U.S. Division, Education Development Center, Waltham, MA, USA.
Elder Justice Initiatives, ADvancing States, Arlington, VA, USA.
J Elder Abuse Negl. 2024 Nov-Dec;36(5):439-457. doi: 10.1080/08946566.2024.2361633. Epub 2024 Jun 3.
Lack of feedback about reports made to Adult Protective Services (APS) is an important barrier to elder mistreatment reporting. To better understand barriers and facilitators to APS-reporter communication, we conducted an environmental scan of state policies and practices. We gathered publicly available information from 52 states and territories on APS administrative structure, reporting, intake, investigation, and feedback processes; performed a secondary analysis of focus groups with Emergency Medical Services providers and APS staff; and interviewed 44 APS leaders in 24 states/territories. Results revealed variation in information-sharing with reporters. Qualitative analyses revealed three overarching themes related to whether, when, and how information is shared. Results were used to develop a model illustrating factors influencing APS decisions on sharing information. This model incorporates the type of reporter (professional or nonprofessional), their relationship with the APS client (brief or ongoing), and the potential risks and benefits of sharing information with the reporter.
缺乏向成人保护服务机构(APS)报告的反馈是虐待老年人报告的一个重要障碍。为了更好地了解 APS 报告者沟通的障碍和促进因素,我们对州政策和实践进行了环境扫描。我们从 52 个州和地区收集了 APS 行政结构、报告、受理、调查和反馈流程的公开信息;对紧急医疗服务提供者和 APS 工作人员的焦点小组进行了二次分析;并在 24 个州/地区采访了 44 名 APS 领导人。结果显示,与报告者分享信息存在差异。定性分析揭示了与信息共享的时间、方式和内容相关的三个总体主题。结果被用来开发一个模型,说明影响 APS 决定是否共享信息的因素。该模型包含报告者的类型(专业或非专业)、他们与 APS 客户的关系(短暂或持续),以及与报告者分享信息的潜在风险和益处。