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Older adult maltreatment remains a critical concern for geriatric care providers who serve as the front line of identification. However, clinicians often find themselves in a difficult position when transitioning from identification to reporting. Consequently, understanding the psychological and institutional hurdles is vital for improving patient safety in India and globally.
Recent research highlights that while most professionals can identify risk factors, they frequently hesitate to report suspected abuse. Additionally, many providers cite a fear of negative consequences for their careers or the patient. Furthermore, a lack of clear reporting knowledge often leaves clinicians feeling unprepared for the legal ramifications. Specifically, in the Indian context, many are still unfamiliar with the provisions of the Maintenance and Welfare of Parents and Senior Citizens Act. Therefore, hospitals must prioritize training that builds confidence and psychological safety among staff.
Moreover, institutional support plays a pivotal role in encouraging active intervention. For instance, creating clear, anonymous reporting channels can significantly reduce the hesitation caused by professional or social barriers. Notably, family members are often the primary perpetrators, which adds a layer of emotional complexity to the case. As a result, a culture change is necessary to ensure that interdisciplinary teams feel empowered to protect vulnerable seniors without fear of retribution.
Common signs include unexplained injuries, sudden changes in financial status, and withdrawal from social activities. Additionally, poor hygiene or untreated medical conditions may indicate significant neglect.
Institutions can provide regular workshops on geriatric ethics and legal obligations. Furthermore, they should establish multidisciplinary committees to review suspected cases, thereby distributing the burden of decision-making.
Disclaimer: This content is for informational and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Refer to the latest local and national guidelines for clinical practice.
References
Wyman J et al. Responding to Older Adult Maltreatment: Interdisciplinary Geriatric Care Provider Experiences and Training Needs. Can J Nurs Res. 2026 Apr 20. doi: 10.1177/08445621261443833. PMID: 42007766.
HelpAge India. Ageing in India: Exploring Preparedness & Response to Care Challenges. 2024.
Longitudinal Ageing Study in India (LASI). Wave 1 Report. 2020.
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