Fighting Against Many Walls: The Help-Seeking Experience of Supporters of Older Abuse Victims

Abstract Background Elder abuse (EA) often remains hidden, and many victims do not interact with formal systems. Concerned persons (CPs) are family, friends, and neighbours who play an essential role in supporting EA victims. Objective The aim of this study was to understand CPs’ role and help-seeking experiences. Methods Nineteen self-identified CPs shared their experience of being involved in an EA case via an interview and/or survey, with responses analysed qualitatively. Findings CPs were primarily the victims’ female relatives, often related to the perpetrator, and had sought help from a wide range of formal and informal sources, facing many barriers in protecting victims from harm. Challenges commonly related to formal services and EA perpetrators. Through knowing about the abuse and/or seeking help, participants experienced negative impacts, particularly psychological ones. Discussion Findings suggest that CPs can play a key role in supporting EA victims but require further support and recognition from services to fulfil this role

Elder abuse detection and intervention: Challenges for professionals and strategies for engagement from a Canadian specialist service

Elder abuse (EA) is of increasing relevance in the context of an aging society and this has implications for detection and intervention for several types of health care providers, including forensic nurses. Knowledge related to EA is important as victims are likely to interact with providers, either due to existing health problems or the consequences of abuse. This paper provides a brief overview of EA, followed by an outline of current detection and intervention efforts used by health care providers in community and hospital settings. In addition, knowledge about help-seeking and barriers to disclosure are discussed to inform health care provider interactions with older adults where EA is suspected or disclosed. To illustrate challenges faced by health care providers in this area, two cases of EA involving case management by a forensic nurse in a specialist service in Canada are presented

Help-Seeking Behavior in Victims of Elder Abuse: A Systematic Review

Elder abuse has become increasingly relevant for intervention and study in the context of an aging population. One of the major barriers to progress in the field is underreporting of elder abuse by victims. This systematic literature review aimed to synthesize the available findings regarding victims’ help-seeking behavior to inform practice, understand the limits of the evidence, and identify research gaps. A comprehensive search of published and unpublished literature was undertaken, and studies were included if they addressed help-seeking behavior from the perspective of elder abuse victims aged 60 and older. A total of 19 studies met inclusion criteria for review. Findings are presented as a narrative synthesis organized according to help-seeking barriers, facilitators, sources of help, the responses of others, and the characteristics of victims more likely to seek help. Although barriers and sources of help received detailed attention across all studies, findings regarding victim characteristics and facilitators for and responses to help-seeking were limited. The results suggest that there are many barriers to help-seeking and that some victims only seek help when the abuse is perceived as unbearable or they fear for their safety. Results are discussed in relation to implications for intervention, including suggestions to enhance help-seeking behavior. Future research should identify facilitators of help-seeking among victims of elder abuse and victim characteristics associated with early disclosure. Research efforts should frame help-seeking as a continuing process and study ways in which the responses of others may impact future help-seeking or service engagement

Development of a case formulation model for individuals who have viewed, distributed, and/or shared child sexual exploitation material

Increases in the number of arrests of individuals who download or distribute Child Sexual Exploitation Material (CSEM) have highlighted a need to further understand the offending pathways of this offender group. This article describes the development of an aetiological model specific to CSEM offending. Individuals who had viewed, distributed and/or shared CSEM (n = 20) were interviewed regarding their life and sexual history, relationships, substance use, offending details, and circumstances leading to their CSEM offending, resulting in seven superordinate themes: Developmental Context, Individual Propensities (risk-related and risk-protective) and Psychological Vulnerabilities, Personal Circumstances, Permission-Giving Thoughts, Internet Environment and Behaviour, Evaluation of Consequences for the Individual, and Desistance. These themes were combined into a case formulation tool specific for CSEM offending behaviour, with the aim of providing systematic guidance for assessment and treatment providers

A qualitative investigation into the impact of domestic abuse on women’s desistance

While criminological literature, criminal justice practice, and to a lesser extent, state policy have acknowledged a link between women’s criminalisation and gendered violence (MoJ, 2018; Österman, 2018; Prison Reform Trust, 2017; Roberts, 2015), there has been much less acknowledgement of the role of historical and contemporaneous experiences of violence in the desistance scripts of criminalised women. Combining findings from two research projects exploring gender and desistance, this article argues that (i) criminalised women’s experiences of gendered violence are such that any exploration of gender and desistance which does not acknowledge this is incomplete, (ii) coercion and control can inform women’s entry into the criminal justice system, (iii) expressions of agency and resistance in abusive interpersonal relationships can also inform women’s offending, yet (iv) women’s experiences of desistance from crime can mask the harm they face in coercive, controlling, and violent relationships. Thus, the article argues for a reframing of desistance from crime as desistance from harm both theoretically and in practice, and considers what this might entail