Interventions from Home-Based Geriatric Assessments of Adult Protective Service Clients Suffering Elder Mistreatment
Version of Record online: 23 JUN 2005
Journal of the American Geriatrics Society
Volume 53, Issue 9, pages 1538–1542, September 2005
How to Cite
Heath, J. M., Kobylarz, F. A., Brown, M. and Castaño, S. (2005), Interventions from Home-Based Geriatric Assessments of Adult Protective Service Clients Suffering Elder Mistreatment. Journal of the American Geriatrics Society, 53: 1538–1542. doi: 10.1111/j.1532-5415.2005.53469.x
- Issue online: 1 SEP 2005
- Version of Record online: 23 JUN 2005
- elder abuse; elder neglect
Objectives: To describe the interventions for adult protective service (APS) clients referred for geriatric assessment.
Design: Retrospective cohort study.
Setting: In-home geriatric assessments conducted in two New Jersey counties.
Participants: Two hundred eleven APS clients; 74% female; mean age 77.
Measurements: Cognition, affect, nutrition, prevalence of selected medical diagnoses and functional conditions, and categories of interventions.
Results: Home health agency services were initiated for 46% of APS clients suffering from all forms of mistreatment. Institutional placements (36%) and guardianship interventions (36%) were correlated with caregiver neglect, especially in female APS clients and those diagnosed with dementia. Urgent medications (25%) were prescribed across all mistreatment classifications, and acute hospitalization (20%) was correlated with circumstances of physical abuse.
Conclusion: An in-home geriatric assessment service was able to contribute at least one relevant intervention for 81% of referred APS clients to collaboratively help mitigate elder mistreatment circumstances.