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Understanding repeated visits to adult protective services
- Authors:
- SUSMAN Allison, LEES Kristin E.L., FULMER Terry
- Journal article citation:
- Journal of Adult Protection, 17(6), 2015, pp.3912-399.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore Protective Service (PS) caseworker opinions related to why some older adults require repeated services. Design/methodology/approach: Using a constructivist grounded theory approach, focus groups were conducted with a major Adult Protective Services (APS) office, recorded, transcribed, and analysed using thematic analysis. Findings: Results from the qualitative analytic method of thematic analysis produced four overarching themes: poor communication between referral sources and APS; PS caseworkers as gatekeepers; self-determination; and changes in health conditions and family dynamics. Practical implications: The documented themes appear amenable to education interventions for both professionals and families. Originality/value: These new data add depth to the understanding of the PS caseworker experience and help guide research related to areas that need educational interventions with older adults who access APS and the professionals and families involved in such cases. (Publisher abstract)
Themes from a grounded theory analysis of elder neglect assessment by experts
- Authors:
- FULMER Terry, et al
- Journal article citation:
- Gerontologist, 43(5), October 2003, pp.745-752.
- Publisher:
- Oxford University Press
This paper describes one program that has developed a screening procedure for assessing elder mistreatment, with a special focus on elder neglect. The aim is to understand how expert neglect assessment teams process and diagnose complex geriatric cases referred for suspected elder neglect. The article asks what are the key themes that must be understood in order to determine if neglect should be suspected and confirmed? Transcripts of audiorecordings of neglect assessment team meetings were analyzed by using grounded theory analysis. Four major themes emerged from the analysis of the transcripts. These themes were understanding the underlying health status of the elder and caregiver, understanding the socioeconomic and life circumstances of the dyad, credibility of data collected by others, and the consequences of the assessment outcome. These findings offer insight into the development of future clinical screening and assessment procedures used to make diagnoses about elder neglect, as well as the guidelines that govern neglect assessment. Understanding not only the high-risk signs and symptoms but also the context and consequences of neglect is critical. Future screening and assessment procedures should be developed with these data in mind.