Elder Abuse Detection and Intervention: A Collaborative Approach (Ethics, Law and Aging)

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The program emphasizes the importance of interdisciplinary team work and the continued education of health care professionals regarding potential signs and symptoms of elder mistreatment.

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R Koin, D. Although the tool was designed to meet the legislative requirements of the state of California, it is adaptable for use in other locations. Members of the health care system, law enforcement, criminal justice system, social services, and forensic technology fields were represented on the development team.

The following issues were addressed: the need for an instrument that could be utilized in a number of health care settings; who would complete which portions of the form; and what demographic data would be collected and how this may advance further research in elder abuse. The most controversial issues were related to the assessment of cognitive ability, and to the length of the examination form. Revisions of the draft form were completed with input from approximately reviewers throughout the state.

The first part of the instrument documents demographic information, and includes a checklist to document concurrent forms of abuse. It also includes an assessment of independent and cognitive functioning. The second part provides detailed documentation of the physical status of the victim in terms of symptoms and injuries. P National Association of Triads, Inc.

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Handbook online Triad is a three-way coalition among police chiefs, sheriffs and older and retired leaders, first formed in , to reduce crime against older residents. This handbook explains how to design and implement such a program in local communities. It provides practical guidelines on developing the advisory council, often known as SALT or Seniors and Law Enforcement Together, which is a key to the success of any Triad.

Initially, the representatives must survey the area seniors to determine what needs must be addressed violent crime, financial exploitation, etc. Triad offers advocacy and support to older victims of crime at all stages of intervention from reporting through court room procedures , combats vulnerability through prevention and education programs , may develop reassurance programs such as Adopt a Senior, senior buddy systems or telephone reassurance programs , and fosters a greater understanding of the needs of older citizens among police offices through training.

A detailed discussion regarding the needs of older victims with Alzheimer's dementia is included. Appendices include such forms as cooperative agreement, departmental policy, a sample letter of invitation, evaluation forms, survey forms, and informational forms on various programs.

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P Nerenberg, L. Online resource This publication, intended to provide guidance for community responders developing a coordinated response to elder abuse, describes the key characteristics of multidisciplinary teams, and presents models of teams that address various aspects of elder mistreatment, such as financial abuse. Multidisciplinary teams foster the development of treatment plans that maximize client autonomy and enhance accessibility to services; provide supervision and support for team members; provide the opportunity to observe patterns of abuse; and improve the identification of systemic problems and service gaps in the community's response to elder mistreatment.

Team composition and recruitment, administrative issues, funding and support, membership agreements, contracts, memorandums of understanding addressing such issues as attendance, conflict of interest, confidentiality, etc. A checklist for starting or "revitalizing" a team is provided. S Payne, B. Journal article research In this study, participants from two different occupational groups police chiefs and nursing home professionals along with sociology and criminal justice students, were surveyed regarding their beliefs on punishment and rehabilitation of elder abuse offenders, and the implications that these results hold for processing cases of elder mistreatment.

Respondents were asked to rank six different abuse scenarios including institutional intentional and unintentional abuse, white collar crime, and theft in terms of perceived severity, then to indicate what consequences he or she would recommend for the offender and why. Justifications included the following categories: specific deterrence, general deterrence, rehabilitation, retribution, incapacitation, and victim compensation. In general, police chiefs and students were more likely to hold punitive attitudes, while nursing home personnel demonstrated more rehabilitative attitudes.

The author points out that these results suggest the need to foster an interdisciplinary, collaborative approach when designing interventions for abusers. S Snyder, J. The program was designed to promote collaboration between adult protective services APS and financial institutions and involved the development of consumer awareness literature and training curricula, as well as the training and education of frontline bank employees.

From March 1, through June 20, , 51 cases were tracked by the bank, 44 suspected cases were referred to APS 28 of which were substantiated , and a number of interventions were employed, involving APS service delivery, the filings of criminal complaints, guardianship and powers of attorneys appointed or removed, etc. P Teaster, P. Agency report online In this report, 31 coordinators of the 40 identified multidisciplinary teams MDTs throughout the U.

Participants included not only traditional teams dealing with varied types of abuse cases, but one fatality review team, seven financial abuse specialist teams, medically oriented teams, and two teams dealing exclusively with systemic versus clinical issues. Coordinators indicated the provision of consultation and assistance to workers dealing with difficult abuse and neglect cases as their primary function, and three-quarters of the teams participated in advocacy, training and education, and coordinated care planning and investigation.

Other characteristics of teams were examined, including: attendance policies with nearly half of the teams counting between five and ten participants regularly, and only one-quarter of the teams having a formalized attendance requirement ; composition Challenges identified include lack of participation by specific professions and lack of cases to present.

It draws upon the same data set as item 41 of this compilation. R Teaster, P. Journal article research This research provides insight regarding elder abuse multidisciplinary teams MDTs throughout the U.

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An email survey yielded responses from 31 MDT coordinators representing specialized teams such as fatality review teams, financial abuse specialist teams FAST , medically oriented teams, as well as more traditional teams. The most prevalent functions of the teams were the provision of expert consultation to service providers, and the identification of service gaps. Additionally, teams served to update all members regarding new services in the field.

The survey gathered information on average attendance and policies, categories of membership, level of team formality, administration, leadership, funding, sources of technical assistance, challenges, and tangible products such as training materials, etc. One interesting finding is that, counter to anecdotal evidence, there did not appear to be significant concern regarding confidentiality issues. Researchers suspect that this may be due to effective confidentiality agreements in place among nearly two-thirds of the sampled teams and other safeguards taken. Note: This article draws upon the same data set as item 40 of this bibliography.

M Abramson, B. Manual online This manual describes the purpose and process of developing an Elder Abuse Interdisciplinary Team I-Team to better meet the needs of victims within the community. I-Team goals include heightened awareness of abuse and neglect, an increase in victim identification, and the coordination of service delivery among various involved agencies. The manual includes a description of members who may comprise the team as well as case selection criteria. Appendices include samples of mission statements, confidentiality statements, and case presentation worksheets.

P Aravanis, S. Agency report online The goal of the National Center on Elder Abuse NCEA Sentinel Project, which was established in , is to identify and assist elders who are isolated and at risk for mistreatment. In order to identify such individuals, sentinels from various national organizations such as Meals on Wheels, the Humane Society of the United States, and the National Association of Retired Senior Volunteer Program Directors, were trained to identify those individuals at risk, and typically isolated in their homes.

The initiative resulted in the development of over 20 outreach products designed to promote awareness of elder abuse and appropriate services, and over 6, people were provided with such materials.

Abuse hurts at any age - Catherine Aaronson - TEDxUniversityofTulsa

In addition to an increase in APS referrals, issues were identified that hindered the process of service delivery to those in need. Those issues include the need for cross training among various professionals and advocates, and improved communications among those working with elders.

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P Balaswamy, S. Journal article research This research was designed to examine the perceived satisfaction of the relationships among collaborative agencies addressing elder abuse and neglect. Participants were selected from human service agencies in five counties in Ohio, including agencies mandated to receive and investigate allegations of elder mistreatment, social service agencies involved in investigation and service delivery, and agencies within the community mandated to report suspected abuse.

In all, 34 adult protective services APS professionals and individuals from community agencies completed questionnaires regarding their perceptions of the quality of interdisciplinary effectiveness. Respondents were asked to evaluate the performance of agencies involved, the accessibility of staff, difficulty in being understood, productivity in terms of service provision, investigation, and obtaining feedback, frequency of disagreements, and the degree to which such disagreements were resolved and by what means.

Community agency participants who were more experienced with elder abuse cases were more likely to be less satisfied with the APS system. APS providers' satisfaction with community agencies appeared related to the extent to which they could access individuals and resolve conflicts regarding case management and disposition. As quoted from the introduction, " The training has been designed to initiate or strengthen communication among local service providers through interactive exercises.

Each participant will leave the training with a community-based action plan designed by the local team describing the next steps they want to take to improve services for older victims in their area The curriculum also addresses the importance of safety planning.

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Telephone S Friddle, J. This article highlights key features of this multidisciplinary collaboration and reports upon some of the initial successes observed. In particular, coordination of efforts among law enforcement and adult protective services APS has been extremely valuable. P Heath, J. Journal article scholarship While an Association of American Medical Colleges AAMC study indicates that approximately three-quarters of the medical school deans report some curricular coverage of elder abuse, just over one-third of the graduates recall being taught about the topic.

This article presents a comparison of four medical education models that incorporate community based Adult Protective Services APS agencies into their geriatric curricula. Each model is highlighted, and the differences and similarities are discussed and presented in a tabular format. Most differences relate to the program participants which span various medical specialties and to the specific clinical services that are provided to the APS agency. P Hobart, M.

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Agency report online The goal of Washington State Domestic Violence Fatality Review DVFR team is to generate cooperation and communication among the local community services and the criminal justice system that address domestic violence in order to provide more effective intervention and response. Since , people died due to domestic violence including perpetrator suicide in the state of Washington. Six percent of the victims were aged 61 to 90, and nine percent were aged 51 to This report discusses the findings and recommendations that were generated as the result of the in-depth examination of 11 such homicides that occurred between January, and August, The potential role of family and friends, multiple systems failures, the need for advocacy for DV victims throughout the criminal justice proceedings and during dissolution of marriages, issues of weapons, mental health and substance abuse, and the need for judicial education and oversight are among the topics addressed.

Not specific to elder abuse. P Malks, B.

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Elder Abuse Detection and Intervention: A Collaborative Approach (Springer Series on Ethics, Law and Aging): Medicine & Health Science. Editorial Reviews. From the Back Cover. " PRESERVING A LIFE OF PEACE AND DIGNITY Buy Elder Abuse Detection and Intervention: A Collaborative Approach (Springer Series on Ethics, Law and Aging Book 10): Read 1 Kindle Store.

The article describes the process in which the referral is addressed, including those that require an emergency response in order to protect assets. Cases warranting legal intervention are transferred to the District Attorney's office for further investigation and possible prosecution. The benefits of the rapid response team and the criticisms of the process which include those that claim it promotes loss of autonomy are discussed, along with lessons learned since the program's inception. P Mays, W.

Elder Abuse: What Is the Federal Role? | American Society on Aging

This article provides an overview of issues faced by the mentally ill aged, including the historically poor integration of mental health and adult protective services APS , minimal consumer involvement, minimal specialized psychiatric evaluation, and Medicare and Medicaid limitations. The article contains contact information and web addresses for many of these initiatives. Agency report online This publication profiles promising practices of 15 organizations linking older adults with supportive services for mental health and substance abuse issues.

The initiatives are grouped into the categories of education and prevention, outreach, screening, referral, intervention and treatment, and service improvements through coalitions and teams.

Introduction

P Carney, M. Nursing Education. All professionals who have relationships with elderly patients regarding treatment and law execution should assume the ethical responsibility to protect them against harm. Canadian Charter of Rights and Freedoms. The conference was designed to assist State STOP Grant Program Administrators and domestic violence advocates in the development of services for older battered women and victims of sexual assault.

Each entry describes the model program and includes contact information as well as program evaluation findings. Appendices include information on other nominated best practices.