Author Affiliations: School of Nursing, University of Alabama at Birmingham.
Michigan State University School of Criminal Justice.
J Forensic Nurs. 2022;18(3):156-163. doi: 10.1097/JFN.0000000000000378. Epub 2022 Mar 16.
Elder abuse, neglect, and financial exploitation impacts over five million community-dwelling older adults in the United States. Although services are available to help these victims, they are often fragmented within communities with service providers having limited means to provide preventative services. The coordinated community response (CCR) is a type of coalition intended to overcome siloed services through a single-point-of-entry system and more team-based approaches to prevention. This article describes the development, implementation, and evaluation of the interagency functioning of a local CCR.
The main goal of the CCR has been to better serve victims of elder abuse, neglect, and financial exploitation. However, through the coalition's evolution, the mission of how to do this shifted from a victim service model to a prevention approach. Unique features of this CCR include a uniform consent form to allow sharing of protected client data among all service providers and a technology-supported infrastructure for service record documentation and referrals.
Using available data from administrative records, the number of unique interagency referrals for services to older adults at risk increased 450% from 2016 to 2018. The strength and type of connections between agencies changed over time. Among all eligible clients offered services, most (77%) agreed to provide uniform consent to allow data sharing among other local partner agencies.
The evaluation showed that the coalition met most of its planned measurable outputs in the original logic model guiding the CCR programmatic development. The evaluation findings and lessons learned inform updated guidelines for self-assessment of CCRs.
在美国，有超过 500 万的社区居住老年人遭受虐待、忽视和经济剥削。尽管有服务可以帮助这些受害者，但这些服务往往在社区内分散，服务提供者提供预防服务的手段有限。协调社区应对（CCR）是一种旨在通过单点进入系统和更多基于团队的预防方法来克服孤立服务的联盟类型。本文描述了当地 CCR 的机构间运作的开发、实施和评估。
CCR 的主要目标是更好地为遭受虐待、忽视和经济剥削的老年人服务。然而，通过联盟的发展，其使命从受害者服务模式转变为预防方法。该 CCR 的独特特点包括统一的同意书，允许所有服务提供者共享受保护的客户数据，以及用于服务记录文档和转介的技术支持基础设施。
利用行政记录中的可用数据，2016 年至 2018 年，有风险的老年人的独特机构间转介服务数量增加了 450%。机构之间的联系强度和类型随时间而变化。在所有符合条件的提供服务的客户中，大多数（77%）同意提供统一同意书，允许其他当地合作机构共享数据。
评估表明，该联盟在指导 CCR 项目发展的原始逻辑模型中满足了其大部分计划的可衡量产出。评估结果和经验教训为 CCR 的自我评估提供了更新的指南。
