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Child Adversities, Midlife Health, and Elder Abuse: Application of Cumulative Disadvantage Theory to Understand Late Life Victimization

| Evident Change

Elder abuse victimization is increasingly recognized as a pressing public health concern. However, few empirical studies have investigated whether childhood adversities and poor physical and psychological health in midlife heighten risks for abuse in late life. The webinar will review prior literature on the topic; describe the methodological approach within a new study by the presenters; highlight major findings; and discuss implications for clinical practice, treatment, and future research on elder abuse. (Materials: slide presentation)


Scott Easton, PhD, is associate professor, chair of the Mental Health Department, and co-director of the Trauma Integration Initiative at the Boston College School of Social Work. His primary program of research investigates long-term health outcomes of adults who experienced early life-course trauma such as child sexual abuse.

Jooyoung Kong, PhD, focuses her research on the effects that childhood adverse experiences have on later-life health and well-being. Guided by the life-course perspective, she is interested in identifying risk factors that prolong the negative impact of childhood adversity on physical, psychological, and social health in adulthood and identifying resilience factors that can mitigate these harmful effects.

Using Standardized Measures for Adult Protective Services Outcomes Assessment

| Evident Change

The webinar presenters will introduce the standardized measures used in the Elder Justice Innovation Grant: The Identification, Services, and Outcomes (ISO) Matrix. The assessment tool aims to capture adult protective services (APS) outcomes. The psychometric quality of the measures and measurement burden on APS staff will be discussed. In addition, analysis of extreme cases using the ISO Matrix will be presented to demonstrate how standardized measures can provide feedback to improve APS practice. 


Pi-Ju (Marian) Liu, PhD, is an assistant professor at Purdue School of Nursing and a faculty associate in the Center on Aging and the Life Course at Purdue University. She works with APS at the county, state, and national levels to conduct applied and translational research around elder justice issues, covering topics on elder abuse, neglect, and exploitation.

Kendon J. Conrad, PhD, is professor emeritus at the University of Illinois at Chicago. His interests are in long-term care, mental health, substance abuse, measurement, and evaluation research methodology. He and Dr. Madelyn Iris and others developed the Elder Abuse Decision Support System which, was further developed and field-tested in California as the ISO Matrix with Dr. Marian Liu.

Sara Stratton, LCSW, is an experienced APS supervisor. She has worked with San Francisco’s APS program for 20 years and has provided supervision and development of APS program components and policies and procedures. Stratton is part of the research team for the Administration for Community Living’s Elder Justice Innovation Grant to study outcomes for APS provided to at-risk adults.

| Deajah Nunn, Hayden Renato

Evident Change’s first youth advisors, Deajah Nunn and Hayden Renato, spent more than nine months with the organization, consulting on system-improvement projects across the country and leading several research projects. A set of seven recommendations to improve the child welfare and juvenile justice systems is one result of that research.

| Deajah Nunn

Evident Change youth advisor Deajah Nunn used her lived experience and her desire to help other former foster youth to develop this two-page resource. While the main focus is housing, the publication contains links to other resources for former foster youth.

Capacity Evaluations for APS Throughout the State of Texas

| Evident Change

This webinar will describe the experience of capacity evaluations that use telecommunications-assisted remote interviews. The presenter will discuss the development and applicability of this approach as well as expansion of the service to adult protective services (APS) agencies and their clients in all areas of the State of Texas. 

Presenter Bio: 

John M. Halphen, JD, MD, is an associate professor of geriatric and palliative medicine at the McGovern Medical School at the University of Texas Health Science Center at Houston. He is the medical director of the Adult Forensic Assessment Center Network, also in Houston. He has been performing capacity and medical assessments for APS since 2007 and is board certified in family medicine, geriatric medicine, and hospice and palliative medicine. Dr. Halpern has been trained and licensed as a pharmacist and lawyer. 

| Evident Change

In partnership with the Sierra Health Foundation, Evident Change issued its final evaluation report on the Positive Youth Justice Initiative. This initiative is working toward a more just and effective California juvenile justice system aligned with the needs of young people.

| Evident Change

Evident Change has published its evaluation report of the LA Model. The model was developed after Los Angeles County leadership determined that a rehabilitative, home-like environment would better serve youth who are justice system-involved than traditional correctional institutions. The report includes a process evaluation, quantitative evaluation, and recommendations. 


A Research Agenda for the APS Field

| Evident Change

The Administration for Community Living facilitated the development of the first research agenda focused exclusively on adult protective services (APS). The research agenda consists of 61 high-priority research questions and is intended to provide guidance to researchers, APS programs, and funders by highlighting research gaps. It is the hope that the research agenda will also encourage researchers to partner with APS programs to answer these important questions. Partnerships between researchers and APS programs are essential to ensure that research is relevant and useful to practitioners and sensitive to the complexities of APS work and the rights of clients. In addition, the agenda is expected to help build the evidence for APS practices and procedures.

This webinar provides an overview of how the research agenda was developed and key questions identified by the field.

(Materials: slide presentation)


Mary Twomey, MSW, and Anne Leopold, MSc, New Editions Consulting, Inc.

| Evident Change

Senate bills passed in 2016 and 2018 allowed several California counties to pilot a program for transition-age youth (TAY) that uses a "deferred entry of judgment" sentencing approach. Upon a participant's successful completion of a TAY program, the court will dismiss the charge(s) associated with this sentence. Passage of the legislation was driven by research suggesting that young adults may better benefit from rehabilitative approaches than punitive approaches. The legislation requires an evaluation of the pilot programs’ effectiveness, which was provided by Evident Change. This is the first of two evaluation reports that Evident Change will produce about the TAY pilot program. 

Webinar: Parents Anonymous® Study Shows Reductions in Abuse


In a recent webinar, staff from NCCD and Parents Anonymous® discussed an NCCD study that found some encouraging reductions in child abuse and maltreatment outcomes for Parents Anonymous® participants in two southern California counties. A two-page summary of the study is available here.

| Evident Change

An Evident Change study of Parents Anonymous® found some encouraging reductions in child abuse and maltreatment outcomes for Parents Anonymous® participants in two southern California counties. You can also watch a recording of a webinar discussion of the study here.

Webinar: Pathways Girls Take to and Through the Juvenile Justice System


In this webinar, Dr. Erin Espinosa discusses her latest research on pathways to the juvenile justice system and how gender, mental health system involvement, and trauma affect those pathways.