Wangmo Tenzin, Teaster Pamela B, Grace James, Wong Wilson, Mendiondo Marta S, Blandford Caitlin, Fisher Steve, Fardo David W
a Institute for Biomedical Ethics , University of Basel , Basel , Switzerland.
J Elder Abuse Negl. 2014;26(5):440-57. doi: 10.1080/08946566.2013.800463.
Using Bronfenbrenner's ecological systems model, this study examined allegations of elder abuse made to Kentucky Adult Protective Services (APS) and the investigation that followed, in order to understand how APS addressed the needs of abused elders. Elder abuse allegations made to APS during the study week were collected using 3 study tools. Allegations and resulting investigations were analyzed. During the study week, APS received 1,002 calls alleging elder abuse. Of these, 483 were categorized as reports needing protective services, with 177 reports screened in for investigation and 167 actually investigated. Results describe characteristics of abuse calls, investigations, victims, perpetrators, and total investigation times. Substantiation ratio, recidivism, and whether investigation increased or decreased the risk of abuse were also assessed. An examination of APS casework through the lens of nested systems frames the study findings and discussion. Such an examination has the potential to improve the quality of services provided to older adults.
本研究运用布朗芬布伦纳的生态系统模型，对向肯塔基州成人保护服务机构（APS）举报的虐待老年人指控及后续调查进行了审视，以了解该机构如何满足受虐老年人的需求。在研究周期间，使用三种研究工具收集了向APS举报的虐待老年人指控。对这些指控及后续调查进行了分析。在研究周期间，APS共接到1002起涉嫌虐待老年人的举报电话。其中，483起被归类为需要保护服务的报告，有177份报告被筛选用于调查，实际调查了167起。研究结果描述了虐待举报电话、调查情况、受害者、施虐者以及总调查时间的特征。还评估了证实率、累犯情况以及调查是否增加或降低了虐待风险。通过嵌套系统视角审视APS的个案工作，构建了本研究的结果与讨论。这样的审视有可能提高为老年人提供的服务质量。
