The role of social isolation of elders in recidivism of self-neglect cases at San Francisco Adult Protective Services.
This study examined the relationship between social isolation of elders and recidivism of self-neglect cases at San Francisco Adult Protective Services. Of secondary interest was an examination of other risk factors: mental health concerns, cognitive deficits, and substance/alcohol abuse. A secondary chart review was conducted on 704 elder clients with confirmed cases of self-neglect in 2004. Bivariate and multivariate analyses showed a positive relationship between substance/ alcohol abuse and recidivism, and a negative relationship between cognitive decline and recidivism. No significant relationships were found for social isolation or mental health concerns and recidivism. This study supports previous research suggesting significant relationships between substance abuse and self-neglect, further demonstrating a need for more substance/alcohol abuse programs for elders.
San Francisco Adult Protective Services, USA. cathy@spensley.com
Catherine
C
Spensley
D000368:Aged; D000369:Aged, 80 and over; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D008132:Loneliness; D008297:Male; D012008:Recurrence; D012495:San Francisco / Q000453:epidemiology; D012648:Self Care / Q000523:psychology*; D012931:Social Environment; D012934:Social Isolation / Q000523:psychology*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology