Too often, older, women are abused, neglected, and exploited. In cases where the older victim and perpetrator have an ongoing relationship, power and control dynamics like those used against younger battered women are often present. In these cases, a victim-centered response and some strategies used with younger victims of domestic violence may be most effective in promoting safety and ensuring support and services. To assist mental health professionals and psychiatric nurses, this article focuses on three main topics: the dynamics of abuse in later life, a victim-centered response, and working collaboratively with other disciplines to offer a comprehensive response to these complex cases.
Administration on Aging. (2002). Fact sheet: A profile of older Americans. Retrieved from http://www.aoa.dhhs.gov
2.
Anderson, D., & Saunders, D. (2003). Leaving an abusive partner: An empirical review of predictors, the process of leaving and psychological well-being. Trauma, Violence, & Abuse, 4(2), 163-191.
3.
Bancroft, L. (2002). Why does he do that?New York: Berkley Books.
4.
Beaulaurier, R., & Seff, L. (2005). Internal barriers to help seeking for middle-aged and older women who experience intimate partner violence. Journal of Elder Abuse and Neglect, 17(3), 53-74.
5.
Bograd, M. (1999). Battering and couples therapy: Universal screening and selection of treatment modality. Journal of Marital and Family Therapy, 25(3), 291-312.
6.
Bomba, P. (2006). Use of a single page elder abuse assessment and management tool: A practical clinician’s approach to identifying elder mistreatment. Journal of Gerontologic Social Work, 46(3/4), 103-122.
7.
Brandl, B. (2000). Power and control: Understanding domestic abuse in later life. Generations, 24(11), 39-45.
8.
Brandl, B., Bitano-Dyer, C., Heisler, C., Marlott-Otto, J., Stiegel, L., & Thomas, D. (2006). Elder abuse detection and intervention: A collaborative approach. New York: Springer.
9.
Brandl, B., Hebert, M., Rozwadowski, J., & Spangler, D. (2003). Feeling safe, feeling strong: Support groups for older abused women. Violence Against Women, 9(12), 1490-1503.
10.
Brandl, B., & Horan, D. (2002). Domestic violence in later life: An overview for health care providers. Women and Health, 35(2/3), 41-54.
11.
Buchbinder, E., & Winterstein, T. (2003). Like a wounded bird: Older battered women’s life experiences with intimate violence. Journal of Elder Abuse and Neglect, 15(2), 23-44.
12.
Crichton, S., Bond, J., Harvey, C., & Ristock, J. (1999). Elder abuse: Feminist and ageist perspectives. Journal of Elder Abuse and Neglect, 10(3/4), 115-129.
13.
Davies, J., & Lyon, E. (1998). Safety planning with battered women: Complex lives/difficult choices. Thousand Oaks, CA: Sage.
14.
Domestic Violence and Mental Health Policy Initiative. (n.d.). Retrieved from http://www.dvmhpi.org
15.
Dunlop, B. D., Rothman, M. B., Condon, K. M., Hebert, K. S., & Martinez, I. L. (2000). Elder abuse: Risk factors and use of case data to improve policy and practice. Journal of Elder Abuse and Neglect, 12(3/4), 95-122.
16.
Fisher, B., Zink, T., Pabst, S., Regan, S., & Rinto, B. (2003). Services and programming for older abused women: The Ohio experience. Journal of Elder Abuse and Neglect, 15(2), 67-84.
17.
Gondolf, E. (1988). The effect of batterer counseling on shelter outcome. Journal of Interpersonal Violence, 3(3), 275-289.
18.
Harris, S. (1996). For better or for worse: Spouse abuse grown old. Journal of Elder Abuse and Neglect, 8(1), 1-33.
19.
Hightower, J., Smith, M. J., & Hightower, H. C. (2006). Hearing the voices of abused older women. Journal of Gerontological Social Work, 46(3/4), 205-227.
20.
Jasinski, J., & Dietz, T. (2003). Domestic violence and stalking among older adults: An assessment of risk factors. Journal of Elder Abuse and Neglect, 15(1), 3-18.
21.
Lachs, M., Williams, C., O’Brien, S., Pillemer, K., & Charlson, M. (1998). The mortality of elder mistreatment. Journal of the American Medical Association, 280(5), 428-432.
22.
Lithwick, M., Beaulieu, M., Gravel, S., & Straka, S. (1999). The mistreatment of older adults: Perpetrator-victim relationships and interventions. Journal of Elder Abuse and Neglect, 11(4), 95-112.
23.
Lundy, M., & Grossman, S. (2004). Elder abuse: Spouse/intimate partner abuse and family violence among elders. Journal of Elder Abuse and Neglect, 16(1), 85-102.
24.
National Center on Elder Abuse. (1998). National elder abuse incidence study. Retrieved from elderabusecenter.org
25.
National Center on Elder Abuse. (2006). The 2004 survey of state adult protective services: Abuse of adults 60 years of age and older. Funded by the Administration on Aging, U.S. Department of Health and Human Services. Retrieved from http://www.elderabusecenter.org/default.cfm?p=statistics.cfm
26.
National Clearinghouse on Abuse in Later Life. (2006). Abuse in later life wheel. Retrieved from http://www.ncall.us
27.
Pillemer, K., & Finkelhor, D. (1988). The prevalence of elder abuse: A random sample survey. The Gerontologist, 28, 51-57.
28.
Pillemer, K., & Finkelhor, D. (1989). Causes of elder abuse: Caregiver stress versus problem relatives. American Journal of Orthopsychiatry, 59(2), 179-185.
29.
Podnieks, E. (1992). National survey on abuse of the elderly in Canada. Journal of Elder Abuse and Neglect, 4(1/2), 5-57.
30.
Ramsey-Klawsnik, H. (2003). Elder sexual abuse within families. Journal of Elder Abuse and Neglect, 15(1), 43-58.
31.
Ramsey-Klawsnik, H. (2000). Elder abuse offenders: A typology. Generations, 24(11), 17-22.
32.
Reis, M. (2000). The IOA screen: An abuse-alert measure that dispels myths. Generations, 24(11), 13-16.
33.
Salter, A. (2003). Predators, pedophiles, rapists, and other sex offenders: Who they are, how they operate, and how we can protect ourselves and our children. New York: Basic Books.
34.
Schechter, S. (1987). Guidelines for mental health workers. Denver, CO: National Coalition Against Domestic Violence.
35.
Seaver, C. (1996). Muted lives: Older battered women. Journal of Elder Abuse and Neglect, 8(2), 3-19.
36.
Steinmetz, S. (1988). Duty bound: Elder abuse and family care. Newbury Park, CA: Sage.
37.
Teaster, P., Nerenberg, L., & Stansbury, K. (2003). A national look at elder abuse multidisciplinary teams. Journal of Elder Abuse and Neglect, 15(3/4), 91-107.
38.
Vinton, L. (1998). A nationwide survey of domestic violence shelters’ programming for older women. Violence Against Women, 4(5), 559-571.
39.
Vladescu, D., Eveleigh, K., Ploeg, J., & Patterson, C. (1999). An evaluation of a client-centered case management program for elder abuse. Journal of Elder Abuse and Neglect, 11(4), 5-22.
40.
Warshaw, C., & Moroney, G. (2002, September). Mental health and domestic violence: Collaborative initiatives, service models, and curricula. Working Paper, Domestic Violence & Mental Health Policy Initiative. Funded by Center for Mental Health Services, Substance Abuse & Mental Health Services Administration, and the U.S. Department of Health and Human Services.
41.
Warshaw, C., Gugenheim, A., Moroney, G., & Barnes, H. (2003, September/October). Special report—Fragmented services, unmet needs: Building collaboration between the mental health and domestic violence communities. Grant Watch, Health Affairs, 22(5), 230-234.
42.
Wolf, R. (1998). Studies belie caregiver stress as key to elder mistreatment. Aging Today, 19(6). Retrieved from http://www.asaging.org
43.
Wolf, R. (2000). Introduction: The nature and scope of elder abuse. Generations, 24(2), 6-12.
44.
Wolf, R., & Pillemer, K. (1997). The older battered woman: Wives and mothers compared. Journal of Mental Health and Aging, 3, 325-336.
45.
Zink, T., Jacobson, J., Pabst, S., Regan, S., & Fisher, B. (2006). A lifetime of intimate partner violence: Coping strategies of older women. Journal of Intimate Violence, 21, 634-651.
46.
Zink, T., & Pabst, S. (2005). The prevalence and incidence of intimate partner violence in older women in primary care practices. Journal of Gerontology: Internal Medicine, 20, 884-888.
