Resident-to-Resident Elder Mistreatment (R-REM)

CITRA has worked in collaboration with the Research Division of the Hebrew Home at Riverdale (HHAR) to develop training materials for long-term care staff. The purpose of these training materials is to educate staff about the prevalence of resident-to-resident elder mistreatment in long-term care facilities and to teach staff how to recognize and address it in their own facilities.

Goals & Objectives

The primary goal of R-REM is to train staff to recognize elder mistreatment by other residents in their own long-term care facilities and to learn how to manage it, including implementing safety and reporting guidelines. This training seeks to shed light on the prevalence and seriousness of resident-initiated mistreatment in order improve the quality of life for long-term care residents.

Structure of the Program

The R-REM training is intended for Certified Nursing Assistants (CNAs), Resident Assistants (RAs), and other long-term care staff (e.g., social workers, physical or occupational therapists, etc.). The training is organized into three distinct modules that focus on R-REM recognition, intervention, and reporting. Module 1 teaches staff about the prevalence, types, risk factors, and consequences of R-REM. Module 2 focuses on recognition and management of R-REM. Module 3 instructs staff on how to document and record R-REM episodes.

Benefits of the Program

The R-REM Program can help enhance staff knowledge related to types and treatment of R-REM, and increase staff recognition and reporting of R-REM. The training emphasizes the prevalence and consequences of R-REM incidents and provides long-term care staff with safe intervention methods to help manage R-REM. The R-REM Program benefits residents in long-term care facilities by helping to decrease R-REM episode frequency, and ultimately better their quality of life.

Planning & Implementing the Program

The Hebrew Home at Riverdale (HHAR) has created various training materials for those interested in conducting the R-REM Program in their long-term care facility. Those implementing the program should have experience conducting educational programs in their own facilities. Support from long-term care facility administrators is critical to the program’s success. For more information about the R-REM Program, please contact CITRA by email at or HHAR by phone at (718) 581-1139.

Access the FREE Training Materials

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