Skip to main content
Top
Published in: Psychiatric Quarterly 1/2018

01-03-2018 | Original Paper

Elder Mistreatment Perpetrators with Substance Abuse and/or Mental Health Conditions: Results from the National Elder Mistreatment Study

Authors: Travis Labrum, Phyllis L. Solomon

Published in: Psychiatric Quarterly | Issue 1/2018

Login to get access

Abstract

A large portion of persons who commit elder mistreatment have long been known to have indicators of substance abuse and/or mental health conditions (SAMHC). However, few studies have specifically examined elder mistreatment by persons with SAMHC, preventing the development of specialized intervention strategies. Using results from the National Elder Mistreatment Study, the current article examines victim, perpetrator, and interaction characteristics between cases of emotional and physical elder mistreatment in which the perpetrator is reported to have vs. not have SAMHC. Chi square tests and Mann-Whitney-Wilcoxon non-parametric tests were performed. 210 perpetrators of emotional elder mistreatment were reported to have SAMHC with 412 perpetrators of emotional mistreatment reported to not have SAMHC. 57 perpetrators of physical elder mistreatment were reported to have SAMHC with 38 perpetrators of physical mistreatment not having SAMHC. Emotional elder mistreatment committed by persons with SAMHC was associated with the following characteristics: perpetrator—unemployment, history of involvement with police, and fewer friendships; victim—female gender, greater emotional problems, and greater occurrences of lifetime emotional mistreatment; interaction—co-residence, and reporting of mistreatment to authorities. Physical elder mistreatment committed by persons with SAMHC was associated with police involvement of the perpetrator and greater occurrences of lifetime physical mistreatment experienced by the victim. These findings indicate that victims of elder mistreatment by persons with SAMHC are in particular need of intervention services as they have greater histories of mistreatment and experience greater emotional problems. Implications for effectively intervening in cases of elder mistreatment by persons with SAMHC are discussed.
Literature
2.
go back to reference Bristowe, E., & Collins, J.B. (1988). Family mediated abuse of noninstitutionalized frail elderly men and women living in British Columbia. Journal of Elder Abuse & Neglect, 1, 45–64.CrossRef Bristowe, E., & Collins, J.B. (1988). Family mediated abuse of noninstitutionalized frail elderly men and women living in British Columbia. Journal of Elder Abuse & Neglect, 1, 45–64.CrossRef
3.
go back to reference Greenberg, J. R., McKibben, M., & Raymond, J. A. (1990). Dependent adult children and elder abuse. Journal of Elder Abuse & Neglect, 2, 73–86.CrossRef Greenberg, J. R., McKibben, M., & Raymond, J. A. (1990). Dependent adult children and elder abuse. Journal of Elder Abuse & Neglect, 2, 73–86.CrossRef
4.
go back to reference Korbin, J. E., Anetzberger, G. J., Thomasson, R., & Austin, C. (1991). Abused elders who seek legal recourse against their adult offspring: Findings from an exploratory study. Journal of Elder Abuse & Neglect, 3, 1–18.CrossRef Korbin, J. E., Anetzberger, G. J., Thomasson, R., & Austin, C. (1991). Abused elders who seek legal recourse against their adult offspring: Findings from an exploratory study. Journal of Elder Abuse & Neglect, 3, 1–18.CrossRef
5.
go back to reference Reay, A. M. C., & Browne, K. D. (2001). Risk factor characteristics in carers who physically abuse or neglect their elderly dependents. Aging & Mental Health, 5, 56–62.CrossRef Reay, A. M. C., & Browne, K. D. (2001). Risk factor characteristics in carers who physically abuse or neglect their elderly dependents. Aging & Mental Health, 5, 56–62.CrossRef
6.
go back to reference Pillemer, K. (1985). The dangers of dependency: New findings on domestic violence against the elderly. Social Problems, 33, 146–158.CrossRef Pillemer, K. (1985). The dangers of dependency: New findings on domestic violence against the elderly. Social Problems, 33, 146–158.CrossRef
8.
go back to reference Thomson, M. J., Lietzau, L. K., Doty, M. M., Cieslik, L., Williams, R., & Meurer, L. N. (2011). An analysis of elder abuse rates in Milwaukee County. WMJ: Official publication of the State Medical Society of Wisconsin, 110, 271–276. Thomson, M. J., Lietzau, L. K., Doty, M. M., Cieslik, L., Williams, R., & Meurer, L. N. (2011). An analysis of elder abuse rates in Milwaukee County. WMJ: Official publication of the State Medical Society of Wisconsin, 110, 271–276.
9.
go back to reference Jackson, S. L., & Hafemeister, T. L. (2011). Risk factors associated with elder abuse: The importance of differentiating by type of elder maltreatment. Violence and Victims, 26, 738–757.CrossRefPubMed Jackson, S. L., & Hafemeister, T. L. (2011). Risk factors associated with elder abuse: The importance of differentiating by type of elder maltreatment. Violence and Victims, 26, 738–757.CrossRefPubMed
11.
go back to reference Amstadter, A. B., Zajac, K., Strachan, M., Hernandez, M. A., Kilpatrick, D. G., & Acierno, R. (2011). Prevalence and correlates of elder mistreatment in South Carolina: the South Carolina elder mistreatment study. Journal of Interpersonal Violence, 26, 2947–2972.CrossRefPubMedPubMedCentral Amstadter, A. B., Zajac, K., Strachan, M., Hernandez, M. A., Kilpatrick, D. G., & Acierno, R. (2011). Prevalence and correlates of elder mistreatment in South Carolina: the South Carolina elder mistreatment study. Journal of Interpersonal Violence, 26, 2947–2972.CrossRefPubMedPubMedCentral
12.
go back to reference Imbody, B., & Vandsburger, E. (2011). Elder abuse and neglect: Assessment tools, interventions, and recommendations for effective service provision. Educational Gerontology, 37, 634–650.CrossRef Imbody, B., & Vandsburger, E. (2011). Elder abuse and neglect: Assessment tools, interventions, and recommendations for effective service provision. Educational Gerontology, 37, 634–650.CrossRef
13.
go back to reference Jackson, S. L. (2014). All elder abuse perpetrators are not alike: The heterogeneity of elder abuse perpetrators and implications for intervention. International Journal of Offender Therapy and Comparative Criminology. Advanced online publication. doi: 10.1177/0306624X14554063 Jackson, S. L. (2014). All elder abuse perpetrators are not alike: The heterogeneity of elder abuse perpetrators and implications for intervention. International Journal of Offender Therapy and Comparative Criminology. Advanced online publication. doi: 10.​1177/​0306624X14554063​
14.
go back to reference Ramsey-Klawsnik, H. (2000). Elder-abuse offenders: A typology. Generations, 24, 17–22. Ramsey-Klawsnik, H. (2000). Elder-abuse offenders: A typology. Generations, 24, 17–22.
16.
go back to reference Conrad, K. J., Liu, P. J., & Iris, M. (2016). Examining the role of substance abuse in elder mistreatment: Results from mistreatment investigations. Journal of Interpersonal Violence. Advance online publication. doi: 10.1177/0886260516640782 Conrad, K. J., Liu, P. J., & Iris, M. (2016). Examining the role of substance abuse in elder mistreatment: Results from mistreatment investigations. Journal of Interpersonal Violence. Advance online publication. doi: 10.​1177/​0886260516640782​
17.
go back to reference Labrum, T., & Solomon, P. L. (2015). Physical elder abuse perpetrated by relatives with serious mental illness: A preliminary conceptual social-ecological model. Aggression and Violent Behavior, 25, 293–303. Labrum, T., & Solomon, P. L. (2015). Physical elder abuse perpetrated by relatives with serious mental illness: A preliminary conceptual social-ecological model. Aggression and Violent Behavior, 25, 293–303.
18.
go back to reference Conway, K. P., Compton, W., Stinson, F. S., & Grant, B. F. (2006). Lifetime comorbidity of DSM-IV mood and anxiety disorders and specific drug use disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. The Journal of Clinical Psychiatry, 67, 247–258.CrossRefPubMed Conway, K. P., Compton, W., Stinson, F. S., & Grant, B. F. (2006). Lifetime comorbidity of DSM-IV mood and anxiety disorders and specific drug use disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. The Journal of Clinical Psychiatry, 67, 247–258.CrossRefPubMed
19.
go back to reference Merikangas, K. R., Mehta, R. L., Molnar, B. E., Walters, E. E., Swendsen, J. D., Aguilar-Gaziola, S., ... & Kolody, B. (1998). Comorbidity of substance use disorders with mood and anxiety disorders: Results of the International Consortium in Psychiatric Epidemiology. Addictive behaviors, 23, 893–907. Merikangas, K. R., Mehta, R. L., Molnar, B. E., Walters, E. E., Swendsen, J. D., Aguilar-Gaziola, S., ... & Kolody, B. (1998). Comorbidity of substance use disorders with mood and anxiety disorders: Results of the International Consortium in Psychiatric Epidemiology. Addictive behaviors, 23, 893–907.
20.
go back to reference Pillemer, K. (2005). Elder abuse is caused by the deviance and dependence of abusive caregivers. In D.R. Loseke, R. J. Gelles, & M.M. Cavanaugh (Eds.), Current Controversies on Family Violence (pp. 207–220) (2nd ed.). Thousand Oaks, Calif.: Sage. Pillemer, K. (2005). Elder abuse is caused by the deviance and dependence of abusive caregivers. In D.R. Loseke, R. J. Gelles, & M.M. Cavanaugh (Eds.), Current Controversies on Family Violence (pp. 207–220) (2nd ed.). Thousand Oaks, Calif.: Sage.
21.
go back to reference Brownell, P., Berman, J., & Salamone, A. (1999). Mental health and criminal justice issues among perpetrators of elder abuse. Journal of Elder Abuse & Neglect, 11, 81–94.CrossRef Brownell, P., Berman, J., & Salamone, A. (1999). Mental health and criminal justice issues among perpetrators of elder abuse. Journal of Elder Abuse & Neglect, 11, 81–94.CrossRef
22.
go back to reference Hwalek, M. A., Neale, A. V., Goodrich, C. S., & Quinn, K. (1996). The association of elder abuse and substance abuse in the Illinois Elder Abuse System. The Gerontologist, 36, 694–700.CrossRefPubMed Hwalek, M. A., Neale, A. V., Goodrich, C. S., & Quinn, K. (1996). The association of elder abuse and substance abuse in the Illinois Elder Abuse System. The Gerontologist, 36, 694–700.CrossRefPubMed
23.
go back to reference Wolf, R. S. (2003). Elder abuse and neglect: History and concepts. In R. J. Bonnie & R. B. Wallace (Eds.), Elder mistreatment: Abuse, neglect, and exploitation in an aging America (pp.238–248). Washington, DC: National Research Council. Wolf, R. S. (2003). Elder abuse and neglect: History and concepts. In R. J. Bonnie & R. B. Wallace (Eds.), Elder mistreatment: Abuse, neglect, and exploitation in an aging America (pp.238–248). Washington, DC: National Research Council.
25.
go back to reference Allison, P. (2001). Missing data. Thousand Oaks, CA: Sage Publication. Allison, P. (2001). Missing data. Thousand Oaks, CA: Sage Publication.
26.
go back to reference Hollander, M., Wolfe, D. A., Chicken, E. (2014). Nonparametric Statistical Methods (3rd ed.). Hoboken, New Jersey: Wiley, Inc. Hollander, M., Wolfe, D. A., Chicken, E. (2014). Nonparametric Statistical Methods (3rd ed.). Hoboken, New Jersey: Wiley, Inc.
27.
go back to reference Labrum, T. (2017). Factors related to abuse of older persons committed by relatives with psychiatric disorders. Archives of Gerontology and Geriatrics, 68, 126–134. Labrum, T. (2017). Factors related to abuse of older persons committed by relatives with psychiatric disorders. Archives of Gerontology and Geriatrics, 68, 126–134.
28.
go back to reference Labrum, T., Solomon, P., & Bressi, S. K. (2015). Physical, financial, and psychological abuse committed against older women by relatives with psychiatric disorders: Extent of the problem. Journal of Elder Abuse and Neglect, 27, 377–391. Labrum, T., Solomon, P., & Bressi, S. K. (2015). Physical, financial, and psychological abuse committed against older women by relatives with psychiatric disorders: Extent of the problem. Journal of Elder Abuse and Neglect, 27, 377–391.
29.
go back to reference Labrum, T., & Solomon, P. L. (2016). Factors associated with family violence by persons with psychiatric disorders. Psychiatry Research, 244, 171–178. Labrum, T., & Solomon, P. L. (2016). Factors associated with family violence by persons with psychiatric disorders. Psychiatry Research, 244, 171–178.
30.
go back to reference Grafström, M., Nordberg, A., & Winblad, B. (1993). Abuse is in the eye of the beholder: Reports by family members about abuse of demented persons in home care. A total population-based study. Scandinavian Journal of Social Medicine, 21, 247–255.CrossRefPubMed Grafström, M., Nordberg, A., & Winblad, B. (1993). Abuse is in the eye of the beholder: Reports by family members about abuse of demented persons in home care. A total population-based study. Scandinavian Journal of Social Medicine, 21, 247–255.CrossRefPubMed
31.
go back to reference Lachs, M.S., & Pillemer, K. (2004). Elder abuse. The Lancet, 364, 1263–1272.CrossRef Lachs, M.S., & Pillemer, K. (2004). Elder abuse. The Lancet, 364, 1263–1272.CrossRef
32.
go back to reference Wolf, R. S., & Pillemer, K. A. (1989). Helping elderly victims: The reality of elder abuse. New York, NY: Columbia University Press. Wolf, R. S., & Pillemer, K. A. (1989). Helping elderly victims: The reality of elder abuse. New York, NY: Columbia University Press.
33.
go back to reference Mowbray, O., Quinn, A., & Cranford, J. A. (2014). Social networks and alcohol use disorders: findings from a nationally representative sample. The American Journal of Drug and Alcohol Abuse, 40, 181–186.CrossRefPubMedPubMedCentral Mowbray, O., Quinn, A., & Cranford, J. A. (2014). Social networks and alcohol use disorders: findings from a nationally representative sample. The American Journal of Drug and Alcohol Abuse, 40, 181–186.CrossRefPubMedPubMedCentral
34.
go back to reference Baker, F., Jodrey, D., Intagliata, J., & Straus, H. (1993). Community support services and functioning of the seriously mentally ill. Community Mental Health Journal, 29, 321–331.CrossRefPubMed Baker, F., Jodrey, D., Intagliata, J., & Straus, H. (1993). Community support services and functioning of the seriously mentally ill. Community Mental Health Journal, 29, 321–331.CrossRefPubMed
Metadata
Title
Elder Mistreatment Perpetrators with Substance Abuse and/or Mental Health Conditions: Results from the National Elder Mistreatment Study
Authors
Travis Labrum
Phyllis L. Solomon
Publication date
01-03-2018
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 1/2018
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-017-9513-z

Other articles of this Issue 1/2018

Psychiatric Quarterly 1/2018 Go to the issue