Table of Contents

About This Course

1. Introduction to Elder Abuse
2. The Basics of Elder Abuse
3. Substance Use and Other Risk Factors
4. Screening and Assessment
5. Intervention and Treatment
6. Preventing Elder Abuse

Supplements
Case Studies
References
Resources

Out of the Shadows
Uncovering Substance Use and Elder Abuse

Screening Tips

Screening for personal issues is a delicate issue. Some providers do not consider screening their job, others are uncomfortable bringing up the issue, and others fear for the safety of the client/patient. The American Medical Association recommends routine questions incorporated into daily practice.¹ Other tips include:

• Interview the older adult in a private setting.
• Speak to the family member or caregiver separately.
• Face the patient/client directly.
• Speak slowly and clearly.
• Frame questions in the following ways: "Because violence is so common in many people's lives, I ask all my patients these questions," or "Many people are in abusive relationships and too afraid to ask for help, so..."
• Ask open-ended questions, such as "Describe to me what happened" to allow the older adult the opportunity to speak.
• Validate feelings of the older adult and affirm the right to make choices about his or her life.
• Build rapport and offer hope and alternatives.
• Respect cultural and ethnic differences.
• Be aware how your personal values and/or experiences may influence your assessment.

References

1. American Medical Association. (n.d.). Diagnostic and treatment guidelines on elder abuse and neglect. Retrieved May 17, 2004, from http://www.ama-assn.org/ama1/pub/upload/mm/386/elderabuse.pdf