scholarly journals SELF-NEGLECT OLDER ADULTS’ OUTCOMES AFTER ADULT PROTECTIVE SERVICES INTERVENTIONS

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 876-876
Author(s):  
P Liu ◽  
K Conrad ◽  
K Conrad ◽  
M Iris
Keyword(s):  
Older Adults ◽  
Protective Services ◽  
Adult Protective Services

scholarly journals TELLING THE STORY OF ADULT PROTECTIVE SERVICES: CALIFORNIA’S IDENTIFICATION, SERVICES, AND OUTCOMES MATRIX

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S843-S844
Author(s):  
Pi-Ju ( Liu ◽  
Zachary Hass ◽  
Kendon Conrad ◽  
Karen Conrad ◽  
Jarmin C Yeh ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Abuse ◽  
Emotional Abuse ◽  
Protective Services ◽  
Adult Protective Services ◽  
Caregiver Support ◽  
Client Engagement ◽  
Financial Abuse ◽  
Type Of Abuse ◽  
Abuse Risk

Abstract Adult Protective Services (APS) is responsible for investigating reports of abuse, exploitation, and neglect among vulnerable adults. California’s APS program investigates approximately 15% of all abuse, neglect, and exploitation reports in the country. Once abuse or neglect is substantiated, caseworkers design and implement a service plan for clients to reduce future risk; however, APS intervention effectiveness have not been extensively investigated. In partnership with San Francisco and Napa APS, risk and harm of abuse were measured by type using standardized items from the Identification, Services, and Outcomes Matrix, which is derived from the validated Elder Abuse Decision Support Short Form during case investigation (before APS interventions) and at case closure (after APS interventions). Data from 1,472 older adults’ (on average 78 years old; 57% females) served by APS during the six-month pilot demonstration showed the reduction of risk/harm in self-neglect (p<.001), neglect (p<.001), emotional abuse (p<.001), physical abuse (p=.002), and financial abuse (p<.001) after APS interventions. Effective interventions differ by type of abuse such that caregiver support (b=-.98, p<.10), emergency assistance (b=-1.14, p<.05), and client engagement (b=-1.85, p<.05) decreased self-neglect risk/harm; client engagement (b=-2.24, p<.05) decreased neglect by others risk/harm; case management services (b=-1.17, p<.05) decreased physical abuse risk/harm; and financial planning services (b=-3.99, p<.05) decreased financial abuse risk/harm. No services were identified as effective for emotional abuse. Since effective services differed by type of abuse, it is important to consider the etiology of abuse before implementing the services needed by older adults to effectively decrease harm/risk.

scholarly journals A Scoping Review of Financial Elder Exploitation Interventions

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 323-324
Author(s):  
Stephanie Skees
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Elder Abuse ◽  
Protective Services ◽  
Adult Protective Services ◽  
Health Crisis ◽  
Financial Exploitation ◽  
Attorneys General ◽  
Universal Definition ◽  
Mature Market

Abstract Elder financial exploitation (EFE), defined by the National Center for Elder Abuse (2021) as “the misappropriation of an older person’s money or property,” is a continuing public health crisis shown to cost individuals at least $2.9 billion a year (MetLife Mature Market Institute, 2011). Many believe this impact will increase exponentially due to the effects of COVID-19. In fact, a recent study conducted by Chang & Levy (2021) found that the prevalence of elder abuse as a whole increased from 1 in 10 older adults to 1 in 5 in the past year. Although increased collaboration between state attorneys general, Adult Protective Services, and financial institutions has driven progress in the field; there is still little known regarding EFE interventions. To address this issue, this study conducts a scoping review of the EFE intervention literature. This approach was chosen over a systematic review primarily due to the lack of a universal definition of EFE, as well as the limited number of studies available delineating between EFE and elder abuse as a whole. The main findings of the review reveal that current EFE intervention practices are focused on preventing abuse before it occurs by addressing risk factors for abuse in older adults; and are largely reliant on Adult Protective Services and the legal system. This finding is significant because state policies differ in their qualifications of EFE, thus leaving many older adults vulnerable and unprotected. Further interventions that address EFE while it is occurring and alignment across governing bodies are needed.

scholarly journals PRELIMINARY FINDINGS ON FAMILY PERPETRATORS AS DESIGNATED SURROGATE DECISION MAKERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S383-S383
Author(s):  
Cory Bolkan ◽  
Pamela Teaster ◽  
Holly Ramsey-Klawsnik ◽  
Kenneth Gerow
Keyword(s):  
Older Adults ◽  
Decision Makers ◽  
Policy Recommendations ◽  
Community Settings ◽  
Protective Services ◽  
Adult Protective Services ◽  
Surrogate Decision Makers ◽  
Surrogate Decision ◽  
Vulnerable Adults ◽  
Process Level

Abstract Vulnerable older adults needing surrogate decision makers typically rely upon others for care and are unable to advocate for themselves. The issue of EFFE perpetrated by family members designated as surrogates has become highly visible nationally, yet no reliable, empirical documentation exists on the nature or extent of exploitation by surrogate perpetrators. In collaboration with the National Adult Protective Services Association (NAPSA), we prospectively gathered APS data from six geographically diverse counties on 450 substantiated cases of abuse by POAs, representative payees, and guardians of vulnerable adults 65+ living in community settings. This presentation will highlight how family member surrogates perpetuated abuse and the outcomes on elder victims. These findings elucidate person and process-level factors (e.g., characteristics of victims, perpetrators, and their relationships) within the context of the APS system and can inform practice and policy recommendations for better prevention, detection, investigation, and intervention in these challenging cases.

scholarly journals Abuse of Vulnerable Older Adults by Designated Surrogate Decision Makers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 702-703
Author(s):  
Cory Bolkan ◽  
Pamela Teaster ◽  
Holly Ramsey-Klawsnik ◽  
Kenneth Gerow
Keyword(s):  
Older Adults ◽  
Reliable Data ◽  
Decision Makers ◽  
Community Settings ◽  
Power Of Attorney ◽  
Protective Services ◽  
Adult Protective Services ◽  
Surrogate Decision Makers ◽  
Surrogate Decision ◽  
Vulnerable Adults

Abstract Abuse perpetrated by designated surrogates has become highly visible nationally, yet no reliable data exist on its nature or extent. Because vulnerable older adults needing surrogate decision makers typically rely upon others for care, they may be unable to advocate for themselves and are susceptible to abuse. We prospectively gathered Adult Protective Services (APS) data from six geographically diverse counties on over 400 substantiated cases of abuse by perpetrators (53% non-surrogates; 47% documented or claimed surrogate) of vulnerable adults 65+ living in community settings. Most perpetrators (85%) were designated power of attorney, while approximately 8% were guardians, and 7% were representative payees; most perpetrators were family members. Polyabuse occurred frequently. Almost 25% of cases involved a prior substantiated APS report. This presentation highlights how surrogates perpetuate abuse and outcomes on older adult victims. Our findings inform practice and policy for better prevention, detection, investigation, and intervention in these challenging cases.

scholarly journals Age Differences in Elder Abuse Harm and Effective Services Offered by Adult Protective Services

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 669-670
Author(s):  
Pi-Ju Liu ◽  
Zachary Hass ◽  
Karen Conrad ◽  
Sara Stratton ◽  
Kendon Conrad
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Age Differences ◽  
Elder Abuse ◽  
Age Group ◽  
Protective Services ◽  
Younger Adults ◽  
Adult Protective Services ◽  
Effective Interventions ◽  
Type Of Abuse

Abstract In this study, abuse, exploitation, and neglect (ANE) harm was measured by type of abuse using standardized items from the Identification, Services, and Outcomes (ISO) Matrix before Adult Protective Services (APS) interventions (pretest) and after APS interventions (posttest). Change scores from 1,472 older adults (average age 78-year-old; 57% female) and 591 younger adults (average age 53-year-old; 46% female) served by APS during the six months showed reduction of harm using posttest minus pretest. Nonetheless, older adult’s financial abuse harm (pretest=2.2, posttest=1.5) was higher than younger adults’ (pretest=1.5, posttest=1.2), while young adults scored higher in harm on all other types of abuse. Effective interventions differ by age group and by type of abuse, and will be discussed in detail. Results demonstrate the importance to consider vulnerable adult’s age and the etiology of abuse before implementing the services needed to effectively address ANE harm.

Older adults neglected by their caregivers: vulnerabilities and risks identified in an adult protective services sample

2019 ◽  
Vol 21 (1) ◽  
pp. 5-15
Author(s):  
Joy Swanson Ernst
Keyword(s):  
Older Adults ◽  
Geographical Area ◽  
Psychosocial Problems ◽  
Complex Problem ◽  
Depth Information ◽  
Protective Services ◽  
Adult Protective Services ◽  
Case Record ◽  
Content Type ◽  
Multiple Health

Purpose Using a risk and vulnerability framework, the purpose of this paper is to describe the characteristics of older adults that Adult Protective Services (APS) substantiated for neglect by caregivers, their caregivers and the interrelationships between them. Design/methodology/approach The paper uses a qualitative study of 21 APS case record narratives using a template analysis. Findings Neglect related to withholding or refusing medical care was the most common. The older adults had multiple health conditions and geriatric syndromes. Caregivers had difficulties in carrying out caregiving role due to health and mental health issues, work responsibilities and lack of insight into older adults’ needs. The refusal to access or accept services by both the older adults and the caregivers was a predominant theme. Research limitations/implications The sample size was small, limited to one geographical area, and non-representative of all neglect cases. The data were extracted from written case narratives and not directly from the older adults and their family members. Case records varied in the case detail provided. Practical implications To protect vulnerable older adults and improve quality of life, APS involvement in cases of caregiver neglect needs strategies to get people to accept help and access services to address multiple health and psychosocial problems for both older adult victims and their caregivers. Originality/value This study provides in-depth information on APS cases involving caregiver neglect that add to understanding of this complex problem and points to areas for further study.

Assessment of older adults’ satisfaction with adult protective services investigation and assistance

2017 ◽  
Vol 30 (1) ◽  
pp. 64-74
Author(s):  
James G. Booker ◽  
Mary Breaux ◽  
Sharon Abada ◽  
Rui Xia ◽  
Jason Burnett
Keyword(s):  
Older Adults ◽  
Protective Services ◽  
Adult Protective Services
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