Elder Abuse and Neglect: Promising Avenues for Policy Makers from World Health Organization Western Pacific Region Countries

PRINCIPAL RESEARCHER :

Marie Beaulieu, Ph. D., University of Sherbrooke

RESEARCH TEAM :

N/A

CHAIR PERSONNEL INVOLVED IN THE PROJECT :

Julien Cadieux Genesse, Assistant Coordinator and Research Agent

GRANTING AGENCY AND GRANT AMOUNT :

World Health Organization (Units: Equity and Social Determinants and Violence and Injury Prevention ; Division: Health Systems and Non-Communicable Diseases and Health through the Life-course) - Budget : USD $18,000

PROJECT COMPLETION DATES :

January 3rd, 2018 to June 30st, 2018 

ROLE OF CHAIR IN THE PROJECT :

Project leader

RESEARCH PROBLEM :

Mistreatment of older adults, defined as “a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which cases harm or distress to an older person” has significant and lasting consequences for older people including physical and psychological harm and an increased likelihood of hospitalization or placement in institutional long-term care.

As described in the World Report on Ageing and Health, the mistreatment of older adults takes many forms, including: physical, sexual, psychological, emotional, financial and material, institutional, violation of rights and neglect.

It is estimated that one in six older people, and two thirds of people with dementia, may experience this kind of mistreatment with only four percent being reported. The cost of mistreatment is estimated to be USD $5.3 billion per year. This figure only represents the medical costs from violent injuries suffered by older adults.

Despite the widespread prevalence of mistreatment of older adults and the extensive related personal and societal costs, it remains a neglected public health priority in many countries.

GOAL OF THE PROJECT OR RESEARCH QUESTION :

Main-question: What is the state of knowledge and practice on the mistreatment of older adults and neglect in the WHO Western Pacific region countries?

Sub-question: Based on a summary of knowledge developed by the Research Chair on Mistreatment of Older Adults in recent years, how can knowledge acquired on mistreatment and neglect in different countries of the world inform and guide policy makers in the WHO Western Pacific region countries?

OBJECTIVES :

Document what responses have been implemented to prevent and respond to mistreatment of older adults (including at different levels such as individual, community, organizational, systems and government levels) and what are the key features of these responses?

METHODOLOGY :

Scoping Review

Presentation of research criteria:

1. Identifying the research question

 - See “Goal of the project or Research Question” in the previous section.

2. Identifying relevant documents

 - The documents have been listed using two strategies. Firstly, we did a search in electronic databases. Secondly, a Google search was made by using the name of each of the 27 WHO Western Pacific region countries and “elder abuse policy” and “elder abuse law”.

3. Studying the selection

 - To be selected, the writings not only have to meet the research criteria set out in Stage 2, that is to be written scientific or grey literature published in English between 2007 and 2018, but also to explicitly address the topic of mistreatment of older adults (or a synonymous term) either in the title or in the abstract. Texts which did not meet these criteria have been excluded. The following types of texts were also excluded: editorials, book reviews, and articles of 3 pages or less. By the end of the project, over 30 documents will have been analyzed and incorporated in the report.

4. Charting the data

 - A structured reading grid was developed in January, 2018. The themes included were: definition, vocabulary, prevalence, risk factors, protective factors, consequences, public policies, practice issues (primary prevention, detection and case follow-up), recommendations for research practice and policies.

5. Collating, summarizing and reporting the results

 - The data collected for the WHO Western Pacific region countries will be discussed based on international literature that has already been collected by the Research Chair on Mistreatment of Older Adults.

PROJECT ADVANCEMENT :

Draft report number 2 on the scoping review, analysis of content and suggestions for research, policy and practice sent to the WHO (March 31, 2018). The final report is in production.

COMMUNICATIONS :

Beaulieu, M. & Cadieux Genesse, J. (March 31st, 2018). Prevalence, Impact and Responses to Elder Abuse and Neglect in the WHO Western Pacific Region: A Scoping review. Second draft Report presented to the WHO Western Pacific Region.

Beaulieu, M. & Cadieux Genesse, J. (March 9th 2018). Prevalence, Impact and Responses to Elder Abuse and Neglect in the WHO Western Pacific Region: A Scoping review. Draft Report presented to the WHO Western Pacific Region.

Last modified on Wednesday, 21 November 2018 10:34

In situation of emergency

If you witness or are victim of a mistreatment situation and wish to obtain information or help, please contact the Elder Abuse Help Line (for Quebec residents).

1 888 489-ABUS (2287)

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Contact details

Research Chair on Mistreatment of Older Adults
Research Centre on Aging – CIUSSS de l'Estrie - CHUS
1036, Belvédère Sud
Sherbrooke (Québec)
J1H 4C4
CANADA

Telephone : 1 819 780-2220, extension 45621

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