Elder abuse in residential long-term care: an update to the 2003 National Research Council report

J Appl Gerontol. 2015 Jun;34(4):407-43. doi: 10.1177/0733464813492583. Epub 2013 Jul 19.

Abstract

A synthesis of the last decade of literature on elder abuse in residential long-term care (i.e., Nursing Homes and Assisted Living) is discussed. Presented are definitions of abuse, theoretical and conceptual models, prevalence rates of abuse, outcomes and costs, and sources of abuse. The synthesis represents an update to the literature in the influential 2003 National Research Council report. We identify many of the same issues and concerns exist that were surfaced in this prior report. Many theoretical and conceptual models need further elaboration. Conflicting definitions of abuse are pervasive. Rates of abuse are generally inaccurate, and probably under-reported. However, we also identify progress in many areas. An increase in empirical studies that exist in this area (although very few in Assisted Living). Other forms and types of abuse have also been identified as important, such as resident-to-resident abuse. These areas are discussed, along with potential suggestions for additional research.

Keywords: abuse; assisted living; nursing homes.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Aged
  • Elder Abuse / statistics & numerical data*
  • Geriatric Assessment
  • Homes for the Aged*
  • Humans
  • Long-Term Care*
  • Models, Theoretical
  • National Academy of Sciences, U.S.
  • Nursing Homes*
  • Risk Factors
  • Social Environment
  • United States