• S E Kurrle, P M Sadler, and I D Cameron.
• Geriatric and Rehabilitation Service, Hornsby Ku-ring-gal Hospital, NSW.
• Med. J. Aust. 1991 Aug 5; 155 (3): 150153150-3.

ObjectiveTo report a series of older patients who had been physically abused or neglected and to describe their disabilities and social situation, the abuser, interventions offered and outcomes.DesignA retrospective case series. Patients were included if they met the requirements of a predetermined definition of physical abuse or neglect.SettingAn area-based geriatric and rehabilitation service attached to a district hospital.PatientsFifteen men and women aged over 65 who met the requirements of our definition of abuse and who were referred to the service over a 12-month period. For each patient an abuser was identified.ResultsRisk factors for elder abuse were a high degree of dependency of the elderly person resulting from cognitive or physical impairment; psychopathology in the abuser or stress on the carer. Intervention was effective for a majority of the patients.ConclusionsThe findings are similar to those of overseas studies. Awareness of the problem and early intervention with counseling, provision of appropriate services and accommodation are likely to be successful in limiting the impact of elder abuse.

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