Search results for ‘Subject term:"elder abuse"’ Sort:
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APS investigative systems associated with county reported domestic elder abuse
- Authors:
- JOGERST Gerald J., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 16(3), 2005, pp.1-17.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim was to evaluate the association between state-defined elder abuse investigation systems and rates of reported, investigated and substantiated domestic elder abuse. A mailed survey was administered to 1,763 adult protective service (APS) office investigators in 44 states and the District of Columbia. Information about investigative structures and investigations was obtained from 1,409 of the APS investigators, an 80% return rate. County/district domestic elder abuse report, investigation, and substantiation numbers for each state for 1999 was obtained for APS state administrators. Elder abuse reports to APS offices ranged from 0 to 191.7 per 1,000 elder population. Investigation and substantiation rates ranged from 0 to a high of 150.0 and 116.7, respectively. Investigation rates were higher in counties having investigators only evaluating elder abuse cases, having a social work educational background and feeling that the elders were usually better off after investigation. Longer length of training programs for investigators was associated with high substantiation rates. Differences in investigative structures do impact the rates of identified elder abuse. Elder abuse should be examined at the county level to distinguish both state and county/ district differences in reported, investigated, and substantiated elder abuse.
Older people's understandings of verbal abuse
- Authors:
- NANDLAL Joan M., WOOD Linda A.
- Journal article citation:
- Journal of Elder Abuse and Neglect, 9(1), 1997, pp.17-31.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A social constructionist, discourse analytic approach was used to analyse interviews with eight older people about the meaning of the term abuse and their experiences with abuse. The findings were: participants' definitions of abuse are complex and differ in some important ways from those found in the literature; abuse almost invariably involves verbal abuse; language is often judged to be abusive because of the actions it accomplishes rather than because of its literal or referential meanings; and to be abusive, speech must meet four criteria: an accountable speaker, unwarranted assumptions about relationships, unwarranted violation of rights, and a recipient who is harmed. Results are discussed in light of current trends in elder abuse research.
Evaluating the effectiveness of I-NEED program: improving nurses’ detection and management of elder abuse and neglect-a 6-month prospective study
- Authors:
- MYDIN Fadzilah Hanum Mohd, et al
- Journal article citation:
- Journal of Interpersonal Violence, 37(1-2), 2022, pp.NP719-NP741.
- Publisher:
- Sage
Elder abuse and neglect (EAN) goes largely unrecognized and underreported globally by health care professionals. Despite acknowledging their role to intervene elder abuse, health care professionals lacked knowledge and skills in this issue. This is a single-blinded, three-armed, cluster randomized controlled trials aimed to evaluate the effectiveness of the face-to-face Improving Nurses’ dEtection and managEment of elDer abuse and neglect (I-NEED) intensive training program and I-NEED educational video in improving primary care nurses’ knowledge, attitude, and confidence to intervene EAN; 390 primary care nurses were randomized equally into two intervention groups-ITP group (intensive training program) and ITP+ group (intensive training program and educational video)—and a control group. The knowledge, attitudes, and confidence to intervene EAN were measured using questionnaires at four intervals during 6-month follow-up. A total of 269 primary care nurses participated in this study. There was a significant increase in knowledge, attitude, and confidence to intervene EAN immediately post intervention observed in both intervention groups compared to the control group (p < .001). At the end of sixth month, there was an increase of knowledge favoring ITP group than the ITP+ group (p < .001). There is, however, no significant difference in attitude score between ITP and ITP+ group. There is a significant difference of confidence to intervene among the participants between both intervention groups with ITP+ participants reporting higher scores post intervention (p < .05). An intensive training module improved the knowledge, attitude, and confidence to intervene EAN. Other co-existing barriers for abuse victims getting help, resources, policy, and law of EAN need further highlights. (Edited publisher abstract)
Utilization of a forensic accountant to investigate financial exploitation of older adults
- Authors:
- DAUENHAUER Jason, et al
- Journal article citation:
- Journal of Adult Protection, 22(3), 2020, pp.141-152.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the results of an online program evaluation survey conducted in the USA in 2018 which was designed to understand how members of an enhanced multidisciplinary team (E-MDT) use the expertise of a forensic accountant (FA) in suspected cases of elder financial exploitation. Design/methodology/approach: This paper analyzes responses to an online survey from 54 E-MDT members. Narrative responses to open-ended questions were analyzed by using cross-case thematic analysis. Data from demographic questions and those with nominal response options were analyzed using descriptive statistics. Findings: Overwhelmingly, the E-MDT members described how useful the FA’s expertise and subsequent detailed reports are in helping determine whether financial exploitation is taking place and providing information needed to continue an investigation and pursue criminal charges. Practical implications: The increasing longevity and sheer number of older adults present ongoing challenges in the fight to address financial exploitation. Findings suggest that FAs working with E-MDTs can help identify signs, collect evidence and help investigate cases of suspected financial abuse of older adults. The development of training programs focused on educating accountants to fill a need in a growing area of forensic accounting may be needed. Originality/value: This paper adds to the growing evidence of multidisciplinary teams as an effective model for investigating cases of financial elder exploitation by focusing specifically on the expertise of an FA. (Edited publisher abstract)
Findings from an elder abuse forensic center
- Authors:
- WIGLESWORTH Aileen, et al
- Journal article citation:
- Gerontologist, 46(2), April 2006, pp.277-283.
- Publisher:
- Oxford University Press
The first Elder Abuse Forensic Center (EAFC) in the United States was instituted in 2003. People from a variety of disciplines, including Adult Protective Services social workers, law enforcement, the district attorney's office, a medical response team, public guardian deputies, ombudsmen, mental health services, a victim advocate, and a domestic violence expert work cooperatively on cases of elder and dependent-adult mistreatment. Researchers conducted an assessment of the EAFC's impact on the efficiency and effectiveness of the collaboration. Mixed quantitative and qualitative methods included statistical analysis of data from outcome surveys of EAFC collaborators and illustrative case studies developed from case files and structured interviews. Mean survey scores evaluating the efficiency and effectiveness of the collaboration were significantly better than neutral responses. Case studies show efficient and effective case management through cooperation of the collaborating agencies. Survey results clearly support perceptions exemplified in case studies. An EAFC enhances the efficiency and effectiveness of those who address elder abuse in one community, which in turn leads to improved outcomes. Continued analysis to identify strengths, weaknesses, and cost effectiveness of the EAFC model is ongoing.
Evaluating the Ohio elder abuse and domestic violence in late life screening tools and referral protocol
- Authors:
- EJAZ Farida K., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 13(1), 2001, pp.39-57.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article describes the evaluation processes employed in the USA to develop and test screening tools and referral protocols elder abuse and domestic violence. Three focus groups and a roundtable of experts were utilised to develop the materials in the first year. In the second year, a formal quantitative evaluation that involved 160 practitioners in Ohio was implemented to review the materials and to use them with clients. Findings form the quantitative evaluation were incorporated to make changes that led to a final document that was much simpler, less lengthy, and more relevant to beginning practitioners.
Do interventions to prevent or stop abuse and neglect among older adults work? A systematic review of reviews
- Authors:
- MARSHALL Khiya, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 32(5), 2020, pp.409-433.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Abuse and neglect among older adults impact everyone and are recognized internationally as significant and growing public health issues. A systematic review of reviews was conducted to identify effective strategies and approaches for preventing abuse and neglect among older adults. Eligible reviews were systematic or meta-analyses; focused on the older population as reported in the publications; reviewed prevention interventions; included relevant violence and abuse outcomes; written in English; and published in a peer-reviewed journal between January 2000 and May 2020. Eleven unique reviews (12 publications) met the eligibility criteria, including one meta-analysis. Included reviews mainly focused on general abuse directed toward older adults; and educational interventions for professional and paraprofessional caregivers, multidisciplinary teams of health care and legal professionals, and families. Interventions were implemented in a variety of community and institutional settings and addressed primary, secondary, and tertiary prevention. The reviews indicated weak or insufficient evidence of effectiveness in preventing or reducing abuse, yet several promising practices were identified. Future research is needed to evaluate emerging and promising strategies and approaches to prevent abuse among older adults. Effective interventions are also needed to prevent or reduce abuse and neglect among older adults. (Edited publisher abstract)
A randomized-control trial testing the impact of a multidisciplinary team response to older adult maltreatment
- Authors:
- DEPRINCE Anne P., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 31(4-5), 2019, pp.307-324.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Forensic center multidisciplinary teams (MDTs) have emerged to address older adult maltreatment; however, little research is available on this approach. The current study employed a randomized-control design to test the impact of a victim-focused, forensic center MDT relative to usual care (UC) on older adult victim and criminal justice outcomes. Cases of abuse, neglect, and/or financial exploitation involving a perpetrator in a position of trust were randomly assigned to MDT or UC. Outcomes were assessed via interviews with older adult victims, system-based advocates' surveys, and administrative data. According to system-based advocates, MDT had a better prognosis, higher across-agency coordination, and more types of engaged services relative to UC. Administrative data indicated low rates of APS case openings and prosecution. Findings provide support for continued use of MDTs following older adult maltreatment and highlight difficulties engaging older adults given the complex social and material circumstances often related to maltreatment. (Publisher abstract)
Pilot testing the detection of elder abuse through emergency care technicians (DETECT) screening tool: results from the DETECT pilot project
- Authors:
- CANNELL Brad, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 31(2), 2019, pp.129-145.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: To pilot test the feasibility of implementing an elder abuse (EA) screening tool (DETECT) designed for medics. Methods: Testing occurred between September 17th, 2015 and October 26th, 2015. MedStar Mobile Healthcare medics completed the DETECT tool when responding to calls for community-dwelling patients 65 years of age or older. Results: The DETECT tool was used 1,248 times by 97% of medics responding to an eligible 911 call. Medics responded affirmatively to at least one screening item on 209 of the completed screenings (16.8%). Immediately following the introduction of the DETECT tool, there was an increase of 5.4 (226% above baseline) reports per month (p = 0.0056). Conclusions: The DETECT tool was easily incorporated into medic’s field-based practice and resulted in an increase in medic generated reports of EA to APS. Future research designed to evaluate the tool’s validity and reliability are warranted. (Edited publisher abstract)
Eliciting Change in At-Risk Elders (ECARE): evaluation of an elder abuse intervention program
- Authors:
- MIRIAM Lydia Moris, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 27(1), 2015, pp.19-33.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The current study evaluated the effectiveness of a community-based elder abuse intervention programme that assists suspected victims of elder abuse and self-neglect through a partnership with local law enforcement. This programme, Eliciting Change in At-Risk Elders, involves building alliances with the elder and family members, connecting the elder to supportive services that reduce risk of further abuse, and utilising motivational interviewing-type skills to help elders overcome ambivalence regarding making difficult life changes. Risk factors of elder abuse decreased over the course of the intervention and nearly three-quarters of participants made progress on their treatment goal, advancing at least one of Prochaska and DiClemente's (1983) stages of change (precontemplation, contemplation, preparation, action, and maintenance). Forty-three percent of elders moved into the stages of action and maintenance regarding their goal. The usefulness of eliciting change via longer-term relationships with vulnerable elders in entrenched elder abuse situations is discussed. (Edited publisher abstract)