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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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Documentation of Resident to Resident Elder Mistreatment in Residential Care Facilities, New York City, 2009-2013 (ICPSR 35649)

Released/updated on: 2017-06-29
Geographic coverage: New York City, United States, New York (state)
Time period: 2009-07-01--2013-03-01

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 this study was to investigate violence and aggression committed by nursing home residents that is directed toward other residents, referred to here as resident-to-resident elder mistreatment (R-REM). Resident-to-resident mistreatment (R-REM) was defined as: negative and aggressive physical, sexual, or verbal interactions between long term care residents, that in a community setting would likely be construed as unwelcome and have high potential to cause physical or psychological distress in the recipient.

The goals of this project were to: enhance institutional recognition of R-REM; examine the convergence of R-REM reports across different methodologies; identify the most accurate mechanism for detecting and reporting R-REM; develop profiles of persons involved with R-REM by reporting source; investigate existing R-REM policies, and; develop institutional guidelines for reporting R-REM episodes. Also, the project team sought to answer the following research questions: (1) Will the reporting of R-REM differ by source? (2) Which reporting methods will show the highest level of convergence and accuracy in reporting? (3) What resident characteristics or profiles will predict R-REM across the differing reporting sources? (4) What are the existing guidelines and/or institutional policies for reporting R-REM? To achieve these goals, the researcher conducted this study over a two week period in five urban and five suburban New York City facilities. Resident-to-resident abuse information was derived from five sources: (1) resident interviews (2) staff informants (3) observational data (behavior sheets) (4) resident chart reviews (5) incident and accident reports.