Learning Outcomes:

On successful completion of this module, students should be able to:
•On successful completion of this module, students should be able to
• Critically examine the concept of elder abuse; definition, typologies, prevalence.
• Demonstrate a comprehensive understanding of theoretical frameworks which infer risk and vulnerability to older people.
• Critically review issues pertaining to the multiple settings where elder abuse can occur.
• Critically review elder abuse within a societal context.
• Demonstrate a comprehensive knowledge of preventative mechanisms for elder abuse.
• Contextualise elder abuse within a legislative & policy framework
• An understanding of action research.

Student Effort Type	Hours
Lectures	20
Seminar (or Webinar)	3
Computer Aided Lab	3
Autonomous Student Learning	330
Online Learning	20
Total	376

Learning Requirements:

Academic Level 8 or successful APEL

Equivalents:
Elder Abuse: A Multidiscip App (NMHS41640)


 

Assessment Strategy  

Description	Timing		Component Scale		% of Final Grade
Continuous Assessment: On line Discussion Boards	Week 8	n/a	Graded	No	20
Assignment: Case based	Coursework (End of Trimester)	n/a	Graded	No	80

 

Resit In	Terminal Exam
Summer	No

• Feedback individually to students, post-assessment
• Group/class feedback, post-assessment

Students receive general feedback on the discussion board (group work) within one week of submitting. Individual meetings with the student are then facilitated to discuss the individual grade. For the assignment, this is end of term. Students will access the grad via the provisional exam grades, but will be offered a meeting to discuss grades. All students who fail any competent will be offered additional meetings

Reference list: Elder Abuse- A multi-disciplinary approach
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Fealy G., Donnelly N.A., Bergin A., Treacy M.P. & Phelan A. (2012) Financial abuse of older people: A review, NCPOP, Dublin.
Feterstonhaugh D., Tarzia L., Bauer M., Nay R. & Beattie E. (2014) “The Red Dress or the Blue?” How Do Staff Perceive That They Support Decision Making for People With Dementia Living in Residential Aged Care Facilities? Journal of Applied Gerontology, 35(2), 209-226.
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Jönson, H. (2016). Framing scandalous nursing home care: what is the problem? Ageing & Society, 36(2), 400-419.
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Lafferty A., Treacy M.P., & Fealy G. (2013) The support experiences of older people who have been abused in Ireland, Journal of Adult Protection, 15(6), 290-300.
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Phelan A. (2010) Elder abuse and the community nurse: supporting the patient. British Journal of Community Nursing, 15(10), 472-478.
Phelan A. (2010) Discursive Constructions of Elder Abuse: Community Nurses’ accounts. Unpublished PhD, UCD, Dublin.
Phelan A. (2009) Elder abuse and neglect: the nurse's responsibility in care of the older person, International Journal of Older People Nursing, 4(2), 115 –119.
Phelan A. (2009) Media representations of elder abuse: A case study. National Centre for the Protection of Older People, Dublin.
Phelan A. (2010) Elder abuse and the community nurse: supporting the patient, British Journal of Community Nursing, 15(10), 472-8.
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Phelan A. (2017) Piloting the Older Adult Financial Exploitation Measure in Adult Safeguarding Services, Archives of Geriatrics & Gerontology, 70, 148-154.
Phelan A. (2018) Examining the context of community nursing in Ireland and the impact of missed care, British Journal of Community Nursing, 23(1), 34-40.

Phelan, A. & McCarthy, S. & O'Donnell, D. (2018) Bank Staff’s Experiences of Financial Abuse of Older People. Age and Ageing. 47. v1-v12.

Phelan A., McCarthy S. & Mc Kee J. (2018) Safeguarding staff’s experiences of financial abuse, British Journal of Social Work, 48(4), 924-942.

Phelan A. (2018) The role of the nurse in detecting elder abuse and neglect: current perspectives, Nursing: Research & Reviews, 8, 15-22.
Pillemer, K, Burnes, D, Riffin, C., Lachs, M.S. (2016) Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies. Gerontologist, 56(Suppl 2): S194-S205.

Pillemer, K. Chen, E.K. Van Haitsma, K.S. Teresi, J. Silver, S., Sukha, G. Lachs M.S. (2012) Resident to resident aggression in nursing homes: results from a qualitative event reconstruction study. Gerontology 52(1), 24-33.

Spike, J.R. (2017) Informed consent is the essence of informed capacity, Journal of Law, Medicine & Ethics, 45, 95-105.
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Sooryanarayana R., Choo W.Y & Hairi N.N. (2013) A Review on the Prevalence and Measurement of Elder Abuse in the Community, Trauma Violence Abuse, 14(4), 316- 325.
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Walter B, Spenser J., Gergel T., Hotopf M. & Owen G.S. (2018) Unwell in hospital but not incapable: cross-sectional study on the dissociation of decision-making capacity for treatment and research in in-patients with schizophrenia and related psychoses, British Journal of Psychiatry, 213, 484-489.

Wang, X.M., Brisbin, S., Loo, T., Straus, S. (2015) Elder abuse: An approach to identification, assessment and intervention. Canadian Medical Association Journal, 187(8), 575-581.
Wiglesworth A., Mosqueda L., Mulnard R., Liao S., Gibbs L. & Fitzgerald W. (2010) Screening for abuse & neglect of people with dementia. Journal of the American Geriatric Society, 58, 493-500.
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Wiglesworth A.,Austin R.Corona M., Schneider D. ,Liao S., Gibbs L.& Mosqueda L. (2009) Bruising as a marker of physical elder abuse. Journal of the American Geriatrics Society, 57(7), 1191-1196.
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World Health Organisation (2002) Factsheets from the World report on violence and health. Access:http://www.who.int/violence_injury_prevention/violence/world_report/fac tsheets/en/elderabusefacts.pdf
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World Health Organisation (2006) Factsheet on interpersonal violence and health. WHO. Access: http://www.who.int/violence_injury_prevention/violence/world_report/fac tsheets/fs_elder.pdf
World Health Organisation (2008) A global response to elder abuse and neglect- building primary healthcare capacity to deal with the problem worldwide: main report. WHO Geneva Access: http://www.who.int/ageing/publications/ELDER_DocAugust08.pdf
World health Organisation (2002) Abuse of the elderly In World Health Report on Violence and Health, 123-145. Access on
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Yan E. & Kwok T. (2011) Abuse of older Chinese with dementia by family caregivers: An inquiry into the role of caregiver burden. International Journal of Geriatric Psychiatry, 26, 527-535.
Yon Y., Mikton C.R., Gassoumis Z.D. & Wilber K.H. (2017) Elder abuse prevalence in community settings: A systematic review and meta-analysis. The Lancet, 5, e147-156.

Yon Y., Ramiro-Gonzalez M., Mikton C.R., Huber M.& Sethi D. (2018) The prevalence of elder abuse in institutional settings: a systematic review and meta-analysis. European Journal of Public Health, DOI: https://doi.org/10.1093/eurpub/cky093

Self- neglect
Abrams R.C, Lachs M., McAvay G., Keohane D.J. & Bruce M.L. (2002) Predictors of self-neglect in community dwelling older people. American Journal of Psychiatry, 159(10) 1724-1730.
Burnett J., Dyer C.B., Halphen J. N., Ackenbaum W.A., Green C.E., Booker J.G. & Diamond P.M. (2014) Four Subtypes of Self-Neglect in Older Adults: Results of a Latent Class Analysis, Journal of the American Geriatrics Society, 2, 1127-1132.
Choi N.G., Kim J. & Asseff J. (2009) Self-neglect and neglect of vulnerable older adults: re-examination of ethiology. Journal of Gerontological Social Work, 52, 171- 187.
Connolly M.T. (2008) Elder self neglect and the justice system: An essay from an interdisciplinary perspective, Journal of the American Geriatrics Society, 56(2) 244- 252.
Dong X., Simon M.A., Wilson R.S., Mendes de Leon C.F., Rajan K.B. & Evans D.A. (2010) Decline in cognitive function and risk of elder self- neglect: Finding from the Chicago Healthy Aging Project. Journal of the American Geriatric Society, 2292-2299.
Dong X., Gorbien M. (2006) Decision making capacity: The core of self- neglect. Journal of Elder abuse and Neglect, 17, 19-36.
Dong X., Wilson R.S., Mendes de Leon C.F. & Evans D.A. (2010) Self- neglect and cognitive function among community dwelling older people. International Journal of Geriatric Psychiatry, 25, 798-806.
Dong X., Simon A., & Evans D. (2012) Elder Self-Neglect and Hospitalization: Findings from the Chicago Health and Aging Project, Journal of the American Geriatrics Society, 60, 202-209.
Fulmer T. (2008) Barriers to neglect and self-neglect research. Journal of the American Geriatrics Society, 241-252.
Franzini L. & Bitondo C. (2008) Healthcare costs and utilization of vulnerable elderly people reported to adult protective services for self- neglect. Journal of the American Geriatric Society, 56(4), 667-676.
Iris M., Ridings J.W. & Conrad K.J. (2010) The development of a conceptual model for understanding elder self-neglect. The Gerontologist, 50(3), 303- 315.
O’ Brien J.G. (1999) Self-neglect: Challenges for the helping professionals. The Haworth Maltreatment and Trauma Press, New York.
Pickens S., Burnett J. & Gleason M. (2007) The utility of the Kohlman evaluation of living skills tests of associated with substandard cases of elder self-neglect. Journal of the American Academy of Nurse Practitioners, 19, 137-142.
Reyes Ortiz C.A. (2001) Diogenes syndrome: The self-neglect elderly, Comprehensive Therapy, 27(2), 117-121.
Turner A., Hochschild A., Burnett J., Zulfiqar A. & Dyer C.B. (2012) High Prevalence of Medication Non-Adherence in a Sample of Community-Dwelling Older Adults with Adult Protective Services-Validated Self-Neglect, Drugs & Aging, 29, 741-749.
Financial Abuse

Acierno R., Hernandez-Tejada m., Muzzy W. & Steve K. (2009). National Elder Mistreatment Study: Final report (No. 22456). Washington DC: National Institute of Justice.

Adams V.M., Bagshaw D., Wedt S. & Zannettino L. (2014). Financial abuse of older people by a family member: a difficult terrain for service providers in Australia. Journal of Elder Abuse & Neglect, 26 (3), 270-290.

Amstader A.B., Zajac K., Strachen 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 (15): 2947-2972.

Barnato A.E. & Garber A.M. (2008). Performance of the RAND appropriateness criteria. Medical Decision Making, 23: 122-130.

Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2). 77-110.
British Columbia Healthlink BC (2014). Financial abuse of older adults. Accessed 10.04.15 http://www.healthlinkbc.ca/healthfiles/hfile93d.stm
Castle E., Eisenberger N.I., Seeman T.E., Moons W.G., Boggero I.A., Grinblatt M.S. & Taylor S.E. (2012). Neural and behavioural bases of age differences in perceptions of trust. Proceedings of the National Academy of Sciences of the United States of America, 109 (51): 20848-20852.

Darzins P., Lowndes G., Wainer J., Owada K., Mihalijcic T. (2009). Financial abuse of elders: A review of the evidence. Monash University, Victoria.

Davis M., Harries P., Cairns D., Stanley D., Gilhooly M., Gilhooly K., Notley E., Gilbert A. & Penhale B. (2011). Factors used in the detection of elder financial abuse: A judgment and decision-making study of social workers and their managers, International Social Work, 54, 404-420.

Dong X., Simon M., Rajan K. & Evans D.A. (2011) Association of cognitive function and risk of elder abuse in a community dwelling population. Dementia & Geriatric Cognitive Disorders, 32, 209-215.

Drennan J., Lafferty A., Treacy M.P., Fealy G., Phelan A., Lyins I. & Hall P. (2012). Older people in residential care settings: Results for a national study of staff-resident interactions and conflicts. NCPOP: Dublin.

Goergen T. (2013). Elder abuse: Using deception, fraudulent offences and preventative approaches. ANKLE-NICE Conference. University of Toronto, May 23rd.

Hannigan K., Cyphers G. & Aravanis S. (1998). National Centre on Elder Abuse. (NCEA): Project Brief. Washington DC: American Public Human Services Association.

Harris D.K. & Benson M.L (1998). Nursing home theft: The hidden problem. Journal of Aging Studies, 12 (1): 57-67.
Kemp B.J. and Mosqueda L.A. (2005). Elder financial abuse: An evaluation framework and supporting evidence. Journal of the American Geriatric Society, 53 (7), 1123-1127.
Kirchheimer S. (2013). A new watchdog is watching your money. AARP, March 5th.

Lachs M.S. & Pillemer K. (2004). Elder abuse. The Lancet, 362, 1263-1272.

Lifespan of Greater Rochester Inc., Weill Medical School, Cornell University, New York City Department of Aging (2011). Under the radar: New York State Elder Abuse study. New York: New York State Offices of Family & Children Services.

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Name	Role
Ms Orla Daly	Lecturer / Co-Lecturer
Professor Gerard Fealy	Lecturer / Co-Lecturer
Dr Aoife Claire MacCormac	Lecturer / Co-Lecturer

Spring
Lecture	Offering 1	Week(s) - 20, 26	Mon 09:00 - 12:50