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

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

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Elder Abuse and Neglect Child Abuse and Trauma Frailty in Older Adults

Abstract

PURPOSE: We sought to determine the prevalence of remediable health conditions from in-home geriatric assessments of referred adult protective service (APS) clients suffering elder mistreatment. DESIGN AND METHODS: We used a retrospective cohort study of 211 APS clients (74% female; age, M = 77 years) in two central New Jersey counties. RESULTS: Dementia was the most frequent diagnosis (62% prevalence) and was positively correlated with occurrences of financial exploitation (R =.199; p =.01) and caregiver neglect (R =.174; p =.03) among female APS clients. Depression (37% prevalence), hypertension (36%), involuntary weight loss (34%), pain (32%), and falling (26%) all appeared equally distributed, though urinary incontinence (23% prevalence) was strongly correlated with circumstances of caregiver neglect (R =.31; p =.003). IMPLICATIONS: 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.

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References

1982Development and validation of a geriatric depression screening scale: A preliminary report 1988The Prevalence of Elder Abuse: A Random Sample Survey 1993Elder Abuse 1998The Mortality of Elder Mistreatment 2004Elder abuse 1995Abuse and Neglect of Elderly Persons 1992National Survey on Abuse of the Elderly in Canada 2000The High Prevalence of Depression and Dementia in Elder Abuse or Neglect

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2010Abuse, Neglect, and Exploitation: Considerations in Aging With Lifelong Disabilities 2014Multidimensional Measurement Within Adult Protective Services: Design and Initial Testing of the Tool for Risk, Interventions, and Outcomes 2021Examining nurses' role in Adult Protective Services related to safeguarding older people 2007The Clinical Presentation of Elder Neglect: What We Know and What We Can Do 2021Elder Mistreatment Victims during the COVID-19 Pandemic: Administrative Data from San Francisco Adult Protective Services 2007

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