A Novel Intervention to Identify and Report Suspected Abuse in Older, Primary Care Patients.
Aged
Aged, 80 and over
Cross-Sectional Studies
Elder Abuse
/ diagnosis
Female
Geriatric Assessment
/ methods
Government Programs
Health Plan Implementation
Health Services for the Aged
Humans
Male
Mandatory Reporting
Medicare
Primary Health Care
/ methods
Program Evaluation
Social Welfare
Texas
United States
Adult Protective Services
elder maltreatment
healthcare
integration of health and social services
Journal
Journal of the American Geriatrics Society
ISSN: 1532-5415
Titre abrégé: J Am Geriatr Soc
Pays: United States
ID NLM: 7503062
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
22
11
2019
revised:
28
02
2020
accepted:
05
03
2020
pubmed:
1
4
2020
medline:
3
3
2021
entrez:
1
4
2020
Statut:
ppublish
Résumé
Previous research has identified several barriers faced by clinicians in detecting and reporting elder abuse, such as lack of knowledge about the process to report suspected cases of abuse and lack of access to experts to consult with. A novel intervention was designed and tested that embedded two Adult Protective Services (APS) specialists in a healthcare system operating primary care clinics serving a large Medicare population. To examine the types of roles the APS specialists played in the healthcare system and the number and types of cases of suspected abuse among older patients that clinicians consulted them about and reported to APS. Cross-sectional, exploratory study. Primary care clinics in five regions of Texas. Older patients of primary care clinics. APS specialists and project staff trained clinicians on how to identify and report abuse, neglect, and exploitation among older patients. The specialists were also available in person or by telephone and email to consult with clinicians about patients suspected of being abused by others or being self-neglecting. Data were obtained by conducting semistructured telephone interviews with APS specialists; and from APS specialists' written documentation/notes of consultations with clinicians regarding suspicion of abuse among patients and whether a report to APS was warranted. The APS specialists trained clinicians on abuse, consulted with clinicians, and served as a liaison between the healthcare system and APS. During the project, clinicians reported 529 older patients to APS, and 386 patients received one or more services documented by APS at case closure. These cases involved 902 allegations of various types of abuse, of which the most common was self-neglect (617 or 68%). Embedding APS specialists in a large healthcare system led to clinicians' increased awareness of the importance of identifying and reporting elder abuse, particularly self-neglect. J Am Geriatr Soc 68:1748-1754, 2020.
Sections du résumé
BACKGROUND
Previous research has identified several barriers faced by clinicians in detecting and reporting elder abuse, such as lack of knowledge about the process to report suspected cases of abuse and lack of access to experts to consult with. A novel intervention was designed and tested that embedded two Adult Protective Services (APS) specialists in a healthcare system operating primary care clinics serving a large Medicare population.
OBJECTIVES
To examine the types of roles the APS specialists played in the healthcare system and the number and types of cases of suspected abuse among older patients that clinicians consulted them about and reported to APS.
DESIGN
Cross-sectional, exploratory study.
SETTING
Primary care clinics in five regions of Texas.
PARTICIPANTS
Older patients of primary care clinics.
INTERVENTION
APS specialists and project staff trained clinicians on how to identify and report abuse, neglect, and exploitation among older patients. The specialists were also available in person or by telephone and email to consult with clinicians about patients suspected of being abused by others or being self-neglecting.
MEASUREMENTS
Data were obtained by conducting semistructured telephone interviews with APS specialists; and from APS specialists' written documentation/notes of consultations with clinicians regarding suspicion of abuse among patients and whether a report to APS was warranted.
RESULTS
The APS specialists trained clinicians on abuse, consulted with clinicians, and served as a liaison between the healthcare system and APS. During the project, clinicians reported 529 older patients to APS, and 386 patients received one or more services documented by APS at case closure. These cases involved 902 allegations of various types of abuse, of which the most common was self-neglect (617 or 68%).
CONCLUSION
Embedding APS specialists in a large healthcare system led to clinicians' increased awareness of the importance of identifying and reporting elder abuse, particularly self-neglect. J Am Geriatr Soc 68:1748-1754, 2020.
Types de publication
Evaluation Study
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1748-1754Subventions
Organisme : ACL HHS
ID : 90EA0002-01
Pays : United States
Informations de copyright
© 2020 The American Geriatrics Society.
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