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"We See Things Other People Aren't Going to See”: Facilitators and Barriers to Screening and Management of Elder Abuse By Tribal Health Care Providers

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dc.contributor.author Crowder, Jolie
dc.contributor.author Carson, Linda
dc.contributor.author Kuehn, Kendra
dc.contributor.author Baldridge, Dave
dc.date.accessioned 2020-03-02T22:19:00Z
dc.date.available 2020-03-02T22:19:00Z
dc.date.issued 2019
dc.identifier.citation Crowder, Jolie; Carson, Linda; Kuehn, Kendra; Baldridge, Dave. (2019). "We See Things Other People Aren't Going to See”: Facilitators and Barriers to Screening and Management of Elder Abuse By Tribal Health Care Providers. International Association for Indigenous Aging, 110 pgs. en_US
dc.identifier.uri http://iasquared.org/wordpress2/wp-content/uploads/2019/11/IA2-Facilitators-and-Barriers-of-Elder-Abuse-Screening-and-Management-_-FINAL-Report-112619.pdf
dc.identifier.uri http://hdl.handle.net/20.500.11990/1673
dc.description Report en_US
dc.description.abstract The International Association for Indigenous Aging (IA2), with funding from The National Resource Center for Reaching Victims of Crime, sought to understand the current needs and experiences of tribal health care clinics in screening and managing elder abuseamong American Indian and Alaska Native (AIAN) older adults. This is the first and most comprehensive national needs assessments designed to identify facilitators and barriers for screening and management of elder abuse by tribal health care providers....The state of the science on elder abuse among AIAN people is similar to that of other minority and vulnerable groups; it is limited, progress has been slow, and solid comparable prevalence estimates are lacking (Jervis & Sconzert-Hall, 2017; Sapra et al., 2014). The available research demonstrates a potentially high prevalence of abuse of AIAN elders that occurs at the intersection of contextual factors that include inter-tribal cultural diversity, tribal sovereignty, complex tribal justice systems, historical trauma, acculturation, urban migration, and demographic and health disparities (Crowder, Burnett, Laughon, & Driesbach, 2019; Crowder et al., 2019)...The information obtained from this needs assessment is designed to fill a gap in practice and policy for tribal providers and perhaps lend useful insights for mainstream health providers. Project objectives include: Describe provider, community, cultural, and systematic (clinic-level) factors that contribute to how victims of elder abuse are identified and managed in outpatient clinical settings; Identify facilitators and barriers to recognition and management of elder abuse; Explore the context of providing clinical care for abused elders; Identify phenomena related to care of elders unique to AIAN cultures; and Identify existing promising practices for screening and management of elder abuse among tribal health providers. To address the project objectives, a multi-phased mixed methods iterative design was employed, that incorporated qualitative and quantitative data collection and analysis across two data sets, including telephone interviews (n = 23) and an online survey (n=90) with participants from 22 states. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher International Association for Indigenous Aging en_US
dc.subject Needs Assessment en_US
dc.subject American Indian en_US
dc.subject Alaska Native en_US
dc.subject AIAN en_US
dc.subject AI/AN en_US
dc.subject Older Adults en_US
dc.subject Elderly en_US
dc.subject Elders en_US
dc.subject Abuse in Later Life en_US
dc.subject Elder Abuse en_US
dc.subject Native American en_US
dc.subject Tribal en_US
dc.subject Indigenous Populations en_US
dc.subject Medical Providers en_US
dc.subject Practitioners en_US
dc.subject Front-line en_US
dc.subject Clinicians en_US
dc.subject Clinical Interventions en_US
dc.subject Health Care Providers en_US
dc.subject Victimization en_US
dc.subject Cultural Factors en_US
dc.subject Screening en_US
dc.subject Healthcare en_US
dc.subject Financial Exploitation en_US
dc.subject Financial Abuse en_US
dc.subject Social Support en_US
dc.subject Training for Service Providers en_US
dc.subject Elder Mistreatment en_US
dc.subject Elder Neglect en_US
dc.title "We See Things Other People Aren't Going to See”: Facilitators and Barriers to Screening and Management of Elder Abuse By Tribal Health Care Providers en_US
dc.type Other en_US


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