Elder Abuse and Neglect: Causes, Diagnosis, and Interventional Strategies (Springer Series on Social Work)

385 Pages·1997·18.95 MB·English

by  Mary Joy Quinn RN MA

Springer Series on Social Work
Albert R. Roberts, D.S.W., Series Editor
Graduate School of Social Work, Rutgers, The State University of New Jersey
Advisory Board: Gloria Bonilla-Santiago, Ph.D., Sheldon R. Gelman, Ph.D., Gilbert J. Green,
Ph.D., Jesse Harris, D.S.W., Michael J. Smith, D.S.W., and BaRbara Berkman, Ph.D
1984 Battered Women and Their Families: Intervention Strategies and Treatment Programs,
Albert R. Roberts, D.S.W.
1984 Social Policy and the Rural Setting:
Julia M. Watkins, Ph.D., and Dennis A. Watkins, Ph.D. (out of print)
1984 Clinical Social Work in Health Settings: A Guide to Professional Practice with
Exemplars, Thomas Owen Carlton, D.S.W.
1984 Social Work in the Emergency Room Carole W. Soskis, M.S.W., J.D. (out of print)
1984 Disability, Work, and Social Policy: Models for Social Welfare
Aliki Coudroglou, D.S.W., and Dennis L. Poole, Ph.D. (out of print)
1984 Foundations of Social Work Practice Joseph Anderson, D.S.W. (out of print)
1985 Task-Centered Practice with Families and Groups Anne E. Fortune, Ph.D. (out of print)
1986 Widow-to-Widow Phyllis R. Silverman, Ph.D. (out of print)
1986 Elder Abuse and Neglect: Causes, Diagnosis, and Intervention Strategies,
Mary Joy Quinn, R.N., M.A., and Susan K. Tomita, M.S.W.
1986 Law and Social Work Practice Raymond Albert, M.S.W,, J.D.
1987 Information and Referral Networks: Doorways to Human Services,
Risha W. Levinson, D.S.W.
1988 Social Work in the Workplace: Practice and Principles,
Gary M. Gould, Ph.D., and Michael Lane Smith, Ph.D.
1988 The Human Bond: Support Groups and Mutual Aid,
Harry Wasserman, D.S.W., and Holly E. Danforth, M.S.W.
1988 Social Work: The Membership Perspective Hans S. Falck, Ph.D.
1990 Social Work Practice in Maternal and Child Health Terri Combs-Ome, Ph.D.
1990 Program Evaluation in the Human Services Michael J. Smith, D.S.W.
1990 Journeys to Recovery Milson Trachtenberg, A.C.S.W., C.A.C.
1990 Evaluating Your Practice: A Guide to Self-Assessment,
Catherine Alter, Ph.D., and Wayne Evens, M.S.W.
1990 Violence Hits Home: Comprehensive Treatment Approaches to Domestic Violence,
Sandra M. Stith, Ph.D., Mary Beth Williams, L.C.S.W., and Karen Rosen, M.S.
1991 Breast Cancer in the Life Course: Women's Experiences,
Julianne S. Oktay, Ph.D.. and Carolyn Ambler Walter, Ph.D.
1991 Victimization and Survivor Services: A Guide to Victim Assistance,
Arlene Bowers Andrews, Ph.D.
1992 The Family Functioning Scale: A Guide to Research and Practice,
Ludwig L. Geismar, Ph.D., and Michael Camasso, Ph.D.
1994 Dilemmas in Human Services Management: Illustrative Case Studies,
Raymond Sanchez Mayers, Ph.D., Federico Souflee, Jr., Ph.D., and Dick J. Schoech, Ph.D.
1994 Managing Work and Family Life,
Viola M. Lechner, D.S.W., and Michael A. Creedon, D.S.W.
1996 Total Quality Management in Human Service Organizations,
John J. Gunther, D.S.W., and Frank Hawkins, D.S.W.
1997 Multicultural Perspectives in Working with Families,
Elaine P. Congress, D.S.W.
1997 Research Methods for Clinical Social Workers: Empirical Practice,
John S. Wodarski, Ph.D.
1997 Elder Abuse and Neglect: Causes, Diagnosis, and Intervention Strategies, 2nd Edition
Mary Joy Quinn, R.N., M.A., and Susan Tomita, M.S.W., Ph.D.
Mary Joy Quinn, RN, MA, is the direc-
tor of Probate Court Services for the Cali-
fornia Superior Court, City and County of
San Francisco. She is a public health nurse
and since 1973 has focused exclusively on
frail elders. She formerly directed a gero-
psychiatric day treatment center and has
published numerous articles and book
chapters on elder mistreatment.
Susan K. Tomita, MSW, PhD, is an
associate director of social work at Har-
borview Medical Center, Seattle, Wash-
ington. She is also the manager of the
Medicine-Surgery Social Work Unit and
social worker in the Senior Care Program.
Her current research acivities are in the
area of cultural variables and their rela-
tionship to elder mistreatment.
Elder Abuse
and Neglect
SECOND EDITION
Causes, Diagnosis, and
Intervention Strategies
MARY JOY QUINN
SUSAN K. TOMITA
Springer Publishing Company
Copyright © 1997 by Springer Publishing Company, Inc.
All rights reserved
No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise,
without the prior permission of Springer Publishing Company, Inc.
Springer Publishing Company, Inc.
536 Broadway
New York, NY 10012-3955
Cover design by: Margaret Dunin
Acquisitions Editor: Bill Tucker
Production Editor: Susan Gamer
01 02 15 4
Library of Congress Cataloging-in-Publication Data
Quinn, Mary Joy.
Elder abuse and neglect: causes, diagnosis, and intervention
strategies / Mary Joy Quinn, Susan K. Tomita.—2nd ed.
p. cm.—(Springer series on social work)
Includes bibliographical references and index.
ISBN 0-8261-5121-3 (HB)
ISBN 0-8261-5122-1 (PB)
1. Abused aged—United States. 2. Social work with the aged—
United States. 3. Abused aged—Services for—United States.
I. Tomita, Susan K. II. Title. III. Series.
HV6626.3.Q56 1997
362'6—dc21 97-2104
CIP
Printed in the United States of America
In memory of
Frank A. Quinn
E. Joy Stine and Walter T. Stine
Susumu Tomita
and to
Hiroko Miura Tomita
Clifford J. Barda
Jason Rabbitt-Tomita
Whose love sustains us and
whose caring continues to teach us to care for others
This page intentionally left blank
Contents
Foreword to the First Edition
by Congressman Claude Pepper ix
Foreword to the Second Edition by Lisa Nerenberg, MSW, MPH xi
Preface xvii
Part One
The Phenomenon of Elder Mistreatment \
1 Aging and Elder Mistreatment 3
2 Victims and Their Abusers 21
3 Types of Elder Mistreatment 47
4 Why Elder Mistreatment Occurs 86
Part Two
Diagnosis and Intervention 127
5 Diagnostic Phase: I. Preparation for Assessment 129
6 Diagnosis Phase: II. Assessment 150
7 Intervention Phase: I. Considerations and Crisis Treatment 180
8 Intervention Phase: II. The Many Forms of Treatment 201
9 Intervention Phase: HI. Legal Intervention 255
10 Epilogue 295
Appendixes
A Harborview Medical Center Elder Abuse Diagnostic
and Intervention Protocol 301
B Dementia Scale 312
VII
viii Contents
C Mini-Mental Status Exam 313
D ADL Evaluation Form 315
E Symptoms of Depression 317
F Powers of Attorney 318
G California Penal Code 368 330
References 333
Index 353
Foreword to the First Edition
Congressman Claude Pepper
Elder abuse. The phrase still sends shock waves among the majority of
Americans. Most find it hard to believe how widespread and frequent this
problem is. Most would prefer not to acknowledge that elder abuse, which
flies in the face of traditional American ideals, exists.
Eight years ago the Select Committee on Aging began an investigation
into the problem of elder abuse. A series of field hearings and consider-
able research revealed the sad truth—elder abuse was far from an isolated
and localized problem involving a few frail elderly and their pathological
offspring. The problem was a full-scale, national epidemic which existed
with a frequency few dared imagine. In fact, abuse of the elderly by loved
ones and caregivers existed with a frequency and rate only slightly less
than child abuse. Subsequent work in this area has shown that the prob-
lem has increased dramatically through the years. Our latest figures show
that 1.1 million, or one out of every 25, elderly persons are victims of
abuse each year.
I think Ms. Quinn and Ms. Tomita are to be congratulated for their very
comprehensive work on elder abuse. A recurring observation in the Com-
mittee's 1985 survey of state adult protective service workers was the dearth
of information on elder abuse—particularly how to spot victims and pro-
vide appropriate intervention. I feel Elder Abuse and Neglect: Causes,
Diagnosis, and Intervention Strategies will prove useful to anyone con-
cerned with elder abuse—social worker, scholar, legislator, caregiver, or
ordinary citizen.
IX