Interfaith Approach to Elder Abuse: Developing a Screening Tool to Assist Faith Leaders Reporting of Elder Abuse

Background: Elder abuse is a complex public health issue that is receiving more media attention. The National Academies of Sciences defined elder abuse as either creating intentional harm or serious risk of harm towards a vulnerable elder, or the failure to satisfy the basic needs of an elder and protect them from harm (2002).Lachs and Pillemer (2004) reviewed the clinical and legal reports on elder abuse and have identified five main types: physical abuse, psychological abuse, sexual assault, material exploitation, and neglect. Previous research has demonstrated elders who have been abused to have higher rates of depression and chronic stress (Comijs et al., 1999), increased rates of post-traumatic stress disorder (Goldstein, 1996), increased helplessness, social isolation, and anxiety (Soloman, 1983; Booth, Bruno, and Marin, 1996), as well as decreased physical health outcomes (Lachs et al., 1998). Past research also demonstrates elders maintaining a strong relationship with their religious identity (Young and Dowling, 1987). Additionally, elders consider faith leaders at a high level of trust almost as important as the level of trust displayed toward their own family members (Daciuk, 2000). Main objectives: 1.) Provide basic information on elder abuse in Connecticut, 2.) Assess baseline knowledge and attitudes of elder abuse among faith leaders, 3.) Identify existing barriers that faith leaders may face when they suspect elder abuse, and 4.) Create a culturally relevant tool for faith leaders to detect elder abuse. Conclusion: The faith leader surveys and the semi-structured interview data collected on elder abuse detection and reporting and elder’s faith experiences in Southern Connecticut, respectively, is critical information to gain a deeper understanding of the complexity of elder justice. Future directions include pilot testing, reviewing, and eventually disseminating the Digital Detection Tool for Faith Leaders in Southern Connecticut to assist faith leaders in detecting and reporting elder abuse.https://elischolar.library.yale.edu/ysph_pbchrr/1046/thumbnail.jp

Planned Parenthood: LGBTQ Healthcare in Southern New England

The LGBTQ community experiences health disparities related to access to care, utilization of care, experiences of discrimination, perceptions of injustice, healthcare neglect, and inappropriate care. In addition, statistics often cite higher rates of some health outcomes, such as higher rates of mental illness and substance use in the LGBTQ community at large and HIV/AIDS for transgender women and gay and queer men (Alvy et al., 2011; Cochran et al., 2003; Coulter et al., 2015). These disparities in health and healthcare stand as an emergency beacon to both community members and organizations aimed to serve them. Organizations throughout Connecticut and Rhode Island, such as AIDS Project New Haven, True Colors in Hartford, Triangle Community Center in Norwalk, and SAGE in Providence advocate and work toward the better health of these organizations. But the question of what healthcare needs and desires among LGBTQ community members are not being met by local organizations remains uncertain. This report highlights health disparities and needs among the LGBTQ community using both previous research and the voices of community members. Through highlighting the health care experiences of community members, we illuminate some key factors that influence the health outcomes and thoughts around healthcare within the LGBTQ community. Several of the recommendations and thoughts regarding the expansion and changes to PPSNE are simple, yet poignant fixes to strengthen the comfort and confidence levels of PPSNE staff and providers into the highly comfortable strata found in the survey. This cyclical relationship between providers and patients offers a new and expansive market and community access to Planned Parenthood, with another, often expansive healthcare organization to provide care to community members. Other Planned Parenthood locations throughout the United States offer services and amplify access through specific marketing campaigns to LGBTQ community members. Utilizing these models and heeding the suggestions of community members can offer potential success to both parties, as well as potentially working toward intangible goals, like reducing stigma, increasing awareness, and spreading positive health outcomes throughout the LGBTQ community and the general community. We encourage Planned Parenthood of Southern New England to consider these these steps, and believe that doing so will improve the health status of many LGBTQ community members by dramatically increasing both accessibility and demand for high quality clinical services at PPSNE.https://elischolar.library.yale.edu/ysph_pbchrr/1051/thumbnail.jp

Screening for Elder Abuse: Exploring the Acceptability of the Elder Abuse Suspicion Index to Law Enforcement Officers for Field Use

National surveys conducted on community-dwelling older adults have reported the overall prevalence of elder abuse to be approximately 10% in the US.1 For every elder abuse case known to programs and agencies, an estimated 24 cases go unreported.2 Since the criminalization of elder abuse in the 1990\u27s, law enforcement officers (LEOs) are in a unique position to detect and respond to elder abuse cases. Despite increased interaction between LEOs and elderly persons in the community, LEOs report significant knowledge gaps in responding to elder abuse cases.3,4 Currently, there are no known instruments used by LEOs to assess for risk of elder abuse. The Elder Abuse Suspicion Index (EASI),5 a screening tool previously validated for use by physicians in clinical settings, shows potential for use by officers. This report presents findings from a survey and interviews with LEOs and community advocates in the state of Connecticut exploring acceptability of the EASI as a law enforcement screening tool.https://elischolar.library.yale.edu/ysph_pbchrr/1009/thumbnail.jp