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Bed sores Death Common abusers[ edit ] An abuser can be a spouse, partner, relative, a friend or neighbor, a volunteer worker, a paid worker, practitioner, solicitor, or any other individual with the intent to deprive a vulnerable person of their resources. Relatives include adult children and their spouses or partners, their offspring and other extended family members. Children and living relatives who have a history of substance abuse or have had other life troubles are of particular concern. For example, HFE[ clarification needed ] abusive individuals are more likely to be a relative, chronically unemployed, and dependent on the elderly person. Elder abuse perpetrated by individuals with mental illnesses can be decreased by lessening the level of dependency that persons with serious mental illness have on family members. This can be done by funneling more resourced into housing assistance programs, intensive care management services, and better welfare benefits for individuals with serious mental illness. Family relationships, neighbors and friends, are all socially considered as relationships of trust, whether or not the older adult actually thinks of the people as "trustworthy". Some perpetrators may "groom" an older person befriend or build a relationship with them in order to establish a relationship of trust. Older people living alone who have no adult children living nearby are particularly vulnerable to "grooming" by neighbors and friends who would hope to gain control of their estates. In some situations the abuse is "domestic violence grown old", a situation in which the abusive behavior of a spouse or partner continues into old age. In some situations, an older couple may be attempting to care and support each other and failing, in the absence of external support. With sons and daughters it tends to be financial abuse, justified by a belief that it is nothing more than the "advance inheritance" of property, valuables and money. Within paid care environments, abuse can occur for a variety of reasons. Some abuse is the willful act of cruelty inflicted by a single individual upon an older person. In fact, a case study in Canada suggests that the high elder abuse statistics are from repeat offenders who, like in other forms of abuse, practice elder abuse for the Schadenfreude associated with the act. More commonly, institutional abuses or neglect may reflect lack of knowledge, lack of training, lack of support, or insufficient resourcing. Institutional abuse may be the consequence of common practices or processes that are part of the running of a care institution or service. Sometimes this type of abuse is referred to as "poor practice", although this term reflects the motive of the perpetrator the causation rather than the impact upon the older person. With the aging of today's population, there is the potential that elder abuse will increase unless it is more comprehensively recognized and addressed. Elder abuse is not a direct parallel to child maltreatment, as perpetrators of elder abuse do not have the same legal protection of rights as parents of children do. For example, a court order is needed to remove a child from their home but not to remove a victim of elder abuse from theirs. Such risk factors for elder abuse include an elderly person who: Such risk factors for elder abuse include a caregiver who: Low economic resources have been conceptualized as a contextual or situational stressor contributing to elder abuse Living with a large number of household members other than a spouse is associated with an increased risk of abuse, especially financial abuse. Risk factors can also be categorized into individual, relationship, community and socio-cultural levels. At individual level, elders who have poor physical and mental health are at higher risk. At relationship level, a shared living situations is a huge risk factors for the elderly. Living in the same area with the abuser is more likely to cause an abuse. Third, at community level, social isolation is caused by the caregivers. In addition, some socio-cultural risk factors that can contribute to elder abuse is a representation of an older person as weak and dependent, lack of funds to pay for care, children leaving elderly parents alone and destruction of bonds between the generation of a family. However, over the past decade there has been a growing amount of research into the nature and extent of elder abuse. The research still varies considerably in the definitions being used, who is being asked, and what is being asked. As a result, the statistics used in this area vary considerably. Also domestic violence in later life may be a continuation of long term partner abuse and in some cases, abuse may begin with retirement or the onset of a health condition. In contrast, the risk of homicide for older men was far greater outside the family than within. Of cases in —, individuals, 42 couples, and 45 groups were found to have been abused. Of these, 70 percent were female. Older abusers those over 65 years are more likely to be husbands. About one in 11 incidents involved a life-threatening or fatal situation. Jackson and Thomas L. Hafemeister brought attention to the hybrid abuse that elderly persons can experience. Researchers may have difficulty obtaining accurate elder abuse statistics for the following reasons: Elder abuse is largely a hidden problem and tends to be committed in the privacy of the elderly person's home, mostly by his or her family members  Elder abuse victims are often unwilling to report their abuse for fear of others' disbelief, fear of loss of independence, fear of being institutionalized, fear of losing their only social support especially if the perpetrator is a relative , and fear of being subject to future retaliation by the perpetrator s ,     Elder abuse victims' cognitive decline and ill health may prevent them from reporting their abuse  Lack of proper training of service providers, such as social workers, law enforcement, nurses, etc. Many are unsure if it should be included since it does not involve another person as an abuser. Those opposed to the inclusion of self-neglect make the claim that it is a different form of abuse and thus, should not be included in the statistics. Due to this discrepancy and the others mentioned above, it is difficult to get accurate data concerning the abuse of the elderly. Studies have shown that elderly individuals, on average, make Educating and training those in the criminal justice system, such as police, prosecutors, and the judiciary, on elder abuse, as well as increased legislation to protect elders, will also help to minimize elder abuse and will also provide improved assistance to victims of elder abuse. In addition, community involvement in responding to elder abuse can contribute to elderly persons' safety. In general, preventing the occurrence or recurrence of elder abuse helps not only the elder but it may also improve the anxiety and depression of their caregivers too. For example, several communities throughout the United States have created Financial Abuse Specialist Teams,  which are multi-disciplinary groups that consist of public and private professionals who volunteer their time to advise Adult Protective Services APS , law enforcement, and private attorneys on matters of vulnerable adult financial abuse.
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