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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. 

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)

Presenters:

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

 

Working out Logistics in an Integrated Care Model Between APS and Capacity Evaluation Provider

| NCCD

An innovation project was funded to support enhanced partnership between APS and the University of Colorado Colorado Springs (UCCS). The partnership increased the rate of capacity evaluations for the community, and an evaluation of the project generated insights into the challenges of such partnerships. The purpose of this presentation is to share information about the findings related to factors that make this partnership work. Attendees can expect to learn key barriers to partnership even when a provider and funding are available, practical strategies to support successful partnership, and factors to consider when designing a partnership.

(Materials: slide presentation)

Presenter:
Sara Honn Qualls, PhD, ABPP
Kraemer Family Professor of Aging Studies and Professor of Psychology
Director, Gerontology Center, UCCS

| NCCD

To support adult protective services (APS) agencies and workers during the COVID-19 outbreak, NCCD offers the following resources and best practices. These resources are not intended to replace local or agency policy, practice, or guidance.

Goal Attainment Scaling

| NCCD

In this NCCD-hosted webinar moderated by Jennifer Cotter, an associate director at NCCD, David Burnes, PhD, introduces the idea of goal attainment scaling (GAS), a client-centered tool to generate intervention plans and measure case resolution in APS and other elder abuse response programs. GAS allows workers to capture nuanced aspects of APS work and its various moving parts involved in case intervention/progression. Without a tool that measures overall case resolutions, the effectiveness of different APS intervention models/practices cannot be systematically compared. Dr. Burnes is an assistant professor at the University of Toronto, Factor-Inwentash Faculty of Social Work, and an affiliate scientist at Baycrest Health Sciences, Rotman Research Institute. Dr. Burnes’ research centers on understanding and preventing elder abuse in the community, developing/evaluating interventions, and developing intervention outcome measures.

Statewide Elder Mistreatment Virtual Assessment Program

| Jason Burnett, PhD and John Halphen, MD

The webinar will present an overview of the Texas Elder Abuse and Mistreatment Institute-Forensic Assessment Center Network (TEAM-FACN) with a primary focus on the virtual assessment model for completing mental health capacity assessments. Using a web-based platform and readily available videophone modalities, the TEAM-FACN is able to connect Texas APS caseworkers and their clients, statewide, to a localized group of geriatric and elder abuse experts in Houston, Texas, for services including mental health capacity assessments. A brief description of the TEAM-FACN web-based referral and case communication portal will be presented along with high-level overviews of the various statewide services provided by the TEAM-FACN program. A more detailed presentation of the statewide videophone assisted mental health capacity assessments will be presented by the lead TEAM-FACN geriatrician. First-year utilization, challenges, and benefits will also be discussed.

Does Elder Abuse Type Tell Us Anything About Five-Year All-Cause Mortality?

| Jason Burnett, PhD

It is widely recognized and accepted that confirmed elder mistreatment leads to higher risks of early all-cause mortality. Less understood is whether different types of confirmed elder mistreatment confer a greater risk for all-cause mortality compared to other confirmed types and whether having multiple types of concurrent confirmed elder mistreatment result in compounded risk for death. This webinar presents data from a single study using Texas Adult Protective Services data of confirmed elder mistreatment to predict 5-year all cause mortality among 5-different maltreatment types (i.e. caregiver neglect, physical abuse, emotional abuse, financial exploitation and polyvictimization). The findings will be discussed in relation to existing literature and the need for future well-designed mortality studies aimed at understanding the individual impact that different elder mistreatment types may have on mortality.

Presenter: Jason Burnett, PhD
Assistant Professor
UTHealth, McGovern Medical School at Houston
Co-Director of the Texas Elder Abuse and Mistreatment Institute
Director of the UTHealth, Forensic Assessment Center Network-APS Division

The Abuse Intervention Model: A Pragmatic Approach to Intervention for Elder Mistreatment

| Laura Mosqueda, M.D., Keck School of Medicine, USC

Interventions are needed to mitigate elder mistreatment, but responders must first know when to intervene. This webinar will present the Abuse Intervention Model (AIM), a simple, coherent framework of known risk factors of the victim, perpetrator, and environment that applies to all types of abuse. Dr. Laura Mosqueda will discuss the details of the AIM and present case studies on how the AIM can be applied to APS work. (Materials: slide presentation)

Disrespect: Elder Abuse and Native Americans

| NCCD

Most elders describe abuse as disrespect and using this terminology will get a more robust response during an investigation. This webinar will present language and approaches that will help with the communication and investigation of elder abuse among Native American elders. Jacque Gray will discuss how her research has helped to inform practice with Native American elders. (Materials: slide presentation)

Presenter:
Dr. Jacque Gray is an Associate Director/Research Professor for the Department of Population Health and the associate director for Rural Health for indigenous programs at the University of North Dakota School of Medicine and Health Sciences, in Grand Forks.

2016 Fall Webinar – Correlates of Depression in Self-Neglect

| Dr. Jason Burnett

Depression is common among older adults who no longer can care for themselves; and both self-neglect and depression are associated with poor health outcomes, including increased mortality. This webinar will explore some of the potential health and behavioral correlates of depression in older adults who neglect themselves. In addition, the webinar will cover implications for further research and the development of programs to address depression in this population. Part of a series on APS research to practice, this webinar is sponsored by the joint research committee of the National Adult Protective Services Association and the National Committee for the Prevention of Elder Abuse, with support from NCCD. (Materials: slide presentation)

2016 Summer Webinar – Expanding Constructions of Elder Abuse: How Older Mothers View Their 'Difficult' Adult Children

| Judith R. Smith

2016 Spring Webinar- A New Tool for Assessing Financial Decision Making in Older Adults

| Peter A. Lichtenberg

In many cases of financial exploitation, the exploited person’s capacity to make decisions is the core issue that must be assessed. Therefore, it is essential for investigators to have effective instruments for measuring a person’s capacity to make independent financial decisions, but one challenge is the lack of tools to detect deficits in financial capability. This session introduces a new screening scale for financial decision-making capacity. The Lichtenberg Financial Decision Screening Scale (LFDSS) is a brief, 10-item screening scale designed to assess a vulnerable adult’s decisional ability at the point in time when the adult is making a significant financial decision. In this webinar, we will review instructions for administering the LFDSS, review screening questions and scoring, and discuss case studies using the scale. (Materials: slide presentation)