Evident Change is pleased to host and moderate the "APS Research to Practice" webinar series sponsored by the National Adult Protective Services Association (NAPSA) and National Committee for the Prevention of Elder Abuse (NCPEA) Research Committee. Evident Change and the NAPSA-NCPEA research committee share the goals of promoting research in the areas of adult and elder mistreatment and supporting APS agencies' use of research to inform and strengthen practice. These webinars are held quarterly.
Note: Presenters and webinar organizers generously donate their time and expertise. Points of view or opinions are those of the presenter(s) and do not necessarily represent the official position or views of the sponsoring or supporting organizations/entities. None of the sponsoring or supporting organizations/entities, its agents, funders, or employees bear any responsibility for the analyses or interpretations of the presented research.
Using Administrative Data From APS: Opportunities and Considerations
As more states improve their data systems, Adult Protective Services (APS) agencies are eager to examine administrative data to improve their work. This presentation will use non-technical language to review practical considerations related to organizing and analyzing APS administrative data. We will address approaches for handling erroneous and missing data, as well as defining metrics and comparing findings from multiple locations or programs. Reviewing these details can help practitioners generate more accurate conclusions and improve research quality in this important area. (Materials: slide presentation)
Presenter: Kenny Steinman has over 20 years' experience collaborating with community leaders and agency professionals to conduct rigorous, relevant research. He was a faculty member of the Ohio State University’s College of Public Health for 11 years and most recently has focused his scholarly work on health policy and its intersection with family violence. Steinman’s projects include an assessment of Ohio’s APS system, evaluating programs to prevent child maltreatment in families who struggle with substance use, and how state efforts to expand Medicaid have helped Ohio residents.
Child Adversities, Midlife Health, and Elder Abuse: Application of Cumulative Disadvantage Theory to Understand Late Life Victimization
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
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.
Capacity Evaluations for APS Throughout the State of Texas
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.
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
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.
Working out Logistics in an Integrated Care Model Between APS and Capacity Evaluation Provider
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)
Sara Honn Qualls, PhD, ABPP
Kraemer Family Professor of Aging Studies and Professor of Psychology
Director, Gerontology Center, UCCS
Goal Attainment Scaling
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
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?
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
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
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
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)
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
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)