C.B. Dyer is professor, Division of Geriatric and Palliative Medicine, and executive vice-chair, Department of Medicine, McGovern Medical School, Houston, Texas, and executive director, Consortium on Aging, University of Texas Health Science Center at Houston, Houston, Texas. J.M. Halphen is associate professor, Division of Geriatric and Palliative Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, and medical director, Texas Elder Abuse and Mistreatment Institute-Forensic Assessment Center Network, Houston, Texas. J. Lee is assistant professor, Division of Geriatric and Palliative Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas. R.J. Flores is assistant professor, Division of Geriatric and Palliative Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas. J.G. Booker is district director, Adult Protective Services, Houston, Texas, and codirector, Texas Elder Abuse and Mistreatment Institute, Houston, Texas. B. Reilley is member, Texas Elder Abuse and Mistreatment Institute, Houston, Texas. J. Burnett is codirector, Texas Elder Abuse and Mistreatment Institute, Houston, Texas, and director, Texas Elder Abuse and Mistreatment Institute-Forensic Assessment Center Network, Houston, Texas.
Acad Med. 2020 Apr;95(4):540-545. doi: 10.1097/ACM.0000000000003028.
In 1995, the Texas Department of Family and Protective Services: Adult Protective Service Agency began a partnership with the Baylor College of Medicine geriatrics program to form the Texas Elder Abuse and Mistreatment (TEAM) Institute. The medical school-state agency partners overcame institutional and bureaucratic barriers to work collaboratively on mutually beneficial projects, including research and publications. Interprofessional students gained first-hand experience about abuse and neglect cases. As of 2019, there are 4 divisions: Clinical and Forensic Evaluation, Education and Outreach, Research and Program Evaluation, and Senior Justice. TEAM members have published numerous articles and chapters, educated members from multiple disciplines, and served thousands of mistreated older patients. In 2017, TEAM launched the first statewide telecommunication program for elder mistreatment to improve practice for the entire state. Perseverance, teamwork, and dedication to the mission of the intervention and prevention of elder mistreatment have sustained this program for over 30 years. This article describes the steps to forming TEAM, the institute's early struggles, and the subsequent community and academic contributions of this medical school-state agency collaboration.
1995 年,德克萨斯州家庭和保护服务部:成人保护服务机构与贝勒医学院老年医学项目建立合作关系,成立了德克萨斯州虐待和虐待老年人研究所(TEAM)。医学院与州立机构克服了体制和官僚障碍,合作开展互利项目,包括研究和出版。跨专业学生获得了虐待和忽视案件的第一手经验。截至 2019 年,该研究所共有 4 个部门:临床和法医评估、教育和外展、研究和项目评估以及老年司法。TEAM 成员发表了许多文章和章节,为多个学科的成员提供了教育,并为数千名受虐待的老年患者提供了服务。2017 年,TEAM 启动了全州范围内针对虐待老年人的远程通信计划,以改善全州的实践。坚持不懈、团队合作以及对干预和预防虐待老年人使命的奉献精神,使该计划得以持续 30 多年。本文介绍了成立 TEAM 的步骤、该研究所早期的困难以及该医学院-州立机构合作随后对社区和学术界的贡献。