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.
2015 Summer Webinar – A Week in the Life of Adult Protective Services
This webinar is conducted by Pamela B. Teaster, Ph.D., Virginia Tech Center for Gerontology. It presents a study that uses a public health model to examine allegations of elder abuse made to Kentucky Adult Protective Services (APS) and the investigations that followed in order to understand how APS addressed the needs of abused elders. Elder abuse allegations made to APS during the study week were collected using three study tools. Allegations and resulting investigations were analyzed using descriptive statistics. Results describe characteristics of the abuse calls, investigations, victims, perpetrators, and investigation times. The substantiation ratio, recidivism, and whether investigation increased or decreased the risk of abuse were also assessed. Examining APS casework through the lens of nested systems (ecological systems theory) has the potential to improve the outcomes of those served by APS and can be used as a model for APS programs across the country.
2015 Spring Webinar – Observational Measures of Elder Self-Neglect
Elder self-neglect (ESN) represents half or more of all cases reported to adult protective services. ESN directly affects older adults and also their families, neighbors, and the larger communities around them. ESN has public health implications and is associated with higher than expected mortality rates, hospitalizations, long-term care placements, and localized environmental and safety hazards. This webinar begins by describing results from a study using concept mapping to create a conceptual model of ESN and the items needed to measure it. On this webinar, presenters will discuss findings from a study that resulted in the development of the Elder Self-Neglect Assessment (ESNA). The tool was field-tested by social workers, case managers, and adult protective services providers from 13 Illinois agencies. ESNA indicators of self-neglect align into two broad categories: behavioral characteristics and environmental factors, which must be accounted for in a comprehensive evaluation. Discussion will focus on the clustering of items into the two categories and on the hierarchy of items which should represent severity of self-neglect. (NOTE: the webinar recording begins on slide 3 of the slide handout. Introductory remarks are excluded due to recording technical difficulties). (Materials: slide presentation)
2015 Winter Webinar - Forensic Markers of Elder Abuse and Neglect
It is often difficult to figure out if an injury or wound is due to elder abuse. In part, this is because many of the normal and common age-related changes mask and mimic signs of elder abuse. "Older adults bruise easily" and "old people who aren't mobile develop pressure sores" are common refrains that may be hard to refute. In this webinar we will review the research and clinical findings that help distinguish forensic markers of elder mistreatment. (Materials: slide presentation) Presenter - Laura Mosqueda, MD, FAAFP, AGSF, Chair, Department of Family Medicine, Professor of Family Medicine and Geriatrics (Clinical Scholar) and Associate Dean of Primary Care, Keck School of Medicine of University of Southern California
2014 Fall Webinar - Educating and Preparing Preprofessional Students on Adult and Elder Abuse: Implications for University Curriculum, and Insights from a Promising Program
This webinar consists of a two-part panel presentation. First, Dr. Christina Policastro, Assistant Professor, Department of Criminal Justice & Criminology, Georgia Southern University, will provide an overview and summary of findings from a research study that assessed levels of elder abuse awareness among social work, nursing, health professions, and criminal justice students. Next, Risa Breckman and Dr. Karl Pillemer will present an overview of The Risk and Resiliency Internship Project (RRIP), created by NYC Elder Abuse Center (NYCEAC) and The Legacy Project, designed to expose undergraduates to the wisdom and robust experience of older generations as well as to the issue of elder abuse. Risa Breckman is an Assistant Professor of Gerontological Social Work in Medicine and the Director of the NYC Elder Abuse Center at Weill Cornell Medical College's Division of Geriatrics and Palliative Medicine. Dr. Karl Pillemer is a Professor of Human Development at Cornell University and Professor of Gerontology in Medicine at the Weill Cornell Medical College. (Materials: slide presentation)
2014 Summer Webinar – Cognitive Predictors of Self-Care Abilities in APS Clients Referred for a Capacity Assessment
Jason E. Schillerstrom, MD, presented a discussion on the relationship between different cognitive domains (memory, visuospatial function, and executive function) and self-care abilities. The webinar specifically highlights the relationship between executive function and money management ability. Many state legal definitions of capacity are in part dependent on a person's ability to provide care for themselves. Persons unable to provide care for themselves because of a physical or mental condition often meet the definition for incapacity. However, when working with elders, there is often an assumption that cognitive deficits, such as memory impairment, are responsible for the disability. (Materials: slide presentation)
2014 Spring Webinar – An Overview of the Assessment of Everyday Decision Making (ACED)
Jason Karlawish, MD, provides an overview of the development and use of the Assessment of Capacity for Everyday Decision-Making (ACED). The ACED is the first tool available with data supporting its reliability and validity to effectively address a common clinical issue: is a patient who refuses an intervention to help manage an instrumental activity of daily living (IADL) disability capable of making this decision? The ACED is useful for assessing the capacity to solve functional problems of older persons with mild to moderate cognitive impairment from disorders such as Alzheimer's disease. Common clinical scenarios are the person who has problems performing an IADL, such as cooking, but refuses help to manage that IADL. Is the person capable of refusing this help? The ACED provides patient specific assessments of decisional abilities needed to make that informed refusal. The ACED works well for persons with short term memory impairments since the provided summary sheet can be referred to throughout the interview. The ACED can also help in real-world assessment of a person's cognitive abilities. It can also inform the assessment of complex cases of the "self-neglect syndrome." The ACED interview takes 15-20 minutes to administer. At the close of an ACED interview, the interviewer has a set of data that describe the person's performance on the decision making abilities. (Materials: slide presentation)
2014 Winter Webinar – Prosecution of Financial Exploitation Cases: Lessons from an Elder Abuse Forensic Center
In this presentation, Dr. Adria Navarro and Dr. Kathleen Wilber discuss findings from their study that examines effectiveness when APS uses a novel multidisciplinary team (MDT)—an elder abuse forensic center—to increase prosecution of elder financial abuse crimes. Findings from this study of APS recipients between 2007-2009 found a ten times greater likelihood of cases being submitted to the District Attorney's office. The researchers shared the process used by the forensic center team to determine whether prosecution should become a case goal. (Materials: slide presentation)
2013 Winter Webinar – The Elder Abuse Suspicion Index (EASI)©: Why a Suspicion Index and How Can It Be Used?
In this presentation, Mark Yaffe, M.D., discusses his research on the development and validation of a brief tool for physician use to support identification and assessment of the presence or absence of suspected elder abuse. Use of the tool has the potential to sensitize physicians to elder abuse and promote referrals of possible victims for in-depth assessment by specialized professionals. While the tool was validated for use by family physicians, this presentation will also discuss what potential may exist for use by other health and social service providers, as well as for self-administration by seniors. (Materials: slide presentation)
2013 Spring Webinar - Principles of Effective Evaluation and Research Capacity Building in APS
Increasing demands for demonstrating positive results and outcomes of community services, including Adult Protective Services, have put significant pressure on program administrators and service providers to engage in ongoing evaluation research. In this webinar Dr. Madelyn Iris, Dr. Rebecca Berman, and Lisa Peters Beumer will describe the principles underlying effective organizational capacity-building for evaluation, review critical steps necessary for achieving evaluation goals, and highlight the benefits of engaging in on-going evaluation practice. Examples will be drawn from an innovative program called ASSERT (Assistance, Services and Support for Evaluation Research Training, a practical educational program that provides community services providers with the strategies, approaches and skills they need to conduct meaningful program evaluation and utilization-focused research. (Materials: slide presentation)
2013 Winter Webinar - Pure Financial Exploitation vs. Hybrid Financial Exploitation Co-occurring with Elder Physical Abuse and/or Neglect
In this webinar, Shelly Jackson, Ph.D., shared findings from her research comparing pure financial exploitation (PFE) of an elderly person—financial exploitation that occurs independently of another form of elder abuse—with hybrid financial exploitation (HFE)—financial exploitation that co-occurs with physical abuse and/or neglect. Implications for how professionals intervene and work with victims of pure financial exploitation vs. hybrid financial exploitation are discussed. (Materials: slide presentation)
2012 Fall Webinar - Taking the Guesswork Out of APS Findings
Presenters Lori Delagrammatikas, Mary Twomey, Krista Brown, Kris K. Brown, and Mary Counihan discuss how researchers and APS practitioners worked together to develop a protocol to improve the consistency of APS investigation findings in California. After researchers identified great variability in APS decision-making across California, APS practitioners developed a protocol which clearly delineated the essential defining elements of each type of abuse/neglect, provided direction and focus for gathering information, and supplied workers with a structure for evaluating the relative strength and integrity of that information. The protocol has been implemented throughout the state and researchers are in the process of studying its efficacy by evaluating the current level of consistency in findings. The webinar describes the research, protocol and training development, evaluation efforts, and the collaborations needed to affect change statewide. (Materials: slide presentation, supplemental materials)