Abuse and neglect in institutional settings is a complex and multifaceted issue that requires a combination of strategies at various levels to prevent it from occurring (McDonald et al., 2012; Spencer, 2006). Below is an overview of factors and conditions that contribute to abuse and neglect in institutions.
ORGANIZATIONAL FACTORS
- inadequate number of staff/inappropriate staff mix to meet the needs of residents
- staff who have not been adequately trained (e.g., no training in dementia care, transient staff)
- rationing of supplies
- culture or regime of institution (e.g., set bed times, assembly line caregiving)
- lack of supervision
- overcrowding/congestion
STAFF FACTORS
- burnout/emotional/physical exhaustion
- disempowered staff
- personal stress such as performing “double duty” (i.e., providing care at work and at home)
- alcohol or substance abuse
- personal history of abuse
- attitudes: ageism, condoning abuse and neglect
RESIDENT FACTORS
- dependency based on physical limitations
- communication difficulties
- cognitive impairment
- physical or social isolation (e.g., few visitors, no family involvement)
Older Adults
Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches
Background Information