Service Provider Perspectives on Family Violence Interventions (1995) / Chapter Skim
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Elderly and Dependent Adult Victim Services
Elderly and Dependent Adult Victim Services
Pages 39-64
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From page 39... ...
The workshop speakers emphasized the importance of recognizing the complex dimensions of elder abuse and understanding ~, ~ the need to balance competing principles in this field, such as the safety of senior people as well as their autonomy in making decisions about their personal living circumstances. REFERENCE Reiss, Ail., Ir., and I.A.
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From page 40... ...
. EVOLUTION OF ADULT PROTECTIVE SERVICES Authority for adult protective services is usually derived from state law and is centralized in state departments of human services or their equivalent (American Public Welfare Association and National Association of State Units on Aging, 19861.
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From page 41... ...
from the findings of program evaluation projects, such as that undertaken in Cleveland, Ohio, by The Benjamin Rose Institute, which suggested that protective services lecl to higher rates of institutionalization and cleath among clientele (Blenkner et al., 19711. Although questions have now been raised about flaws in the original research design and methodology of this project which render the findings questionable (Dunkle et al., 1983)
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From page 42... ...
In the momentum of social action, they gave little thought to the fact that Ohio's public system of adult protective services had never been evaluated. Likewise, they did not question the appropriateness of expanding the definition of protective clientele to include all abused elders without empirical study on the effectiveness of this intervention mode in dealing with physical abuse ant!
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From page 43... ...
In Ohio, 15 percent of abused elders who are reported to authorities and fount! in need of protective services refuse services (Ohio Department of Human Services, 1985-19944.
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From page 44... ...
As already noted above, adult protective services has been evolving since the 1970s. Over the years national and local conferences and networks have provided opportunities for information exchange, mutual support, and dissemination of "best practice" techniques and updates on the state of the art in elder abuse research (Bernotavicz, 1982; Inter-Organization Coordination Projects, 19861.
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From page 45... ...
of adult protective services allows the agency to remain involved with clients beyond the problem identification and crisis intervention stages, which offers a means of prevention for future reoccurrence of elder abuse. The diversity of services, which range from adult day care to housekeeping to mental health counseling, provides responses for the venous needs of protective clients internally, without necessary reliance on other community agencies.
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From page 46... ...
PUBLIC AGENCY PROTECTIVE SERVICES Public protective service agencies face many challenges that offer a stark contrast to the experience of a voluntary protective service agency such as BRI. Public protective service agencies are routinely placed in the position of being unable to select cases and receive cases that other agencies have rejected (Quinn and Tomita, 19861.
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From page 47... ...
In Improving Protective Services for Older Americans: A National Guide Series. PortiancI: Human Services Development Institute, University of Southern Maine.
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Frectriksen, K.~. 1989 Adult protective services: Changes with the introduction of mandatory reporting.
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From page 49... ...
Havericak 1989 Protective Services in Cuyahoga County: Client Characteristics arm Risk Profile, Apper~ix A Cleveland, Ohio: Center on Applied Gerontological Research, Cleveland State University and Adult Protective Services, Harshbarger, S
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Regan, A 1978 Intervention through adult protective services programs.
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The other is identifying risk factors for elder mistreatment using state adult protective service agency cases that are also part of a community cohort for whom detailed physical, psychological, and social i 52
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The group of seven includes three studies that measure the effectiveness of delivering protective services and four that address specific programs.
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From page 54... ...
This study analyzed the change in risk level of 537 clients in the Illinois protective services system using a statewide risk assessment protocols based on 23 risk factors and caseworkers' judgments about case closure.
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Several states are in the process, most notably Texas, where a paperless system is being cleveloped in conjunction with its chilct protective services. T1linois is probably aheac!
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From page 56... ...
Care to Elder Abuse Victims. Springfield: Illinois Department on Aging.
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On several occasions we have been joined by attorneys, social workers, ant! nurses who provide a special expertise in the area of state laws or available social services.
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From page 58... ...
Stahl 1991 Validation of the Hwalek-Sengstock elder abuse screening test. Journal of Applied Gerontology 10~4~: 406-418.
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From page 59... ...
Adults Unit within the Aging and Adult Administration in Arizona includes four statewide programs: Adult Protective Services (APS) , Long Term Care Ombudsman, Legal Services Development, and the Benefits Counselor program.
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From page 60... ...
In Arizona we have sought to implement this approach by the development of Elder Rights Process Improvement groups which involve major stakeholders in this area, such as the Attorney General's office, anti representatives of the meclical, educational, ant! social service communities.
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From page 61... ...
For example, a 75-year-old abused spouse who requires shelter may not find a shelter capable of handling her special needs. In cases where legal testimony is necessary for successful prosecution of offenders, elcler abuse victims may not be reliable witnesses to the events because of their age and condition.
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From page 62... ...
are not significantly higher. Abused elders are as likely to be male as female, although most of the intervention services appear to focus on elderly women as their primary clients.
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From page 63... ...
D Finklehor 1988 Prevalence of elder abuse: A random sample survey.
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