scholarly journals Interprofessional Collaboration to Address Elder Abuse, Neglect, and Exploitation With Adult Protective Services

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 695-695
Author(s):  
Pi-Ju Liu ◽  
Bridget Penhale
Keyword(s):  
Elder Abuse ◽  
Interprofessional Collaboration ◽  
The United States ◽  
Case Managers ◽  
Service Planning ◽  
Team Work ◽  
Multidisciplinary Teams ◽  
Job Responsibilities ◽  
Protective Services ◽  
Adult Protective Services

Abstract Adult Protective Services (APS) is responsible for investigating reports of abuse, exploitation, and neglect among vulnerable adults. Additionally, APS also refers or provides needed services to victims. Though APS also takes the lead position in investigation and service planning, determining harm and designing person-centered remedies often require other professionals to be prepared to address these elder justice issues with APS. Afterall, adult safeguarding is everybody’s business. This symposium includes four presentations on researchers’ findings working with APS and other professionals. Dr. Burnes will compare outcomes on usual APS care (APS only) versus enhanced APS care (APS plus advocate who are case managers). Dr. Pi-Ju (Marian) Liu will examine nurses’ role in working in and with APS, focusing on how their job responsibilities are different from other nurses and APS social workers. Dr. Jason Burnett will present an innovative referral portal linking banks and other financial firms directly to APS. Lastly, Dr. Zachary Gassoumis will appraise the multidisciplinary teams across the country, including professionals involved, and provide input on what makes a team work well together. Following the four presentations, Dr. Bridget Penhale will open up the discussion regarding protective agencies’ operations and collaboration with other agencies, focusing on the comparison between protective agencies in the United States and European countries. Abuse, Neglect and Exploitation of Elderly People Interest Group Sponsored Symposium.

scholarly journals Evaluating an Integrated APS–Elder Advocate Intervention Model in the State of Maine

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 695-695
Author(s):  
David Burnes ◽  
Marie-Therese Connolly ◽  
Patricia Kimball ◽  
Stuart Lewis ◽  
Erin Salvo
Keyword(s):  
Goal Attainment ◽  
Elder Abuse ◽  
Social Systems ◽  
The State ◽  
Service Planning ◽  
Intervention Model ◽  
Protective Services ◽  
Adult Protective Services ◽  
Intervention Phase ◽  
The Family

Abstract Despite recommendations to include a distinct intervention phase in Adult Protective Services (APS), most APS programs close cases following investigation/substantiation phases without engaging in a defined intervention phase. This study implements and evaluates a novel APS service planning/intervention model in the state of Maine. Using an experimental efficacy trial design with stratified random sampling at the level of Maine APS offices, this study compares standard APS care with an enhanced/integrated APS intervention model involving “elder advocates”. Advocates were trained in motivational interviewing, supported decision-making, teaming, restorative justice, and goal attainment scaling to develop capacity to work with both the older adult victim and perpetrator and to strengthen the family and social systems surrounding the victim-perpetrator dyad. This presentation will present results on the efficacy of this integrated APS/elder advocate model and discuss the challenges and successes in conducting elder abuse intervention research in collaboration with APS and APS clients. Part of a symposium sponsored by Abuse, Neglect and Exploitation of Elderly People Interest Group.

scholarly journals What Are the Most Distressing Aspects of Experiencing Elder Abuse? Findings From a Qualitative Study With Victims

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 327-328
Author(s):  
Jessica Hsieh ◽  
David Burnes ◽  
Clara Scher ◽  
Paula Zanotti ◽  
Chelsie Burchett ◽  
...  
Keyword(s):  
New York ◽  
Qualitative Methodology ◽  
Elder Abuse ◽  
The United States ◽  
Practice Research ◽  
Negative Consequences ◽  
Structured Interviews ◽  
Protective Services ◽  
Community Based ◽  
Adult Protective Services

Abstract Adult protective services and other community-based agencies respond to hundreds of thousands of elder abuse cases annually in the United States; however, few studies include elder abuse victims’ voices. This study explored the most distressing aspects of elder abuse, as identified by victims themselves; to date, this is the first known study on this topic. Guided by a phenomenological qualitative methodology, this study conducted in-person, semi-structured interviews with a sample of elder abuse victims (n = 30) recruited from a community-based elder abuse social service program in New York City. To enhance trustworthiness, two researchers independently analyzed transcript data to identify key transcript codes/themes. Distressing aspects of elder abuse were identified across three key domains, related to feelings of loss (50% of codes), threats/negative consequences (55%), and client-needs/system incongruity (14%). Specifically, the first theme represented outcomes related to loss of relationships (19% of ‘loss’ codes), personhood (16%), credibility (19%), faith/trust in others (38%), and finances (8%). The second theme looked at threats to physical self (34% of ‘threat’ codes), psyche (39%), and others, including the perpetrator (27%). The third theme focused on mismatches in client/system goals (50% of ‘incongruity’ codes) and legal system involvement (50%). The findings in this study provide a comprehensive and conceptually organized range of aspects to serve as infrastructure for the development of meaningful interventions to address the needs of victims. This study represents one of the largest efforts to understand and integrate the perspectives and needs of victims into elder abuse intervention practice/research to date.

scholarly journals Abuse of and Intervention for Older Adults During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 86-86
Author(s):  
Pamela Teaster ◽  
Cory Bolkan
Keyword(s):  
Older Adults ◽  
Service Providers ◽  
Elder Abuse ◽  
The United States ◽  
Protective Services ◽  
Term Care ◽  
Adult Protective Services ◽  
Service Staff ◽  
State And Local ◽  
Novel Coronavirus

Abstract Beginning in the United States in 2020, SARS-CoV-2 lead to unprecedented changes in the lives of both younger and older people. Efforts to mitigate the spread of the novel coronavirus, which included physical distancing and self-quarantine not only upended the lives of many people but also created natural laboratory conditions for the mistreatment of older adults. Exploring the mistreatment of older adults during the pandemic presented an unprecedented opportunity to examine perspectives of service providers and affected older adults. This symposium offers four perspectives on this subject. Dr. Karen Roberto and colleagues will present changes and challenges that COVID-19 brought for Adult Protectives Service staff and the vulnerable adults whom they serve. Ms. Lori Smetanka and colleagues will present changes and challenges that COVID-19 created for state and local Long-Term Care Ombudsman. Dr. Holly Ramsey-Klawsnik and Ms. Tammy Seaver will report on how the pandemic affected Nevada Adult Protective Services clients, casework, and staff. Finally, Dr. Pamela Teaster and colleagues will discuss how older adults experienced exploitation attempts during the early months of the pandemic. Dr. Cory Bolkan will begin the discussion, highlighting how conditions brought about by COVID-19 both enabled and thwarted efforts to address elder abuse.

Exploring Risk of Elder Abuse Revictimization: Development of a Model to Inform Community Response Interventions

2020 ◽  
pp. 073346482093343 ◽  
Author(s):  
David Burnes ◽  
Alyssa Elman ◽  
Beatrice Marie Feir ◽  
Victoria Rizzo ◽  
Amy Chalfy ◽  
...  
Keyword(s):  
New York ◽  
Elder Abuse ◽  
Adult Population ◽  
Community Response ◽  
Multidisciplinary Teams ◽  
Multiple Sources ◽  
Protective Services ◽  
Community Based ◽  
Adult Protective Services ◽  
Older Adult Population

A focus of community-based elder abuse response programs (EARP), such as Adult Protective Services, is to reduce the risk of revictimization among substantiated victims. While elder abuse (EA) risk factor research has predominantly focused on understanding the risk of initial EA onset among the general older adult population, understanding of revictimization risk among substantiated victims is weak. This study sought to identify conditions that perpetuate EA among substantiated victims. Data were collected from multiple sources: focus groups with multidisciplinary teams ( n = 35), multidisciplinary team case revictimization risk evaluations ( n = 10), and reviewing a random sample of case records ( n = 250) from a large EARP in New York City. Sixty-two indicators of EA revictimization risk were identified across several ecosystemic levels: individual victim or perpetrator, victim–perpetrator relationship, and surrounding family, home, community, and sociocultural contexts. Findings carry implications for EARP practices to reduce EA recurrence and the development of measures to evaluate EARP intervention.

scholarly journals Variability in Findings From Adult Protective Services Investigations of Elder Abuse in California

2015 ◽  
Vol 13 (1) ◽  
pp. 34-44 ◽  
Author(s):  
Laura Mosqueda ◽  
Aileen Wiglesworth ◽  
Alison A. Moore ◽  
Annie Nguyen ◽  
Melanie Gironda ◽  
...  
Keyword(s):  
Elder Abuse ◽  
Protective Services ◽  
Adult Protective Services

scholarly journals Elder Abuse in America

2016 ◽  
Vol 3 (1) ◽  
pp. 188-193
Author(s):  
Sabrina Pickens ◽  
Carmel B. Dyer
Keyword(s):  
Healthcare Professionals ◽  
Community Education ◽  
Elder Abuse ◽  
Public Awareness ◽  
Interdisciplinary Approach ◽  
Annual Reports ◽  
Public Health Issue ◽  
Protective Services ◽  
Adult Protective Services ◽  
Lay Public

Elder abuse is a serious social and public health issue with estimates of approximately five and a half million annual reports in the U.S. Identifying and treating abused elders is difficult due to unstandardized protocols and identification guidelines as well as a lack of public awareness to the problem. An interdisciplinary approach in collaboration with Adult Protective Services investigation is paramount to the assessment and care for mistreated elders. Educating healthcare professionals, other professions, and the lay public through social media, local news, and community education can increase awareness to this often overlooked problem.

scholarly journals Nurses Working in and With Adult Protective Services: Agency Characteristics and Job Responsibilities

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 695-696
Author(s):  
Pi-Ju Liu ◽  
Jessica Hernandez Chilatra
Keyword(s):  
Social Workers ◽  
Qualitative Data ◽  
Premature Death ◽  
Job Responsibilities ◽  
Protective Services ◽  
Adult Protective Services ◽  
Medical Needs ◽  
Medical Emergencies ◽  
System Part ◽  
Client Education

Abstract The majority of Adult Protective Services (APS) workforce is staffed by social workers, though some agencies have recognized the need to address clients’ medical needs such as wounds, injuries, nutrition issues, hydration issues, premature death and more. Using survey data from the National Adult Protective Services Association (NAPSA), we analyzed 99 nurses’ responses on their role in working in/with APS to help abused, neglect, and exploited adults. Out of the 99 nurses, 65 were direct employees of APS, and 61 did not report directly to a nurse supervisor. Forty-nine nurses carry a caseload like social workers, and 27 carry a caseload in conjunction with social workers. The most common services nurses provide are home visits, evaluations of clients and their medications, and client education. Qualitative data revealed the benefits of having nurses on staff, including assessing medical needs, preventing medical emergencies, providing holistic care, and navigating the healthcare system. Part of a symposium sponsored by Abuse, Neglect and Exploitation of Elderly People Interest Group.

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