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The making of a self-neglect severity scale
Carmel Bitondo Dyer1, P Adam Kelly, Valory N Pavlik
1Department of Internal Medicine, University of Texas Medical School--Houston, Harris County Hospital District, USA. carmel_dyer@hchd.tmc.edu
Journal of Elder Abuse & Neglect
|November 2, 2007
Summary
Researchers developed the Self-Neglect Severity Scale (SSS) to address the lack of a standard measure for elder self-neglect. This new scale aims to provide a common language for describing and studying self-neglect cases.
Area of Science:
- Gerontology
- Social Work
- Public Health
Background:
- Elder self-neglect research lags behind other mistreatment forms.
- Self-neglect is the most common allegation reported to Adult Protective Services (APS) in the US.
- A lack of standardized measurement tools hinders self-neglect research.
Purpose of the Study:
- To develop a standardized instrument for measuring elder self-neglect.
- To establish a common language for describing self-neglect cases.
- To facilitate future research and intervention studies on elder self-neglect.
Main Methods:
- The Self-Neglect Severity Scale (SSS) was developed through expert consultation and APS worker interviews.
- The SSS incorporates observation, interviews, and environmental assessments conducted in the home.
- The scale underwent piloting, extensive field testing, and revision.
Main Results:
- The CREST SSS utilizes observer ratings and interview responses.
- It assesses physical and environmental domains, as well as functional status related to health and safety.
- The SSS has been finalized and is undergoing reliability and validity testing.
Conclusions:
- The CREST SSS is the first available severity scale for elder self-neglect.
- It provides a standardized tool for researchers and practitioners.
- If proven reliable and valid, the SSS can support intervention studies.
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