cover journal of neglect and abuseABSTRACT


Resident-to-resident incidents in dementia in long-term care homes resulting in deaths represent a growing concern among residents, family members, care providers, care advocacy organizations, and policy makers. Despite these concerns and experts’ predictions by which injurious and fatal incidents will increase in the coming years due to the projected growth in the number of people with dementia, no studies have been conducted in North America on these fatal incidents. This exploratory pilot study makes first steps towards bridging this major gap in research and practice. Using publicly available information (primarily newspaper articles and death review reports), practically useful patterns were identified pertaining to the circumstances surrounding the death of 105 elders as a result of these incidents. The findings could inform various efforts to prevent future deaths in similar circumstances, keep vulnerable and frail residents safe, and encourage researchers to examine risk and protective factors for these incidents.


Eilon Caspi (2018): The circumstances surrounding the death of 105 elders as a result of resident-to-resident incidents in dementia in long-term care homes, Journal of Elder Abuse & Neglect, DOI: 10.1080/08946566.2018.1474515.

​Link to article: ​

The following is part of our project “Increasing Access to Justice for Older Adult Victims of Sexual Assault: A Capacity Building Approach”, funded by the Justice Canada Victims Fund.Learn more about this project or consult the full list of resources

sexualabuse nursinghomes''Despite an increasing literature related to elder abuse, sexual abuse of older persons in general and of vulnerable adults living in nursing homes in particular is still sparsely described. The purpose of this study was to assess the state of knowledge on the subject of sexual abuse against older nursing home residents through a literature review. Systematic searches in reference databases including Cinahl, Medline, OVID Nursing Database, ISI Web of Science, PsycINFO, Cochrane Library, and SveMed + were conducted. Through several phases of selection of the articles, using strict inclusion and exclusion criteria, six articles were chosen for a deeper examination. Findings from the review show that sexual abuse occurs in nursing homes and that both older women and men are victims of sexual abuse. Perpetrators appear mainly to be staff and other residents and mainly to be men, but also women abuse both older men and older women. Findings from the literature review show that there is a need for knowledge and further research on the topic of sexual abuse against older residents in nursing homes. Furthermore, there is a need for good policies and reporting systems, as an important step in seriously addressing sexual abuse against older persons.

The main purpose of this study was to answer thefollowing:
What knowledge do we have about sexual abuseof older nursing home residents? The concrete researchquestions were the following:

(1) How is sexual abuse defined in the studies?
(2) What knowledge do we have about prevalence andtypes of sexual abuse in nursing homes?
(3) What knowledge do we have about the characteristicsof the victims and perpetrators?
(4)What do we know about the consequences for thevictims and perpetrators?
(5) Do we know anything about how the nursing homesrespond to sexual abuse?''

Source: Nursing Research and Practice

easurveillance definitions coredata cdc 2016 cover''Longstanding divergences in the definitions and data elements used to collect information on Elder Abuse (EA) make it difficult to measure EA nationally, compare the problem across states, counties, and cities, and establish trends and patterns in the occurrence and experience of EA. To help remedy these problems and promote public health surveillance of EA, the Centers for Disease Control and Prevention (CDC) and a diverse group of EA experts collaboratively produced version 1.0 of uniform definitions and recommended core data elements for possible use in standardizing the collection of EA data locally and nationally. Proposed uniform definitions were developed for the following phenomena (and for associated terms or elements that could be sources of confusion or disagreement): Elder Abuse, Involved Parties, Physical Abuse, Sexual Abuse, Emotional/Psychological Abuse, Neglect, Financial Abuse/Exploitation, Other Related Phenomena, Elder Abuse Circumstances or Consequences (associated concepts).
The development and use of uniform definitions and recommended core data elements is an important first component of a larger process addressing data collection features that cause important discrepancies, gaps, and limitations in what is known about EA. Their use may move the EA prevention field closer to obtaining robust epidemiologic estimates which may provide a stronger basis for evaluating population level prevention/intervention strategies and setting prevention priorities.

As with the other CDC guidelines for uniform definitions and recommended data elements, this initial release of Elder Abuse Surveillance: Uniform Definitions and Recommended Core Data Elements, Version 1.0 is intended to serve as a starting point."

Source:  Centers for Disease Control and Prevention


The following resource is part of the Family Violence Initiative, funded by the RCMP. Find similar tools by searching for the FVIF tag or consult the list of available resources.

famvioelnceamongolderadultspatientsprimarycareMichel Préville, PhD ; Samia Djemaa Mechakra-Tahiri, PhD ; Helen-Maria Vasiliadis, MSc, PhD ; Véronique Mathieu, DESS (PhD Candidate) ; Louise Quesnel, MD ; Samantha Gontijo-Guerra, MD, MSc ; Catherine Lamoureux-Lamarche, BSc ; Djamal Berbiche, PhD 

"Family violence is a major public health problem, with important physical and mental health consequences for the victims. In Canada, since 1980, it is a crime.1 Family violence in the elderly is also an important problem because of its association with psychological distress,2,3 an increased use of health services4 and a high risk of mortality.5,6 However, few studies have also considered the issue among older women and men.3,7–16 The prevalence of family violence in older adults varies from one study to another. These inconsistencies may be related to differences in the sociocultural context of the populations studied or to methodological differences regarding the definition and measurement of family violence,3,17–20 which make it difficult to interpret results.4

Clinical Implications

  • Our study provided evidence-based data on the prevalence of family violence in the elderly population waiting for health services in primary health services clinics.
  • Our study documented the validity and reliability of the FVS which could be used in the elderly population waiting for health services in primary health services clinics.
  • Our study gave estimates of unmet needs in the elderly population in primary health services clinics. 


  • We used self-reported information from respondents. 
  • Clinical validity of the FVS is limited.
  • Our sample was limited to the Quebec population"

Source: Canadian Journal of Psychiatry

The following resource is part of the Family Violence Initiative, funded by the Department of Justice Canada. Find similar tools by searching for the FVIF tag or consult the list of available resources.

Abstract: "The majority of older people who experience abuse are women, and to date, there have only been limited attempts to adequately consider this situation. It, therefore, seems appropriate to consider the links between domestic violence and elder abuse, including a clear focus on the likely role of gender within elder abuse. This will be achieved through the analysis of case material from situations the author was involved with over an 18 month period as a social work practitioner and manager. The paper aims to provide a brief overview of the status of current knowledge concerning elder abuse and neglect and to move to a consideration of factors from the field of domestic violence, including an analysis of case material. This will contribute to a greater understanding of the phenomena of elder abuse and neglect as they affect older women. It is intended that this will assist in the development of appropriate responses to protect older women who are abused or at risk of abuse and towards the eventual prevention of abuse."

Penhale, Bridget (1999) MSc and CQSW

Source: Journal of Elder Abuse and Neglect


Publishing Criteria

Any resource posted on the Hub is first screened based on the publishing criteria. If you wish to share a resource with the community, please ensure that it fits the requirements and email it to us. We usually post material within 72hrs of receiving it. 

Publishing Criteria

Invitation to Contribute

Become a contributor to the hub!

  • Share your ongoing projects, research updates and favourite tools
  • Announce your upcoming events
  • Tell us about promising practices and initiatives via a blog post.

Check out our publishing criteria or email us for more information 

Thank You to Our Supporters and Sponsors

Le RCPMTA souhaite remercier les généreux sponsors qui contribuent à la durabilité du connecteur des savoirs.