Effect of an elder abuse and self‐neglect intervention on repeat investigations by adult protective services: RISE project

Stuart Lewis · Marie‐Therese Connolly · Erin Salvo · Patricia F. Kimball · Geoff Rogers · Andie MacNeil +1 more

10 citations0/0 files storedJournal of the American Geriatrics Society

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Elder Abuse and Neglect Aging, Elder Care, and Social Issues Child Abuse and Trauma

Abstract

BACKGROUND: Adult Protective Services (APS) is the primary agency responsible for investigating elder abuse and self-neglect (EASN) allegations in the United States. The harms of EASN are well established; however, APS lacks a conceptually derived evidenced-based intervention phase. RISE is a community-based intervention designed to complement APS that provides enhanced services and a longer intervention phase. The objective of this study was to test whether exposure to the RISE/APS collaboration was associated with reducing the case outcome of recurrence (repeat investigations) compared to usual care APS only services. METHODS: A retrospective observational study (n = 1947) of two counties in Maine where RISE was available to provide enhanced services to persons referred from APS. An extended regression endogenous treatment Probit model using APS administrative data was used to predict case recurrence. RESULTS: Between July 2019 and October 2021, 154 cases participated in RISE and 1793 received usual APS only services. 49% of cases in RISE had 2 or more prior substantiated allegations versus 6% for those receiving usual APS care, and 46% of cases in RISE had a recurrence during the observation period versus 6% for usual care group. However, after accounting for the non-random treatment assignment, RISE was associated with a significantly lowered likelihood of recurrence compared to persons receiving usual care provided by APS (probability of recurrence reduced by 0.55 for the Average Treatment Effect on the Treated and 0.26 for the Average Treatment Effect). CONCLUSIONS: A reduction in recurrence carries important implications for APS clients, costs, resources, and workflow. It may also serve as a proxy indicating a reduction in revictimization and harm for EASN victims.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 10 citations exist upstream.

References

2016Elder Abuse: Global Situation, Risk Factors, and Prevention Strategies 2013Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America 2009Elder Self-neglect and Abuse and Mortality Risk in a Community-Dwelling Population 2017Consequences of Elder Abuse and Neglect: A Systematic Review of Observational Studies 2021High Prevalence of Elder Abuse During the COVID-19 Pandemic: Risk and Resilience Factors 2017Elder self-neglect: research and practice 2016The Abuse Intervention Model: A Pragmatic Approach to Intervention for Elder Mistreatment 2016Community Elder Mistreatment Intervention With Capable Older Adults: Toward a Conceptual Practice Model

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.