Graduate Center for Gerontology, University of Kentucky, Lexington, Kentucky 40536-0200, USA.
J Elder Abuse Negl. 2009 Oct;21(4):289-306. doi: 10.1080/08946560903004821.
Mental Health Services (MHS) meet mental health needs of older adults through active, outpatient, community-based care. Adult Protective Services (APS) are involved with needs of older adults who have mental disability and mental illness. Adult Protective Services and MHS staff may to work together when they respond to the needs of victims and adults at risk for abuse, neglect, self-neglect, and exploitation. The purpose of this study was to understand effective APS-MHS collaborations (e.g., leadership, organizational culture, administration, and resources in predicting success). A survey that was sent to members of the National Adult Protective Services Association (NAPSA) revealed that both APS and MHS have strong commitments to protecting clients' rights and autonomy, but there appear to be differences between the two with regard to implementation, apparent in cases involving clients with diminished mental capacity who are at imminent risk, but who refuse help. Strengths of APS-MHS collaborations included improved communication and better service for at-risk clients.
精神健康服务（MHS）通过积极的、门诊的、以社区为基础的护理来满足老年人的精神健康需求。成人保护服务（APS）涉及有精神障碍和精神疾病的老年人的需求。当成人保护服务和 MHS 工作人员需要回应虐待、忽视、自我忽视和剥削的受害者和处于风险中的成年人的需求时，他们可能会一起工作。本研究的目的是了解有效的 APS-MHS 合作（例如，领导力、组织文化、管理和资源）在预测成功方面的作用。一项发送给全国成人保护服务协会（NAPSA）成员的调查显示，APS 和 MHS 都非常致力于保护客户的权利和自主权，但在涉及到有明显精神能力下降且处于紧急风险但拒绝帮助的客户时，两者之间似乎存在差异。APS-MHS 合作的优势包括改善沟通和为处于风险中的客户提供更好的服务。
