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Elder Abuse
According to the Attorney General’s Family Violence Task Force, references to elder abuse can be traced throughout Greek mythology, the writings of Shakespeare and modern literature. Yet, it has only been in the last twenty years that serious attention has been given to family violence and elder abuse. Perhaps, at least in part, this elevated consciousness can be attributed to the increasing numbers of aging Americans (Commonwealth of Pennsylvania, 1988). An important step towards recognizing elder abuse occurred in 1978 when Suzanne Steinmetz presented her research on the abuse of the elderly to the Congressional Subcommittee hearings on domestic violence. Her testimony prompted the House Select Committee on Aging, chaired by the late U.S. Representative Claude Pepper, to further examine the mistreatment of the elderly. The “Pepper Committee” subsequently introduced the term “elder abuse,” and alerted the nation to the widespread severity of this problem (Commonwealth of Pennsylvania, 1988). The effects of the baby boom and increased life expectancy have both contributed to the immediate and projected increase in the number of elderly Americans. Medical advances and the implementation of “protective legislation” have greatly increased the length of life for many Americans (Griffin and Williams, p. 19, 1992). Yet, other simultaneous societal changes may have contributed to the predisposition of some individuals to become abusive towards the elderly. In previous generations extended family members could share the responsibility of caring for the aging. However, increased mobility, strained economic times and smaller nuclear families have limited familial resources. Currently, the responsibility of elder care usually falls on a select few (Griffin and Williams, p. 20, 1992). The definitions and statistics regarding elder abuse vary. They range from estimates that one out of ten persons living with a family member is subject to abuse—approximately 2.5 million a year (Griffin and Williams, p. 20, 1992)--to 1 in 25 elderly persons being victimized annually (Heisler, 1991). Still others conclude that 3.6 percent of our Nation’s elderly citizens are victims of abuse each year (Commonwealth of Pennsylvania, 1988). Most researchers agree that the abuse of the elderly fall within the five following categories: physical abuse, sexual abuse, psychological abuse, financial abuse and neglect. “Non-accidental physical force that results in injury” (Commonwealth of Pennsylvania, 1988). Indicators:
Physical frailty, decreased physical ability, and vision and audio impairments make older persons especially susceptible to physical abuse (NOVA, 1985). “Non-consensual sexual contact” (Commonwealth of Pennsylvania, 1988). Indicators:
As elderly victims are less physically able, often all that is needed to subdue them during a sexual assault is intimidation by physical force (Muram, Miller and Cutler, 1992). “Infliction of mental anguish by threat, intimidation, humiliation, or other such conduct” (Commonwealth of Pennsylvania, 1988). Indicators:
Diminished ability to cope with stress, termed a “decrease in homeostatic capacity,” as well as the state of “chronic loss” that often accompanies aging (i.e., loss of one’s home, peers, spouse, etc.), renders elders susceptible for psychological abuse (NOVA, 1985). “Unauthorized use of funds or property” (Commonwealth of Pennsylvania, 1988). Financial abuse or exploitation involves the theft or conversion of money or property belonging to an elder, accomplished by force, misrepresentation, or other illegal means often by taking advantage of the elder’s partial or total lack of legal competency (Hyman, p. 6, 1990). The loss of what may appear to be a minimal amount of money to some may account for a substantial loss for an elder person. It may result in the elder having to go without food, medication, or possibly his or her apartment. “Failure to fulfill a caretaking obligation” (Commonwealth of Pennsylvania, 1988). Indicators:
The different types of neglect include the following:
In addition to the abuse that elderly persons are subject to by relatives and/or caretakers in their homes or in institutions, they may also become targets for criminal victimization. Contrary to popular assumptions that elderly citizens are disproportionately victims of crime as a result of their physical limitations, in reality, they are the least victimized age group. Yet, further examination does reveal that elderly persons may be subject to more severe crimes, and that they are more fearful of crime; thus the consequences of victimization are often more detrimental (Commonwealth of Pennsylvania, 1988). The low victimization rate for elderly persons may be explained by their lifestyles, which limit the amount of time they spend out in the evening and their contact with likely offenders. However, this does not safeguard them from becoming victims of serious crimes. Research indicates that personal larceny with contact (pocket-picking, purse snatching), a significant and dangerous crime as it involves both theft and personal contact, is the most common crime against elderly Americans. Robbery, inclusive of both theft and assault, is second in frequency. In addition, the following are further aspects that characterize the severity of crimes against the elderly:
As the number of aging Americans continues to increase, the abuse and victimization of the elderly will become a national problem of even greater proportion. Effective programs to detect elder abuse and to treat its victims are necessary and should be established in every community. Administration on Aging. (2000). Profile of Older Americans:2000. Washington, DC: U.S. Department of Health and Human Services. Bloom, Judy S., Pamela Ansell, and Matthew N. Bloom. “Detecting Elder Abuse: A Guide for Physicians.” Geriatrics, Volume 44(6), June 1989. Bureau of Justice Statistics. (2001). Criminal Victimization 2000. Washington, DC: U.S. Department of Justice. Commonwealth of Pennsylvania. “Attorney General’s Family Violence Task Force: Violence Against Elders.” September 1988. Griffin, Linner Ward and Oliver J. Williams. “Abuse Among African-American Elderly.” Journal of Family Violence, Volume 7(1), 1992. Heisler, Candace J. “The Role of the Criminal Justice System in Elder Abuse Cases.” Journal of Elder Abuse and Neglect, Volume 3(1), 1991. Hyman, Jerry A. “From the Frontlines: Financial Abuse and Legal Assistance.” NARCEA Exchange, Volume 2(4), September 1990. Muram, David, Kristin Miller and Amos Cutler. “Sexual Assault of the Elderly Victim.” Journal of Interpersonal Violence, Volume 7(1), March 1992. National Center on Elder Abuse. (September, 1998). National Elder Abuse Incident Study; Final Report. Washington, DC: Administration for Children and Families, Administration on Aging, U.S. Department of Health and Human Services. NOVA. “The Elderly Crime Victim.” Network Information Bulletin, Volume 2(2), September 1985. Skeates, Elizabeth and Ian Douglas. “Abuse of Elderly People.” Nursing, Volume 4(6), 1990. For further information, please contact: American Association for Retired Persons National Aging Resource Center on Elder Abuse Clearinghouse on Family Violence Information Your local prosecutor’s office, law enforcement, or state Attorney General’s office. Check in the Blue Pages of your local phone book under the appropriate section heading of either “Local Government,” “County Government,” or “State Government.” All rights reserved. Copyright © 2001 by the National Center for Victims of Crime. This document may not be reproduced in whole or in part, by photocopy or by any other means, without the expressed written permission of the National Center for Victims of Crime.
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