, Michael J D Vermeer, Brian A Jackson
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Abstract

Elder mistreatment-which includes physical, psychological, and sexual abuse; fraud and financial exploitation; and neglect of older individuals-is a serious public health issue and a growing area of concern as the percentage of the U.S. population age 60 and older continues to rise. Medical, financial, legal, and social service providers who come into contact with older adults can be well positioned to identify persons at risk for or experiencing elder mistreatment and connect them with service providers to address their needs. However, these service providers require tools and training to identify elder mistreatment. Once victims or at-risk individuals are identified, there are also challenges with how best to intervene and provide victims with effective support and services. To explore these challenges and potential solutions, RAND and RTI International convened an expert panel in 2023 to identify knowledge and resource gaps and explore strategies to improve the identification of and responses to elder mistreatment. The workshop participants identified the highest-priority needs in this area, including research to support evidence-based, holistic, and culturally appropriate approaches, while also supporting the widespread adoption of effective programs to reach the greatest number of older adults who have been victimized.

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改善对虐待老人受害者的识别和应对。
虐待老人——包括身体、心理和性虐待;欺诈和金融剥削;以及对老年人的忽视——是一个严重的公共卫生问题,随着美国60岁及以上人口比例的持续上升,这个问题越来越受到关注。与老年人接触的医疗、金融、法律和社会服务提供者能够很好地确定面临虐待老人风险或正在遭受虐待老人的人,并将他们与服务提供者联系起来,以解决他们的需求。然而,这些服务提供者需要工具和培训来识别虐待老年人。一旦确定了受害者或有风险的个人,如何最好地进行干预并为受害者提供有效的支持和服务也面临挑战。为了探索这些挑战和潜在的解决方案,兰德公司和RTI国际公司于2023年召集了一个专家小组,以确定知识和资源差距,并探讨改善对虐待老年人的识别和应对的战略。研讨会参与者确定了该领域最优先的需求,包括支持以证据为基础的、整体的、文化上合适的方法的研究,同时也支持广泛采用有效的方案,以尽可能多地接触到受害的老年人。
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