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Showing 1 – 11 of 11 results.
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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

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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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.

Curated

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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Simple Crosstabs

Mass Marketing Elder Fraud Intervention, United States, 1999-2023 (ICPSR 39001)

Released/updated on: 2025-05-14
Geographic coverage: United States
Time period: 1998-06-06--2023-07-26

Estimates suggest that up to 16% of American adults--approximately 40 million people--fall victim to mass marketing scams each year. Mass marketing scams include any attempts to fraudulently solicit money from consumers through mass communication methods, such as the internet, telephone, and mail. Complaints to consumer protection agencies have risen 240% in the past 10 years (Federal Trade Commission [FTC], 2013, 2023). According to conservative estimates from the most recent Consumer Sentinel Network Report (FTC, 2023), Americans reported more than $2.7 billion in direct losses from fraud in 2022. In addition to financial costs, consequences to victims include feelings of shame and embarrassment, loss of trust, depression, and, in the most severe cases, suicidal ideation. These consequences of fraud are particularly impactful for older adults who suffer higher losses per incident, on average (FTC, 2022) and face greater challenges recovering from losses after retirement. Research on elder mistreatment in general has shown that older victims consume 30% more mental health and substance abuse services and are hospitalized more often than non-victims.

These scams convince susceptible targets that they have won bogus sweepstakes, merchandise, free vacations, or lotteries, but they first need to pay money to claim their winnings. Based on data from one major investigation from 2011 to 2016, the United States Postal Inspection Service (USPIS) found that Americans sent $558 million in checks, credit card payments, and money orders through the mail in response to such scams (USPIS internal data). Overall, the USPIS estimates that 3% of U.S. adults--7.5 million Americans--have mailed a payment in response to mass marketing fraud and that 60%-70% of these individuals are revictimized by a similar solicitation or an entirely different offer. Given these figures, reducing the incidence of mass marketing fraud could save millions of dollars annually.

Although the FTC, the National Council on Aging, the Consumer Financial Protection Bureau, the Better Business Bureau, American Association of Retired Persons (AARP), and other agencies and organizations routinely disseminate fraud education and awareness materials, it is unclear how much of these materials reach the most vulnerable populations. Much of the content is available online, yet according to the Pew Research Center, only 75% of adults older than age 65 use the internet, and only 64% have home broadband. Printed materials are also disseminated at senior centers, libraries, legal service offices, and outreach events, but older adults who are socially isolated and most susceptible to fraud are unlikely to be reached through these venues.

To address gaps in intervention research, Research Triangle Institute (RTI) International and the University of Minnesota conducted the Mass Marketing Elder Fraud Intervention (MMEFI) Study with collaboration and support from the USPIS. This multiphase research project included a secondary analysis of USPIS administrative data on prior scams and a randomized controlled trial test of the efficacy of two variations of a mailed intervention for preventing revictimization by mail fraud. The overall objective was to provide specific policy recommendations to the USPIS and other consumer protection agencies regarding the effectiveness of a mailed intervention. The MMEFI Study had the following specific goals:

  • Enhance knowledge and understanding of repeat victimization among older victims of mass marketing scams.
  • Engage in rigorous testing of the efficacy of two versions of a fraud intervention strategy geared toward preventing repeat victimization among older victims of mass marketing scams.
  • Assess victims' perceptions of the intervention and collect self-report data on experiences with other types of fraud by surveying individuals in the intervention study.

Curated

Resources for Enhancing Alzheimer's Caregiver Health, 1996-2001 (ICPSR 3253)

Released/updated on: 2006-03-30
Geographic coverage: United States, Tennessee, California, Alabama, Florida, Birmingham, Pennsylvania, Miami, Palo Alto, Massachusetts, Memphis, Philadelphia, Boston
Time period: 1996-09-01--2001-02-01
Resources for Enhancing Alzheimer's Caregiver Health (REACH) was established in 1995 to conduct social and behavioral research on interventions designed to enhance family caregiving, particularly in minority families, for persons with Alzheimer's Disease and related disorders. Data were collected through randomized clinical trials at six sites: University of Alabama--Birmingham, the Research and Training Institute of the Hebrew Rehabilitation Center for Aged in Boston, University of Tennessee--Memphis, University of Miami, Veterans Affairs Palo Alto Health Care System and Stanford University, and Thomas Jefferson University in Philadelphia. Interventions studied included psychoeducational support groups, behavioral skills training programs, family-based systems interventions, environmental modifications, and technological computer-based information and communication services. Although interventions varied by site, all sites collected the same data at the same time intervals. The impact of the various intervention strategies on psychological distress, health status, health practices, and health care utilization was assessed. Parts 1 through 5 contain screening data and a short mental status questionnaire. Parts 6 through 24 contain baseline data and cover activities of daily living, anxiety, and caregiver health and behaviors along with sociodemographic information. Also included are care recipient medications and sociodemographic information. Parts 25 and 26 contain tracking data and also include an examination of interventions.
Curated

Resources for Enhancing Alzheimer's Caregiver Health, 1996-2001, Baseline and Follow-Up Data (ICPSR 3678)

Released/updated on: 2006-09-26
Geographic coverage: United States, Tennessee, California, Alabama, Florida, Birmingham, Pennsylvania, Miami, Palo Alto, Massachusetts, Memphis, Philadelphia, Boston
Time period: 1996-09-01--2001-02-01
Resources for Enhancing Alzheimer's Caregiver Health (REACH) was established in 1995 to conduct social and behavioral research on interventions designed to enhance family caregiving, particularly in minority families, for persons with Alzheimer's Disease and related disorders. Baseline data (ICPSR 3253) were collected through randomized clinical trials at six sites: University of Alabama-Birmingham, The Research and Training Institute of the Hebrew Rehabilitation Center for Aged in Boston, University of Tennessee-Memphis, University of Miami, Veterans Affairs Palo Alto Health Care System and Stanford University, and Thomas Jefferson University in Philadelphia. Interventions such as psychoeducational support groups, behavioral skills training programs, family-based systems interventions, environmental modifications, and technological computer-based information and communication services varied by site. This collection contains baseline data along with follow-up data at 6-, 12-, and 18-month intervals from each site with focus on the impact of the various intervention strategies on psychological distress, health status, health practices, and health care utilization. Also included are follow-up batteries, transition batteries (placement, bereavement, discontinued), and data reporting missed visits. Parts 1 through 5 contain screening data and responses to a short mental status questionnaire. Parts 6 through 34 contain baseline data along with follow-up data at 6, 12, and 18-month intervals and cover activities of daily living, anxiety, and caregiver health and health behaviors along with sociodemographic information. Also included are care recipient medications and sociodemographic information. Parts 35 through 40 contain tracking data and also include an examination of interventions.
Curated

Resources for Enhancing Alzheimer's Caregiver Health (REACH II), 2001-2004 (ICPSR 4354)

Released/updated on: 2006-10-27
Geographic coverage: Palo Alto, United States, Tennessee, Memphis, California, Alabama, Florida, Birmingham, Philadelphia, Pennsylvania, Miami
Time period: 2001-01-01--2004-01-01
Built upon the findings of RESOURCES FOR ENHANCING ALZHEIMER'S CAREGIVER HEALTH, 1996-2001, BASELINE AND FOLLOW-UP DATA [ICPSR 3678], REACH II designed and tested a single multi-component intervention among family caregivers of persons with Alzheimer's disease or related disorders. The overall objectives were (1) to identify and reduce modifiable risk factors among diverse family caregivers of patients with Alzheimer's Disease or a related disorder, (2) to enhance the quality of care provided to the care recipients, and (3) to enhance the well-being of the caregivers. REACH II is the first project to simultaneously test a comprehensive caregiver intervention in three distinct racial/ethnic groups: Hispanic/Latino, Black/African-American, and White/Caucasian. The intervention was based on a risk-appraisal approach in which five areas of risk--depression, burden, self-care, social support, and patient problem behaviors--that are central to caregiver well-being and quality of life were matched to corresponding intervention components. These components included education, skills to manage troublesome care-recipient behaviors, social support, cognitive strategies for reframing negative emotional responses, and strategies for enhancing healthy behaviors and managing stress. Consistent with this approach, the primary outcome was a multivariate quality of life indicator that assessed caregiver depression, burden, self-care, social support, and patient problem behaviors. Two hallmarks of caregiver intervention studies--caregiver clinical depression and patient institutionalization--were assessed as secondary outcomes. The dataset names listed in this collection include the shortened name of the form administered.
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Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT) and Hospitalized Elderly Longitudinal Project (HELP), 1989-1997 (ICPSR 2957)

Released/updated on: 2020-02-20
Geographic coverage: United States
Time period: 1989-01-01--1997-01-01
The objective of the SUPPORT and HELP projects was to improve decision-making in order to address the growing national concern over the loss of control that patients have near the end of life and to reduce the frequency of a mechanical, painful, and prolonged process of dying. SUPPORT comprised a two-year prospective observational study (Phase I) followed by a two-year controlled clinical trial (Phase II). Phase I of SUPPORT collected data from patients accessioned during 1989-1991 to characterize the care, treatment preferences, and patterns of decision-making among critically ill patients. It also served as a preliminary step for devising an intervention strategy for improving critically-ill patients' care and for the construction of statistical models for predicting patient prognosis and functional status. An intervention was implemented in Phase II of SUPPORT, which accessioned patients during 1992-1994. The Phase II intervention provided physicians with accurate predictive information on future functional ability, survival probability to six months, and patients' preferences for end-of-life care. Additionally, a skilled nurse was provided as part of the intervention to elicit patient preferences, provide prognoses, enhance understanding, enable palliative care, and facilitate advance planning. The intervention was expected to increase communication, resulting in earlier decisions to have orders against resuscitation, decrease time that patients spent in undesirable states (e.g., in the Intensive Care Unit, on a ventilator, and in a coma), increase physician understanding of patients' preferences for care, decrease patient pain, and decrease hospital resource use. Data collection in both phases of SUPPORT consisted of questionnaires administered to patients, their surrogates, and physicians, plus chart reviews for abstracting clinical, treatment, and decision information. Phase II also collected information regarding the implementation of the intervention, such as patient-specific logs maintained by nurses assigned to patients as part of the intervention. SUPPORT patients were followed for six months after inclusion in the study. Those who did not die within six months or were lost to follow-up were matched against the National Death Index to identify deaths through 1997. The HELP study was conducted in 1993 concomitantly with Phase II of SUPPORT and collected data to characterize the care, treatment preferences, and patterns of decision-making among hospitalized patients who were at least 80 years old. HELP data were also intended for use in adapting existing mortality and functional status models of elderly hospitalized patients. Data collection methods of HELP were essentially the same as those of SUPPORT. HELP patients were followed for 12 months after inclusion in the study. Patients who did not die within one year or were lost to follow-up were matched against the National Death Index to identify deaths through 1997.