APS Webinars

APS Webinars

NCCD is pleased to host and moderate the "APS Research to Practice" webinar series sponsored by the National Adult Protective Services Association (NAPSA) and National Committee for the Prevention of Elder Abuse (NCPEA) Research Committee.  NCCD and the NAPSA-NCPEA research committee share the goals of promoting research in the areas of adult and elder mistreatment, and supporting APS agencies' use of research to inform and strengthen practice. These webinars are held quarterly.

Note: Presenters and webinar organizers generously donate their time and expertise. Points of view or opinions are those of the presenter(s) and do not necessarily represent the official position or views of the sponsoring or supporting organizations/entities. None of the sponsoring or supporting organizations/entities, its agents, funders, or employees bear any responsibility for the analyses or interpretations of the presented research.

2014 Spring Webinar – An Overview of the Assessment of Everyday Decision Making (ACED)

| Moderated by Kathy Park

Jason Karlawish, MD, provides an overview of the development and use of the Assessment of Capacity for Everyday Decision-Making (ACED). The ACED is the first tool available with data supporting its reliability and validity to effectively address a common clinical issue: is a patient who refuses an intervention to help manage an instrumental activity of daily living (IADL) disability capable of making this decision? The ACED is useful for assessing the capacity to solve functional problems of older persons with mild to moderate cognitive impairment from disorders such as Alzheimer's disease. Common clinical scenarios are the person who has problems performing an IADL, such as cooking, but refuses help to manage that IADL. Is the person capable of refusing this help? The ACED provides patient specific assessments of decisional abilities needed to make that informed refusal. The ACED works well for persons with short term memory impairments since the provided summary sheet can be referred to throughout the interview. The ACED can also help in real-world assessment of a person's cognitive abilities. It can also inform the assessment of complex cases of the "self-neglect syndrome." The ACED interview takes 15-20 minutes to administer. At the close of an ACED interview, the interviewer has a set of data that describe the person's performance on the decision making abilities. (Materials: slide presentation)

2014 Winter Webinar – Prosecution of Financial Exploitation Cases: Lessons from an Elder Abuse Forensic Center

| Moderated by Kathy Park

In this presentation, Dr. Adria Navarro and Dr. Kathleen Wilber discuss findings from their study that examines effectiveness when APS uses a novel multidisciplinary team (MDT)—an elder abuse forensic center—to increase prosecution of elder financial abuse crimes. Findings from this study of APS recipients between 2007-2009 found a ten times greater likelihood of cases being submitted to the District Attorney's office. The researchers shared the process used by the forensic center team to determine whether prosecution should become a case goal. (Materials: slide presentation) 

2013 Winter Webinar – The Elder Abuse Suspicion Index (EASI)©: Why a Suspicion Index and How Can It Be Used?

| Moderated by Kathy Park

In this presentation, Mark Yaffe, M.D., discusses his research on the development and validation of a brief tool for physician use to support identification and assessment of the presence or absence of suspected elder abuse. Use of the tool has the potential to sensitize physicians to elder abuse and promote referrals of possible victims for in-depth assessment by specialized professionals. While the tool was validated for use by family physicians, this presentation will also discuss what potential may exist for use by other health and social service providers, as well as for self-administration by seniors. (Materials: slide presentation) 

2013 Spring Webinar - Principles of Effective Evaluation and Research Capacity Building in APS

| Moderated by Kathy Park

Increasing demands for demonstrating positive results and outcomes of community services, including Adult Protective Services, have put significant pressure on program administrators and service providers to engage in ongoing evaluation research. In this webinar Dr. Madelyn Iris, Dr. Rebecca Berman, and Lisa Peters Beumer will describe the principles underlying effective organizational capacity-building for evaluation, review critical steps necessary for achieving evaluation goals, and highlight the benefits of engaging in on-going evaluation practice. Examples will be drawn from an innovative program called ASSERT (Assistance, Services and Support for Evaluation Research Training, a practical educational program that provides community services providers with the strategies, approaches and skills they need to conduct meaningful program evaluation and utilization-focused research. (Materials: slide presentation)

2013 Winter Webinar - Pure Financial Exploitation vs. Hybrid Financial Exploitation Co-occurring with Elder Physical Abuse and/or Neglect

| Moderated by Kathy Park

In this webinar, Shelly Jackson, Ph.D., shared findings from her research comparing pure financial exploitation (PFE) of an elderly person—financial exploitation that occurs independently of another form of elder abuse—with hybrid financial exploitation (HFE)—financial exploitation that co-occurs with physical abuse and/or neglect. Implications for how professionals intervene and work with victims of pure financial exploitation vs. hybrid financial exploitation are discussed. (Materials: slide presentation)

2012 Fall Webinar - Taking the Guesswork Out of APS Findings

| Moderated by Kathy Park

Presenters Lori Delagrammatikas, Mary Twomey, Krista Brown, Kris K. Brown, and Mary Counihan discuss how researchers and APS practitioners worked together to develop a protocol to improve the consistency of APS investigation findings in California. After researchers identified great variability in APS decision-making across California, APS practitioners developed a protocol which clearly delineated the essential defining elements of each type of abuse/neglect, provided direction and focus for gathering information, and supplied workers with a structure for evaluating the relative strength and integrity of that information. The protocol has been implemented throughout the state and researchers are in the process of studying its efficacy by evaluating the current level of consistency in findings. The webinar describes the research, protocol and training development, evaluation efforts, and the collaborations needed to affect change statewide. (Materials: slide presentation, supplemental materials) 

LEC - Revisiting Structured Decision Making

| Raelene Freitag

2012 Summer Webinar - The Elder Abuse Decision Support System, Part II

| Moderated by Kathy Park

In this follow-up to the Spring 2012 webinar, Kendon Conrad, Ph.D., Madelyn Iris, Ph.D., and Jessica Mazza, MSPH provided participants with an online demonstration of the Elder Abuse Decision Support System (EADSS) that uses standardized measures and short screening forms to assess elder mistreatment and exploitation, as well as expected system outcomes such as increased convenience and efficiency and improved quality of assessments. (Materials: slide presentation)

2012 Spring Webinar - The Elder Abuse Decision Support System

| Moderated by Kathy Park

Kendon Conrad, Ph.D., Madelyn Iris, Ph.D., and Jessica Mazza, MSPH presented on the development of the Elder Abuse Decision Support System (EADSS). Nationally, elder mistreatment and financial exploitation continue to be under-reported, resulting in inaccurate prevalence and incidence statistics, and increased suffering of older adults. Important systemic factors contributing to this problem include lack of valid, standardized assessment procedures, and state-specific definitions and scope of various types of abuse, neglect, and exploitation. Advances in assessment methodology and computer technology offer promising solutions to improve the identification and tracking of elder mistreatment and exploitation, as well as the reduction of some barriers related to the responsive assessment and delivery of services to victims. This presentation describes the development of EADSS, an Elder Abuse Decision Support System, that uses standardized measures and short screening forms to assess elder mistreatment and exploitation, as well as expected system outcomes such as increased convenience and efficiency and improved quality of assessments. The presentation focuses on the Older Adult Financial Exploitation Measure to illustrate the methods used to develop items. (Materials: slide presentation)

2010 Spring Webinar - Executive Function in Self-neglecting Adult Protective Services Referrals Compared with Elder Psychiatric Outpatients

| Moderated by Kathy Park

Jason Schillerstrom, M.D., of the University of Texas Health Science Center at San Antonio describes recent research findings detailing the prevalence of general cognitive, executive function, and visuospatial impairments, as well as depression in APS clients referred to psychiatry for a decision making capacity evaluation. The significance of disproportionate executive impairments will be discussed and webinar participants will specifically learn how clock drawing tasks can be used to screen for cognitive impairments relevant to decision making capacity. (Materials: CLOX I, slide presentation, webinar Q&A) 

2010 Summer Webinar - Conducting a Person-centered Assessment of Decisional Capacity in a Context of Abuse: Guidelines and Considerations (Part I)

| Moderated by Kathy Park

Deborah O'Connor, Ph.D., RSW, a professor in the School of Social Work at the University of British Columbia, and the (founding) Director of the Centre for Research on Personhood in Dementia, talks with us about her work upon which the theories presented in the recent article entitled "Assessing Capacity Within a Context of Abuse or Neglect" were based. This article is available in the Journal of Elder Abuse and Neglect, volume 21, issue 2. This article examines the unique aspects associated with assessing and determining capacity for older adults who are living in a situation of abuse or neglect. Specifically, examining how living in a situation of abuse or neglect may influence the determination of capacity and exploring the implications of conducting an assessment within a potentially abusive context. (Materials: slide presentation)

2010 Fall Webinar - Animal Hoarding: Comorbidity of Animal and Self Neglect

| Moderated by Kathy Park

Jane N. Nathanson, Social Work and Rehabilitation Consultant, and Specialist in Human-Animal Health & Welfare, discusses her work in the area of animal hoarding. This presentation is based on her recent publication in the Journal of Elder Abuse & Neglect, 2009 Oct;21(4):307-24. Article abstract: Substantial research and literature indicate how people and companion animals form relationships that are, for the most part, mutually beneficial. Yet there are highly dysfunctional human-animal relationships that do occur, meriting attention and remediation. One of the most perplexing and problematic human-animal relationships is encountered in cases of animal hoarding--a deviant behavior associated with extremely deleterious conditions of comorbid animal and self-neglect. Adult Protective Services workers often encounter theoretical and methodological dilemmas with these complex cases. To intervene most effectively, it becomes critical to elucidate some of the developmental factors of animal hoarding behavior and its correlation with self-neglecting behaviors in general. This article presents an in-depth diagnostic perspective as derived from the author's research and clinical experience. An analysis of the complex dynamics of the relationship between animal hoarders and their pets is presented in conjunction with accepted theories of self-neglect. With enhanced knowledge and understanding of animal hoarding, human service professionals will be better prepared to respond to these clients, evoke greater rapport and cooperation, and engage in the interdisciplinary efforts that are essential for optimal resolution. (Materials: slide presentation, presentation outline)