Division of Social Work, College of Health Sciences, University of Wyoming, Dept. 3632, 1000 E. University Ave., Laramie, WY, 82071, USA.
School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104, USA.
Psychiatr Q. 2018 Mar;89(1):117-128. doi: 10.1007/s11126-017-9513-z.
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.
大量长期存在物质滥用和/或精神健康问题（SAMHC）的人被认为是虐待老年人行为的实施者。然而，很少有研究专门研究患有 SAMHC 的人实施的虐待老年人行为，这阻碍了专门干预策略的制定。本文利用国家老年人虐待研究的结果，检查了报告的实施者具有和不具有 SAMHC 的情感和身体虐待老年人案例之间的受害者、实施者和相互作用特征。进行了卡方检验和曼-惠特尼-威尔科克森非参数检验。报告有 210 名情感虐待老年人行为的实施者具有 SAMHC，而报告有 412 名情感虐待老年人行为的实施者没有 SAMHC。报告有 57 名身体虐待老年人行为的实施者具有 SAMHC，而有 38 名身体虐待老年人行为的实施者没有 SAMHC。具有 SAMHC 的人实施的情感虐待老年人行为与以下特征相关：实施者失业、与警察有关的历史和较少的友谊；受害者为女性、更多的情感问题和更多的一生中经历的情感虐待；互动同住、向当局报告虐待。具有 SAMHC 的人实施的身体虐待老年人行为与实施者的警察介入以及受害者一生中经历更多的身体虐待有关。这些发现表明，具有 SAMHC 的人实施的老年人虐待行为的受害者特别需要干预服务，因为他们有更多的虐待史和更多的情感问题。讨论了在具有 SAMHC 的人实施的虐待老年人行为的情况下有效干预的意义。
