Findings from an elder abuse forensic center.

PURPOSE The first Elder Abuse Forensic Center (EAFC) in the United States was instituted in 2003. People from a variety of disciplines, including Adult Protective Services social workers, law enforcement, the district attorney's office, a medical response team, public guardian deputies, ombudsmen, mental health services, a victim advocate, and a domestic violence expert work cooperatively on cases of elder and dependent-adult mistreatment. Researchers conducted an assessment of the EAFC's impact on the efficiency and effectiveness of the collaboration. DESIGN AND METHODS Mixed quantitative and qualitative methods included statistical analysis of data from outcome surveys of EAFC collaborators and illustrative case studies developed from case files and structured interviews. RESULTS Mean survey scores evaluating the efficiency and effectiveness of the collaboration were significantly better than neutral responses. Case studies show efficient and effective case management through cooperation of the collaborating agencies. Survey results clearly support perceptions exemplified in case studies. IMPLICATIONS An EAFC enhances the efficiency and effectiveness of those who address elder abuse in one community, which in turn leads to improved outcomes. Continued analysis to identify strengths, weaknesses, and cost effectiveness of the EAFC model is ongoing.

[1]  J. S. Hunter,et al.  Statistics for Experimenters: An Introduction to Design, Data Analysis, and Model Building. , 1979 .

[2]  H. Steadman,et al.  Police perspectives on responding to mentally ill people in crisis: perceptions of program effectiveness. , 1998, Behavioral sciences & the law.

[3]  M. Tueth Exposing financial exploitation of impaired elderly persons. , 2000, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[4]  J. Onyskiw,et al.  Formative evaluation of a collaborative community-based child abuse prevention project. , 1999, Child abuse & neglect.

[5]  R. Hanzlick,et al.  Elder Abuse and Neglect , 2000 .

[6]  B. Blakely,et al.  The Relative Contributions of Occupation Groups in the Discovery and Treatment of Elder Abuse and Neglect , 1991 .

[7]  Evaluating a Statewide Partnership for Reducing Risks for Chronic Diseases , 1997, Journal of Community Health.

[8]  H. Greenwald,et al.  Evaluating the California Wellness Foundation’s Health Improvement Initiative: A Logic Model Approach , 2003, Health promotion practice.

[9]  Bernice W. Polemis Nonparametric Statistics for the Behavioral Sciences , 1959 .

[10]  S. Balaswamy Rating of Interagency Working Relationship and Associated Factors in Protective Services , 2002 .

[11]  J. Heimlich,et al.  Interagency relationships among rural early intervention collaboratives. , 2001, Public health nursing.

[12]  Conlin Mm Silent suffering: a case study of elder abuse and neglect. , 1995 .

[13]  R. Wolf,et al.  Factors affecting the rate of elder abuse reporting to a state protective services program. , 1999, The Gerontologist.

[14]  Rhonda K. Lewis,et al.  Evaluating Community Coalitions for Prevention of Substance Abuse: The Case of Project Freedom , 1997, Health education & behavior : the official publication of the Society for Public Health Education.

[15]  M. Kegler,et al.  A multiple case study of neighborhood partnerships for positive youth development. , 2003, American journal of health behavior.

[16]  Ronald Dolon EdD,et al.  An Exploratory Study Comparing Attitudes and Practices of Police Officers and Social Service Providers in Elder Abuse and Neglect Cases , 1988 .

[17]  S. Siegel,et al.  Nonparametric Statistics for the Behavioral Sciences , 2022, The SAGE Encyclopedia of Research Design.

[18]  B. Kemp,et al.  Advancing the field of elder mistreatment: a new model for integration of social and medical services. , 2004, The Gerontologist.

[19]  K. Pillemer,et al.  What's new in elder abuse programming? Four bright ideas. , 1994, The Gerontologist.

[20]  C. Heisler,et al.  The Legal Response to Elder Abuse and Neglect , 2002 .

[21]  R. Rosenheck,et al.  Closing service system gaps for homeless clients with a dual diagnosis: integrated teams and interagency cooperation. , 2003, The journal of mental health policy and economics.