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A Statewide Elder Mistreatment Virtual Assessment Program: Preliminary Data.

Jason Burnett1,2, Carmel B Dyer1,2, Leslie E Clark1,2

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Summary
This summary is machine-generated.

The Texas Elder Abuse and Mistreatment Institute Forensic Assessment Center Network (TEAM-FACN) successfully expanded elder mistreatment (EM) assessments using virtual technology. This innovative program increased client assessments significantly, improving access to expert geriatric care for vulnerable adults.

Keywords:
adult protective serviceselder mistreatmenttelemedicinevirtual assessment

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Area of Science:

  • Gerontology
  • Public Health
  • Telemedicine

Background:

  • Elder mistreatment (EM) poses a significant public health challenge, particularly in rural and underserved areas.
  • Access to specialized geriatric and EM expert assessments is often limited for Adult Protective Services (APS) clients.
  • Innovative technological solutions are needed to bridge the gap in accessing expert care for mistreated older adults.

Purpose of the Study:

  • To describe the Texas Elder Abuse and Mistreatment Institute Forensic Assessment Center Network (TEAM-FACN), a novel statewide virtual assessment program.
  • To evaluate the use of low-cost videophone technology and web-based coordination for elder mistreatment assessments.
  • To assess the program's effectiveness in connecting APS agencies and clients with a centralized expert medical team.

Main Methods:

  • A descriptive study of the TEAM-FACN program, a statewide elder mistreatment virtual assessment initiative.
  • Utilized low-cost videophone technology and web-based coordination for remote assessments.
  • Connected an Adult Protective Services (APS) agency and its clients to a centralized geriatric and EM expert medical team.

Main Results:

  • In the first 8 months, 300 APS clients were referred, leading to a quadrupling of client assessments.
  • Physicians provided an average of 2 services per client, including 216 mental health assessments (123 virtual), 42 medical assessments, and 45 guardianship filings.
  • Over 230 interdisciplinary team meetings were held to discuss findings, safety plans, and interventions.

Conclusions:

  • TEAM-FACN offers an innovative and viable model for increasing access to expert geriatric and elder mistreatment assessments for urban and rural adults.
  • The program effectively utilizes technology to overcome geographical barriers in providing protective services.
  • This approach enhances the capacity to serve vulnerable older adults experiencing mistreatment.