Public Policy, Elder Abuse, and Adult Protective Services: The Struggle for Coherence

Mixson, Paula M.

doi:10.1080/08946560903436148

Cited by 19 publications

(19 citation statements)

References 12 publications

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“…There is much to be learned about how best to effectively intervene in the lives of these victims (Mixson, 2010;Powell and Berman, 2006;Ramsey-Klawsnik, 2000;Teaster et al, 2006). This study represents one step towards addressing this need by identifying differences among the various types of elder abuse.…”

Section: Resultsmentioning

confidence: 94%

APS investigation across four types of elder maltreatment

Jackson

Hafemeister

2012

The Journal of Adult Protection

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Purpose -Little empirical attention has been given to adult protective services (APS) investigations and the clients involved in those investigations. The purpose of this study was to explore aspects of the APS investigation of and response to reported elder maltreatment, the perceptions of elderly victims and their refusal of services, and to compare findings by the type of maltreatment involved (financial exploitation, physical abuse, neglect, and hybrid financial exploitation).Design/methodology/approach -Data were collected from two sources over a two-year period: in-depth interviews with 71 APS caseworkers and 55 of the corresponding elderly victims who experienced substantiated elder maltreatment; and a statewide database that contained 2,142 substantiated cases of elder abuse.Findings -Many aspects of the APS investigation and response differed by the type of maltreatment involved. While elderly victims were generally cooperative and satisfied with the APS intervention, 38 percent would have preferred APS not to investigate their case. Elderly clients responded differentially to offers of assistance, depending on the type of abuse involved, with victims of physical abuse most likely to refuse services.Research limitations/implications -Future research will want to understand why elderly victims refuse services in order to develop appropriate interventions.Practical implications -New approaches may be required for intervening in physical abuse cases, including collaborations between APS and domestic violence advocates and the inclusion of services for perpetrators.Originality/value -This is the first large-scale study to examine elderly victims' refusal of services, further enhanced by the analysis of refusal of services by type of abuse, thereby revealing a group of victims for which changes in intervention strategies may be necessary.

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Section: Resultsmentioning

confidence: 94%

APS investigation across four types of elder maltreatment

Jackson

Hafemeister

2012

The Journal of Adult Protection

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“…This results in insufficient time to carefully investigate and respond to abuse allegations. Such chronic underfunding means that both APS research and practice suffer from lack of a solid knowledge base and evidence-based tools and protocols (Mixson, 2010; Mosqueda et al, 2016; Sommerfeld, Henderson, Snider, & Aarons, 2014). Additionally, there has been scant research to address reporting, assessment, and intervention that is statewide or potentially national in scope (Jackson & Hafemeister, 2013).…”

Section: Introductionmentioning

confidence: 99%

Development of short-form measures to assess four types of elder mistreatment: Findings from an evidence-based study of APS elder abuse substantiation decisions

Beach

Liu

DeLiema

et al. 2017

Journal of Elder Abuse & Neglect

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Improving the standardization and efficiency of adult protective services (APS) investigations is a top priority in APS practice. Using data from the Elder Abuse Decision Support System (EADSS), we developed short-form measures of four types of elder abuse: financial, emotional/psychological, physical, and neglect. The EADSS data set contains 948 elder abuse cases (age 60+) with yes/no abuse substantiation decisions for each abuse type following a 30-day investigation. Item sensitivity/specificity analyses were conducted on long-form items with the substantiation decision for each abuse type as the criterion. Validity was further tested using receiver–operator characteristic (ROC) curve analysis, correlation with long forms and internal consistency. The four resulting short-form measures, containing 36 of the 82 original items, have validity similar to the original long forms. These short forms can be used to standardize and increase efficiency of APS investigations, and may also offer researchers new options for brief elder abuse assessments.

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“…Scholars have continued to conceptualize elder abuse as a crime (Payne, 2011), a form of family violence (Acierno et al, 2010), and a social services issue (Wangmo et al, 2014). Although some scholars have abandoned the caregiver stress model (Rathbone-McCuan, 2000), APS caseworkers continue to embrace this conceptualization (Mixson, 2010). Clearly, each conceptualization has implications for the way in which society responds.…”

Section: S: the Expanding Conceptualizations Of Elder Abusementioning

confidence: 99%

The shifting conceptualization of elder abuse in the United States: from social services, to criminal justice, and beyond

Jackson

2015

Int. Psychogeriatr.

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A variety of forces have shifted the conceptualization of elder abuse over time to where it is almost unrecognizable when compared to its original conceptualization. The field has adopted or embraced whatever social problem is in vogue in an attempt to elevate elder abuse to a recognizable social problem that to date has eluded the field. This paper traces the various influences on the shifting conceptualizations of elder abuse and how those conceptualizations have shaped society's response. The paper concludes by suggesting that multiple conceptualizations can and must co-exist, a framework which is consistent with the multidisciplinary team approach becoming prevalent in the field.

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Public Policy, Elder Abuse, and Adult Protective Services: The Struggle for Coherence

Cited by 19 publications

References 12 publications

APS investigation across four types of elder maltreatment

APS investigation across four types of elder maltreatment

Development of short-form measures to assess four types of elder mistreatment: Findings from an evidence-based study of APS elder abuse substantiation decisions

The shifting conceptualization of elder abuse in the United States: from social services, to criminal justice, and beyond

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