Lees Haggerty Kristin, Stoeckle Rebecca Jackson, Campetti Randi, Froberg Ruthann, Ojelabi Olanike, Connolly M T, Epstein-Lubow Gary, Mosqueda Laura, Greenlee Kathy, Tuboku-Metzger Laini, Liao Junyue, Fulmer Terry
Education Development Center, Inc., Waltham, Massachusetts, USA.
Department of Emergency Medicine, NewYork-Presbyterian-Weill Cornell Medicine, New York, New York, USA.
J Am Geriatr Soc. 2025 Jan;73(1):223-231. doi: 10.1111/jgs.19257. Epub 2024 Nov 28.
Policy measures designed to address elder abuse, neglect, and exploitation date back to decades, including the Older Americans Act of 1965. Over the years, various legislative actions have aimed to address elder mistreatment, culminating in the Elder Justice Act of 2010. Despite these efforts, policy changes lag behind need, and government funding appropriation is woefully inadequate. On November 29, 2023, the National Collaboratory to Address Elder Mistreatment convened 76 experts from research, clinical practice, policymaking, federal and state agencies, and national organizations to develop strategies for accelerating policy action to address elder mistreatment. Key themes from the convening included the need for a unified and stronger infrastructure and messaging, the importance of data-driven policy and evidence-informed prevention and intervention practices, and expanding strategic engagements. Participants emphasized the need for a holistic and long-term approach, leveraging data to demonstrate outcomes, and building coalitions across related fields to address elder mistreatment. Action steps were identified for both national and state/local levels, focused on enhancing data-informed elder mistreatment prevention, intervention, and response programs. The broad cross-sector participation in the convening and the findings underscored the urgency of and potential for advancing elder justice policy. By leveraging existing initiatives, utilizing data emerging particularly in the past 5 years, building on decades of advocacy, and fostering new collaborations, there is a significant opportunity to improve prevention, intervention, and response to elder mistreatment.
旨在解决虐待、忽视和剥削老年人问题的政策措施可以追溯到几十年前,包括1965年的《美国老年人法案》。多年来,各种立法行动旨在解决虐待老年人问题,最终形成了2010年的《老年人司法法案》。尽管做出了这些努力,但政策变化仍滞后于需求,政府资金拨款严重不足。2023年11月29日,解决虐待老年人问题国家协作组织召集了来自研究、临床实践、政策制定、联邦和州机构以及全国性组织的76名专家,以制定加速政策行动以解决虐待老年人问题的战略。会议的关键主题包括需要一个统一且更强大的基础设施和信息传递,数据驱动政策以及基于证据的预防和干预实践的重要性,以及扩大战略参与。与会者强调需要采取整体和长期的方法,利用数据来证明成果,并在相关领域建立联盟以解决虐待老年人问题。确定了国家和州/地方层面的行动步骤,重点是加强基于数据的虐待老年人预防、干预和应对计划。会议广泛的跨部门参与和研究结果强调了推进老年人司法政策的紧迫性和潜力。通过利用现有倡议,利用特别是过去5年出现的数据,在数十年倡导工作的基础上,并促进新的合作,有重大机会改善对虐待老年人问题的预防、干预和应对。