Leonard Davis School of Gerontology, University of Southern California, Los Angeles.
Department of Family Medicine, Keck School of Medicine of the University of Southern California, Alhambra.
Gerontologist. 2019 Jul 16;59(4):601-609. doi: 10.1093/geront/gnx179.
Elder mistreatment (EM) is a public health problem that harms millions of older Americans each year. Despite growing recognition of its occurrence, there are no evidence-based primary prevention programs. Although EM is distinct from other areas of family violence, including child maltreatment and intimate partner violence, common risk factors and theoretical underpinnings point to opportunities for prevention strategies. Drawing on evidence-based best practices found in other fields of family violence, we identify approaches that could be tested to prevent EM at the hands of family caregivers, who are among the most likely to commit mistreatment. Specifically, we examine home visiting approaches primarily used in the child maltreatment field and identify components that have potential to inform EM interventions, including prevention. We conclude that there is enough information to begin testing a prevention intervention for EM that targets caregivers.
虐待老年人（EM）是一个公共卫生问题，每年都会伤害数以百万计的美国老年人。尽管人们越来越认识到这种现象的发生，但目前还没有基于证据的初级预防方案。尽管 EM 与其他家庭暴力领域（包括儿童虐待和亲密伴侣暴力）不同，但共同的风险因素和理论基础表明，存在预防策略的机会。借鉴其他家庭暴力领域的循证最佳实践，我们确定了一些可以用来预防家庭护理人员实施 EM 的方法，这些护理人员是最有可能实施虐待的人。具体来说，我们研究了主要用于儿童虐待领域的家访方法，并确定了具有潜在信息的组成部分，这些组成部分可以为 EM 干预措施提供信息，包括预防措施。我们的结论是，有足够的信息可以开始测试针对护理人员的 EM 预防干预措施。
