Practitioner Empowerment, Older Adult Mistreatment, and Dementia

Can J Aging. 2021 Jun;40(2):306-320. doi: 10.1017/S0714980820000136. Epub 2020 Oct 16.

Abstract

Although some studies have revealed practitioner disempowerment in cases of older adult mistreatment, this experience is poorly understood. In addition, dementia and contextual influences further complicate cases; yet, little is known about the experience of practitioners with this complexity. This critical inquiry, based on Critical social theory, critical consciousness, and professional agency, aimed to address these gaps. Fifty-one practitioners from diverse health care and social service disciplines from rural and urban communities in Northeastern Ontario participated in interviews, journals, and focus groups. Analysis of data revealed the need for empowerment within a perpetual cycle of non-resolution, to refocus on legal clarity and intervention versus the current legal complexity and education focus, and to develop adequate infrastructure to support interprofessional efforts. The infusion of this knowledge into policy, practice, and research has great potential to improve outcomes for older adults with dementia who are mistreated in their homes.

Keywords: abus envers les personnes âgées; aging; autonomisation; dementia; démence; elder abuse; empowerment; legislation; législation; maltraitance des personnes âgées; older adult mistreatment; practice; pratique; vieillissement.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Dementia* / therapy
  • Elder Abuse*
  • Empowerment
  • Focus Groups
  • Humans
  • Ontario
  • Rural Population