Knowledge, detection and reporting of abuse by health and social care professionals: a systematic review
Abstract
The authors systematically reviewed the 32 articles fitting predetermined criteria that investigated health and social care professionals' knowledge, detection, and reporting of elder abuse. These included 21 surveys (of 5,325 professionals), nine analyses of elder abuse reports to statutory bodies, and two intervention studies. Compatible results were pooled in a meta-analysis. Professionals consistently underestimated the prevalence of elder abuse. Only a quarter of U.S. physicians were aware of American Medical Association elder abuse guidelines. The authors found that 33.7% (95% confidence interval: 27.5-40.1) of health care professionals had detected a case of older adult abuse in the last year. This was slightly higher when only studies judged to be most representative, which all surveyed physicians, were included (39.9% [23.4-57.7]). About half of the detected abuse cases were reported. Professionals who recalled receiving any training on abuse were no more likely to detect abuse than those who stated they had not had training, although they were more likely to report the abuse if they detected it. Interventions that taught professionals about the management of abuse by face-to-face training were effective in increasing knowledge, whereas giving written information was not. No intervention studies have investigated whether detection and reporting of abuse can also be increased through education. Current evidence would support the development and testing of interventions to increase professionals' detection and reporting of abuse. These would encourage them to ask older people about abuse, and address professionals' concerns about the impact of reporting on therapeutic relationships, victims; and legal consequences for the reporter.
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Currently, no interventions have been shown to reduce the abuse of elders.
“Currently, no interventions have been shown to reduce the abuse of elders.41”
There are currently no interventions which have been shown to reduce elder abuse.
“There are currently no interventions which have been shown to reduce elder abuse.56,57”
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- Authors
- Cooper, C., Selwood, A., & Livingston, G.
- Affiliations
- University College London (GB)
- Corresponding author
- Cooper, Claudia
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 17
- Issue
- 10
- Pages
- 826-838
- ISSN
- 1064-7481 (ISSN-L)
- OpenAlex
- W1985438196
- Cited by
- 109
- References
- 43
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2022: 10 · 2021: 8 · 2020: 13 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 11 · 2015: 11 · 2014: 8 · 2013: 8 · 2012: 5
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Demography › Elder Abuse and Neglect
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child Abuse and Related Trauma
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- elder abuse, elder abuse detection, elder abuse reporting, healthcare workers, social care workers, professional knowledge, underestimation of prevalence, older adults
- MeSH terms
- Aged, Aged, 80 and over, Elder Abuse, Health Personnel, Humans, Health Knowledge, Attitudes, Practice, Social Work, Guidelines as Topic, Mandatory Reporting, Guideline Adherence
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