Evaluation of the Detection of Elder Mistreatment Through Emergency Care Technicians Project Screening Tool

Cannell, Brad; Livingston, Melvin D.; Burnett, Jason; Parayil, Megin; González, Jennifer M. Reingle

doi:10.1001/jamanetworkopen.2020.4099

Cited by 9 publications

(4 citation statements)

References 15 publications

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“…Nineteen articles focused on the development and evaluation of screening tools. Eleven tools were discussed including tools designed specifically for medical providers: (1) TEAM-FACN (Burnett et al, 2019), (2) detection of elder abuse through car emergency care technician (DETECT) (Cannell et al, 2019; Cannell, Livingston, et al, 2020; Cannell, Weitlauf, et al, 2020), (3) QualCare Scale ( et al, 2017) and social workers: (4) EARAE tool (Dauenhauer et al, 2019), (5) OAFEM tool (Phelan et al, 2017), and the (6) Emergency Department Elder Mistreatment Assessment Tool for Social Workers (Elman et al, 2020). The other five tools were designed for use by all professionals: (7) indicators of abuse Screen instrument (Touza et al, 2018), (8) the caregiver abuse screen tool (Pérez-Rojo et al, 2015; Sakar et al, 2019, (9) the Weinberg center risk and abuse prevention screen (Ramirez et al, 2019), (10) risk on elder abuse and mistreatment instrument (De Donder et al, 2018), and (11) Australian elder abuse screening instrument (Gahan et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…The team first identified the most salient indicators of elder abuse and neglect for potential inclusion on a screening tool (Cannell et al, 2016). They went on to evaluate the general effectiveness of the tool (Cannell, Livingston, et al, 2020), feasibility of implementing DETECT into medic’s field-based practice (Cannell et al, 2019), and the validity of an abbreviated version of the tool (Cannell, Weitlauf, et al, 2020). Overall, they found that the DETECT tool was effective in increasing emergency medics’ frequency of reporting.…”

Section: Resultsmentioning

confidence: 99%

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Global Approaches to Primary, Secondary, and Tertiary Elder Abuse Prevention: A Scoping Review

Atkinson

Roberto

2023

Trauma, Violence, & Abuse

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Public health professionals use a three-pronged approach to address broad-reaching issues of societal concern: primary prevention, secondary prevention, and tertiary prevention. Applying this framework to the study of elder abuse, the purpose of this review is to describe the status of elder abuse prevention research on a global scale. Elder abuse prevention articles published between 2015 and 2021 were identified through electronic bibliographic searches (PubMed, Medline, CINAHL, APA PsycINFO, and AgeLine). After removing articles based on inclusion and exclusion criteria, articles were sorted into the three main prevention types and further divided into subcategories for a more in-depth review. Most of the studies identified were conducted in North America ( n = 42). Of the 72 articles identified, 13 articles focused on primary prevention (agism, education, and intervention), 35 articles focused on secondary prevention (developing and evaluating screening tools, identifying and reporting abuse, and barriers to detecting and reporting abuse), and 21 focused on tertiary prevention (professional response to cases of abuse, intervention methods, and impact of policy). Collectively, findings bring greater understanding of elder abuse as a public health problem and identify ways of addressing the complexities of elder abuse. Several gaps were identified in the elder abuse prevention literature including the need for global research that includes older adults as stakeholders, evidence-based education and intervention programs, and cultural sensitive and valid tools to identify elder abuse.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Global Approaches to Primary, Secondary, and Tertiary Elder Abuse Prevention: A Scoping Review

Atkinson

Roberto

2023

Trauma, Violence, & Abuse

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“…If there is concern for intentional abuse or neglect, Adult Protective Services or a long‐term care ombudsman should be alerted by ED staff. Integration of a vulnerable elder team or validated screening tool for elder mistreatment increases identification and assists with getting services for these patients 105,106 . The transition of care to home and assessment of caregiver burden or elder mistreatment are very important areas of emergency care where the involvement of experienced social work, case management, and rehabilitation teams are critical.…”

Section: Transition Of Carementioning

confidence: 99%

Enhancing healthcare access for an older population: The age‐friendly emergency department

Lee,

Skains,

Magidson

et al. 2024

JACEP Open

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Healthcare systems face significant challenges in meeting the unique needs of older adults, particularly in the acute setting. Age‐friendly healthcare is a comprehensive approach using the 4Ms framework—what matters, medications, mentation, and mobility—to ensure that healthcare settings are responsive to the needs of older patients. The Age‐Friendly Emergency Department (AFED) is a crucial component of a holistic age‐friendly health system. Our objective is to provide an overview of the AFED model, its core principles, and the benefits to older adults and healthcare clinicians. The AFED optimizes the delivery of emergency care by integrating age‐specific considerations into various aspects of (1) ED physical infrastructure, (2) clinical care policies, and (3) care transitions. Physical infrastructure incorporates environmental modifications to enhance patient safety, including adequate lighting, nonslip flooring, and devices for sensory and ambulatory impairment. Clinical care policies address the physiological, cognitive, and psychosocial needs of older adults while preserving focus on emergency issues. Care transitions include communication and involving community partners and case management services. The AFED prioritizes collaboration between interdisciplinary team members (ED clinicians, geriatric specialists, nurses, physical/occupational therapists, and social workers). By adopting an age‐friendly approach, EDs have the potential to improve patient‐centered outcomes, reduce adverse events and hospitalizations, and enhance functional recovery. Moreover, healthcare clinicians benefit from the AFED model through increased satisfaction, multidisciplinary support, and enhanced training in geriatric care. Policymakers, healthcare administrators, and clinicians must collaborate to standardize guidelines, address barriers to AFEDs, and promote the adoption of age‐friendly practices in the ED.

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“…It includes a brief prescreen intended for all patients followed by a longer comprehensive screen for those with positive responses on the prescreen. It also includes prompted older adult and caregiver observations derived from the DETECT screening tool, validated to detect EA in the field by emergency responders, 23 as well as physical examination components and suggested response pathways following assessment. In a multicenter validation study, the original EA screening tool on which EM‐SART is based, the ED Senior AID Tool, had a sensitivity of 94.1% and specificity of 84.3% for identifying EA cases confirmed by multidisciplinary expert panel review and the approach was found to be acceptable to ED providers 22 …”

Section: Introductionmentioning

confidence: 99%

Leveraging VA geriatric emergency department accreditation to improve elder abuse detection in older Veterans using a standardized tool

Makaroun

Halaszynski

Rosen

et al. 2023

Academic Emergency Medicine

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Elder abuse (EA) is common and has devastating health impacts, yet most cases go undetected limiting opportunities to intervene. Older Veterans receiving care in the Veterans Health Administration (VHA) represent a high-risk population for EA. VHA emergency department (ED) visits provide a unique opportunity to identify EA, as assessment for acute injury or illness may be the only time isolated older Veterans leave their home, but most VHA EDs do not have standardized EA assessment protocols. To address this, we assembled an interdisciplinary team of VHA social workers, physicians, nurses, intermediate care technicians (ICTs; former military medics and corpsmen who often conduct screenings in VHA EDs) and both VHA and non-VHA EA subject matter experts to adapt the Elder Mistreatment Screening and Response Tool (EM-SART) to pilot in the Louis Stokes Cleveland VA Medical Center geriatric ED (GED)program. The cornerstone of their approach is an interdisciplinary GED consultation led by ICTs and nurses who screen high-risk older Veterans for geriatric syndromes and unmet needs. The adapted EM-SART was integrated into the electronic health record and GED workflow in December 2020. By July 2022, a total of 251 Veterans were screened with nine (3.6%) positive on the prescreen and five (2%) positive on the

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Evaluation of the Detection of Elder Mistreatment Through Emergency Care Technicians Project Screening Tool

Cited by 9 publications

References 15 publications

Global Approaches to Primary, Secondary, and Tertiary Elder Abuse Prevention: A Scoping Review

Global Approaches to Primary, Secondary, and Tertiary Elder Abuse Prevention: A Scoping Review

Enhancing healthcare access for an older population: The age‐friendly emergency department

Leveraging VA geriatric emergency department accreditation to improve elder abuse detection in older Veterans using a standardized tool

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