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Published on: February 8, 2019
Interventions from home-based geriatric assessments of adult protective service clients suffering elder mistreatment
John M Heath1, Fred A Kobylarz, Merle Brown
1Department of Family Medicine, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, New Brunswick, New Jersey, USA. heathjm@UMDNJ.edu
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.
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