Do We Really Need Another Meeting? Lessons From the Los Angeles County Elder Abuse Forensic Center

Adria E. Navarro · Kathleen H. Wilber · Jeanine Yonashiro‐Cho · Diana C. Homeier

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Elder Abuse and Neglect Child Abuse and Trauma Child Abuse and Related Trauma

Abstract

PURPOSE: Elder abuse cases are often time consuming and complex, requiring interagency cooperation from a diverse array of professionals. Although multidisciplinary teams (MDTs) offer a potentially powerful approach to synergizing the efforts of different providers, there has been little research on elder abuse MDTs in general or elder abuse forensic centers in particular. This article draws on our experience with the development of an innovative elder abuse MDT model by describing the structure, process, and outcomes of the Los Angeles County Elder Abuse Forensic Center (the Center). DESIGN AND METHODS: We use a logic model to provide the framework for discussing the Center's components and de-identified client records to report key characteristics of the cases reviewed (n = 313). We summarize surveys of core team members' evaluations of team effectiveness (n = 37) and case presenters' assessments of the Center effectiveness (n = 108). RESULTS: During its first 3 years, the Center reviewed 2-4 cases per week and gained active and regular participation among core team members. Both team members' and presenters' evaluations were highly favorable. IMPLICATIONS: Process outcomes indicate that busy professionals found the model extremely valuable, with added consultation and services aiding elder abuse prevention, protection, and prosecution. The logic model offers structure, process, and outcomes with which to replicate and individualize the elder abuse forensic center model according to the needs and resources in each community.

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References

2013Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America 1998The Mortality of Elder Mistreatment 1999Psychological Distress in Victims of Elder Mistreatment: The Effects of Social Support and Coping 2003A National Look at Elder Abuse Multidisciplinary Teams 2006Findings From an Elder Abuse Forensic Center

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2012How Do Abused Elderly Persons and Their Adult Protective Services Caseworkers View Law Enforcement Involvement and Criminal Prosecution, and What Impact Do These Views Have on Case Processing?2016Development of skills-based competencies for forensic nurse examiners providing elder abuse care 2015Voices from the Frontlines: Examining Elder Abuse from Multiple Professional Perspectives 2016An assessment of interventions that target risk factors for elder abuse 2016The Forensic Lens: Bringing Elder Neglect Into Focus in the Emergency Department 2015Determining Possible Professionals and Respective Roles and Responsibilities for a Model Comprehensive Elder Abuse Intervention: A Delphi Consensus Survey 2017Elder Abuse Multidisciplinary Teams

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