Search results

The purpose of this paper is to explore Protective Service (PS) caseworker opinions related to why some older adults require repeated services.

Using a constructivist grounded theory approach, focus groups were conducted with a major Adult Protective Services (APS) office, recorded, transcribed, and analyzed using thematic analysis.

Results from the qualitative analytic method of thematic analysis produced four overarching themes: poor communication between referral sources and APS; PS caseworkers as gatekeepers; self-determination; and changes in health conditions and family dynamics.

The documented themes appear amenable to education interventions for both professionals and families.

These new data add depth to the understanding of the PS caseworker experience and help guide research related to areas that need educational interventions with older adults who access APS and the professionals and families involved in such cases.

The purpose of this paper was to test whether differences in attributions between caseworkers and their elderly clients regarding the cause of reported elder abuse occurring in a domestic setting impact the ability of caseworkers to effectively intervene in elder abuse cases.

Interviews were conducted with 63 pairs of caseworkers and either the elderly client with a substantiated report of elder abuse or their surrogate.

Initially, 61.9 percent of the pairs of interviewees held discordant attributions regarding the cause of the elderly person's abuse. However, at the close of the investigation, only 41.3 percent of the pairs of interviewees held discordant causal attributions, with 13 elderly persons having changed their attributions to be in alignment with the caseworker. Discordant causal attributions at the close of the investigation was related to an inability to find a resolution and achieving cessation of abuse.

It will be beneficial to determine methods APS caseworkers can employ to narrow the causal attribution gap.

Reconciling discordant causal attributions while maintaining victim autonomy can enhance the likelihood of effective interventions and lead to greater victim safety. However, this takes more time than most APS caseworkers in the USA are allowed by statute to allocate to one case and may necessitate statutory changes that accompany changes in practice.

This is the first study to assess differences between caseworkers and their elderly clients regarding their causal attributions of reported abuse occurring and whether those differences are related to the likelihood of reaching a resolution and the cessation of abuse.

Our understanding of what intervention strategies are effective in improving the well-being of older adults experiencing elder abuse and self-neglect (EASN) is severely limited. The purpose of this study was to examine the use of a method called “teaming,” a wraparound approach to provide enhanced social support to older adults experiencing EASN. A teaming intervention was administered by advocates in Maine, USA, as a component of a larger community-based EASN intervention, Repair harm, Inspire change, Support connection, Empower choice (RISE), implemented to complement adult protective services.

Qualitative interviews and a focus group were conducted with RISE advocates (n = 4). A descriptive phenomenological approach involving two independent assessors was used to code transcripts into themes and subthemes.

Three domains were identified: (1) team and support forming process, which describes the development of a supportive network based on each client’s needs; (2) techniques, which refers to the specific strategies advocates use to promote collectivity and shared responsibility around the client; and (3) implementation challenges, which discusses the difficulties advocates encounter when using teaming with people experiencing EASN.

This study represents the first in-depth exploration of teaming in the context of EASN intervention. Preliminary findings on the experiences of advocates suggest that teaming is a beneficial approach to support the individualized needs of each client, and to promote improved and sustainable case outcomes for clients.

Little empirical attention has been given to adult protective services (APS) investigations and the clients involved in those investigations. The purpose of this study was to explore aspects of the APS investigation of and response to reported elder maltreatment, the perceptions of elderly victims and their refusal of services, and to compare findings by the type of maltreatment involved (financial exploitation, physical abuse, neglect, and hybrid financial exploitation).

Data were collected from two sources over a two‐year period: in‐depth interviews with 71 APS caseworkers and 55 of the corresponding elderly victims who experienced substantiated elder maltreatment; and a statewide database that contained 2,142 substantiated cases of elder abuse.

Many aspects of the APS investigation and response differed by the type of maltreatment involved. While elderly victims were generally cooperative and satisfied with the APS intervention, 38 percent would have preferred APS not to investigate their case. Elderly clients responded differentially to offers of assistance, depending on the type of abuse involved, with victims of physical abuse most likely to refuse services.

Future research will want to understand why elderly victims refuse services in order to develop appropriate interventions.

New approaches may be required for intervening in physical abuse cases, including collaborations between APS and domestic violence advocates and the inclusion of services for perpetrators.

This is the first large‐scale study to examine elderly victims' refusal of services, further enhanced by the analysis of refusal of services by type of abuse, thereby revealing a group of victims for which changes in intervention strategies may be necessary.

Federal immigration policy embodies national ideas about membership. Nevertheless, attitudes toward immigration within a nation are not invariable. Regional policies vary dramatically in their support or antagonism toward immigrants. In addition, immigration policy profoundly affects other areas of governmental authority. This chapter explores the relationship between state-level immigration policy and family reunification for Hispanic/Latino children in the United States. The quantitative analysis utilizes data from the National Council of State Legislatures (NCSL) (2008–2014) as well as data gathered from the Child Welfare Outcomes Report published by the Department of Health and Human Services. The results show that while Hispanic/Latino children are not overrepresented in the child welfare systems of the states with the most antagonistic legislation, they are returned to the custody of their parent(s) in smaller percentages compared to whites in the states with the most antagonistic bills compared with the states with the most supportive bills.

The purpose of this paper was to study the vexing problem of defining financial exploitation. Advocates and practitioners in the field who have been battling financial exploitation are pleased to observe the increased attention that financial exploitation is receiving at all levels of society. With this increased attention, however, there has been a conflation of terms used to describe financial exploitation, resulting in some confusion about what constitutes financial exploitation.

Fully recognizing that definitions serve different functions, this paper identifies three main purposes of a definition and then describes the myriad ways financial exploitation has been defined in the research literature, by organizations, and in civil and criminal statutes.

Financial exploitation has been defined in multiple ways within and across categories. Furthermore, the definition has expanded over time. This paper proposes the need for greater definitional clarity around the concept of financial exploitation, and argues that at a minimum a distinction must be made between financial exploitation and financial fraud.

This is the first paper to comprehensively review the myriad ways in which financial exploitation has been defined in the literature, by organizations and within state civil and criminal statutes.

Complex conflicts in elder abuse, its causes, typology, protection and prevention, suggest that co‐operation by multi‐disciplinary social services should be a major consideration in policy decision‐making, planned intervention and support. Casework of the Elder Mediation Project (EMP for empowerment), and related agencies, provides some practical evidence for this view. There are shared casework values and similar as well as different skills. However, when service user interests are paramount, the professional concerns of service providers for defined roles and boundaries raise ethical issues. Are there conflicts between old people's needs for trusting, confidential relationships with one worker, and case co‐ordinators' promotion of varied specialist input? Could approaching elder abuse through a multi‐skilled key worker, as well as by multi‐disciplinary social service workers, offer complementary and co‐operative interventions? Brief anonymised case notes suggest that practitioners may face professional conflicts about social intervention as casework diversifies and service user involvement in decision‐making increases, but some guidelines to good practice are offered.

To document the police protective custody (PPC) process and in doing so develop a predictive model to better inform police decision makers on the factors that are more likely to result in the state maintaining custody of a child.

Data for the current study were gathered through a series of focus groups and 6,607 existing records of PPC admissions into a children's home in the Wichita Children's Home (WCH) (Kansas). Systematic predictive modeling (logistic regression) was used to differentiate between children that are likely to need continued involvement of the child welfare system and those who could remain in the custody of their families.

Documents the PPC process by which a child is referred to be housed by WCH by a law enforcement agency. Reports on the design of a decision model which identifies the factors affecting the outcome of the PPC process.

Provides recommendations for streamlining the PPC process as well as the improvement of police policies and procedures.

The purpose of this paper was to examine the impact of a highly structured, formulation focused consultation process on knowledge and attitudes towards personality disorder and on perceived practice with personality disordered offenders. Consultation was delivered by the Yorkshire/Humber regional Pathway Development Service (PDS). This pilot study sought to inform the development of this service and the support offered to probation Trusts across Yorkshire/Humber to implement the national Personality Disorder Offender Pathway.

Consultation was offered to a number of offender managers working in the Yorkshire/Humber region. The impact of the consultation on their knowledge and understanding of personality disorder in general was examined as was their attitudes to working with this population and their perceived confidence and competence in delivering supervision to each individual.

The findings from this small pilot study would suggest that the structured format used by the Yorkshire PDS was helpful in enhancing the probation officers’ knowledge and understanding of personality disorder as well as their perceived confidence in and attitudes towards working with individuals with a personality disorder.

The study indicates that the structured format used by the PDS is of value and may be applied to the support offered to probation Trusts across Yorkshire/Humber as they implement the community specification of the national Personality Disorder Offender Pathway.

This study illuminates the experiences of adults diagnosed with autism spectrum disorders (ASDs) and intellectual disabilities (IDs) and their challenges and successes in receiving quality healthcare services. Individuals with developmental disabilities often experience health issues associated with aging at earlier ages and at higher rates than the general population. This population has a higher incidence of chronic health conditions that require regular medical attention.

The intent of this project was to learn directly from adults and their caregivers how well healthcare providers understand autism, explore their experience with how well their care is coordinated between primary healthcare and other specialty services, and identify factors which could impact access to care and to discover what other barriers which may potentially influence health outcomes for ASD adult.

A qualitative study conducted with semi-structured interviews with 12 adults diagnosed with ASD and/or their guardians/caregivers.

Some of the adults interviewed experienced negative health outcomes and suboptimal relationships with healthcare providers; others seemed to have positive relationships. Clinical and communications accommodations were necessary to make healthcare provision more comfortable. Barriers to accessing healthcare services existed in many forms.

The healthcare needs of the growing population adults diagnosed with ASD/ID are anticipated to be significant. This challenge is further exacerbated given there are few trained healthcare providers who are prepared or dedicated to serve this population. Continuing to build awareness of the health needs of the ASD/ID adult population is critical.

This project is highly innovative as it is the first attempt to understand how the adult autism population accesses care and perceives their healthcare interactions. This study serves as a starting point to suggest new opportunities for further research for this growing population.