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Brief Treatment and Crisis Intervention 2005 5(2):203-211; doi:10.1093/brief-treatment/mhi012
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© The Author 2005. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org.

Interventions for Elder Abuse and Neglect With Frail Elders in Japan

   Tazuko Shibusawa, PhD
   Manami Kodaka, MS
   Shinji Iwano, BA
   Kiyoko Kaizu, BA

From Columbia University School of Social Work (Shibusawa), National Center of Neurology and Psychiatry (Japan) (Kodaka), Shinko-en Family Care Support Center (Iwano), and Takada-no-sato Family Care Support Center (Kaizu)

Contact author: Tazuko Shibusawa, Columbia University School of Social Work, 622 West 113th Street, New York, New York 10025. E-mail: ts250{at}columbia.edu.

Although caregiver burden is not a direct cause of elder abuse and neglect, research in Japan indicates that stressful caregiving relationships can lead to mistreatment and abuse of frail elders by their families. At the present time, there is no formal notification system for elder abuse in Japan. The purpose of this paper is to discuss crisis intervention strategies that are implemented by social workers at Home Care Support Centers when encountering cases of mistreatment, neglect, and abuse in family caregiving situations. We present the demographic background of elders and their families and review findings of elder abuse studies conducted by Japanese researchers. We then offer three cases to illustrate intervention strategies employed by social workers who work at Home Care Support Centers in an agricultural area in northeastern Japan, including (1) ongoing monitoring, (2) arrangements for formal services, and (3) institutionalization. Cultural issues unique to family caregiving situations are also discussed.

KEY WORDS: Japanese elders, elder abuse and neglect, family caregiving






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