scholarly journals Adult Protective Services and Law Enforcement: Does It Add or Subtract to the Precarity of Living Alone With Dementia?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 601-601
Author(s):  
Michael Splaine
Keyword(s):  
Law Enforcement ◽  
Space And Place ◽  
Living Alone ◽  
Full Understanding ◽  
Protective Services ◽  
Adult Protective Services ◽  
Online Groups ◽  
Loss Of Autonomy ◽  
Standard Practices ◽  
The U.S

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.

scholarly journals Piloting the Adult Protective Services’ Identification, Services, and Outcomes Matrix: Focus Group Findings

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 47-47
Author(s):  
Jarmin Yeh ◽  
Pi-Ju Liu ◽  
Jacques Perkins ◽  
Andrew Butler ◽  
Sara Stratton ◽  
...  
Keyword(s):  
San Francisco ◽  
Assessment Tool ◽  
Pilot Project ◽  
Policy Implications ◽  
Protective Services ◽  
Client Outcome ◽  
Adult Protective Services ◽  
Related Data ◽  
Napa County ◽  
The U.S

Abstract The historical lack of outcomes-related data in Adult Protective Services (APS) has affected funding coming to the program. Without data quantifying the effectiveness of APS services, policymakers have been unable to justify budget increases to improve wages for workers or professionalize the field. For the first time in APS history, the U.S. Administration for Community Living sponsored a pilot project to implement a novel evidence-based assessment tool into APS electronic systems, called the Identification, Services, and Outcomes (ISO) Matrix. The goal was to improve APS’ ability to reduce harm of abuse and neglect and maintain client’s independence to live in the community. APS workers in San Francisco and Napa Counties were trained and phased into using the ISO Matrix over a six-month implementation period. This poster presents findings from six focus groups conducted between February 13 and March 28, 2019, with 34 San Francisco and Napa County APS workers and supervisors. Utilizing semi-structured, in-depth interviewing techniques, APS workers and supervisors expressed their views and experiences. Facilitators and barriers of implementing the ISO Matrix were assessed and opportunities for improvements were identified. Findings revealed a tension between their hopefulness that the ISO Matrix could modernize APS data-tracking and yield evidence of improved client outcome to bolster the field, and their frustrations about new burdens the ISO Matrix placed on their labor and workflow. Understanding frontline perspectives of APS workers and supervisors has practical and policy implications for adopting the ISO Matrix in other counties and states across the U.S.

scholarly journals Domestic Violence or Elder Abuse? Why it Matters for Older Women

2010 ◽  
Vol 91 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Teresa Kilbane ◽  
Marcia Spira
Keyword(s):  
Domestic Violence ◽  
Law Enforcement ◽  
Older Women ◽  
Elder Abuse ◽  
Legal Services ◽  
Protective Services ◽  
Adult Protective Services

Law enforcement and legal services are 2 systems that respond to reports of abuse against women through programs such as adult protective services (APS) and domestic violence (DV). APS and DV systems operate independently and define the cause of the abuse differently. The designation of a woman as having suffered domestic violence or having been abused often depends on which system she enters. This designation can lead to different options for women to obtain services. Aging may further complicate access and usability of these systems to respond to the needs of abused elderly. Using vignettes, this article explores the definitions of abuse and highlights specific concerns of aging that impact usefulness of services.

scholarly journals Interdiscliplinary Perspectives on Aging at Home Alone With Neurocognitive Impairment

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 600-601
Author(s):  
Laura Girling ◽  
Patrick Doyle
Keyword(s):  
Baby Boom ◽  
Neurocognitive Impairment ◽  
Living Alone ◽  
Protective Services ◽  
Adult Protective Services ◽  
Nuclear Families ◽  
Research Perspectives ◽  
Dementia Research ◽  
Available Information ◽  
Aging At Home

Abstract Nearly 48 million individuals worldwide have a neurocognitive disorder with projections estimating that as many as 75 million may be afflicted by 2050.Although approximations vary, a substantial portion of those affected live in the community alone, accounting for up to one-third of cases. The true proportion of persons with neurocognitive disorders living alone in the community may be underestimated as dementias are often underdiagnosed and underreported. As the baby boom generation ages and trends towards nuclear families, geographic dispersion of families, and fewer children continue, the number of live-alone persons with neurocognitive impairment is anticipated to rise; creating increased potential for difficult, ambiguous circumstances involving the rights and needs of this population. Despite these trends, available information about this population remains limited. This symposium represents papers from social gerontology, bioethics, and policy; offering unique, but complimentary perspectives on live-alone persons with neurocognitive impairment. The four papers explore 1) how non-traditional & absent support networks impact one’s ability to live alone with dementia [NIA funded], 2) social isolation and vulnerabilities of living alone with dementia [NIA-funded], 3) how bioethics can inform gerontological dementia research [NIA bioethics supplement], and 4) exploration of how law enforcement and adult protective services policies influence the precarity of living alone with dementia. Together, these papers illuminate the importance of actively including live-alone persons with dementia into research and assessing this overlooked vulnerable population from multiple research perspectives (social science, policy, bioethics).

scholarly journals A LOGIC MODEL TO DESCRIBE ADULT PROTECTIVE SERVICES IN THE U.S

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S502-S503
Author(s):  
Zach Gassoumis ◽  
Karl Urban ◽  
Gila Shusterman ◽  
Stephanie Whittier Eliason
Keyword(s):  
Technical Assistance ◽  
National Level ◽  
System Change ◽  
Logic Model ◽  
Protective Services ◽  
Adult Protective Services ◽  
Traditional Structure ◽  
Unique Nature ◽  
State And Local ◽  
The U.S

Abstract The adult protective services (APS) system in the U.S. serves as an investigative and service delivery system, targeting cases of reported abuse, neglect, and exploitation of older adults and adults with disabilities. APS developed from a piecemeal investigatory system, driven by state and local processes. This system has persisted, with little federal oversight or uniformity. In turn, little systematic information exists about the structure and process of the APS system nationwide. This poster presents an effort to construct a logic model for APS in the U.S., compiled jointly by researchers and practitioners under the auspices of the National APS Technical Assistance Resource Center. The process included initial drafting by six experts from various backgrounds and was reviewed by diverse stakeholders in three iterative rounds of review. Because of the unique nature of APS, the product has a partially non-traditional structure for a logic model, plotting context, inputs/resources, activities, activity metrics, and results. Inputs/resources are plotted across various sources: APS staff, consultative experts, community partners, operational supports, funding for services, and legal and ethical processes. Activities, activity metrics, and results are mapped across three stages of service provision—intake, investigation, and post-investigation services—and at the quality assurance level. The resultant logic model can be used at the national level to drive system change and evaluation; alternatively, it can be customized to specific state/local contexts to enable quality improvement and evaluation efforts. The pursuit of these efforts, coupled with existing national strategies, can contribute to continued system change and evolution within APS.

Elder Abuse

2017 ◽  
Author(s):  
Robert Kohn ◽  
Jessica Warner ◽  
Wendy Verhoek-Oftedahl ◽  
Emily Murphy
Keyword(s):  
Law Enforcement ◽  
Elder Abuse ◽  
Warning Signs ◽  
Emergency Room Visits ◽  
Protective Services ◽  
Skilled Nursing ◽  
Adult Protective Services ◽  
Factors Associated ◽  
Medical Regimens ◽  
Home Placement

There are five principal domains of elder abuse: physical abuse, psychological abuse, sexual abuse, neglect, and financial abuse. This chapter discusses the prevalence, prediction, and assessment of elder abuse as well as other factors related to abuse. The incidence of elder abuse is 24 times greater than the number of cases referred to social service, law enforcement, or other legal authorities. Caregiver factors, rather than risk factors associated with the abused elder, may be more important in predicting abuse. Lack of compliance with medical regimens, delay in seeking medical care, disparity in explanations given for injuries, unexplained injuries, and implausible or vague explanations may be warning signs. Elder financial victimization can be classified as door-to-door scams, professional swindles, and caregiver abuse. Elder abuse increases mortality, emergency room visits, hospitalizations, and skilled nursing home placement. The psychiatric assessment may raise red flags of suspected elder abuse and may necessitate reporting to adult protective services. Interventions should be tailored to the circumstances and the resources available.

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