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RESEARCHSPOTLIGHT<br />

THEPEACEINITIATIVE:ADDRESSING ELDER<br />

ABUSEANDNEGLECTUSING AN<br />

INTERDISCIPLINARYAPPROACH<br />

RaudahMohdYunus,NoranNaqiahHairi,ChooWanYuen(DepartmentofSocialand<br />

PreventiveMedicine,FacultyofMedicine,UniversityofMalaya)<br />

Malaysia is undergoing a rapid OlderPersons(2011).PEACEisafive-package<br />

demographictransition.By2030,olderadultswil program which aims at:1)advancing EAN<br />

comprise approximately 15% of Malaysia’s researchandservicesthroughacoordinated,<br />

population.On-goingurbanizationandchanges multi-stepapproach,and;2)safeguardingthe<br />

in socialstructures such as nuclearization of physicalandmentalwel-beingofvulnerable<br />

family and rural-urban youth migration,have elders.Itslong-term,ultimategoalistoprevent<br />

predisposedolderadultstohigherrisksofsocial andreducetheburdenofEAN inMalaysia.<br />

isolation,abuseandneglect.Theaetiologyof<br />

Taking into accountthe ecologicalmodel,<br />

elderabuseandneglect(EAN)asframedbythe PEACEformsaninterdisciplinarycolaboration<br />

ecologicalmodelpoints to a combination of inordertotackleriskfactorsofEANatdiferent<br />

factorsthatoccuratmultiplelevels.Theseinclude<br />

individual,microsystem (eg:family),exosystem<br />

levels.Thepartnershipinvolves:1)publichealth<br />

practitioners(researchers,epidemiologistsand<br />

(eg:socialenvironment,extendedrelatives)and biostatisticians); 2) healthcare providers<br />

macrosystem (eg:culture,public policy,law). (primary care physicians,geriatricians and<br />

Giventhiscomplexity,preventionandintervention<br />

measuresneedtoaddresseachlevelorsystem<br />

accordingly.This is possible only through an<br />

interdisciplinaryapproach.<br />

The Prevent ElderAbuse and negleCt<br />

initiativE (PEACE)beganinearly2014,inline<br />

withthevisionoftheNationalHealthPolicyfor<br />

OlderPersons(2008)andNationalPolicyfor<br />

nurses);3)legalexpertsandlawyers;4)state<br />

healthdepartments;5)DepartmentofSocial<br />

Welfare;6)community-basedorganizations;7)<br />

policy-makers and; 8) media outlets and<br />

journalists.NegeriSembilanwaschosenforthe<br />

pilot phase, and programmes are being<br />

gradualyexpandedtootherstates.<br />

11<br />

htps:/resfom.um.edu.my<br />

Isue1Year20<strong>17</strong>

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