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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).
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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.

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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 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.

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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.
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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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.