Screening tools for identification of elder abuse: a systematic review

Gallione, Chiara; Molin, Alberto Dal; Cristina, Fabio V.B.; Ferns, Hilary; Mattioli, Mark; Suardi, Barbara

doi:10.1111/jocn.13721

Cited by 68 publications

(60 citation statements)

References 58 publications

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“…Yet due to underreporting, these rates are likely underestimates (Gallione et al, in press). Worldwide, the annual prevalence of elder abuse and neglect may be even higher.…”

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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“…Yet due to underreporting, these rates are likely underestimates (Gallione et al, in press). Worldwide, the annual prevalence of elder abuse and neglect may be even higher.…”

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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“…We excluded programs exclusively based in nursing homes or other long‐term care settings. We also excluded descriptions and evaluations of screening tools, about which other reviews exist …”

Section: Methodsmentioning

confidence: 99%

Review of Programs to Combat Elder Mistreatment: Focus on Hospitals and Level of Resources Needed

Rosen

Elman

Dion

et al. 2019

J American Geriatrics Society

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Background Elder mistreatment is common and has serious social and medical consequences for victims. Though programs to combat this mistreatment have been developed and implemented for more than three decades, previous systematic literature reviews have found few successful ones. Objective To conduct a more comprehensive examination of programs to improve elder mistreatment identification, intervention, or prevention, including those that had not undergone evaluation. Design Systematic review. Setting Ovid MEDLINE, Ovid EMBASE, Cochrane Library, PsycINFO Elton B. Stephens Co. (EBSCO), AgeLine, CINAHL. Measurements We abstracted key information about each program and categorized programs into 14 types and 9 subtypes. For programs that reported an impact evaluation, we systematically assessed the study quality. We also systematically examined the potential for programs to be successfully implemented in environments with limited resources available. Results We found 116 articles describing 115 elder mistreatment programs. Of these articles, 43% focused on improving prevention, 50% focused on identification, and 95% focused on intervention, with 66% having multiple foci. The most common types of program were: educational (53%), multidisciplinary team (MDT) (21%), psychoeducation/therapy/counseling (15%), and legal services/support (8%). Of the programs, 13% integrated an acute‐care hospital, 43% had high potential to work in low‐resource environments, and 57% reported an attempt to evaluate program impact, but only 2% used a high‐quality study design. Conclusion Many programs to combat elder mistreatment have been developed and implemented, with the majority focusing on education and MDT development. Though more than half reported evaluation of program impact, few used high‐quality study design. Many have the potential to work in low‐resource environments. Acute‐care hospitals were infrequently integrated into programs.

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“…Although EM screening/assessment instruments have been developed to indicate the presence of abuse/neglect (Beach et al, 2017;Gallione et al, 2017), the field lacks tools that measure the extent of case resolution over the course of intervention. Without a way to measure change in client or case status in response to the intervention, EM research cannot systematically compare the effectiveness of different intervention models.…”

Section: Background and Objectivesmentioning

confidence: 99%

The feasibility of goal attainment scaling to measure case resolution in elder abuse and neglect adult protective services intervention

Burnes

Connolly

Hamilton

et al. 2018

Journal of Elder Abuse & Neglect

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Objectives: This pilot study describes implementation procedures of goal attainment scaling (GAS) and examines the feasibility of using GAS to measure the multifarious intervention outcome of case resolution in elder mistreatment (EM) adult protective services (APS).Methods: Substantiated EM victims (n = 27) were recruited prospectively from the State of Maine APS. An adapted GAS approach was implemented involving development of a prepopulated goal scale menu and web-based GAS application.Results: The GAS menu comprised 18 goals and corresponding scales spanning several domains of case resolution: social support, service access, health/functioning, enhancing independence, and protective measures. The overall GAS process had mean length 33.8 min per case. The mean GAS summary t-score (54.3) aligned with theoretical expectations.Discussion: Without a measure of case resolution, research cannot compare the effectiveness of different EM intervention models. Findings suggest that GAS is a feasible, client-centered strategy to measure the multifarious EM intervention case resolution outcome. KEYWORDSAdult protective services; client-centered measurement; elder abuse; elder neglect; elder selfneglect; goal attainment scaling Background and objectives

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Screening tools for identification of elder abuse: a systematic review

Cited by 68 publications

References 58 publications

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

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

Review of Programs to Combat Elder Mistreatment: Focus on Hospitals and Level of Resources Needed

The feasibility of goal attainment scaling to measure case resolution in elder abuse and neglect adult protective services intervention

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