Interventions from Home‐Based Geriatric Assessments of Adult Protective Service Clients Suffering Elder Mistreatment

Heath, John M.; Kobylarz, Fred; Brown, Merle; Castaño, Susan

doi:10.1111/j.1532-5415.2005.53469.x

Cited by 31 publications

(21 citation statements)

References 17 publications

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“…It results in emotional difficulties such as feelings of inadequacy, and self-contempt [37, 59, 60], decreased self-esteem [57, 59–63] and depression [56, 64, 65]. It has also been linked to health problems such as increased mortality [66–68] and immunological dysfunction [56, 57, 63, 65, 69, 70].…”

Section: Introductionmentioning

confidence: 99%

Physical Mistreatment in Persons with Alzheimer’s Disease

VandeWeerd

Paveza

Walsh

et al. 2013

Journal of Aging Research

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Physical mistreatment has been estimated to affect 2 million older persons each year and dramatically affects health outcomes. While researchers have attempted to examine risk factors for specific forms of abuse, many have been able to focus on only victim or perpetrator characteristics, or a limited number of psychosocial variables at any one time. Additionally, data on risk factors for subgroups such as persons with Alzheimer's disease who may have heightened and/or unique risk profiles has also been limited. This paper examines risk for physical violence in caregiver/patient dyads who participated in the Aggression and Violence in Community-Based Alzheimer's Families Grant. Data were collected via in-person interview and mailed survey and included demographics as well as measures of violence, physical and emotional health, and health behaviors. Logistic regression analysis indicated that caregivers providing care to elders with high levels of functional impairment or dementia symptoms, or who had alcohol problems, were more likely to use violence as a conflict resolution strategy, as were caregivers who were providing care to elders who used violence against them. By contrast, caregivers with high self-esteem were less likely to use violence as a conflict resolution strategy. Significant interaction effects were also noted.

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Section: Introductionmentioning

confidence: 99%

Physical Mistreatment in Persons with Alzheimer’s Disease

VandeWeerd

Paveza

Walsh

et al. 2013

Journal of Aging Research

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“…For older victims, the outcomes of neglect can be more immediate, potentially more life-threatening, and more visible. In addition, it is important to note that elder neglect victims (as compared with elder physical abuse victims) are more likely to be institutionalized (Heath, Kobylarz, Brown, & Castano, 2005). Institutionalization of neglect victims is rarer in other stages of the life course.…”

Section: Review Of Literaturementioning

confidence: 97%

The Neglect of Elder Neglect as a White-Collar Crime: Distinguishing Patient Neglect from Physical Abuse and the Criminal Justice System’s Response

Payne¹,

Blowers²,

Jarvis³

2012

Justice Quarterly

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“…If they have concerns that the home is not safe, especially if it appears that the elder will not be admitted or will be taken AMA, physicians can ask the ED or hospital social worker to contact local agencies and/or community partners to conduct welfare checks and home assessments 26 and assist in disposition planning.…”

Section: The Forensic Lensmentioning

confidence: 99%

The Forensic Lens: Bringing Elder Neglect Into Focus in the Emergency Department

DeLiema

Homeier

Anglin

et al. 2016

Annals of Emergency Medicine

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We present two case studies of older patients who were brought to the emergency department (ED) in severely debilitated states. Both presented with severe malnutrition, contractures, decubiti, and were nonverbal with histories of dementia and end-stage disease. Their primary caregivers, adult children, were uncooperative with Adult Protective Services (APS) and disregarded treatment recommendations. Although both elders had signs suspicious of neglect, a comprehensive review revealed many layers of complexity. We use these cases to illustrate an approach to the assessment of possible elder neglect in ED settings and how to intervene to ensure patient safety. We begin with a discussion of the differences between willful, unintentional, and unsubstantiated neglect by a caregiver, and then describe when to suspect neglect by evaluating the elder, interviewing the caregiver and first responders, assessing the caregiver's ability to meet the elder's needs, and, if possible, obtaining past medical history and information about the home care environment. These cases illustrate the importance of careful documentation in cases of suspected neglect in order to assist investigative agencies, reduce the risk of further harm, and improve patient outcomes.

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Interventions from Home‐Based Geriatric Assessments of Adult Protective Service Clients Suffering Elder Mistreatment

Abstract: An in-home geriatric assessment service was able to contribute at least one relevant intervention for 81% of referred APS clients to collaboratively help mitigate elder mistreatment circumstances.

Cited by 31 publications

References 17 publications

Physical Mistreatment in Persons with Alzheimer’s Disease

Physical Mistreatment in Persons with Alzheimer’s Disease

The Neglect of Elder Neglect as a White-Collar Crime: Distinguishing Patient Neglect from Physical Abuse and the Criminal Justice System’s Response

The Forensic Lens: Bringing Elder Neglect Into Focus in the Emergency Department

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