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.
Goal Attainment Scaling
In this NCCD-hosted webinar moderated by Jennifer Cotter, an associate director at NCCD, David Burnes, PhD, introduces the idea of goal attainment scaling (GAS), a client-centered tool to generate intervention plans and measure case resolution in adult protective services (APS) and other elder abuse response programs. GAS allows workers to capture nuanced aspects of APS work and its various moving parts involved in case intervention/progression. Without a tool that measures overall case resolutions, the effectiveness of different APS intervention models/practices cannot be systematically compared. Dr. Burnes is an assistant professor at the University of Toronto, Factor-Inwentash Faculty of Social Work, and an affiliate scientist at Baycest Health Sciences, Rotman Research Institute. Dr. Burnes’ research centers around the issue of elder abuse, specifically, understanding and preventing elder abuse in the community, developing/evaluating interventions, and developing intervention outcome measures.
Statewide Elder Mistreatment Virtual Assessment Program
The webinar will present an overview of the Texas Elder Abuse and Mistreatment Institute-Forensic Assessment Center Network (TEAM-FACN) with a primary focus on the virtual assessment model for completing mental health capacity assessments. Using a web-based platform and readily available videophone modalities the TEAM-FACN is able to connect Texas Adult Protective Services caseworkers and their clients, statewide, to a localized group of geriatric and elder abuse experts in Houston, Texas for services including mental health capacity assessments. A brief description of the TEAM-FACN web-based referral and case communication portal will be presented along with high level overviews of the various statewide services provided by the TEAM-FACN program. A more detailed presentation of the statewide videophone assisted mental health capacity assessments will be presented by the lead TEAM-FACN Geriatrician. First year utilization, challenges and benefits will also be discussed.
Does Elder Abuse Type Tell Us Anything About Five-Year All-Cause Mortality?
It is widely recognized and accepted that confirmed elder mistreatment leads to higher risks of early all-cause mortality. Less understood is whether different types of confirmed elder mistreatment confer a greater risk for all-cause mortality compared to other confirmed types and whether having multiple types of concurrent confirmed elder mistreatment result in compounded risk for death. This webinar presents data from a single study using Texas Adult Protective Services data of confirmed elder mistreatment to predict 5-year all cause mortality among 5-different maltreatment types (i.e. caregiver neglect, physical abuse, emotional abuse, financial exploitation and polyvictimization). The findings will be discussed in relation to existing literature and the need for future well-designed mortality studies aimed at understanding the individual impact that different elder mistreatment types may have on mortality.
Presenter: Jason Burnett, PhD
UTHealth, McGovern Medical School at Houston
Co-Director of the Texas Elder Abuse and Mistreatment Institute
Director of the UTHealth, Forensic Assessment Center Network-APS Division
The Abuse Intervention Model: A Pragmatic Approach to Intervention for Elder Mistreatment
Interventions are needed to mitigate elder mistreatment, but responders must first know when to intervene. This webinar will present the Abuse Intervention Model (AIM), a simple, coherent framework of known risk factors of the victim, perpetrator, and environment that applies to all types of abuse. Dr. Laura Mosqueda will discuss the details of the AIM and present case studies on how the AIM can be applied to APS work. (Materials: slide presentation)
Disrespect: Elder Abuse and Native Americans
Most elders describe abuse as disrespect and using this terminology will get a more robust response during an investigation. This webinar will present language and approaches that will help with the communication and investigation of elder abuse among Native American elders. Jacque Gray will discuss how her research has helped to inform practice with Native American elders. (Materials: slide presentation)
Dr. Jacque Gray is an Associate Director/Research Professor for the Department of Population Health and the associate director for Rural Health for indigenous programs at the University of North Dakota School of Medicine and Health Sciences, in Grand Forks.
2016 Fall Webinar – Correlates of Depression in Self-Neglect
Depression is common among older adults who no longer can care for themselves; and both self-neglect and depression are associated with poor health outcomes, including increased mortality. This webinar will explore some of the potential health and behavioral correlates of depression in older adults who neglect themselves. In addition, the webinar will cover implications for further research and the development of programs to address depression in this population. Part of a series on APS research to practice, this webinar is sponsored by the joint research committee of the National Adult Protective Services Association and the National Committee for the Prevention of Elder Abuse, with support from NCCD. (Materials: slide presentation)
2016 Summer Webinar – Expanding Constructions of Elder Abuse: How Older Mothers View Their 'Difficult' Adult Children
2016 Spring Webinar- A New Tool for Assessing Financial Decision Making in Older Adults
In many cases of financial exploitation, the exploited person’s capacity to make decisions is the core issue that must be assessed. Therefore, it is essential for investigators to have effective instruments for measuring a person’s capacity to make independent financial decisions, but one challenge is the lack of tools to detect deficits in financial capability. This session introduces a new screening scale for financial decision-making capacity. The Lichtenberg Financial Decision Screening Scale (LFDSS) is a brief, 10-item screening scale designed to assess a vulnerable adult’s decisional ability at the point in time when the adult is making a significant financial decision. In this webinar, we will review instructions for administering the LFDSS, review screening questions and scoring, and discuss case studies using the scale. (Materials: slide presentation)
2015 Fall Webinar – Improving Client Mental Health to Positively Impact Abuse Resolution
In this webinar we will discuss the implementation of mental health screening and Problem-Solving Therapy (PST) in routine elder abuse services. Providing Options To Elderly Clients Together (PROTECT) is a mental health program in which anxiety and depression screening and PST with anxiety management are integrated into elder abuse services to improve outcomes for victims with depression and/or anxiety. The webinar will describe the methods used and the effects of the program on staff and clients. (Materials: slide presentation)
2015 Summer Webinar – A Week in the Life of Adult Protective Services
This webinar is conducted by Pamela B. Teaster, Ph.D., Virginia Tech Center for Gerontology. It presents a study that uses a public health model to examine allegations of elder abuse made to Kentucky Adult Protective Services (APS) and the investigations that followed in order to understand how APS addressed the needs of abused elders. Elder abuse allegations made to APS during the study week were collected using three study tools. Allegations and resulting investigations were analyzed using descriptive statistics. Results describe characteristics of the abuse calls, investigations, victims, perpetrators, and investigation times. The substantiation ratio, recidivism, and whether investigation increased or decreased the risk of abuse were also assessed. Examining APS casework through the lens of nested systems (ecological systems theory) has the potential to improve the outcomes of those served by APS and can be used as a model for APS programs across the country.
2015 Spring Webinar – Observational Measures of Elder Self-Neglect
Elder self-neglect (ESN) represents half or more of all cases reported to adult protective services. ESN directly affects older adults and also their families, neighbors, and the larger communities around them. ESN has public health implications and is associated with higher than expected mortality rates, hospitalizations, long-term care placements, and localized environmental and safety hazards. This webinar begins by describing results from a study using concept mapping to create a conceptual model of ESN and the items needed to measure it. On this webinar, presenters will discuss findings from a study that resulted in the development of the Elder Self-Neglect Assessment (ESNA). The tool was field-tested by social workers, case managers, and adult protective services providers from 13 Illinois agencies. ESNA indicators of self-neglect align into two broad categories: behavioral characteristics and environmental factors, which must be accounted for in a comprehensive evaluation. Discussion will focus on the clustering of items into the two categories and on the hierarchy of items which should represent severity of self-neglect. (NOTE: the webinar recording begins on slide 3 of the slide handout. Introductory remarks are excluded due to recording technical difficulties). (Materials: slide presentation)
2015 Winter Webinar - Forensic Markers of Elder Abuse and Neglect
It is often difficult to figure out if an injury or wound is due to elder abuse. In part, this is because many of the normal and common age-related changes mask and mimic signs of elder abuse. "Older adults bruise easily" and "old people who aren't mobile develop pressure sores" are common refrains that may be hard to refute. In this webinar we will review the research and clinical findings that help distinguish forensic markers of elder mistreatment. (Materials: slide presentation) Presenter - Laura Mosqueda, MD, FAAFP, AGSF, Chair, Department of Family Medicine, Professor of Family Medicine and Geriatrics (Clinical Scholar) and Associate Dean of Primary Care, Keck School of Medicine of University of Southern California