著者

林 真二 Shinji Hayashi

出版者

安田女子大学

雑誌

安田女子大学紀要 = Journal of Yasuda Women's University (ISSN:02896494)

巻号頁・発行日

no.48, pp.391-404, 2020-02-28

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To classify trends in research on support provided by healthcare, medical, and welfare institutions addressing elder abuse at home in Japan, we examined 105 relevant papers published within the period between 2006 and 2018. There were 4 types of related institutions: medical institutions, administrative bodies in charge of healthcare/welfare services, community-based comprehensive support centers, and care service offices. Medical institutions tended to detect signs of abuse through their emergency outpatient services, and provide medical support for the elderly with dementia and mental disorders. Administrative bodies in charge of healthcare/welfare services coordinated related institutions and created networks for service use, but their initial response systems to appropriately manage abuse on identifying it had yet to be established. Professionals of community-based comprehensive support centers provided support for residents with self-neglect or refusal of intervention in many cases, and had a sense of difficulty in managing these cases. Employees of care service offices frequently detected signs of abuse, but they found it difficult to judge whether these signs indicate abuse, and accurately recognizing the necessity of consulting/ reporting was their challenge. In order to identify abuse early and appropriately manage it, it would be important for administrative bodies in charge of healthcare/welfare services and community-based comprehensive support centers to start close collaboration with other related institutions whenever detecting signs of abuse.