Clinical Issues in Responding to Alleged Elder Sexual Abuse

Abstract

Elder sexual abuse allegations are both complicated for Adult Protective Services (APS) caseworkers to investigate and difficult to resolve effectively. This article explores clinical issues involved in the investigation of sexual abuse by APS workers and describes problems experienced in assisting victims. The model of elder sexual abuse consultation developed and used in Massachusetts is described, along with other resources put in place by the Massachusetts Elder Protective Services Program to help caseworkers respond effectively to alleged and substantiated sexual abuse. Examples of effective investigation and case management are presented along with examples of errors that can occur when professionals are insufficiently trained, supervised, and guided.

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