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Updated: Jun 19, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Assessing elder mistreatment: instrument development and implications for adult protective services
Elizabeth K Anthony1, Amanda J Lehning, Michael J Austin
1School of Social Work, Arizona State University, Phoenix, Arizona 85004-0689, USA. elizabeth.anthony@asu.edu
Accurate assessment of elder mistreatment is challenging due to inconsistent definitions and limited research. This review evaluates 15 tools for Adult Protective Services (APS) to improve elder abuse detection.
Area of Science:
- Gerontology
- Social Work
- Public Health
Background:
- Elder mistreatment assessment faces challenges from inconsistent definitions and limited research.
- Professionals require reliable tools for complex clinical decision-making in elder abuse cases.
- Adult Protective Services (APS) and mandated reporters need validated instruments for accurate elder mistreatment assessment.
Purpose of the Study:
- To review and discuss the psychometric properties of 15 screening and assessment instruments for elder mistreatment.
- To evaluate the relevance of these instruments for Adult Protective Services (APS) practice.
- To identify implications for future research, practice, and policy in elder mistreatment assessment.
Main Methods:
- Structured review of screening and assessment instruments for elder mistreatment.
- Analysis of psychometric properties of 15 selected instruments.
- Evaluation of instrument relevance for APS workers and mandated reporters.
Main Results:
- The review examined psychometric properties of 15 instruments, highlighting variability in reliability and validity.
- Specific instruments showed varying degrees of suitability for APS and mandated reporter use.
- Gaps in current assessment tools and their application were identified.
Conclusions:
- There is a critical need for validated, reliable assessment tools for elder mistreatment.
- Findings inform the selection and development of instruments for APS and healthcare providers.
- Future research and policy should focus on improving elder abuse detection and intervention.
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