The Prevalence of Undiagnosed Geriatric Health Conditions Among Adult Protective Service Clients

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

doi:10.1093/geront/45.6.820

Cited by 17 publications

(13 citation statements)

References 18 publications

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“…Findings were demonstrated that high percent of caregivers were afflicted by mild and moderate depression. Cameron and Beach also reported same results [18,19]. Depression, even in mild level, disturbs the mental health.…”

Section: Discussionsupporting

confidence: 54%

Quality of life and depression in caregivers of patients with breast cancer

et al. 2012

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BackgroundCaregivers have a considerable role in caring and recovery of cancer patients. They may experience psychological problems such as depression, anxiety and decreases in quality of life (QOL). Present study aimed to explore depression and quality of life and their relationship among care givers of patients with breast cancer .MethodsIn this cross sectional study, enrolled 63 care givers of women with breast cancer attending IMKH hospital in Iran as outpatients during 2009–2010. In order to assess the QOL and depression, we used Caregiver QOL Index-Cancer (CQOL-C) and Beck Depression Inventory respectively.ResultsWe found depression has strong negative correlation with QOL and participants with depression were more likely to have a poorer overall QOL.ConclusionsDepression has some effects on QOL of breast cancer patients’ care givers. Assistance and giving information through education and intervention from healthcare professionals is the key of improve the ability of caregivers to enhance their QOL.

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Section: Discussionsupporting

confidence: 54%

Quality of life and depression in caregivers of patients with breast cancer

et al. 2012

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“…This echoed with the recent study of the population study by Dong and Simon 2010, which showed that impairment in physical function was not independently associated with increased elder abuse. As in other literature findings, we identified multiple factors contributing to caregiver stress, which created negative impact on caregivers' health, their financial status and well-being (Heath et al, 2005;Hoffman and Mendez-Luck, 2011;Mackenzie and Greenwood, 2012). In our study we recognized several factors, which appeared to work together in facilitating desirable outcomes of caregiving and thus preventing elder abuse.…”

Section: Caregiver Stress Is Not the Only Explanation For Elder Abusesupporting

confidence: 68%

“…Research showed that caregiver stress was not the only explanation for elder abuse. The attitude of caregivers towards caring activities, pre-morbid relationship with care-recipients, and demands of care were equally important in contributing to caregiver stress (Anetzberger, 1987;Compton et al, 1997;Heath et al, 2005;Pillemer and Suitor, 1992). Since 2002, a study by the National Center of Elder Abuse has attributed caregiver stress to burden, but previous studies had failed to account for the fact that some caregivers with heavy demands experienced little stress, while other caregivers with fewer demands experienced high levels of stress.…”

Section: Caregiver Stress and Elder Abusementioning

confidence: 99%

“…They are multiple factors contributing to caregiver stress, factors that have a buffering effect on caregivers stress, and unmet needs of caregivers. Previous research showed that the attitude of caregivers towards caring activities, caregiver's pre-morbid relationship with the care-recipient, and the demands of care were equally important in determining the risk of elder abuse and outcome of care (Anetzberger, 1987;Compton et al, 1997;Heath et al, 2005;Pillemer and Suitor, 1992). To attain optimal conditions for caregiving, we can investigate each theme in a caregiving system.…”

Section: Desirable Outcomes Of Caregiving -What Helps and What Does Nmentioning

confidence: 99%

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Experience of family caregivers of community-dwelling stroke survivors and risk of elder abuse: a qualitative study

Chow

Tiwari

2014

The Journal of Adult Protection

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Purpose -The purpose of this paper is to explore the following questions. First, what are the experiences of family caregivers in caring for community-dwelling stroke survivors? Second, what services help or do not help the caregivers in managing their caregiving role? Design/methodology/approach -A qualitative study was conducted with a total of six focus group interviews with 29 stroke caregivers selected using convenience sampling in a local community centre. All interviews were recorded and transcribed for content analysis. Findings -The results pointed to three main themes working together to facilitate desirable outcomes in caregiving and prevent elder abuse: factors contributing to caregiver stress and factors that have a buffering effect on caregiver stress and unmet needs identified from caregivers' experiences.Research limitations/implications -The authors found that there were a number of factors contributing to caregiver stress. The findings matched with the concept that caregiver stress should not be considered as the primary cause of elder abuse. Findings provided information for further research to investigate positive coping and adjustment for stroke survivors, caregivers and their families. Practical implications -Policy makers and service providers may consider specific policies and tailor-made services to enhance the effectiveness of current practice. The themes emerging from the study could be further reviewed in a longitudinal way to explore the cost-effectiveness, the outcomes and trajectory of interventional programmes. Social implications -Education would be essential to let the public understand caregivers' difficulties and needs. Prevention of elder abuse may be approached with a range of risk factors for both perpetrating and being elder abuse victim. Originality/value -From the findings of the study, the authors found that there were service gaps within policy and interventions. Concrete suggestions for improving the public's attitude and public facilities/ transport for the disabled were captured in the study. In addition to personal resilience, caregivers had a strong wish for a supportive environment and services that would facilitate a better caregiving outcome.

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“…Therefore, validly completed TRIOs should reflect significant and substantial differences in the prevalence of individual risk, intervention, and outcome indicators anticipated to be strongly associated with a specific form of abuse or neglect. Conversely, we should not find substantial differences between the two groups in the prevalence of TRIO items related to more universal risk factors such as cognitive decline and depression (Bomba, 2006; Heath, Brown, Kobylarz, & Castaño, 2005) and the receipt of more generalized APS interventions such as education/information sharing and building a positive social relationship between the APS worker and the client.…”

Section: Methodsmentioning

confidence: 81%

Multidimensional Measurement Within Adult Protective Services: Design and Initial Testing of the Tool for Risk, Interventions, and Outcomes

Sommerfeld

Henderson

Snider

et al. 2014

Journal of Elder Abuse & Neglect

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This study describes the development, field utility, reliability, and validity of the multidimensional Tool for Risk, Interventions, and Outcomes (TRIO) for use in Adult Protective Services (APS). The TRIO is designed to facilitate consistent APS practice and collect data related to multiple dimensions of typical interactions with APS clients, including the investigation and assessment of risks, the provision of APS interventions, and associated health and safety outcomes. Initial tests of the TRIO indicated high field utility, social worker “relevance and buy-in,” and inter-rater reliability. TRIO concurrent validity was demonstrated via appropriate patterns of TRIO item differentiation based on the type of observed confirmed abuse or neglect; and predictive validity was demonstrated by prediction of the risk of actual APS recurrence. The TRIO is a promising new tool that can help meet the challenges of providing and documenting effective APS practices and identifying those at high risk for future APS recurrence.

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The Prevalence of Undiagnosed Geriatric Health Conditions Among Adult Protective Service Clients

Abstract: This new effort to link APS workers with geriatric clinicians conducting in-home health assessments proved effective for identifying a high prevalence of remediable health conditions among APS clients suffering various manifestations of elder mistreatment.

Cited by 17 publications

References 18 publications

Quality of life and depression in caregivers of patients with breast cancer

Quality of life and depression in caregivers of patients with breast cancer

Experience of family caregivers of community-dwelling stroke survivors and risk of elder abuse: a qualitative study

Multidimensional Measurement Within Adult Protective Services: Design and Initial Testing of the Tool for Risk, Interventions, and Outcomes

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