Abstract
A large portion of persons who commit elder mistreatment have long been known to have indicators of substance abuse and/or mental health conditions (SAMHC). However, few studies have specifically examined elder mistreatment by persons with SAMHC, preventing the development of specialized intervention strategies. Using results from the National Elder Mistreatment Study, the current article examines victim, perpetrator, and interaction characteristics between cases of emotional and physical elder mistreatment in which the perpetrator is reported to have vs. not have SAMHC. Chi square tests and Mann-Whitney-Wilcoxon non-parametric tests were performed. 210 perpetrators of emotional elder mistreatment were reported to have SAMHC with 412 perpetrators of emotional mistreatment reported to not have SAMHC. 57 perpetrators of physical elder mistreatment were reported to have SAMHC with 38 perpetrators of physical mistreatment not having SAMHC. Emotional elder mistreatment committed by persons with SAMHC was associated with the following characteristics: perpetrator—unemployment, history of involvement with police, and fewer friendships; victim—female gender, greater emotional problems, and greater occurrences of lifetime emotional mistreatment; interaction—co-residence, and reporting of mistreatment to authorities. Physical elder mistreatment committed by persons with SAMHC was associated with police involvement of the perpetrator and greater occurrences of lifetime physical mistreatment experienced by the victim. These findings indicate that victims of elder mistreatment by persons with SAMHC are in particular need of intervention services as they have greater histories of mistreatment and experience greater emotional problems. Implications for effectively intervening in cases of elder mistreatment by persons with SAMHC are discussed.
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World Health Organization (2002) World report on violence and health. Retrieved from: http://www.who.int/violence_injury_prevention/violence/world_report/en/
Bristowe, E., & Collins, J.B. (1988). Family mediated abuse of noninstitutionalized frail elderly men and women living in British Columbia. Journal of Elder Abuse & Neglect, 1, 45–64.
Greenberg, J. R., McKibben, M., & Raymond, J. A. (1990). Dependent adult children and elder abuse. Journal of Elder Abuse & Neglect, 2, 73–86.
Korbin, J. E., Anetzberger, G. J., Thomasson, R., & Austin, C. (1991). Abused elders who seek legal recourse against their adult offspring: Findings from an exploratory study. Journal of Elder Abuse & Neglect, 3, 1–18.
Reay, A. M. C., & Browne, K. D. (2001). Risk factor characteristics in carers who physically abuse or neglect their elderly dependents. Aging & Mental Health, 5, 56–62.
Pillemer, K. (1985). The dangers of dependency: New findings on domestic violence against the elderly. Social Problems, 33, 146–158.
Pillemer, K., & Finkelhor, D. (1989). Causes of elder abuse: Caregiver stress versus problem relatives. American Journal of Orthopsychiatry, 59(2), 179–187. doi:10.1111/j.1939-0025.1989.tb01649.x
Thomson, M. J., Lietzau, L. K., Doty, M. M., Cieslik, L., Williams, R., & Meurer, L. N. (2011). An analysis of elder abuse rates in Milwaukee County. WMJ: Official publication of the State Medical Society of Wisconsin, 110, 271–276.
Jackson, S. L., & Hafemeister, T. L. (2011). Risk factors associated with elder abuse: The importance of differentiating by type of elder maltreatment. Violence and Victims, 26, 738–757.
Acierno, R., Hernandez-Tejada, M., Muzzy, W., & Steve, K. (2009). National elder mistreatment study (Final report submitted to the National Institute of Justice, Document No. 226456). Retrieved from http://www.ncjrs.gov/pdffiles1/nij/grants/226456.pdf
Amstadter, A. B., Zajac, K., Strachan, M., Hernandez, M. A., Kilpatrick, D. G., & Acierno, R. (2011). Prevalence and correlates of elder mistreatment in South Carolina: the South Carolina elder mistreatment study. Journal of Interpersonal Violence, 26, 2947–2972.
Imbody, B., & Vandsburger, E. (2011). Elder abuse and neglect: Assessment tools, interventions, and recommendations for effective service provision. Educational Gerontology, 37, 634–650.
Jackson, S. L. (2014). All elder abuse perpetrators are not alike: The heterogeneity of elder abuse perpetrators and implications for intervention. International Journal of Offender Therapy and Comparative Criminology. Advanced online publication. doi: 10.1177/0306624X14554063
Ramsey-Klawsnik, H. (2000). Elder-abuse offenders: A typology. Generations, 24, 17–22.
Jackson, S. L., & Hafemeister, T. L. (2013). Understanding elder abuse: New directions for developing theories of elder abuse occurring in domestic settings. Retrieved from https://www.ncjrs.gov/pdffiles1/nij/241731.pdf
Conrad, K. J., Liu, P. J., & Iris, M. (2016). Examining the role of substance abuse in elder mistreatment: Results from mistreatment investigations. Journal of Interpersonal Violence. Advance online publication. doi: 10.1177/0886260516640782
Labrum, T., & Solomon, P. L. (2015). Physical elder abuse perpetrated by relatives with serious mental illness: A preliminary conceptual social-ecological model. Aggression and Violent Behavior, 25, 293–303.
Conway, K. P., Compton, W., Stinson, F. S., & Grant, B. F. (2006). Lifetime comorbidity of DSM-IV mood and anxiety disorders and specific drug use disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. The Journal of Clinical Psychiatry, 67, 247–258.
Merikangas, K. R., Mehta, R. L., Molnar, B. E., Walters, E. E., Swendsen, J. D., Aguilar-Gaziola, S., ... & Kolody, B. (1998). Comorbidity of substance use disorders with mood and anxiety disorders: Results of the International Consortium in Psychiatric Epidemiology. Addictive behaviors, 23, 893–907.
Pillemer, K. (2005). Elder abuse is caused by the deviance and dependence of abusive caregivers. In D.R. Loseke, R. J. Gelles, & M.M. Cavanaugh (Eds.), Current Controversies on Family Violence (pp. 207–220) (2nd ed.). Thousand Oaks, Calif.: Sage.
Brownell, P., Berman, J., & Salamone, A. (1999). Mental health and criminal justice issues among perpetrators of elder abuse. Journal of Elder Abuse & Neglect, 11, 81–94.
Hwalek, M. A., Neale, A. V., Goodrich, C. S., & Quinn, K. (1996). The association of elder abuse and substance abuse in the Illinois Elder Abuse System. The Gerontologist, 36, 694–700.
Wolf, R. S. (2003). Elder abuse and neglect: History and concepts. In R. J. Bonnie & R. B. Wallace (Eds.), Elder mistreatment: Abuse, neglect, and exploitation in an aging America (pp.238–248). Washington, DC: National Research Council.
Acierno, R., Resnick, H., Kilpatrick, D., Boyle, J., Steve, K., & Muzzy, W. (2008). National elder mistreatment study: Data Collection Instrument. Retrieved from http://www.icpsr.umich.edu/icpsrweb/NACJD/studies/28561
Allison, P. (2001). Missing data. Thousand Oaks, CA: Sage Publication.
Hollander, M., Wolfe, D. A., Chicken, E. (2014). Nonparametric Statistical Methods (3rd ed.). Hoboken, New Jersey: Wiley, Inc.
Labrum, T. (2017). Factors related to abuse of older persons committed by relatives with psychiatric disorders. Archives of Gerontology and Geriatrics, 68, 126–134.
Labrum, T., Solomon, P., & Bressi, S. K. (2015). Physical, financial, and psychological abuse committed against older women by relatives with psychiatric disorders: Extent of the problem. Journal of Elder Abuse and Neglect, 27, 377–391.
Labrum, T., & Solomon, P. L. (2016). Factors associated with family violence by persons with psychiatric disorders. Psychiatry Research, 244, 171–178.
Grafström, M., Nordberg, A., & Winblad, B. (1993). Abuse is in the eye of the beholder: Reports by family members about abuse of demented persons in home care. A total population-based study. Scandinavian Journal of Social Medicine, 21, 247–255.
Lachs, M.S., & Pillemer, K. (2004). Elder abuse. The Lancet, 364, 1263–1272.
Wolf, R. S., & Pillemer, K. A. (1989). Helping elderly victims: The reality of elder abuse. New York, NY: Columbia University Press.
Mowbray, O., Quinn, A., & Cranford, J. A. (2014). Social networks and alcohol use disorders: findings from a nationally representative sample. The American Journal of Drug and Alcohol Abuse, 40, 181–186.
Baker, F., Jodrey, D., Intagliata, J., & Straus, H. (1993). Community support services and functioning of the seriously mentally ill. Community Mental Health Journal, 29, 321–331.
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Labrum, T., Solomon, P.L. Elder Mistreatment Perpetrators with Substance Abuse and/or Mental Health Conditions: Results from the National Elder Mistreatment Study. Psychiatr Q 89, 117–128 (2018). https://doi.org/10.1007/s11126-017-9513-z
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DOI: https://doi.org/10.1007/s11126-017-9513-z