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RISE:一种综合和恢复性虐待老年人干预的概念模型。

RISE: A Conceptual Model of Integrated and Restorative Elder Abuse Intervention.

机构信息

Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.

Elder Justice Collaborative, Washington, District of Columbia, USA.

出版信息

Gerontologist. 2023 Jul 18;63(6):966-973. doi: 10.1093/geront/gnac083.

DOI:10.1093/geront/gnac083
PMID:35705108
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10353038/
Abstract

Despite a growing number of elder abuse (EA) cases nationwide, response programs such as adult protective services (APS) lack a defined, prolonged intervention phase to address these complex situations. This article presents RISE, a model of EA intervention that works alongside APS or other systems that interact with at-risk older adults. Informed by an ecological-systems perspective and adapting evidence-based modalities from other fields (including motivational interviewing, teaming, restorative justice, and goal attainment scaling), the RISE model intervenes at levels of the individual older adult victim, individual harmer, their relationship, and community to address EA risk and strengthen systems of support surrounding the victim-harmer dyad. The RISE model addresses an intervention gap in existing systems to better meet the needs of EA victims and others in their lives, leading to more sustainable outcomes.

摘要

尽管全国范围内虐待老年人(EA)的案例越来越多,但成人保护服务(APS)等响应计划缺乏明确的、长期的干预阶段来解决这些复杂情况。本文介绍了 RISE,这是一种与 APS 或其他与处于风险中的老年人互动的系统一起工作的 EA 干预模型。该模型以生态系统视角为指导,并从其他领域(包括动机性访谈、团队合作、恢复性司法和目标达成量表)中采用基于证据的模式,在个体老年受害者、个体施害者、他们的关系和社区层面进行干预,以解决 EA 风险并加强围绕受害者-施害者对子的支持系统。RISE 模型解决了现有系统中的干预差距,以更好地满足 EA 受害者及其生活中的其他人的需求,从而带来更可持续的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/10353038/c317928c4756/gnac083_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/10353038/c317928c4756/gnac083_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/10353038/c317928c4756/gnac083_fig1.jpg

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本文引用的文献

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Gerontologist. 2022 Oct 19;62(9):1359-1368. doi: 10.1093/geront/gnac040.
2
Exploring Risk of Elder Abuse Revictimization: Development of a Model to Inform Community Response Interventions.探索老年人虐待再受害风险:构建一个为社区应对干预提供信息的模型。
J Appl Gerontol. 2021 Oct;40(10):1226-1230. doi: 10.1177/0733464820933432. Epub 2020 Jun 25.
3
Help-Seeking Among Victims of Elder Abuse: Findings From the National Elder Mistreatment Study.
认证护理助理对预防老年护理机构中虐待老人的看法及建议:中国湖南省的一项定性研究
BMC Public Health. 2025 May 7;25(1):1687. doi: 10.1186/s12889-025-22580-z.
4
Forgotten and without Protections: Older Adults in Prison Settings.被遗忘且缺乏保护:监狱环境中的老年人。
Hastings Cent Rep. 2023 Nov;53(6):17-24. doi: 10.1002/hast.1540.
5
Effect of an elder abuse and self-neglect intervention on repeat investigations by adult protective services: RISE project.老年虐待和自我忽视干预对成人保护服务重复调查的影响:RISE 项目。
J Am Geriatr Soc. 2023 Nov;71(11):3403-3412. doi: 10.1111/jgs.18506. Epub 2023 Jul 10.
老年人虐待受害者的求助行为:来自全国老年人虐待研究的结果。
J Gerontol B Psychol Sci Soc Sci. 2019 Jun 14;74(5):891-896. doi: 10.1093/geronb/gby122.
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Utilization of Formal Support Services for Elder Abuse: Do Informal Supporters Make a Difference?正式支持服务在虐待老人问题上的利用:非正式支持者有何不同?
Gerontologist. 2019 Jul 16;59(4):619-624. doi: 10.1093/geront/gny074.
5
The feasibility of goal attainment scaling to measure case resolution in elder abuse and neglect adult protective services intervention.运用目标达成量表来衡量老年人虐待与忽视成人保护服务干预中案件解决情况的可行性。
J Elder Abuse Negl. 2018 Mar;30(3):209-222. doi: 10.1080/08946566.2018.1454864. Epub 2018 Mar 30.
6
Consequences of Elder Abuse and Neglect: A Systematic Review of Observational Studies.虐待和忽视老人的后果:观察性研究的系统综述。
Trauma Violence Abuse. 2019 Apr;20(2):197-213. doi: 10.1177/1524838017692798. Epub 2017 Feb 22.
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The National Elder Mistreatment Study: An 8-year longitudinal study of outcomes.全国老年人虐待研究:一项为期8年的结局纵向研究。
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When Helping Hurts: Nonabusing Family, Friends, and Neighbors in the Lives of Elder Mistreatment Victims.《当帮助变成伤害:在老年人虐待受害者的生活中,不滥用家庭、朋友和邻居的帮助》。
Gerontologist. 2018 Jul 13;58(4):719-723. doi: 10.1093/geront/gnw257.
10
The Abuse Intervention Model: A Pragmatic Approach to Intervention for Elder Mistreatment.虐待干预模式:一种针对老年人虐待的务实干预方法。
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