A qualitative evaluation of the “RISE” elder abuse intervention from the perspective of adult protective services caseworkers: addressing a service system gap

Burnes, David; MacNeil, Andie; Connolly, Marie-Therese; Salvo, Erin; Kimball, Patricia; Rogers, Geoff; Lewis, Stuart

doi:10.1080/08946566.2022.2140321

Cited by 6 publications

(8 citation statements)

References 22 publications

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“…Caseworkers also noted that the mutual support, open communication, and bidirectional learning that evolved between themselves and advocates was an important benefit. 24 The impact of the RISE intervention in this pilot also suggests an important potential avenue for future EASN prevention research, examining the use of RISE as a component of coordinated stakeholder partnerships such as those envisioned by Age Friendly Communities.…”

Section: Discussionmentioning

confidence: 96%

“…28 Qualitative interviews with APS caseworkers suggest that fewer re-investigations have an impact on their workflow and well-being. 24 Caseworkers report that a reduction in re-referred cases allows them to focus their time on new intake cases and/or active cases requiring elevated levels of attention/urgency. 24 Persons with a history of self-neglect are the most common clients referred to APS and represent some of the most challenging cases.…”

Section: Discussionmentioning

confidence: 99%

“…24 Caseworkers report that a reduction in re-referred cases allows them to focus their time on new intake cases and/or active cases requiring elevated levels of attention/urgency. 24 Persons with a history of self-neglect are the most common clients referred to APS and represent some of the most challenging cases. Self-neglect has been associated with an almost six-fold increase in 1-year mortality.…”

Section: Discussionmentioning

confidence: 99%

“…Although eligibility criteria for a RISE referral are intentionally broad and include almost any case with allegations involving an older adult, in practice APS caseworkers tend to refer cases with higher rates of prior APS allegations/substantiations and/or cases with intervention needs beyond immediate safety or that would benefit from support beyond the scope of APS services. 24 After a referral to RISE is made, there is an open-ended period for relationship building to create a stronger foundation for addressing behavioral change with clients and for working collaboratively with them. The client-centered, relational RISE approach often requires cases to stay open for periods of time (mean, 8 months) that would not be possible under mandated state closure times and other structural limitations common in APS systems.…”

Section: Why Does This Paper Matter?mentioning

confidence: 99%

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Effect of an elder abuse and self‐neglect intervention on repeat investigations by adult protective services: RISE project

Lewis

Connolly

Salvo³

et al. 2023

J American Geriatrics Society

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BackgroundAdult Protective Services (APS) is the primary agency responsible for investigating elder abuse and self‐neglect (EASN) allegations in the United States. The harms of EASN are well established; however, APS lacks a conceptually derived evidenced‐based intervention phase. RISE is a community‐based intervention designed to complement APS that provides enhanced services and a longer intervention phase. The objective of this study was to test whether exposure to the RISE/APS collaboration was associated with reducing the case outcome of recurrence (repeat investigations) compared to usual care APS only services.MethodsA retrospective observational study (n = 1947) of two counties in Maine where RISE was available to provide enhanced services to persons referred from APS. An extended regression endogenous treatment Probit model using APS administrative data was used to predict case recurrence.ResultsBetween July 2019 and October 2021, 154 cases participated in RISE and 1793 received usual APS only services. 49% of cases in RISE had 2 or more prior substantiated allegations versus 6% for those receiving usual APS care, and 46% of cases in RISE had a recurrence during the observation period versus 6% for usual care group. However, after accounting for the non‐random treatment assignment, RISE was associated with a significantly lowered likelihood of recurrence compared to persons receiving usual care provided by APS (probability of recurrence reduced by 0.55 for the Average Treatment Effect on the Treated and 0.26 for the Average Treatment Effect).ConclusionsA reduction in recurrence carries important implications for APS clients, costs, resources, and workflow. It may also serve as a proxy indicating a reduction in revictimization and harm for EASN victims.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Why Does This Paper Matter?mentioning

confidence: 99%

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Effect of an elder abuse and self‐neglect intervention on repeat investigations by adult protective services: RISE project

Lewis

Connolly

Salvo³

et al. 2023

J American Geriatrics Society

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“…RISE advocates work with clients referred to them by Maine Adult Protective Services (MAPS). RISE works in partnership with MAPS, a state-government agency, and is housed within the Elder Abuse Institute of Maine (EAIME), a community-based non-profit organization that administers the RISE intervention (Burnes et al, 2022b(Burnes et al, , 2022c.…”

Section: Introductionmentioning

confidence: 99%

Preliminary findings on the use of “teaming” in elder abuse intervention: the RISE project

MacNeil,

Connolly,

Salvo

et al. 2023

JAP

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Purpose Our understanding of what intervention strategies are effective in improving the well-being of older adults experiencing elder abuse and self-neglect (EASN) is severely limited. The purpose of this study was to examine the use of a method called “teaming,” a wraparound approach to provide enhanced social support to older adults experiencing EASN. A teaming intervention was administered by advocates in Maine, USA, as a component of a larger community-based EASN intervention, Repair harm, Inspire change, Support connection, Empower choice (RISE), implemented to complement adult protective services. Design/methodology/approach Qualitative interviews and a focus group were conducted with RISE advocates (n = 4). A descriptive phenomenological approach involving two independent assessors was used to code transcripts into themes and subthemes. Findings Three domains were identified: (1) team and support forming process, which describes the development of a supportive network based on each client’s needs; (2) techniques, which refers to the specific strategies advocates use to promote collectivity and shared responsibility around the client; and (3) implementation challenges, which discusses the difficulties advocates encounter when using teaming with people experiencing EASN. Originality/value This study represents the first in-depth exploration of teaming in the context of EASN intervention. Preliminary findings on the experiences of advocates suggest that teaming is a beneficial approach to support the individualized needs of each client, and to promote improved and sustainable case outcomes for clients.

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Use of Motivational Interviewing by Advocates in the Context of an Elder Abuse Response Intervention: The RISE Project

MacNeil¹,

Connolly²,

Salvo³

et al. 2023

J Fam Viol

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A qualitative evaluation of the “RISE” elder abuse intervention from the perspective of adult protective services caseworkers: addressing a service system gap

Cited by 6 publications

References 22 publications

Effect of an elder abuse and self‐neglect intervention on repeat investigations by adult protective services: RISE project

Effect of an elder abuse and self‐neglect intervention on repeat investigations by adult protective services: RISE project

Preliminary findings on the use of “teaming” in elder abuse intervention: the RISE project

Use of Motivational Interviewing by Advocates in the Context of an Elder Abuse Response Intervention: The RISE Project

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