A Systematic Evaluation of a Multidisciplinary Social Work–Lawyer Elder Mistreatment Intervention Model

Abstract

This study introduces a conceptually based, systematic evaluation process employing multivariate techniques to evaluate a multidisciplinary social work-lawyer intervention model (JASA-LEAP). Logistic regression analyses were used with a random sample of case records (n = 250) from three intervention sites. Client retention, program fidelity, and exposure to multidisciplinary services were significantly related to reduction in mistreatment risk at case closure. Female gender, married status, and living with perpetrator significantly predicted unfavorable outcomes. This study extends the elder mistreatment program evaluation literature beyond descriptive/bivariate evaluation strategies. Findings suggest that a multidisciplinary social work-lawyer elder mistreatment intervention model is a successful approach.

Emerging Innovations, Best Practices, and Evidence-Based Practices in Elder Abuse and Neglect: a Review of Recent Developments in the Field

“…The LEAP program had success in assisting victims take action against their abusers. In another study of LEAP, Rizzo et al (2013) developed their study design grounded in a strong conceptually-based, systematic evaluation process and multivariate techniques. Logistic regression analyses were used with a random sample of case records from three intervention sites.…”

Veterans Experiencing Elder Abuse: Improving Care of a High‐Risk Population About Which Little Is Known

“…The VHA is the largest healthcare system in the United States, presenting immense opportunity for developing, testing, and disseminating innovative programs for elder abuse interventions. In many settings, successful elder abuse programs have been multidisciplinary . The VHA is an ideal environment for integrated, multidisciplinary approaches.…”

State of the science on prevention of elder abuse and lessons learned from child abuse and domestic violence prevention: Toward a conceptual framework for research

“…Similar to APS, however, community-based elder mistreatment programs seek to develop a service plan and intervene on substantiated elder mistreatment cases towards the overall goal of revictimization risk alleviation (Burnes, 2016). Research based on case review analysis provides preliminary support for community-based elder mistreatment programs in alleviating revictimization risk by empowering victims to take action to stop the cycle or remove themselves from the abusive situation (Cripps, 2001; Lithwick, Beaulieu, Gravel, & Straka, 2000; Rizzo, Burnes, & Chalfy, 2015). Cripps used a rights focused advocacy model, which enabled victims to stop abuse in 50% of the cases and take action in 34% of the situations, while Lithwick et al suggested a harm-reduction model to guide interventions.…”

“…Evidence suggests that programs integrating a multidisciplinary approach such as incorporating social services and criminal justice systems have merit because they can reduce revictimization risks (Brownell & Wolden, 2002; Rizzo et al, 2015). For example, Rizzo et al evaluated a social worker-lawyer intervention model using a multivariate approach, and showed that client retention, program fidelity, and exposure to MDT were related to reduced mistreatment risk at case closure.…”

“…Wiglesworth, Mosqueda, Burnight, Younglove, and Jeske (2006) performed a Level 1 evaluation showing improved attitudes toward the efficiency and effectiveness of an elder abuse forensic center. MDTs modeled after programs in domestic violence interventions appear to be successful in terms of Level 1 satisfaction and attitudes, and Level 3 recognition of abuse, referral to protective services, money management and housing services, review by the District Attorney’s Office, and higher rates of prosecution and conviction (Navarro, Gassoumis, & Wilber, 2013; Rizzo et al, 2015; Teaster, Nerenberg, & Stansbury, 2003). …”