Interventions from Home‐Based Geriatric Assessments of Adult Protective Service Clients Suffering Elder Mistreatment

John M. Heath · Fred A. Kobylarz · Merle Brown · Susan Castaño

31 citations0/0 files storedJournal of the American Geriatrics Society

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Elder Abuse and Neglect Geriatric Care and Nursing Homes Frailty in Older Adults

Abstract

OBJECTIVES: To describe the interventions for adult protective service (APS) clients referred for geriatric assessment. DESIGN: Retrospective cohort study. SETTING: In-home geriatric assessments conducted in two New Jersey counties. PARTICIPANTS: Two hundred eleven APS clients; 74% female; mean age 77. MEASUREMENTS: Cognition, affect, nutrition, prevalence of selected medical diagnoses and functional conditions, and categories of interventions. RESULTS: Home health agency services were initiated for 46% of APS clients suffering from all forms of mistreatment. Institutional placements (36%) and guardianship interventions (36%) were correlated with caregiver neglect, especially in female APS clients and those diagnosed with dementia. Urgent medications (25%) were prescribed across all mistreatment classifications, and acute hospitalization (20%) was correlated with circumstances of physical abuse. CONCLUSION: An in-home geriatric assessment service was able to contribute at least one relevant intervention for 81% of referred APS clients to collaboratively help mitigate elder mistreatment circumstances.

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References

1982Development and validation of a geriatric depression screening scale: A preliminary report 1993Elder Abuse 1998The Mortality of Elder Mistreatment 2004Elder abuse 1995Abuse and Neglect of Elderly Persons 2000The High Prevalence of Depression and Dementia in Elder Abuse or Neglect 1993The relationship between dementia and elder abuse 2004Progress in Elder Abuse Screening and Assessment Instruments

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2012Assessment in Adult Protective Services: Do Multidisciplinary Teams Make a Difference?2016An assessment of interventions that target risk factors for elder abuse 2016The Forensic Lens: Bringing Elder Neglect Into Focus in the Emergency Department 2022Examining Adult Protective Services Outcomes: Services Associated With the Decrease of Mistreatment Differed by Elder Mistreatment Type 2007Elder Abuse and Neglect 2012Elder abuse

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