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Elder abuse is a complex phenomenon encompassing a range of maltreatments and, often, a silent epidemic. Despite its severity, it has not received comparable attention to other forms of familial or domestic abuse in academic research or public policy (Lachs and Pillemer, 2004). In the UK, the aging demographic is pronounced, with projections indicating that one in four people will be aged 65 or over by 2050 (Office for National Statistics, 2018). This demographic shift amplifies the potential for elder abuse, stressing the social and healthcare systems designed to protect and care for older adults. In a 2020 report by Age UK an estimated 1.4 million older people in England and Wales had experienced some form of abuse or neglect in the previous year. This research's significance is underpinned by the necessity to illuminate the dark figure of elder abuse. The study provided a robust evidence base that could inform and guide public health policies, social work practices, and healthcare provisions by unveiling the prevalence and nature of elder abuse in both community and institutional settings.

The prevalence and nature of elder abuse in community and institutional settings

The focal point of this research, articulated through the question, "What factors contribute to the prevalence of elder abuse in both community and institutional settings in the UK?" intends to unveil the underlying causes and contexts of elder abuse within distinct environments.

RESEARCH QUESTION

This research aims to investigate the contributory factors and circumstances surrounding elder abuse in both community and institutional settings in the UK.

Objectives: Review the literature to collect all relevant studies relating to elder abuse prevalence in the UK. Explore systemic issues in institutional settings. Explore societal, relational, and individual factors in community settings

Objective

Research Design: Literature review was chosen as a research design for this study. By integrating findings and perspectives from many empirical findings, this research design addressed the research question and created a firm foundation for advancing knowledge and facilitating theory development (Webster & Watson, 2002).

Data Collection Strategy: Discover database was searched for relevant studies that are reliable and peer reviewed, showing quality and validity in the papers.

Approach to Analysis: Thematic Analysis (TA) was used as a data analysis approach as recommended by Braun and Clarke (2006). Thematic analysis provides a structured approach to identifying recurring themes and patterns within qualitative data.

Methodology

The most common types of abuse reported in institutional settings included psychological abuse, physical abuse, neglect, financial exploitation, and sexual abuse (Yon et al., 2019,2017),(Dong, 2015) The most common types of abuse reported in community settings included psychological abuse, financial exploitation, neglect, physical abuse, and sexual abuse (Castle et al., 2012), (Daly et al., 2011). Elder abuse was found to be a significant problem in community and institutional settings, affecting a substantial proportion of older adults (Yon et al., 2019,2017), (WHO, 2021, para. 2). Risk factors for elder abuse in institutional settings included staff characteristics, resident characteristics, organizational factors, and environmental factors (Goergen and Beaulieu, 2013), Risk factors for elder abuse in community settings included individual characteristics, family dynamics, social isolation, and caregiver stress (Yon et al., 2019,2017), (Herring, 2018). The review underscored the importance of raising awareness, enhancing detection, and implementing preventive measures to address elder abuse in community settings (Yon et al., 2019,2017)

Findings

Key Themes:

Prevalence rates of elder abuse in community and institutional settings.

Types of elder abuse experienced by community- dwelling older adults and residents.

Risk factors associated with elder abuse in community and institutional settings.

Implications for detection, prevention, and intervention strategies.

Analysis

In conclusion, this research sheds light on the pervasive issue of elder abuse in community and institutional settings in the UK. By synthesizing findings from systematic reviews, it unveils prevalent types of abuse and identifies key risk factors. The study underscores the urgency for enhanced detection, prevention, and intervention strategies to safeguard the well-being of older adults. With a comprehensive understanding of the complexities surrounding elder abuse, this research serves as a catalyst for targeted policy reforms and interventions aimed at upholding the dignity and rights of the aging population. It calls for collective action to create a safer and more respectful environment for elderly individuals, ensuring they receive the care and respect they deserve.

Conclusion

Braun and Clarke's (2006) six-phase guide to thematic analysis

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SASS Change Maker Research Dissertation – ASS142-3 Coursework – Exhibition Supervisor Dr. Bolaji Ogunfemi

References: Herring, J., 2018. Older people and deficiencies in the formal care system: Equality and rights. In Ageing, Diversity and Equality (pp. 276-289). Routledge. World Health Organization. (2021). Elder abuse. Accessed: 05/10/2023. Available at [https://www.who.int/en/news-room/fact-sheets/detail/elder-abuse]. Braun, V., & Clarke, V. (2006). Using Thematic Analysis in Psychology. Qualitative Research in Psychology, 3(2), 77–101. British Psychological Society. (2010). Code of Human Research Ethics. Castle, N., Ferguson-Rome, J. C., & Teresi, J. A. (2012). Elder Abuse in Residential Long-Term Care: An Update to the 2003 National Research Council Report. Journal of Applied Gerontology, 31(4), 407– 443. Daly, J. M., Merchant, M. L., & Jogerst, G. J. (2011). Elder Abuse Research: A Systematic Review. Journal of Elder Abuse & Neglect, 23(4), 348–365. Dong, X. (2015). Elder Abuse: Systematic Review and Implications for Practice. Journal of the American Geriatrics Society, 63(6), 1214–1238. Goergen, T., & Beaulieu, M. (2013). Critical Concepts in Elder Abuse Research. International Psychogeriatrics, 25(8), 1217–1228. Lachs, M. S., & Pillemer, K. (2004). Elder Abuse. The Lancet, 364(9441), 1263–1272. Penhale, B., 2008. Elder abuse in the United Kingdom. Journal of Elder Abuse & Neglect, 20(2), pp.151-168. Pillemer, K., Burnes, D., Riffin, C., & Lachs, M. S. (2016). Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies. Gerontologist, 56 Suppl 2(Suppl 2), S194– S205. United Nations. (2019). World Population Ageing 2019: Highlights. United Nations, Department of Economic and Social Affairs, Population Division. Yon, Y., Ramiro-Gonzalez, M., Mikton, C.R., Huber, M. and Sethi, D., 2019. The prevalence of elder abuse in institutional settings: a systematic review and meta- analysis. European journal of public health, 29(1), pp.58-67. Yon, Y., Mikton, C.R., Gassoumis, Z.D. and Wilber, K.H., 2017. Elder abuse prevalence in community settings: a systematic review and meta-analysis. The Lancet Global Health, 5(2), pp.e147-e156.

Introduction