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NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This workshop summary was supported by contracts between the National Academy of Sciences and the Department of Health and Human Services: Administration on Aging, Office on Women’s Health; Anheuser-Busch InBev; the Archstone Foundation; the Avon Foundation for Women; BD (Becton, Dickinson and Company); Catholic Health Initiatives; the Centers for Disease Control and Prevention; the Department of Justice: National Institute of Justice; Eli Lilly and Company; the F Felix Foundation; the Fetzer Institute; the Foundation to Promote Open Society; the Joyce Foundation; John E. Fogarty International Center; Kaiser Permanente; LeadingAge; Merck & Co., Inc.; the National Institutes of Health: National Institute on Alcoholism and Alcohol Abuse, National Institute on Drug Abuse, Office of Research on Women’s Health; the Robert Wood Johnson Foundation; and Wells Fargo Advisors. The views presented in this summary do not necessarily reflect the views of the organizations or agencies that provided support for the activity.
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Suggested citation: IOM (Institute of Medicine) and NRC (National Research Council). 2014. Elder abuse and its prevention: Workshop summary. Washington, DC: The National Academies Press.
THE NATIONAL ACADEMIES
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.
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PLANNING COMMITTEE FOR WORKSHOP ON
ELDER ABUSE AND ITS PREVENTION1
JACQUELYN C. CAMPBELL (Co-Chair), Anna D. Wolf Chair and Professor, Johns Hopkins University School of Nursing
XINQI DONG (Co-Chair), Associate Director, Rush Institute for Health Aging; Associate Professor of Medicine, Behavioral Sciences, and Gerontological Nursing, Rush University Medical Center
TERRY T. FULMER, Dean, Bouvé College of Health Sciences, Northeastern University
JEFFREY E. HALL, Behavioral Scientist and Acting Team Lead, Morbidity and Behavioral Surveillance Team Surveillance Branch, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention
ALEXANDRE KALACHE, President, International Longevity Centre–Brazil
TARA L. MCMULLEN, Health Analyst, Quality Measures & Health Assessment Group, Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services
EDWIN L. WALKER, Deputy Assistant Secretary, Program Operations, Administration on Aging
_____________________
1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.
FORUM ON GLOBAL VIOLENCE PREVENTION1
JACQUELYN C. CAMPBELL (Co-Chair), Anna D. Wolf Chair and Professor, Johns Hopkins University School of Nursing
MARK L. ROSENBERG (Co-Chair), President and Chief Executive Officer, The Task Force for Global Health
ALBERT J. ALLEN, Senior Medical Fellow, Bioethics and Pediatric Capabilities, Global Medical Affairs and Development Center of Excellence, Eli Lilly and Company
CLARE ANDERSON, Deputy Commissioner, Administration on Children, Youth and Families, Department of Health and Human Services (until June 2013)
FRANCES ASHE-GOINS, Deputy Director, Office on Women’s Health, Department of Health and Human Services
KATRINA BAUM, Senior Research Officer, Office of Research Partnerships, National Institute of Justice, Department of Justice (until January 2014)
SUSAN BISSELL, Associate Director, Child Protection Section, United Nations Children’s Fund
ARTURO CERVANTES TREJO, Professor and Chair of Public Health, Anahuac Institute of Public Health, Mexico
XINQI DONG, Associate Director, Rush Institute for Health Aging; Associate Professor of Medicine, Behavioral Sciences, and Gerontological Nursing, Rush University Medical Center
AMIE GIANINO, Senior Global Director, Beer & Better World, Anheuser-Busch InBev (until December 2013)
KATHY GREENLEE, Assistant Secretary for Aging, Administration on Aging, Department of Health and Human Services
GENE GUERRERO, Director, Crime and Violence Prevention Initiative, Open Society Foundations (until June 2013)
RODRIGO V. GUERRERO, Mayor, Cali, Colombia
DAVID HEMENWAY, Professor of Health Policy; Director, Injury Control Research Center and the Youth Violence Prevention Center, Harvard University School of Public Health
FRANCES HENRY, Advisor, F Felix Foundation
LARKE NAHME HUANG, Senior Advisor, Office of the Administrator, Substance Abuse and Mental Health Services Administration, Department of Health and Human Services (until June 2013)
_____________________
1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.
L. ROWELL HUESMANN, Amos N. Tversky Collegiate Professor of Psychology and Communication Studies; Director, Research Center for Group Dynamics, Institute for Social Research, University of Michigan
CAROL M. KURZIG, President, Avon Foundation for Women
JACQUELINE LLOYD, Health Scientist Administrator, National Institute on Drug Abuse, National Institutes of Health, Department of Health and Human Services (until June 2013)
JANE ISAACS LOWE, Senior Advisor for Program Development, Robert Wood Johnson Foundation
BRIGID MCCAW, Medical Director, NCal Family Violence Prevention Program, Kaiser Permanente
JAMES A. MERCY, Special Advisor for Strategic Directions, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention
MICHELE MOLONEY-KITTS, Managing Director, Together for Girls
LAURA MOSQUEDA, Associate Dean of Primary Care, University of California, Irvine, School of Medicine
MARGARET M. MURRAY, Director, Global Alcohol Research Program, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Department of Health and Human Services
MICHAEL PHILLIPS, Director, Suicide Research and Prevention Center, Shanghai Jiao Tong University School of Medicine
COLLEEN SCANLON, Senior Vice President, Advocacy, Catholic Health Initiatives
EVELYN TOMASZEWSKI, Senior Policy Advisor, Human Rights and International Affairs, National Association of Social Workers
ELIZABETH WARD, Chair, Violence Prevention Alliance, University of the West Indies, Mona Campus
IOM Staff
RACHEL M. TAYLOR, Associate Program Officer
MEGAN M. PEREZ, Research Assistant
AUDREY AVILA, Intern
NIKITA SRINIVASAN, Intern
CHRISTEN WOODS, Intern
DEEPALI M. PATEL, Program Officer (until February 2013)
KIMBERLY SCOTT, Senior Program Officer (from June 2013)
KATHERINE M. BLAKESLEE, IPA
MELISSA A. SIMON, Institute of Medicine Anniversary Fellow
JULIE WILTSHIRE, Financial Officer
PATRICK W. KELLEY, Senior Board Director, Board on Global Health
Reviewers
This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this report:
GEORGIA J. ANETZBERGER, Cleveland State University
CLAUDIA COOPER, University College London
JEFFREY HALL, Centers for Disease Control and Prevention
PAMELA TEASTER, University of Kentucky
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by David B. Reuben, University of California, Los Angeles. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteur and the institution.
Acknowledgments
The Forum on Global Violence Prevention was established to develop multisectoral collaboration among stakeholders. Violence prevention is a cross-disciplinary field that could benefit from increased dialogue among researchers, policy makers, funders, and practitioners. As awareness of the insidious and pervasive nature of violence grows, so too does the imperative to mitigate and prevent it. The Forum seeks to illuminate and explore evidence-based approaches to the prevention of violence.
A number of individuals contributed to the development of this workshop and report. These include a number of staff members from the Institute of Medicine and the National Academies: Charlee Alexander, Daniel Bethea, Karen Campion, Leigh Carroll, Marton Cavani, Colin Fink, Meg Ginivan, Wendy Keenan, Patrick Kelley, Jillian Laffrey, Eileen Milner, Crysti Park, Jose Portillo, Patsy Powell, and Julie Wiltshire. The Forum staff, including Megan Perez, Kimberly Scott, and Rachel Taylor, put forth considerable effort to ensure this workshop’s success.
The planning committee contributed hours of service to develop and execute the agenda, with the guidance of Forum membership. Reviewers also provided thoughtful remarks in reading the draft manuscript. Finally, these efforts would not be possible without the work of the Forum membership itself, an esteemed body of individuals dedicated to the concept that violence is preventable.
This workshop was made possible through the support of the Forum sponsors and the workshop sponsors: Cedar Village, Cincinnati; The Hebrew Home at Riverdale; the Jewish Home of Fairfield County, Connecticut; LeadingAge; Merck & Co., Inc.; and Wells Fargo Advisors.
The overall successful functioning of the Forum and its activities depends on the generosity of its sponsors. Financial support for the Forum on Global Violence Prevention is provided by the Department of Health and Human Services: Administration on Aging, Office on Women’s Health; Anheuser-Busch InBev; the Archstone Foundation; the Avon Foundation for Women; BD (Becton, Dickinson and Company); Catholic Health Initiatives; the Centers for Disease Control and Prevention; the Department of Justice: National Institute of Justice; Eli Lilly and Company; the F Felix Foundation; the Fetzer Institute; the Foundation to Promote Open Society; the Joyce Foundation; John E. Fogarty International Center; Kaiser Permanente; the National Institutes of Health: National Institute on Alcoholism and Alcohol Abuse, National Institute on Drug Abuse, Office of Research on Women’s Health; and the Robert Wood Johnson Foundation.
Contents
2 Measuring and Conceptualizing Elder Abuse
3 Risk Factors and Health Outcomes
PART II: PAPERS AND COMMENTARY FROM SPEAKERS
II.1 Understanding Elder Abuse in the Chinese Community: The Role of Cultural, Social, and Community Factors
II.2 Seven Policy Priorities for an Enhanced Public Health Response to Elder Abuse
Marie-Therese Connolly and Ariel Trilling
II.3 Elder Neglect: The State of the Science
Terry T. Fulmer and XinQi Dong
II.6 Elder Abuse and Its Prevention: Screening and Detection
Tara McMullen, Kimberly Schwartz, Mark Yaffe, and Scott Beach
II.7 Elder Abuse and Neglect: A Role for Physicians
II.8 Preventing Elder Abuse—Hope Springs Eternal
Elizabeth Podnieks and Cynthia Thomas
II.9 Elder Abuse Intervention: The Shelter Model and the Long-Term Care Facility
Daniel A. Reingold, Joy Solomon, and Malya Levin