. "6. Screening and Case Identification in Clinical Settings." Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington, DC: The National Academies Press, 2003.
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Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America
Instrument and Citation
Purpose
Type of Elder Maltreatment
EAI
Elder Assessment Instrument (revised)
Fulmer et al. (2000)
35 items
Caregiver as respondent.
To identify individuals at high risk of mistreatment who should be referred for further assessment.
Abuse, neglect, exploitation, abandonment
CASE
Caregiver Abuse Screen
Reis and Namiash (1995)
8 items specifically worded to be nonblaming.
Filled out by caregiver.
To identify caregivers who are more likely to be abusers.
Physical, psychological, neglect
those published, such as the Hwalek-Sengstock Elder Abuse Screening Test and the Elder Assessment Instrument, require referral to a more specialized assessment process. Often, no well-established or specialized assessment process is available in many clinical settings; putative cases are reported to the community adult protective systems, which may vary in assessment rigor and standardization, adding to the challenge of screening instrument evaluation. This referral and evaluation process could be another direction for research on the screening process for elder mistreatment.
Another important challenge is the design and validation of new instruments and approaches to detect the various types of elder mistreatment in addition to overt physical abuse in the home, particularly abuse in the institutional setting, intentional neglect, and financial abuse. While these types of mistreatment may overlap, it is likely that different markers will be
