Elder Abuse and Its Prevention Workshop Summary (2014) / Chapter Skim
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5 Screening and Prevention
5 Screening and Prevention
Pages 31-40
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From page 31... ...
Although the U.S. Preventive Services Task Force recommends that clinicians screen women for intimate partner violence, it has concluded that the current evidence for elder abuse and neglect screening is insufficient to assess its potential benefits or harm.1 Although the existing evidence is limited, considering the association between elder abuse and adverse health outcomes and the association of elder abuse with increased health services use, efforts are being made to develop and assess screening tools in multiple settings and grow the evidence base on their effectiveness.
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From page 32... ...
Often there is an established trust in a doctor–patient relationship, and trust in theory helps to promote disclosure; most patients are accustomed to doctors asking direct questions about sensitive topics, and the physical exam is an opportunity to look for abnormal lab findings and unexplained deterioration. Yaffe discussed several barriers to elder abuse screening in primary care settings: lack of awareness of elder abuse and its association with higher mortality rates, lack of knowledge of how to identify it, previous absence of screening detection tools that were appropriate for use in a doctor's office, considerations about ethical and confidentiality issues, disbelief that detection will lead to a solution, ageism, concerns about legal issues, and confusing guidelines.
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From page 33... ...
Table 5-1 lists different screening methods for community-dwelling and institutional populations, with members who are either cognitively intact or cognitively impaired. Speaker Daniel Reingold from The Hebrew Home in Riverdale, New York, noted that facility staff have found screening is a very effective tool for elder abuse detection at the facility.
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From page 34... ...
To facilitate discussions about opportunities for prevention, workshop participants engaged in breakout sessions on potential strategies and considerations for prevention in different settings: health care, the community, the legal system, and the financial sector. Breakout group leaders facilitated the sessions and individual participants provided comments from their perspective.
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From page 35... ...
The EIFFE Prevention Program works to educate health professionals on how to identify abuse or potential abuse against their elder patients, and how to refer at risk patients to State Securities Regulators or the local Adult Protective Services. These health professionals are educated through continuing medical education events, and materials for both clinicians and patients are available on the EIFFE Prevention Program website.
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From page 36... ...
For example, one criminal intervention is special prosecution units focusing on elder Legal System Workshop breakout facilitator Charles Sabatino from the American Bar Association commented that the legal system traditionally becomes involved later in cases of elder abuse rather than in primary prevention. The focus in primary prevention has been heavily on education and training and the competencies needed to screen for and detect abuse and exploitation as well as addressing it early and in many cases divert it from the legal system.
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From page 37... ...
and elder protection order projects that enable older homebound persons to peti tion for protection orders by telephone. Elder abuse multidisciplinary teams, such as elder abuse forensic centers, provide another opportunity for criminal and civil lawyers to prevent elder abuse and to improve systems.
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From page 38... ...
Community-Based Breakout session facilitator Joy Solomon from The Hebrew Home at Riverdale provided some reflections from the community-based breakout discussions. She suggested that the most important question that was raised during the discussion was "What is community?
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From page 39... ...
Workshop planning committee member and breakout session co-facilitator Jeffrey Hall from the Centers for Disease Control and Prevention observed from the breakout discussion that people use different jargon. In the context of community-based interventions, particularly ones that involve multidisciplinary teams, understanding different definitions of "community" is important for developing partnerships.
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From page 40... ...
She noted that several of the session participants discussed the challenges of information sharing in financial exploitation prevention efforts. For example, when the front-line financial sector professionals detect what they suspect may be elder financial exploitation, they often have concerns about what information they can share with government entities and others without violating privacy rules.
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