Abstract:
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.
journal_name
J Am Geriatr Socjournal_title
Journal of the American Geriatrics Societyauthors
Ejaz FK,Rose M,Reynolds C,Bingle C,Billa D,Kirsch Rdoi
10.1111/jgs.16433subject
Has Abstractpub_date
2020-08-01 00:00:00pages
1748-1754issue
8eissn
0002-8614issn
1532-5415journal_volume
68pub_type
杂志文章abstract:OBJECTIVES:To examine the effect of social engagement (SE) on mortality in long-term care. DESIGN:A retrospective cohort study. SETTING:A 725-bed long-term care facility. PARTICIPANTS:A total of 927 long-term care residents who had SE measurements and did not have a serious communication problem. MEASUREMENTS:Minim...
journal_title:Journal of the American Geriatrics Society
pub_type: 杂志文章
doi:10.1111/j.1532-5415.2000.tb02624.x
更新日期:2000-11-01 00:00:00
abstract::Two types of follicular change in the thyroid are described. The first represents an involutional change in which colloid cysts (macrofollicles) are often found. The second represents a hyperplastic-dysplastic (microfollicular) lesion. Two types of change in calcitonin (C) cells are also described, one of which may re...
journal_title:Journal of the American Geriatrics Society
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更新日期:1987-09-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
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journal_title:Journal of the American Geriatrics Society
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更新日期:2014-09-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
pub_type: 杂志文章
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更新日期:1994-01-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
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更新日期:2013-08-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
pub_type: 杂志文章
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更新日期:1998-12-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
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更新日期:1999-05-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
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更新日期:1993-02-01 00:00:00
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journal_title:Journal of the American Geriatrics Society
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更新日期:1994-04-01 00:00:00
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更新日期:2000-09-01 00:00:00
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更新日期:2013-04-01 00:00:00
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更新日期:1978-04-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1993-07-01 00:00:00
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更新日期:2017-08-01 00:00:00