Abstract
A framework of social inclusion can promote equity and aid in preventing and addressing the abuse of older adults. Our objective was to build a social inclusion framework for a comprehensive hospital-based elder abuse intervention being developed. Potential components of such a framework, namely, health determinants and guiding principles, were extracted from a systematic scoping review of existing responses (e.g., interventions, protocols) to elder abuse and collated. These were subsequently rated for their importance to the elder abuse intervention by a panel of violence experts and further evaluated by a panel of elder abuse experts. The final social inclusion framework comprised 12 health determinants each representing factors underpinning susceptibility for abuse in aging populations: history of trauma/abuse, communication needs, disability, health status, mental capacity, social support, culture, language, sexuality, religion, gender identity, and socioeconomic status. The framework also comprised 19 guiding principles each encompassing considerations for equitable engagement with older adults (e.g., All older adults have the right to self-determination, All older adults have the right to be safe, All older adults are assumed competent unless determined otherwise). Integrating this social inclusion framework into the design and delivery of an elder abuse intervention could empower older adults, while at the same time ensuring that practices and policies are tailored to meet their unique and varying needs.
Highlights
Elder abuse, alternatively referred as the abuse or neglect of older adults, is increasingly acknowledged as a pervasive societal and health problem [1, 2]
Three steps were involved in the development of the social inclusion framework for the elder abuse intervention under development: 1) A list of potential components, namely any health determinant and guiding principle, were first identified in a systematic scoping review of the grey and scholarly literatures [30]; 2) This list of potential components was evaluated for their relevance and importance to the social inclusion framework of the elder abuse intervention under development by a panel of SA/DVTC program leaders [33]; and 3) the list of draft components were evaluated by a panel of key stakeholders with expertise in the abuse of older adults
We reviewed, revised, and finalized the draft components of the social inclusion framework for the elder abuse intervention under development
Summary
Alternatively referred as the abuse or neglect of older adults, is increasingly acknowledged as a pervasive societal and health problem [1, 2]. A social inclusion framework for a comprehensive hospital-based elder abuse intervention from the Women’s Xchange (Funding Reference number: MAR15L1; https://bit.ly/2YmZVw5). Funding for the meeting of key stakeholders in elder abuse was obtained by JDM, MY, & SM from the Canadian Institutes of Health Research (Funding Reference Number: PSC-142046; https:// bit.ly/2SgU5sh). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript
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