Leonard Davis School of Gerontology, University of Southern California , Los Angeles, California, USA.
Keck School of Medicine, University of Southern California , Los Angeles, California, USA.
J Elder Abuse Negl. 2020 Nov-Dec;32(5):489-508. doi: 10.1080/08946566.2020.1852142.
Repeat referral to adult protective services APS (recurrence) is a much-discussed topic among APS agencies as it may indicate ongoing harm, yet there is limited research examining prevalence or causes. This paper provides a foundational investigation of recurrence within a California APS county program. Drawing from thirty-three months of de-identified reports, we used logistic regression to examine the impact of intake report characteristics on repeat referral within one year after baseline case closure. One-fifth of the sample was recurrent (19.9%, n=987/4,958), with self-neglect being the most common type of report to recur (14.3%, n=307/2,141). Overall recurrence was predicted by female gender, older age, living alone, and multiple elder abuse, neglect, and exploitation (ANE) types reported at baseline, and report placed by social service provider, friends, family, landlords, and victim self-reports. Reporters personally related to the victim and social service providers are potential partners in identifying ANE, and alternate intervention approaches may be necessary.
重复向成人保护服务机构（APS）转介（复发）是 APS 机构讨论较多的话题，因为这可能表明持续存在伤害，但关于复发的普遍性或原因的研究有限。本文对加利福尼亚州 APS 县项目中的复发情况进行了基础调查。我们从 33 个月的匿名报告中，使用逻辑回归分析了在基线案例结案后一年内，受理报告特征对重复转介的影响。有五分之一的样本（19.9%，n=987/4958）是复发的，其中自我忽视是最常见的复发报告类型（14.3%，n=307/2141）。总体复发情况可由女性性别、年龄较大、独居以及基线时报告的多种虐待、忽视和剥削（ANE）类型预测，还可由社会服务提供者、朋友、家人、房东和受害者自我报告来预测。与受害者有个人关系的报告人和社会服务提供者可能是识别 ANE 的潜在合作伙伴，可能需要采取替代干预方法。
