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Assessment of Financial Judgment: Conceptual and Measurement Approaches, Metro Detroit, Michigan, 2014-2016 (ICPSR 37130)

Released/updated on: 2018-12-19
Geographic coverage: Detroit, United States, Michigan
Time period: 2014-01-01--2016-01-01

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

Drawing on the principles of Whole Person Dementia Assessment (Mast, 2011) and Appelbaum and Grisso's (1988) decision-making model, this project developed a tool, the Lichtenberg Financial Decision Rating Scale (LFDRS). The conceptual model for the LFDRS questionnaire integrates the measurement of contextual variables with financial capacity assessment. The purpose of the study was to establish reliability and validity of the LFDRS and to collect data on normative financial decision-making by older adults.

The researchers posited that as financial exploitation of older adults increases, investigation and prosecution of these cases remains difficult for criminal justice professionals who must balance protection of older adults with their right to autonomy; and that both under and over-protection of older adults can lead to damaging consequences. The project goal was to develop a set of new financial decision-making screening and comprehensive measures for criminal justice professionals and non-criminal justice professionals to aid in detecting and prosecuting financial exploitation of older adults. The LFDRS (described above) is meant to be used by mental health professionals, specially trained in assessment of older adults. In addition, the researchers developed a 10-item screening tool, the Lichtenberg Financial Decision Screening Scale or Short Scale (LFDSS), that was tested by multiple professionals working in diverse settings (e.g., APS workers, elder law attorneys, law enforcement personnel).

Family members are another group that are often aware of an older adult's vulnerability to financial exploitation and therefore, the researchers developed the Lichtenberg Financial Decision Rating Scale -- Family and Friends version (LFDRS - Family and Friends also known as the LFDRS Informant) to allow concerned professionals to interview confidantes of older adults to help measure financial capacity of a loved one. This tool may be particularly useful for Adult Protective Services to interview multiple people regarding their concerns about an older adult.

The collection contains 3 SPSS data files:

  • LFDRS-Data-for-ICPSR.sav (200 cases, 109 variables)
  • LFDRS_Informant-Data-for-ICPSR.sav (150 cases, 45 variables)
  • LFDSS_Screener-Data-for-ICPSR.sav (213 cases, 24 variables)
Curated

Bruising as a Forensic Marker of Physical Elder Abuse in Orange County, California, 2006-2008 (ICPSR 28144)

Released/updated on: 2012-12-21
Geographic coverage: United States, California
Time period: 2006-07-01--2008-05-01
The purpose of the study was to describe bruising as a marker of physical elder abuse. Consenting older adults were examined to document location and size of bruises and assess whether they were inflicted during physical abuse. An expert panel confirmed physical abuse. A research nurse conducted study assessments on 67 adults aged 65 and older reported to Adult Protective Services for suspected physical elder abuse in Orange County, California between July 2006 and May 2008. The study contains a total of 142 variables including age, sex, ethnicity, functional status, medical conditions, cognitive status, history of falls, bruise size, bruise location and color, recall of cause, and responses to the Revised Conflicts Tactics Scales (CTS2) and to the Elder Abuse Inventory (EAI).
Curated

Building Late-Life Resilience to Prevent Elder Abuse: A Randomized Controlled Pilot Study of the EMPOWER Program, Arizona, 2019-2021 (ICPSR 38332)

Released/updated on: 2023-08-14
Geographic coverage: United States, Arizona
Time period: 2017-01-01--2021-12-31

Over the past two decades, as the proportion of older Americans has increased, so too have instances of elder abuse, including physical, emotional, and sexual abuse; financial exploitation; and caregiver neglect. The most recent national survey estimates show at least 1 in 10 community-residing older adults experience elder abuse each year, which translates to over 7 million Americans annually. Rates of abuse are magnified for older adults with the least financial and social resources, including those with low incomes, living in isolated rural communities, and facing structural barriers such as systemic racism. Emerging research on the COVID-19 pandemic prompts even greater concern for elder abuse: the virus has disproportionately affected older adults, resulting in increased social isolation, physical health impairment, and exposure to COVID-related fraud.

Recognizing the urgent need to develop and rigorously evaluate programs aimed at preventing elder abuse, the US Department of Justice's National Institute of Justice funded a demonstration from 2017 to 2021 during which researchers from the Urban Institute and practitioners at the Phoenix-based Area Agency on Aging, Region One ("the Area Agency") co-developed an elder abuse prevention program in Maricopa County, Arizona, which Urban's team then evaluated through a randomized controlled pilot study. This multiphase demonstration included an initial planning phase and a subsequent pilot study, which is the focus of this report.

The EMPOWER: Building Late-Life Resilience program is a 12-week in-home intervention, with one-hour weekly visits designed to empower community-residing older adults with the resiliency and resources to lead safe and healthy lives throughout the aging process. EMPOWER provides one-on-one assessments, client-centered prevention education, and needs-responsive life skills training embedded in a series of cognitive reframing conversations with an experienced facilitator. The program has eight modules, each of which culminates in an action plan focused on strengthening a client's internal assets and identifying sources of positive social support. Caseworkers facilitate motivational discussions centered on clients' self-identified goals and action planning, with the aim of optimizing clients' home safety, physical health, social connectedness, and emotional and financial well-being.

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Consumer Financial Exploitation of the Elderly in Arizona and Florida, 2010-2011 (ICPSR 34925)

Released/updated on: 2016-09-27
Geographic coverage: United States, Florida, Arizona
Time period: 2010-06-01--2011-07-01

These data are part of NACJD's Fast Track Release and are distributed as they there received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except of the removal of direct identifiers. Users should refer to the accompany readme file for a brief description of the files available with this collections and consult the investigator(s) if further information is needed.

The objectives of the study were: (1) To determine the nature, incidence, and prevalence of fraud victimization among elderly consumers in Arizona and Florida; (2) To identify risk and protective factors associated with fraud victimization in this population; and (3) To evaluate the elderly population's awareness and use of state-based programs, including reporting behavior to law enforcement.

The study is comprised of data from telephone surveys of 2,000 aged 60 years and older Arizona (n = 1,000) and Florida (n = 1,000). The survey was obtained via computer assisted telephone interviewing (CATI) administered by Precision Research in June and July of 2011. Data were collected seven days a week during specific times of the day that had the greatest probability of contacting a respondent. The interviews were primarily conducted in English but a Spanish survey instrument was constructed and used when necessary.

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Coroner Investigations of Suspicious Elder Deaths; 2008-2011 [California] (ICPSR 33742)

Released/updated on: 2017-03-27
Geographic coverage: United States, California
Time period: 2008-01-01--2011-01-01

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

This was a two phase project designed to investigate the decision-making process of the coroner/medical examiner (CME) offices who are charged with investigating suspicious elder deaths and to pilot an intervention that augmented the decision-making process in three CME offices. In phase one, researchers collected case data from CME offices, public data on elder deaths, and interviews with CME investigators. Researchers then developed a brief screening tool, Elder Suspicious Death Field Screen (ESDFS), to be used by CME employees fielding reports of elder deaths. In phase two, the ESDFS was implemented in three counties for a six-month data collection period. An expert panel reviewed a subsample of cases to assess whether CME investigators made appropriate decisions to investigate or not.

Curated

Course of Domestic Abuse Among Chicago's Elderly: Risk Factors, Protective Behaviors, and Police Intervention, 2006-2009 (ICPSR 29041)

Released/updated on: 2013-04-23
Geographic coverage: United States, Chicago, Illinois
Time period: 2006-04-01--2009-10-01
The study was conducted to examine if and how risk factors and protective behaviors affect the course of elder abuse over time, and the role of police in intervening with elderly victims of domestic abuse and/or neglect. It also examined the prevalence rates for various types of abuse using a stratified sample of Chicago's elderly population. The study involved in-depth interviews with 328 elderly (aged 60 and over) residents of Chicago from three sample groups: (1) 159 community nonvictims; (2) 121 community victims; and (3) a police sample consisting of 48 elderly victims who had been visited by trained domestic violence/senior citizen victimization officers in the Chicago Police Department. The interviews were conducted using a survey instrument designed to assess victimization. The survey included questions about various characteristics and risk factors associated both with victims and perpetrators of abuse and/or neglect, specific types of abuse, and protective behaviors of victims. Victimization was examined twice over a 10-month period to evaluate the course of abuse over time. The efficacy of police intervention was also examined.
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Developing and Testing a Culturally Relevant Model to Understand Financial Maltreatment of Chinese American Elders, Phoenix, Arizona, 2015 (ICPSR 36270)

Released/updated on: 2022-05-12
Geographic coverage: United States, Phoenix, Arizona
Time period: 2015-01-01--2015-06-15
This study aimed to describe the prevalence of financial maltreatment, and to identify culture related risk factors of financial maltreatment, among a group of Chinese American elders living in the Phoenix metropolitan area. Researchers sought solutions to financial neglect and exploitation of Chinese American elders who have enormous adaptive challenges and lack a harmonious and supportive family environment, as well as frameworks for understanding the cultural environment that can be used by social workers, law enforcement, and service providers.
Curated

Developing a Taxonomy To Understand and Measure Outcomes of Success in Community-Based Elder Mistreatment Interventions, New York City, New York, 2018-2019 (ICPSR 37955)

Released/updated on: 2022-06-29
Geographic coverage: New York City, Queens, United States, Brooklyn, New York (state), Manhattan (New York City)
Time period: 2018-01-01--2019-01-01

Research tools available to help advance knowledge of effective community-based elder mistreatment (EM) interventions are limited. The field lacks an understanding of what success means in EM response program (EMRP) interventions, which work directly with victims to reduce the risk of re-victimization. Without establishing indicators of EMRP success, it is not possible to develop valid intervention outcome measures to compare different EMRP models toward the development of evidence-based practice. Informed by the EMRP practice principle of older adult self-determination, this study developed a victim-centric taxonomy of case outcomes that indicate EMRP success.

This study drew on two sources of data, including interviews with EM victims and a scoping review to inform taxonomy development. Prioritizing the perspective of victims, this study conducted interviews with 27 victims involved in EMRP services who vary in EM subtype, gender, and race/ethnicity.

The taxonomy of successful EMRP outcomes will serve as important research infrastructure to support the development of EMRP intervention outcome measurement in future research.

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Development and Validation of a Screening Protocol to Identify Elder Abuse in United States Emergency Departments, Chapel Hill, North Carolina, Camden, New Jersey, and Jacksonville, Florida, 2018-2019 (ICPSR 37464)

Released/updated on: 2021-04-29
Geographic coverage: North Carolina, Camden, Florida, Jacksonville, New Jersey, Chapel Hill
Time period: 2017-01-01--2019-01-01

This study was conducted to address elder abuse within emergency departments in the United States. The aim of this study was to develop a screening protocol or more specifically, an emergency department based tool to discover this specific abuse and try to eliminate it.

This emergency department senior aid tool was created in two phases: the development phase and the validation phase. The purpose of the development phase was to test the reliability of this tool in detecting elder abuse in ages 65 and older individuals. On the other hand, the validation phase was to test the tool at three different locations: UNC Medical Center in Chapel Hill, North Carolina, Cooper Hospital in Camden, New Jersey, and University of Florida Health in Jacksonville, Florida.

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Development of a Brief Elder Abuse and Neglect Screening Tool for Emergency Medical Services: Detection of Elder Abuse Through Emergency Care Technicians (DETECT), Texas, 2015 (ICPSR 37245)

Released/updated on: 2022-08-30
Geographic coverage: United States, Texas
In collaboration with Texas Adult Protective Services (APS) and one of the largest mobile healthcare providers in North Texas -- MedStarMobile Healthcare (MedStar) -- this study developed and piloted an elder abuse (EA) screening tool: Detection of Elder Abuse Through Emergency Care Technicians (DETECT). The DETECT tool was designed specifically to help medics identify potential EA among community-dwelling older adults during an emergency response. DETECT relies entirely on the medics' systematic observations of the older adults' physical and social environment -- no direct questioning of the older adult or their caregivers is involved. The DETECT tool was developed through an iterative, user-centered design process in which input was gathered from key stakeholders, and revisions to the tool incorporated their feedback. The intent was for that process to result in an EA screening tool that was easy for medics to use in the field and that helped medics capture information about older adults, their environments, and their caregivers that is thought to be associated with the occurrence of EA.
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Effectiveness of a Joint Police and Social Services Response to Elder Abuse in Manhattan [New York City], New York, 1996-1997 (ICPSR 3130)

Released/updated on: 2005-11-04
Geographic coverage: New York City, United States, New York (state)
Time period: 1996-01-01--1997-01-01
This project consisted of an evaluation of an elder abuse program run by the New York Police Department and Victim Services Research. The focus of the study was domestic elder abuse, which generally refers to any of several forms of maltreatment, physical abuse, sexual abuse, psychological abuse, neglect, and/or financial exploitation of an older person. The program, conducted in New York City public housing, had two complementary parts. First, public housing projects in Manhattan were assigned to one of two levels of public education (i.e., to receive or not to receive educational materials about elder abuse). Once the public education treatment had been implemented, 403 older adult residents of the housing projects who reported elder abuse to the police during the next ten months were assigned to one of two levels of follow-up to the initial police response (i.e., to receive or not to receive a home visit) as the second part of the project. The home visit intervention consisted of a strong law enforcement response designed to prevent repeat incidents of elder abuse. A team from the Domestic Violence Intervention and Education Program (DVIEP), consisting of a police officer and a social worker, followed up on domestic violence complaints with a home visit within a few days of the initial patrol response. Victims were interviewed about new victimizations following the intervention on three occasions: six weeks after the trigger incident, six months after the trigger incident, and twelve months after the trigger incident. Interviews at the three time points were identical except for the omission of background information on the second and third interviews. Demographic data collected during the first interview included age, gender, ethnicity, education, employment, income, legal relationship with abuser, living situation, number of people in the household, and health. For each time point, data provide measures of physical, psychological, and financial abuse, knowledge of elder abuse, knowledge and use of social services, satisfaction with the police, assessment of service delivery, and self-esteem and well-being. The DVIEP databases maintained on households at each of the three participating Police Service Areas (PSAs) were searched to identify new police reports of elder abuse for households in the sample within 12 months following the trigger incident. Variables from the DVIEP databases include age, race, ethnicity, and sex of the victim and the perpetrator, relationship of perpetrator to victim, type of abuse reported, charge, whether an arrest was made, if an order of protection had been obtained, if the order of protection was violated, use of weapons, if the victim had been injured, and if the victim was taken to the hospital. Several time lapse variables between different time points are also provided.
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Elder Abuse in the 2010 National Intimate Partner and Sexual Violence Survey (NISVS) (ICPSR 36808)

Released/updated on: 2018-01-03
Geographic coverage: United States

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

This study examines the prevalence and correlates of psychological abuse and physical abuse against women and men aged 70 or older. Self-report data from 2,185 respondents in the 2010 National Intimate Partner and Sexual Violence Survey (NISVS) were used to create weighted estimates for past-year experiences of abuse. Correlates were then examined using survey logistic regression models.

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Eurobarometer 67.3: Health Care Service, Undeclared Work, EU Relations With Its Neighbor Countries, and Development Aid, May-June 2007 (ICPSR 21521)

Released/updated on: 2010-06-29
Geographic coverage: Cyprus, Portugal, Global, Malta, Greece, Netherlands, Sweden, Austria, Latvia, Luxembourg, Ireland, Poland, Slovenia, Slovakia, France, Bulgaria, Lithuania, Croatia, Romania, Hungary, Europe, United Kingdom, Spain, Czech Republic, Turkey, Belgium, Finland, Denmark, Italy, Germany, Estonia
Time period: 2007-05-25--2007-06-27
This round of Eurobarometer surveys diverged from the Standard Eurobarometer measure and queried respondents on (1) health, long term care, and the dependent elderly (2) undeclared work, (3) the European Union's (EU) relationship with neighboring countries, and development aid, and (4) euro coins. For the first special topic, respondents were asked to assess their health status, life expectancy, whether they have significant impairment in participating in certain activities of daily living, and their experience with health care services, including access and cost. In addition, respondents were asked to identify persons in need of long term care, to provide their opinion and experiences in the planning and provision of long term care for the elderly, including the health care costs, and to evaluate the risk that dependent elders are being exposed to abuse and need for future personal care requirements. The second special topic, undeclared work, respondents were asked to identify their knowledge of persons who work without declaring income to tax or social security institutions, and the characteristics and reasons of those who would most likely do so. Respondents also evaluated the risk of being detected in not declaring income for which supplementary bills or fines may be issued, and sanctions expected to be implemented by authorities in response to a certain amount of income that is undeclared. The survey also queried respondents about services and goods acquired from an individual or group associated with undeclared work, and undeclared payment received from their employer and portion of gross yearly income this comprises, and their opinion about these practices. In addition, respondents identified the type and frequency of undeclared work in which they participated, amount of income received for this work, and the reasons this work was completed and for whom, and consequences in working undeclared. In addition, respondents assessed the legitimacy of certain behaviors pertaining to public and private economic transactions. As the next special topic, the survey examines respondents' knowledge of which countries currently plan to join the EU, which countries neighbor the EU, the European Neighborhood policy, and obtaining information about developmental aid. Pertaining to this policy, respondents were asked to assess the relationship between the EU and neighboring countries, and the importance of issues which would affect this relationship, including providing economic assistance. Respondents provided their opinion in regard to developmental aid the EU provides to the poor, the efficiency of providing aid through each member state or the European Commission, which donor provides the most aid to developing countries, and priorities for the EU in disbursing developmental aid. For the final special topic, respondents were asked about their knowledge of the sides of euro coins, to identify the genuineness and value of particular coins, to describe their experiences in accepting a fake, or a non-euro coin or coin-like object, and their opinion in regard to the national sides of the coins which differ among each country in the EU. Demographic and other background information includes respondent's age, estimate of life expectancy, gender, nationality, origin of birth (personal and parental), marital status, left-to-right political self-placement, occupation, age when stopped full-time education, household composition, ownership of a fixed or a mobile telephone and other durable goods, type and size of locality, region of residence, and language of interview (select countries). Respondents were also queried about their family size, including the number of children birthed, ages of their mother and father, and the housing situation for their child or parent, including distance from respondent. The survey also collected information such as the job sector in which the respondent currently works, number employed by respondent's employer, gross income, and hours worked per week at formal employment.
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Evaluating the Cost Effectiveness of the Elder Abuse Forensic Center Model in Los Angeles County, California, 2007-2013 (ICPSR 35484)

Released/updated on: 2017-06-29
Geographic coverage: Los Angeles, California
Time period: 2013-03-07--2013-05-23, 2007-04-01--2009-12-31, 2007-01-01--2011-01-01

These data are part of NACJD's Fast Track Release and are distributed as they there received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except of the removal of direct identifiers. Users should refer to the accompany readme file for a brief description of the files available with this collections and consult the investigator(s) if further information is needed.

This study evaluated the cost effectiveness of the Los Angeles Elder Abuse Forensic Center (EAFC) by examining costs associated elder abuse cases processed under a multidisciplinary team approach. Using data collected in Evaluating the Elder Abuse Forensic Center Model in Los Angeles County, California, 2007-2009 (ICPSR 34979) researchers focused on the key components, participants, and processes necessary to operate the Los Angeles EAFC and identified the costs required to process an elder abuse case as well as the outcomes attained by the EAFC. This study also carried out a survey of Adult Protective Service (APS) social workers on time spent on different case process activity and their perception on efficiency of the Los Angeles EAFC, and collected associated costs estimates.

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Evaluating the Elder Abuse Forensic Center Model in Los Angeles County, California, 2007-2009 (ICPSR 34979)

Released/updated on: 2016-11-30
Geographic coverage: Los Angeles, California
Time period: 2007-04-01--2009-12-31

These data are part of NACJD's Fast Track Release and are distributed as they there received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except of the removal of direct identifiers. Users should refer to the accompany readme file for a brief description of the files available with this collections and consult the investigator(s) if further information is needed.

The purpose of the study was to examine the effectiveness of a multidisciplinary team (MDT) intervention - the Los Angeles County Elder Abuse Forensic Center to: 1) prosecute elder abuse, 2) protect vulnerable older adults through conservatorship, and 3) reduce or prevent recurring cases of abuse. The study used a quasi-experimental design and focused on elder abuse cases involving victims aged 65 or older reviewed at the Los Angeles County Elder Abuse Forensic Center (the Center) between April 1, 2007 and December 31, 2009. These Center cases were compared to a propensity score match sample of Los Angeles County Adult Protective Services (APS) cases. Data were collected from Adult Protective Services case files, District Attorney filings, and Office of the Public Guardian conservatorship records.

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Evaluation of the Elder Abuse Decision Support System (EADSS) in Illinois, 2011-2014 (ICPSR 36097)

Released/updated on: 2017-12-07
Geographic coverage: United States, Illinois
Time period: 2011-09-01--2014-09-01

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

These data were collected as part of a larger effort to evaluate the implementation and effectiveness of a new computerized decision support system (Elder Abuse Decision Support System, EADSS) in elder abuse investigation and intervention programs in Illinois. Information on individuals with substantiated allegations of abuse includes basic demographics, physical, mental, and financial condition, and available resources. Variables describing the allegation cover the nature and severity of the abuse. Where possible, the alleged abuser(s) is(are) also evaluated physically, mentally, and financially, in addition to having basic demographics noted.

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Evaluation of the Elder Abuse Training Program in Massachusetts, 1993-1995 (ICPSR 6921)

Released/updated on: 1998-01-12
Geographic coverage: United States, Massachusetts
Time period: 1993-09-01--1995-02-01
These data were collected to evaluate the Elder Protection Project in Massachusetts, sponsored by the Massachusetts Attorney General's Office and funded by the Massachusetts Committee on Criminal Justice. The mission of the project was to train police officers to be aware of the changing demographics of the elderly population in Massachusetts and to communicate effectively and sensitively with senior adults so that officers could effectively intervene, report, and investigate instances of elder victimization, neglect, and financial exploitation. These data examine the quality of instruction given at the advanced training sessions conducted between September 1993 and May 1994 and offered in all regions of the state in coordination with local protective service agencies. Variables include the respondent's agency and job title, type of elder abuse programs offered by the agency, the respondent's estimate of the percentage of actual elder abuse reported in his/her area, and the respondent's opinion on the greatest obstacles to having elder abuse reported. Respondents rated their knowledge of elder abuse reporting laws, procedures for responding to elder abuse incidents, unique aspects of communicating with elderly people, and formal training on recognizing signs of elder abuse. Respondents that completed the two-day advanced law enforcement elder abuse training program rated the quality of the training and were also asked about issues related to elder abuse not covered in the training, names of new programs in the department or agency initiated as a result of the training, aspects of the training most useful and least useful, and suggestions regarding how the training program could be improved.
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Examination of Resident Abuse in Assisted Living Facilities in the United States, 2011 (ICPSR 34575)

Released/updated on: 2016-05-20
Geographic coverage: United States
Time period: 2011-01-01--2011-12-01

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

The purpose of the study was to:

  • Examine resident abuse from staff report by direct care workers in a nationally representative sample of assisted living settings;
  • Expand the scope of our understanding of resident abuse by including medication abuse in assisted living settings; and
  • Use the data collected to examine: a. rates of abuse; b. the association of external organizational, and internal factors with resident abuse; c. direct care worker characteristics associated with abuse; d. resident characteristics associated with abuse; e. leadership characteristics associated with abuse; f. the inter-correlations of different types of abuse; and, g. resident-to-resident abuse.

For the purposes of this research, an assisted living facility is defined as a long term care setting that typically provides residents for activities of daily living and instrumental activities of daily living. Using state listings from websites, researchers identified approximately 21,000 of assisting living facilities. A random sample of approximately seven percent (n=1,500) of these eligible assisted living facilities were selected from all 50 states. Administrators of assisted living facilities were asked if they were willing to complete the questionnaire (n=1,376). Administrators were also asked if they would be willing to distribute the questionnaire to direct care workers (n=12,555). Researchers requested that they distribute the survey to all full-time and part-time direct care workers on all shifts. Follow up reminder mailings and emails were used for the administrators.

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Financial Abuse of Elderly People vs. Other Forms of Elder Abuse in Virginia, 2003-2008 (ICPSR 29301)

Released/updated on: 2015-06-26
Geographic coverage: United States, Virginia
Time period: 2003-01-01--2008-01-01

This study examined financial exploitation of elderly people compared to other forms of elder maltreatment (physical abuse, neglect, and hybrid, i.e., financial exploitation and physical abuse and/or neglect) that occurred in a domestic setting. The cases were explored by obtaining information from a variety of sources including:

  • Three different individuals about a given case including (1) the caseworker from APS that managed the reported case, (2) the person who had been reported to have experienced elder abuse and, (3) where they were available, a non-offending third party who knew the elder at the time of the APS response to the report of elder abuse (e.g., the elder's domestic partner, care provider, friend, or family member).
  • Data derived from the Virginia Department of Social Services' Adult Services Adult Protective Services (ASAPS) Database which contains information drawn from several sources.
  • Prosecutors in four states that were interviewed about their experience prosecuting elder abuse, barriers and facilitators associating with prosecuting such cases, and possible reforms.

The specific goals of this research were to (1) Determine unique aspects of financial exploitation as compared to other forms of elder maltreatment, including risk factors, reporting, investigation, and case outcomes; (2) Determine the degree of congruence between the perceptions of victims of elder maltreatment and APS caseworkers regarding these cases; and (3) Develop recommendations based on these findings for addressing the financial abuse of the elderly.

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Financial Exploitation and Psychological Abuse of Older Adults in the Chicago Metropolitan Area, 2007-2008 [United States] (ICPSR 26881)

Released/updated on: 2013-01-11
Geographic coverage: United States, Chicago, Illinois
Time period: 2007-01-01--2008-01-01
The research team developed two self-reporting questionnaires, the Older Adult Mistreatment Assessment (OAMA) Client Questionnaire and the OAMA Staff Questionnaire, in order to measure for financial exploitation and psychological abuse of the elderly. The OAMA Client Questionnaire was administered to clients aged 60 years and over who had been substantiated for at least one form of elderly mistreatment within the Chicago metropolitan area. In addition, a corresponding Staff Questionnaire was administered to each evaluator involved in the field test and submitted on behalf of each client in the study. In all, 227 client interviews with 227 corresponding staff questionnaires were compiled between 2007 and 2008, and scales were developed for measurements of both financial exploitation and psychological abuse. Financial exploitation of the elderly was measured through variables related to theft, scams, coercion, signs of abuse or financial entitlement by trusted friends or family members, and money management difficulties. Psychological abuse of the elderly was measured through variables related to isolation, disrespect, exploited vulnerability, shame, threats and intimidation, and risk factors related to the client's trusted friends or family.
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Florida Elder Abuse Survey in Seven Sites, 2007-2008 [United States] (ICPSR 25941)

Released/updated on: 2010-10-27
Geographic coverage: Gainesville, United States, Orlando, Fort Lauderdale, St. Petersburg, Florida, Tampa, Jacksonville, Miami
Time period: 2007-01-01--2008-01-01
The purpose of this project was to develop and pilot test an interviewer-administered self-report questionnaire that might be used in a subsequent national survey to scientifically establish the prevalence of second-party elder abuse or neglect. The project focused only on those living in the communities who were capable of accurately self-reporting their knowledge, attitudes, and practices. Through focus groups of adult protective services and abuse hot-line staff, questionnaire items were generated and later tested through interviews of clients of aging services in Florida. Aging services case managers screened and recruited 95 clients, aged 65 and older, with 25 clients who had reports of mistreatment within the hotline database, and 70 comparison clients (no reports of mistreatment). Groups were matched by gender and age within 10 years. The interviews were conducted over an 18-month period, of which 3 interviews were conducted in-person and 92 interviews were conducted by telephone. All interviews were conducted by trained interviewers of the research team. Twenty-six interviews were conducted in Spanish. Interviews focused on demographics; activities of daily living; 19 possible types of elder abuse or neglect within the previous year, and, for each positive response, questions about the perpetrators and their relationship to the older adult; a description of when the mistreatment happened, how often, what the respondent did, and whether it was related to the perpetrator's anger, neglect, or carelessness.
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Forensic Markers of Physical Elder Abuse, Los Angeles, California, 2014-2017 (ICPSR 37050)

Released/updated on: 2018-08-07
Geographic coverage: United States, Los Angeles, California
Time period: 2014-09-01--2017-02-01

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

This study sought to: (1) document the spectrum of injuries and injury characteristics observed among physically-abused older adults reported to Adult Protective Services (APS) and compare those findings to injuries found among non-abused older adults, (2) identify observable injury characteristics and abuse circumstances that healthcare providers, law enforcement and prosecutors consider to be key forensic markers of physical abuse, (3) document information and evidence integral for achieving successful criminal prosecution, and (4) describe approaches that community-based frontline workers can employ to better document evidence of physical abuse.

The data included in this collection were collected under a National Institute of Justice-funded project that sought to document the spectrum and characteristics of injuries observed among physically abused, community-dwelling APS clients.

The collection includes two SAS datasets: injury.sas7bdat (with 47 variables and 403 cases) and subjectleveldata.sas7bdat (with 122 variables and 165 cases); and three SAS System Program Files: analysis-code-v1.sas, cleaned-injury-datasets-v1.sas, and formats.sas. Demographic variables in the collection are in the subjectleveldata.sas7bdat dataset, and include age, year of birth, gender, race, language, and level of education.

Curated

The Health Care Cost of Elder Abuse: An Analysis of Medicare, Medicaid, and Adult Protective Services Data in Maine, 2006-2014 (ICPSR 37372)

Released/updated on: 2024-07-30
Geographic coverage: United States, Maine
Time period: 2006-01-01--2014-12-31

In partnership with the Maine Department of Health and Human Services, this study analyzed approximately 200 case files of Maine Adult Protective Services (APS) substantiated investigations of financial exploitation that were opened and completed from 2007 through 2012. The case files included detailed information about the types of abuse individuals experienced, their functional limitations, and severity of risk status. The research team linked the case files with the individuals' Medicare and Medicaid claims data from 2006 through 2014 to examine their claims experience one year prior to APS contact, during their APS event year, and two years following their APS event year. Using a quasi-experimental design, the research team established health care use and cost profiles of the APS clients and compared their profiles to matched controls in the general older population. The project aimed to advance knowledge of the financial impact of elder abuse.

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Identification of Risk and Preventive Factors for Elder Financial Exploitation, Los Angeles, 2014-2015 (ICPSR 36415)

Released/updated on: 2018-01-05
Geographic coverage: United States, Los Angeles
Time period: 2014-01-01--2015-12-31

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

Financial elder exploitation (FE) is an increasing problem for vulnerable elders exploited by opportunists and for the social service and criminal justice system designed to protect them. This study systematically investigated both objective and subjective measures of social support and isolation, along with common risk factors mentioned in FE theories, including dependency, physical health, depression, cognition, and demographic characteristics. Researchers collected data on individual difference variables with an emphasis on cognitive factors and data on contextual factors using an individually administered survey approach. The framework for this project was derived from known factors for FE, predicted protective factors for FE, and conceptual approaches from the child mistreatment literature on risk and resilience.

The study includes 1 SPSS data file with 216 cases and 297 variables.

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The Impact of a Forensic Collaborative for Older Adults on Criminal Justice and Victim Outcomes: A Randomized-Control, Longitudinal Design, Denver, Colorado, 2014-2018 (ICPSR 37167)

Released/updated on: 2020-07-30
Geographic coverage: United States, Colorado, Denver
Time period: 2014-01-01--2018-01-01

Initially funded in 2013 by the National Institute of Justice, the primary purpose of this project was to conduct a randomized-control test of the impact of a victim-focused, forensic collaborative relative to usual care (UC) on older adult victims' health, mental health, and criminal justice outcomes. During the course of the project, researchers responded to enrollment and consent challenges by implementing Arm 2 that focused on collecting caseworker and victim advocate perceptions of cases as well as administrative data from Adult Protective Services (APS).

This collection contains 6 datasets:

  • Arm 1 (DS1) contains survey results from victim-focused interviews of 40 older adults who were reported to be victims of abuse, neglect, and/or financial exploitation over 4 time points. Variables describe victim and case characteristics, service use/needs, risk factors for abuse, consequences of abuse and exploitation, and criminal justice process and outcomes.
  • Arm 2 (DS2) includes a survey of APS caseworkers reporting on a case of older adult abuse, such as client (older adult victim) and perpetrator demographics, mistreatment details (verbal abuse, physical abuse, sexual abuse, neglect, financial exploitation, and/or housing exploitation), and service use.
  • Collateral assessments (DS3) surveyed a trusted individual related to the older adult respondent in Arm 1. This included data on the perceptions of the older adult's functioning and use of services; and the quality of decision-making procedures, desired treatment, and outcomes in the criminal justice system. Of the 40 Arm 1 participants interviewed, 33 gave collateral contact information. Of those 33, 16 could not be reached, one failed the consent quiz, and two declined to participate. Of the 14 who participated in an initial interview, only three participated at the follow-up nine months later.
  • Revictimization and Prosecutorial Outcome Data (DS5) includes information on new incidents reported to law enforcement over the nine months following the original incident report and prosecution outcomes, gathered from publicly-accessible police reports and court information for Arm 1 and Arm 2 cases.
  • APS administrative data (DS6), such as the demographics of the older adult victim and the primary perpetrator, assessment scores for risk and safety, the alleged mistreatment type, whether mistreatment was substantiated, and APS case status. The data included overall risk/safety scores and summary scores for the domains of physical functioning, environmental context, financial resources, mental health, cognition, medical issues, and mistreatment.

Arm 1 demographic variables includes age, gender, education, employment status, marital status, household size, ethnic minority, and income source. Arm 2 surveys reported ethnicity, gender, age, education, marital status, and employment status; APS data reported age and gender.

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National Elder Mistreatment Study, 2008 [United States] (ICPSR 28561)

Released/updated on: 2013-02-13
Geographic coverage: United States
Time period: 2008-02-06--2008-09-09
The overall aim of this project was to conduct a national epidemiological study to determine prevalence and risk factors for elder mistreatment in community residing older adults, defined generally as physical, sexual, emotional, neglectful, or financial mistreatment of a person aged 60 years or older. A second goal was to determine whether proxy reports of mistreatment would yield prevalence estimates similar to those of older adult respondents themselves, thereby demonstrating the validity of an alternate method of assessing elder mistreatment. Random Digit Dialing methodology was used to derive a nationally representative sample (based on age, race, and gender) of 6,052 older adults (target goal 4,000) and 538 proxy respondents (target goal 500) for this study. Participants were interviewed via telephone in English or Spanish about a variety of mistreatment types and mistreatment risk factors, in addition to questions regarding health, social support, and demographics. Specific elder mistreatment categories included emotional, physical, sexual, financial, and neglect.
Curated

National Elder Mistreatment Study: 8-Year Follow-up of Victims and Matched Non-Victims, United States, 2015-2018 (ICPSR 37275)

Released/updated on: 2025-12-02
Geographic coverage: United States
Time period: 2015-01-01--2018-12-31

The purpose of the completed project was to follow the first National Elder Mistreatment Study (NEMS), which provided prevalence estimates, with a second study of a subset of the same participants to measure the effects of elder abuse in terms of (1) health and mental health outcomes and (2) criminal justice system participation and satisfaction, as well as to specify additional predictors of these effects. Data were collected from 774 older adults 8 years following their participation in Wave I of the NEMS. This represented the results of contacting every locatable participant who reported psychological, physical, or sexual (but not financial) abuse at Wave I (achieved subsample n = 183 of the original 753 Wave I victims) and a comparison sample of 591 randomly selected Wave I non-victims from the remaining 2,149 working phone numbers of the original 5,024 non-victims (at Wave I). As mentioned, financial abuse classification at Wave I was not used to identify the victim subgroup prior to sampling, however retrospective analysis indicated that the two aforementioned sampling groups (every working phone number of Wave I victims of psychological, physical, and sexual abuse AND every working phone number of the 2,149 comparison Wave I participants) accounted for all but 7 financial abuse victims identified as such at Wave I (i.e., no other financial abuse victims at Wave I could have possibly been re-contacted). The cooperation rate (upon contact), for Wave I victims of psychological, physical, or sexual abuse was 66 percent; the cooperation rate of comparison Wave I participants was 57 percent. (Note: it had originally been proposed to conduct propensity matching once the sample of Wave I victims was re-contacted, however by conserving funds during this first phase, the study was able to expand from propensity matching to random selection of a much larger group of over 2,149, for a final derived sample of 774.)

Curated

People With Dementia as Witnesses to Emotional Events in Southern California, 2008-2009 (ICPSR 29042)

Released/updated on: 2015-04-16
Geographic coverage: United States, California
Time period: 2008-07-01--2009-10-01
This study sought evidence that a subset of people with dementia (PwD) have reliable memory for emotional events in their own lives, and that they differ from PwD whose memory for emotional life events is less reliable or unreliable in respect to their own disease stage, confabulation and neuropsychiatric behaviors, and awareness of their cognitive impairment. A cross-sectional study of 93 people with mild or moderate dementia (aged 55 and older) and a comparison group of 50 older adults was conducted. Memories of recent autobiographical events that had both positive and negative emotional content were elicited during a structured interview, designed for consistency with accepted forensic interviewing techniques. Accurate recollection of these events was independently verified by a non-demented informant, usually a family member. In addition, both members of the dyad were interviewed independently to assess other characteristics of people with dementia (PwD): demographics, depressive symptoms, functional and cognitive abilities, medications, health conditions, behaviors and characteristics of the dyadic relationship. Researchers also assessed PwD for disease stage, awareness of cognitive impairment, and episodic memory. A validated test of emotionally-influenced memory was administered to qualified participants to verify the novel structured interviewing assessment developed for this study. Two researchers conducted the study assessments during home visits. The data file contains 945 cases and 732 variables.
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Preventing Repeat Incidents of Family Violence: A Reanalysis of Data From Three Field Tests in Manhattan [New York City], New York, 1987, 1995-1997 (ICPSR 25925)

Released/updated on: 2011-03-21
Geographic coverage: New York City, United States, New York (state)
Time period: 1995-01-01--1997-01-01
In the mid-1980s New York City officials developed an intervention program, the Domestic Violence Intervention Education Project (DVIEP), to reduce repeat incidents of family abuse. The program posited that repeat victimization would decline as victims extracted themselves from self-defeating relationships or by working with social services and criminal justice staff to develop strategies to end the abuse while staying in the relationship. The purpose of this study was to evaluate the effectiveness of the DVIEP model in reducing repeat instances of family violence. Between 1987 and 1997, three separate, randomized field experiments in New York City's public housing projects evaluated whether or not the DVIEP program reduced the rate of subsequent victimization. All three studies tested the same intervention model: persons who reported family violence to the police were randomly assigned to receive or not to receive a follow-up visit from a domestic violence prevention police officer and a social worker. For this study, researchers concatenated the micro data from the 3 experiments into a single, 1,037 case dataset that contains identical treatment and control measures, and nearly identical outcome measures. Of the 1,037 total cases in the study, 434 are from the 1987 Domestic Violence Study, 406 are from the Elder Abuse study, EFFECTIVENESS OF A JOINT POLICE AND SOCIAL SERVICES RESPONSE TO ELDER ABUSE IN MANHATTAN [NEW YORK CITY], NEW YORK, 1996-1997 (ICPSR 3130), and 197 are from the Domestic Violence Arrestee Study in Manhattan's Police Services Area 2 (PSA2). The resulting data collection contains a total of 31 variables including which study (1987 Domestic Violence Study, Elder Abuse Study, or Domestic Violence Arrestee Study) the respondent participated in, whether the respondent was part of the experimental group or the control group, whether the respondent received public education or a home visit by a DVIEP team, the number of DVIEP services the respondent used, and whether the respondent completed a final interview with a DVIEP team after six months of tracking. Additionally, variables include the victim's age, whether the perpetrator of domestic abuse was a romantic partner of the victim, the number of incidents reported to the police, the Conflict Tactics Scale (CTS) violence score, and the number of days until the first new incident of domestic abuse.
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Six-State Survey of Elderly Dual Enrollees in Medicare and Medicaid, 1999 (ICPSR 3240)

Released/updated on: 2024-02-14
Geographic coverage: Iowa, United States, Massachusetts, Georgia, New Jersey, Wisconsin, Washington
This survey, conducted in Georgia, Iowa, Massachusetts, New Jersey, Washington, and Wisconsin, examined access to health care among elderly dual enrollees in Medicare and Medicaid. Respondents provided information about their health status, unmet needs for care, care availability, care utilization, quality of care, and difficulty in activities related to personal care and independent living. Additionally, the survey questioned respondents about private health insurance coverage, out-of-pocket expenses for prescribed medicines and medical bills as a whole, delays in getting health care caused by money problems, and concerns with neighborhood crime and violence at home. Background variables include sex, age (two age groups), race, Hispanic origin, education, home ownership, income, and work status at age 65.
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Statewide Profile of Abuse of Older Women and the Criminal Justice Response in Rhode Island, 2002 (ICPSR 22740)

Released/updated on: 2008-08-18
Geographic coverage: Rhode Island, United States
Time period: 1979-01-01--2007-01-01
This study examined the often overlooked and under reported issue of elder abuse. The research focused on female victims of domestic abuse over 50 years of age. The data were also compared to similar data on women under the age of 50. The data were collected in Rhode Island for several reasons, including the state's relatively broad definition of domestic violence and the large number of reports. Researchers examined every domestic violence report made to state and local law enforcement across Rhode Island in 2002 involving women victims 50 years of age and older. These reports include every incident, whether or not police ultimately arrested the alleged suspect, that meets the statutory definition of "domestic violence." The source of the report information was the Domestic Violence and Sexual Assault Reporting Form (DV/SA). Data were also collected about the past criminal activity of the suspects and any charges made after the study incident(s) occurred. The data were found in the Rhode Island Courts' central repository called CourtConnect. The purpose of the study was to better understand the characteristics of the victims and their abusers, the circumstances of the incidences of abuse, and the police response to the reports of domestic abuse. Data collected consisted of independent variables which are organized into conceptual clusters including those relating to victim characteristics, abuser characteristics, the nature of the incident, and the state's response to the incident. The victim characteristics included demographics and abuse history, if any. Abuser characteristics included demographics and criminal history. Incident characteristics described the abuse incidence in detail. Criminal justice response variables outlined how police and courts responded and reacted to the abuse. There were two dependent outcome variables in this study consisting of re-victimization and re-abuse. The data were analyzed using descriptive statistics, bivariate relationships, and multiple logistic regression. This study primarily focused on the response of the criminal justice system to elder abuse, the effect of age of victim, and re-abuse and re-victimization in order to gain a clearer picture into the realities of domestic abuse of elderly women.
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Simple Crosstabs

Testing a Model of Domestic Abuse Against Elder Women and Barriers to Help-Seeking in Miami-Dade County, Florida, 2006 (ICPSR 27981)

Released/updated on: 2014-05-07
Geographic coverage: United States, Florida, Miami
Time period: 2006-01-01--2010-01-01
This study sought to understand perceived barriers to help-seeking for female victims of domestic abuse age 50 years and older (by a spouse, partner, adult child, grandchild, other relative or close friend) relative to the perceived barriers for women in the same age group who are not victims of such abuse. Additionally, the study explored the impact of key demographic variables of race and ethnicity, relationship to the presumed abuser, and age at the time of the survey on perceived barriers of victims. To address these research questions this study tested an empirical model that described relevant factors regarding perceived barriers to help-seeking and explored if and how this model changed based on the identified variables. Study participants represented a community sample of females age 50 years and older interested in participating in research regarding conflict in close personal relationships experienced by women in this target age range. Specific aims for the project were intended to lead to increased knowledge regarding perceived barriers to help-seeking among older women and, in particular, to develop a basis for describing (a) if and how these perceived barriers were unique to domestic abuse victims relative to non-victims in this age group and (b) how they varied based on selected variables.
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Utility of Whole-Body CT Imaging in the Post Mortem Detection of Elder Abuse and Neglect in Maryland, 2007 (ICPSR 34201)

Released/updated on: 2016-04-04
Geographic coverage: United States, Maryland

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

The general and original hypothesis to be explored in this study was that multi-slice computed tomography (CT) imaging of decedents in whom elder abuse was suspected or reported might enhance the work of the medical examiner by providing novel information not readily available at conventional autopsy and/or by ruling out the need for complete conventional autopsy in cases in which abuse findings were negative, thereby providing: time and cost efficiencies, additional evidentiary support in the form of state-of-the-art images, and, in some cases, compassionate support for families whose religions or cultures required more rapid and/or noninvasive techniques.

No quantitative or qualitative data are available with this study. The data are comprised of the images taken from the autopsies of 57 decedents.