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Elder Abuse in Nursing Homes: An Ecological Perspective
Authors:Lawrence B Schiamberg PhD  Gia G Barboza PhD  James Oehmke PhD  Zhenmei Zhang PhD  Robert J Griffore PhD  Robin P Weatherill PhD
Affiliation:1. Department of Human Development and Family Studies , Michigan State University , East Lansing, Michigan, USA schiambe@msu.edu;3. Department of Criminal Justice , Northeastern University , Boston, Massachusetts, USA;4. Emergency Medicine, Yale University , New Haven, Connecticut, USA;5. Department of Sociology , Michigan State University , East Lansing, Michigan, USA;6. Department of Human Development and Family Studies , Michigan State University , East Lansing, Michigan, USA;7. National Center for PTSD, VA Boston Healthcare System , Boston, Massachusetts, USA
Abstract:Population trends suggest that the next 20 years will witness a dramatic increase in the adult population aged 65 and older. Projected increases in the elderly population are expected to significantly increase the stress on family and professional caretakers. Stress, in the context of caregiving relationships, is a risk factor associated with increased prevalence of elder abuse in familial and institutional settings. As increasing numbers of older adults are moved from family caregiving to nursing home care settings, it becomes important to identify the pattern of elder abuse risk factors in nursing home facilities. An ecological model is proposed for better understanding the risk factors associated with elder abuse in nursing homes and the complex interaction of individual/person characteristics and contextual factors in institutional elder abuse. An ecological perspective to institutional elder abuse provides a framework for guiding and informing future research on the risk factors of nursing home abuse and, in turn, for the development of effective interventions and relevant social policies.
Keywords:ecological perspective  elder abuse  nursing homes  risk factors
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