scholarly journals Can standardized measures provide helpful feedback about adult protective services substantiation? Pilot data from a short self-neglect assessment

2020 ◽  
Vol 32 (3) ◽  
pp. 259-274
Author(s):  
Pi-Ju Liu ◽  
Sara K. Stratton ◽  
Zachary Hass ◽  
Kendon J. Conrad
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 669-669
Author(s):  
Pi-Ju Liu ◽  
Kendon Conrad ◽  
Kathleen Wilber

Abstract Adult Protective Services (APS) investigates and substantiates vulnerable adult abuse, neglect, and exploitation (ANE) cases. The frontline social service agency also refers or provides needed services to ANE victims. Outcomes of APS has been scarce, with definitions of outcomes varying from study to study. Using a pretest-posttest design, we partnered with San Francisco and Napa APS to measure changes of ANE harm from case investigation (pretest) to case closure (posttest) using standardized measures called the Identification, Services, and Outcomes (ISO) Matrix. Forty-five APS supervisors and caseworkers used the ISO Matrix on 2,063 cases during the six-month pilot demonstration. Dr. Pi-Ju (Marian) Liu will examine findings on changes of ANE harm and APS services that effectively decreased ANE harm. Responding to 2020’s Annual Scientific Meeting theme “Turning 75: Why Age Matters”, ANE harm and APS services will be compared between younger APS clients age 18-64 and older ones above the age of 65. Dr. Zachary Hass will discuss allegation, abuse severity assessment, services provided, and outcomes across racial and language groups. Dr. Kendon Conrad will present reliability and validity of the ISO Matrix and a shorter version useful for APS practice. Ms Sara Stratton will review unusual cases with outlier ISO Matrix scores to inform researchers’ implementation and practitioners’ use of standardized measures. Dr. Kathleen Wilber, our discussant, will reflect on the use of standardized measures in APS and its impact on both practice and research based on the four presentations.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 601-601
Author(s):  
Michael Splaine

Abstract In 2014, more than 12.5 million people age 65+ lived alone in the U.S. Of these, approximately one third had a cognitive impairment. Although protective services may identify risks to such individuals, they may not have a full understanding of the notion of precarity, or the looming uncertainty regarding space and place, that solo dwellers experience. This presentation explores the tension between the intentions of protective services and the experience of precarity for persons living alone. More specifically, persons living alone with dementia participating in online groups and community events report feelings of risk of loss of autonomy and rights if their status becomes known. The presenter will review these impressions against current police and adult protective services policies and standard practices.


2020 ◽  
Vol 32 (5) ◽  
pp. 489-508
Author(s):  
Julia M. Rowan ◽  
Jeanine Yonashiro-Cho ◽  
Kathleen H. Wilber ◽  
Zachary D. Gassoumis

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S74-S75
Author(s):  
Brian Tanksley ◽  
Theresa Sivers-Teixeira ◽  
Laura Mosqueda ◽  
Bonnie Olsen ◽  
Tim Platts-Mills ◽  
...  

Abstract Elder mistreatment (EM) is a public health problem that is rarely recognized or addressed in emergency departments (ED) where a lack of evidence-based protocols leave clinicians to rely on intuition and inconsistent action plans. In this presentation we will share findings from focus groups and online surveys with ED clinicians and administrators to evaluate the perceived value and likelihood of adopting the National Collaboratory’s third core element: the EM Screening and Response Protocol (EM-SAR). Results indicated a strong support for the EM-SAR tool in general and highlighted specific considerations for refining the tool. Considerations include resistance to adding to the ED workload, need to clarify roles and responsibilities for administering the tool, hesitancy to rely on clinical judgement to assess EM, concerns over Adult Protective Services’ ability to respond to increased reports, and a desire for cross-training and cooperation. These findings and implications for ongoing feasibility testing will be discussed.


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