NAPSA offers webinars to the general public and to members-only on a variety of topics. Watch webinar recordings here.
NAPSA, in conjunction with partners at the National Council on Crime and Delinquency (NCCD) and the National Committee for the Prevention of Elder Abuse, offers “Research to Practice” webinars on research-based and practice-based topics.
The Stressed Caregiver versus the Bad Apple- Classifying Abusers using APS Data
April 3, 2019
Previous research indicates that abuser risk factors are important in predicting elder abuse outcomes, yet few studies have focused on the characteristics of abusers and how they differ from one another. Using data from the Older Adult Mistreatment Assessment administered to victims by APS workers in Illinois, Dr. DeLiema used a novel statistical approach called latent class analysis to show that abusers fall into four distinct subtypes: “caring,” “temperamental,” “dependent,” and “dangerous.” These abuser profiles differ in behaviors such as aggression, financial dependency, substance abuse, irresponsibility, and emotional and instrumental support provided to victims. Abuser subtypes also differ in the average age of the abuser, the abuser’s gender, their relationship to the victim, and the types of abuse committed. In this R2P Webinar, Dr. Marti DeLiema will share her findings and show how each abuser subtype is linked to different forms of elder mistreatment. She will also talk about the implications of this work and the importance of tailoring abuse interventions based on the abuser’s profile.
Marti DeLiema, PhD, Research Scholar, Financial Security Division, Stanford Center on Longevity
Carol Dayton, MSW, LISW, Consultant
Investigating Financial Exploitation- New York’s FEIST-y New Approach
February 14, 2019
This webinar will discuss the development and implementation of a new tool to assist APS and its partners in the investigation of suspected financial exploitation of vulnerable adults. The tool, called the Financial Exploitation Investigation Suite of Tools (FEIST) was developed by Karen Webber, forensic accountant, in conjunction with the Bureau of Adult Services of the New York State Office of Children & Family Services (OCFS), under a federal grant from ACL to enhance APS practice. The FEIST assists with client interviews, identification of red flags, collection of financial and other records, following of investigative leads, formatting of data for further review by a forensic accountant, and assisting with referrals for civil or criminal legal proceedings .This grant, which included access to a forensic accountant for consultations and full reviews, is currently being piloted in several regions of New York.
Alan Lawitz, Esq., Director, Bureau of Adult Services, New York State Office of Children & Family Services; Co-Regional Representative for NAPSA Northeast II
Karen Webber, CPA, CFE, President, Webber CPA, PLLC
Goal Attainment Scaling
February 7, 2019
David Burnes, PhD, introduces the idea of goal attainment scaling (GAS), a client-centered tool to generate intervention plans and measure case resolution in adult protective services (APS) and other elder abuse response programs. GAS allows workers to capture nuanced aspects of APS work and its various moving parts involved in case intervention/progression. Without a tool that measures overall case resolutions, the effectiveness of different APS intervention models/practices cannot be systematically compared. Dr. Burnes’ research centers around the issue of elder abuse, specifically, understanding and preventing elder abuse in the community, developing/evaluating interventions, and developing intervention outcome measures.
David Burnes, Assistant Professor, University of Toronto Factor-Inwentash Faculty of Social Work, Affiliate Scientist at Baycest Health Sciences, Rotman Research Institute.
De-escalating Techniques for APS
June 11, 2018
This presentation provides strategies and crisis intervention techniques for de-escalating individuals who are in mental health crisis. Presenter Lieutenant Jeremy Romo has extensive experience working with individuals with lived experience as well as training law enforcement and professionals who work with individuals. This presentation addresses active listening, negotiation, persuasion, verbal and non-verbal behavior for de-escalating a crisis situation and bringing the crisis to a safe and effective resolution.
Jeremy Romo, Lieutenant, St. Louis County Police Department
Discharge Planning: Guidance for APS Programs
May 23, 2018
APS often has to assist clients in navigating among various settings and levels of care. This work can be complex and frustrating, particularly when APS is concerned that there may be an unsafe discharge. This webinar will discuss some of the discharge planning issues faced by APS including how the process is supposed to work according to federal law and guidance and some of the strategies used and tools developed by APS and their community partners to seek safe and appropriate discharges.
Alan Lawitz, Esq., Director, Bureau of Adult Services, New York State Office of Children & Family Services; Co-Regional Representative for NAPSA Northeast II
Deborah Greenfield, Adult Services Specialist, Bureau of Adult Services, New York State Office of Children & Family Services
Social Relationships and Elder Financial Victimization- Theoretical, Empirical, and Practical Perspectives
April 25, 2018
Social isolation, defined as a lack of meaningful social connection, affects more than 8 million older adults in the United States. Isolation is a significant risk factor for a range of physiological, cognitive and emotional disorders, and increases the risk of mortality more than smoking up to 15 cigarettes per day, obesity, and physical inactivity. In this webinar, Drs. Marti DeLiema and Scott Beach present research on how interpersonal factors affect the risk of elder financial victimization. Dr. DeLiema will present a theoretical model of elder financial victimization, adapted from routine activity theory; and Dr. Beach will present results from a recent paper examining how social network size and perceived social support affect risk of financial exploitation. In addition to highlighting real-world cases, they will provide practical tips for direct service providers to combat the risks posed by social isolation.
Marti DeLiema, PhD, Research Scholar, Financial Security Division, Stanford Center on Longevity
Scott Beach, PhD, Director of Survey Research Program, University Center for Social and Urban Research
Vulnerable Elder Protection Team: A Collaborative Intervention
April 17, 2018
This webinar discuses the development, launch, and preliminary experience of the Vulnerable Elder Protection Team (VEPT) as well as the team’s collaborations with Adult Protective Services and Multi-Disciplinary Teams. VEPT is an Emergency Department-based multi-disciplinary intervention available 24/7 to improve identification, comprehensive medical and forensic assessment, and treatment for potential victims of elder abuse, neglect, or exploitation.
Tony Rosen, MD MPH, Assistant Professor of Medicine, Division of Emergency Medicine, Weill Cornell Medical College
Deborah-Holt Knight, MSG, Deputy Commissioner, New York City Adult Protective Services
Peg Horan, LMSW, Elder Abuse Prevention Specialist, Multidisciplinary Team (MDT) Coordinator, New York City Elder Abuse Center
Does Elder Abuse Type Tell Us Anything About Five-Year All-Cause Mortality?
It is widely recognized and accepted that confirmed elder mistreatment leads to higher risks of early all-cause mortality. Less understood is whether different types of confirmed elder mistreatment confer a greater risk for all-cause mortality compared to other confirmed types and whether having multiple types of concurrent confirmed elder mistreatment result in compounded risk for death. This webinar presents data from a single study using Texas Adult Protective Services data of confirmed elder mistreatment to predict 5-year all cause mortality among 5-different maltreatment types (i.e. caregiver neglect, physical abuse, emotional abuse, financial exploitation and polyvictimization). The findings will be discussed in relation to existing literature and the need for future well-designed mortality studies aimed at understanding the individual impact that different elder mistreatment types may have on mortality.
Presenter: Jason Burnett, PhD, Assistant Professor, Co-Director of The Texas Elder Abuse & Mistreatment Institute (TEAM); Co-Director of the Forensic Assessment Center Network (FACN)-APS Division; The University of Texas Health Science Center at Houston
The Abuse Intervention Model: A Pragmatic Approach to Intervention for Elder Mistreatment
The Abuse Intervention Model: A Pragmatic Approach to Intervention for Elder Mistreatment (webinar recording)
The Abuse Intervention Model: A Pragmatic Approach to Intervention for Elder Mistreatment (slides)
Interventions are needed to mitigate elder mistreatment, but responders must first know when to intervene. This webinar will present the Abuse Intervention Model (AIM), a simple, coherent framework of known risk factors of the victim, perpetrator, and environment that applies to all types of abuse. Dr. Laura Mosqueda will discuss the details of the AIM and present case studies on how the AIM can be applied to APS work.
Presenter: Laura Mosqueda, MD, Interim Dean, Keck School of Medicine of USC, Chair and Professor of Family Medicine
Disrespect: Elder Abuse and Native Americans
Most elders describe abuse as disrespect and using this terminology will get a more robust response during an investigation. This webinar will present language and approaches that will help with the communication and investigation of elder abuse among Native American elders. Jacque Gray will discuss how her research has helped to inform practice with Native American elders.
Presenter: Jacque Gray, PhD, Associate Director/Research Professor, University of North
Dakota, School of Medicine & Health Sciences
The State of Elder Fatality Reviews in the US: Growing the Field
Multi-disciplinary fatality review teams have been in existence for well over two decades for children and at least 15 years in the domestic violence field. These teams identify factors leading to untimely deaths and implement changes in policies and practices to prevent similar deaths in the future. Interest in creating Elder Fatality Review Teams is growing across the country. Join us to learn about the current state of Elder Fatality Review Teams and how you can create one in your jurisdiction.
Presenters: Bill Benson, National Policy Advisor, NAPSA; Teri Covington, Director, National Center for Fatality Review and Prevention; Kendra Kuehn, Policy Analyst, NAPSA
Correlates of Depression in Self-Neglect
December 7, 2016
Depression is common among older adults who no longer can care for themselves; and both self-neglect and depression are associated with poor health outcomes, including increased mortality. This webinar will explore some of the potential health and behavioral correlates of depression in older adults who neglect themselves. In addition, the webinar will cover implications for further research and the development of programs to address depression in this population. Part of a series on APS research to practice, this webinar is sponsored by the joint research committee of the National Adult Protective Services Association and the National Committee for the Prevention of Elder Abuse, with support from NCCD.
Expanding Constructions of Elder Abuse: How Older Mothers View Their ‘Difficult’ Adult Children
August 4, 2016
Dr. Smith, from Fordham University School of Social Service, will present findings from her new research, which examined older women’s perceptions of their ‘difficult’ adult children and of themselves. The webinar is an opportunity to discuss Dr. Smith’s findings, which were collected by doing in-depth open-ended interviews with low-income older mothers (>62), half of whom had sought services within agencies that service the needs of elder abuse victims. This is one of the few studies that focused on the experience of victims of abuse.
A New Tool for Assessing Financial Decision Making in Older Adults
May 3, 2016
A New Tool for Assessing Financial Decision Making in Older Adults (webinar recording)
In many cases of financial exploitation, the exploited person’s capacity to make decisions is the core issue that must be assessed. Therefore, it is essential for investigators to have effective instruments for measuring a person’s capacity to make independent financial decisions, but one challenge is the lack of tools to detect deficits in financial capability. This session introduces a new screening scale for financial decision-making capacity. The Lichtenberg Financial Decision Screening Scale (LFDSS) is a brief, 10-item screening scale designed to assess a vulnerable adult’s decisional ability at the point in time when the adult is making a significant financial decision. In this webinar, we will review instructions for administering the LFDSS, review screening questions and scoring, and discuss case studies using the scale.
Advancing the Field of APS through Research: An Introduction to the Tool for Risk, Interventions and Outcomes
January 27, 2016
Advancing the Field of APS through Research: An Introduction to the Tool for Risk, Interventions and Outcomes (TRIO) (webinar recording)
Advancing the Field of APS through Research: An Introduction to the Tool for Risk, Interventions and Outcomes (TRIO) (slides)
This presentation will focus on the design and development of a Tool for Risk, Interventions and Outcomes (TRIO). This is a tool designed by social workers for social workers to increase consistency in the investigation and assessment of risk for elders and dependent adults who come to the attention of Adult Protective Services.
Improving Client Mental Health to Positively Impact Abuse Resolution
October 20, 2015
In this webinar we will discuss the implementation of mental health screening and Problem-Solving Therapy (PST) in routine elder abuse services. Providing Options To Elderly Clients Together (PROTECT) is a mental health program in which anxiety and depression screening and PST with anxiety management are integrated into elder abuse services to improve outcomes for victims with depression and/or anxiety. The webinar will describe the methods used and the effects of the program on staff and clients.
A Week in the Life of Adult Protective Services
July 29, 2015
A Week in the Life of Adult Protective Services (webinar recording)
This webinar presents a study that uses a public health model to examine allegations of elder abuse made to Kentucky Adult Protective Services (APS) and the investigations that followed in order to understand how APS addressed the needs of abused elders. Elder abuse allegations made to APS during the study week were collected using three study tools. Allegations and resulting investigations were analyzed using descriptive statistics. Results describe characteristics of the abuse calls, investigations, victims, perpetrators, and investigation times. The substantiation ratio, recidivism, and whether investigation increased or decreased the risk of abuse were also assessed. Examining APS casework through the lens of nested systems (ecological systems theory) has the potential to improve the outcomes of those served by APS and can be used as a model for APS programs across the country.
Observational Measures of Elder Self-Neglect
March 9, 2015
Elder self-neglect (ESN) represents half or more of all cases reported to adult protective services. ESN directly affects older adults and also their families, neighbors, and the larger communities around them. ESN has public health implications and is associated with higher than expected mortality rates, hospitalizations, long-term care placements, and localized environmental and safety hazards. This webinar begins by describing results from a study using concept mapping to create a conceptual model of ESN and the items needed to measure it. On this webinar, presenters will discuss findings from a study that resulted in the development of the Elder Self-Neglect Assessment (ESNA). The tool was field-tested by social workers, case managers, and adult protective services providers from 13 Illinois agencies. ESNA indicators of self-neglect align into two broad categories: behavioral characteristics and environmental factors, which must be accounted for in a comprehensive evaluation. Discussion will focus on the clustering of items into the two categories and on the hierarchy of items which should represent severity of self-neglect. (NOTE: the webinar recording begins on slide 3 of the slide handout. Introductory remarks are excluded due to recording technical difficulties).
Forensic Markers of Elder Abuse and Neglect
January 12, 2015
It is often difficult to figure out if an injury or wound is due to elder abuse. In part, this is because many of the normal and common age-related changes mask and mimic signs of elder abuse. “Older adults bruise easily” and “old people who aren’t mobile develop pressure sores” are common refrains that may be hard to refute. In this webinar we will review the research and clinical findings that help distinguish forensic markers of elder mistreatment. (Materials: slide presentation) Presenter – Laura Mosqueda, MD, FAAFP, AGSF, Chair, Department of Family Medicine, Professor of Family Medicine and Geriatrics (Clinical Scholar) and Associate Dean of Primary Care, Keck School of Medicine of University of Southern California
Educating and Preparing Preprofessional Students on Adult and Elder Abuse: Implications for University Curriculum, and Insights from a Promising Program
September 22, 2014
Educating and Preparing Preprofessional Students on Adult and Elder Abuse: Implications for University Curriculum, and Insights from a Promising Program (webinar recording)
Educating and Preparing Preprofessional Students on Adult and Elder Abuse: Implications for University Curriculum, and Insights from a Promising Program (slides)
This webinar consists of a two-part panel presentation. First, Dr. Christina Policastro, Assistant Professor, Department of Criminal Justice & Criminology, Georgia Southern University, will provide an overview and summary of findings from a research study that assessed levels of elder abuse awareness among social work, nursing, health professions, and criminal justice students. Next, Risa Breckman and Dr. Karl Pillemer will present an overview of The Risk and Resiliency Internship Project (RRIP), created by NYC Elder Abuse Center (NYCEAC) and The Legacy Project, designed to expose undergraduates to the wisdom and robust experience of older generations as well as to the issue of elder abuse. Risa Breckman is an Assistant Professor of Gerontological Social Work in Medicine and the Director of the NYC Elder Abuse Center at Weill Cornell Medical College’s Division of Geriatrics and Palliative Medicine. Dr. Karl Pillemer is a Professor of Human Development at Cornell University and Professor of Gerontology in Medicine at the Weill Cornell Medical College.
An Overview of the Assessment of Everyday Decision Making (ACED)
April 14, 2014
Jason Karlawish, MD, provides an overview of the development and use of the Assessment of Capacity for Everyday Decision-Making (ACED). The ACED is the first tool available with data supporting its reliability and validity to effectively address a common clinical issue: is a patient who refuses an intervention to help manage an instrumental activity of daily living (IADL) disability capable of making this decision? The ACED is useful for assessing the capacity to solve functional problems of older persons with mild to moderate cognitive impairment from disorders such as Alzheimer’s disease. Common clinical scenarios are the person who has problems performing an IADL, such as cooking, but refuses help to manage that IADL. Is the person capable of refusing this help? The ACED provides patient specific assessments of decisional abilities needed to make that informed refusal. The ACED works well for persons with short term memory impairments since the provided summary sheet can be referred to throughout the interview. The ACED can also help in real-world assessment of a person’s cognitive abilities. It can also inform the assessment of complex cases of the “self-neglect syndrome.” The ACED interview takes 15-20 minutes to administer. At the close of an ACED interview, the interviewer has a set of data that describe the person’s performance on the decision making abilities.
Prosecution of Financial Exploitation Cases: Lessons from an Elder Abuse Forensic Center
January 24, 2014
Prosecution of Financial Exploitation Cases: Lessons from an Elder Abuse Forensic Center (webinar recording)
Prosecution of Financial Exploitation Cases: Lessons from an Elder Abuse Forensic Center (pdf slides)
In this presentation, Dr. Adria Navarro and Dr. Kathleen Wilber discuss findings from their study that examines effectiveness when APS uses a novel multidisciplinary team (MDT)—an elder abuse forensic center—to increase prosecution of elder financial abuse crimes. Findings from this study of APS recipients between 2007-2009 found a ten times greater likelihood of cases being submitted to the District Attorney’s office. The researchers shared the process used by the forensic center team to determine whether prosecution should become a case goal.
Principles of Effective Evaluation and Research Capacity Building in APS
April 24, 2013
Principles of Effective Evaluation and Research Capacity Building in APS (webinar recording)
Increasing demands for demonstrating positive results and outcomes of community services, including Adult Protective Services, have put significant pressure on program administrators and service providers to engage in ongoing evaluation research. In this webinar Dr. Madelyn Iris, Dr. Rebecca Berman, and Lisa Peters Beumer will describe the principles underlying effective organizational capacity-building for evaluation, review critical steps necessary for achieving evaluation goals, and highlight the benefits of engaging in on-going evaluation practice. Examples will be drawn from an innovative program called ASSERT (Assistance, Services and Support for Evaluation Research Training, a practical educational program that provides community services providers with the strategies, approaches and skills they need to conduct meaningful program evaluation and utilization-focused research.
Pure Financial Exploitation vs. Hybrid Financial Exploitation Co-occurring with Elder Physical Abuse and/or Neglect
January 15, 2013
Pure Financial Exploitation vs. Hybrid Financial Exploitation Co-occurring with Elder Physical Abuse and/or Neglect (webinar recording)
Pure Financial Exploitation vs. Hybrid Financial Exploitation Co-occurring with Elder Physical Abuse and/or Neglect (pdf slides)
In this webinar, Shelly Jackson, Ph.D., shared findings from her research comparing pure financial exploitation (PFE) of an elderly person—financial exploitation that occurs independently of another form of elder abuse—with hybrid financial exploitation (HFE)—financial exploitation that co-occurs with physical abuse and/or neglect. Implications for how professionals intervene and work with victims of pure financial exploitation vs. hybrid financial exploitation are discussed.
Taking the Guess Work Out of Findings
September 27, 2012
Presenters Lori Delagrammatikas, Mary Twomey, Krista Brown, Kris K. Brown, and Mary Counihan discuss how researchers and APS practitioners worked together to develop a protocol to improve the consistency of APS investigation findings in California. After researchers identified great variability in APS decision-making across California, APS practitioners developed a protocol which clearly delineated the essential defining elements of each type of abuse/neglect, provided direction and focus for gathering information, and supplied workers with a structure for evaluating the relative strength and integrity of that information. The protocol has been implemented throughout the state and researchers are in the process of studying its efficacy by evaluating the current level of consistency in findings. The webinar describes the research, protocol and training development, evaluation efforts, and the collaborations needed to affect change statewide.
Evidence-Based Practice in Adult Protective Services
September 6, 2012
Evidence-Based Practice in Adult Protective Services (webinar recording)
Evidence-Based Practice in Adult Protective Services (full report)
A webinar on the survey findings on evidence-based practices in adult protective services. This webinar will also discuss promising practices in adult protective services and directions for future research. Presented by Shannon Flasch of the National Council on Crime and Delinquencies (NCCD), the author of the report.
Trauma-Informed Services for Elders with Abuse Histories
July 11, 2012
Trauma-Informed Services for Elders with Abuse Histories (PDF slides)
Trauma-Informed Services for Elders with Abuse Histories (audio webinar recording)
A paradigm-shifting webinar on trauma-informed services and approaches which will help you achieve more effective interactions and case outcomes. Special focus will be placed on the application of trauma-informed approaches with challenging cases (self-neglect, substance abuse) of elder abuse.
Unanswered Webinar Questions
Safe Coping Skills (referenced during webinar)
Worker Safety for the APS Supervisor
March 21, 2012
APS supervisors have a responsibility to keep their workers safe, which can seem a nearly impossible task given that we send workers out alone to face volatile, domestic violence situations; to work in rough inner city neighborhoods or in isolated rural areas without cell phone coverage, and to interface with individuals with a variety of emotional and cognitive impairments. During this webinar, you will learn how your workers can de-escalate situations occurring in their professional life. You will learn the four A’s of Safety and how to help your workers to learn a structure of interpersonal safety awareness. You will also gain an awareness of best practices in organizational safety and safety supervision.