C-69The Role of Cognition in Self-Advocacy in Adult Protective Services Cases

Lande, E; Gauthier, Jami M.; Stanley-Olson, A; Snider, Mira D H; Sommerfeld, David H.; Henderson, Lynne

doi:10.1093/arclin/acx076.236

Cited by 1 publication

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“…This statistical approach and research methodology is supported and has been previously utilized in peer-reviewed research within the broader healthcare (Song et al, 2013) and neuropsychology and older adult abuse and neglect (James et al, 2014) literature bases. Future research will aim to further examine individual variables of interest (e.g., self-advocacy; Lande et al, 2017).…”

Section: Methodsmentioning

confidence: 99%

“…Improving the understanding of how cognitive functioning relates and contributes to abuse/neglect indicators, interventions, and outcomes that have been collected by APS social workers would be a significant contribution to the literature. Previously conducted initial research efforts have demonstrated several important findings (Gauthier et al, 2018;Lande et al, 2017;Stanley-Olson et al, 2017a, 2017b, 2017c. To further this knowledge, our goals are to improve understanding of the demographic and cognitive profiles of APS cases referred for neuropsychological assessment compared with those not referred.…”

Section: Purpose Of the Present Studymentioning

confidence: 99%

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Utilizing comprehensive neuropsychological assessment in adult protective service intervention.

Lande¹,

Gauthier²,

Stanley-Olson³

2022

Professional Psychology: Research and Practice

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Over the past decade, an emerging practice in Adult Protective Services (APS) agencies is to include neuropsychological assessment as part of a multidisciplinary team approach to assessment and intervention. Yet, little empirical research exists examining this approach. Between July 2010 and May 2020, 231 (0.01%) of 25,309 opened APS cases were referred to the Rapid Response Expert Team (RRET) for neuropsychological evaluation of decision-making capacity. Ninety-four percent of these individuals were diagnosed with a neurocognitive disorder. Etiologies were primarily (77.1%) dementia(s). Self-neglect and financial abuses were the most prevalent confirmed allegations, consistent with prior research. Cases referred to the RRET neuropsychologists, compared with cases that were not referred, had a greater total number of allegations, precursor risk factors, biological, psychological, and social indicators at initial evaluation by APS, and utilized a larger number of resources (interventions). The RRET neuropsychological evaluation was shown to provide additional and unique information predictive of functional outcomes to assist APS social workers in identifying interventions and allocation of resources. Specifically, executive functions, language, and learning and memory impairments were significant contributors to functional outcomes. Neuropsychological assessment appears to add to and advance the conceptualization of an individual's functioning and intervention needs for APS. This knowledge will aid in demonstrating the importance of this model of practice at the individual level and in evolving county policy, resource allocation, and staff continuing education. Public Significance StatementThis study suggests that individuals referred by Adult Protective Services (APS) for neuropsychological assessment of decision-making capacity had a greater severity of mistreatment indicators at initial evaluation by APS and utilized a larger number of resources (interventions). Neuropsychological evaluation indicated executive functions, language, and learning and memory impairments were significant contributors to functional outcomes. Neuropsychology consultation is likely to benefit suspected victims of elder and dependent adult abuse as well as APS agencies in their goal of examining intervention needs and improving case outcomes.

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Section: Methodsmentioning

confidence: 99%