NAPSA offers webinars to the general public and to members-only on a variety of topics. Watch webinar recordings here. NAPSA now automatically captions NAPSA hosted webinars. Closed captions can be provided for webinars posted prior to August 2020 upon request.
Grief, Depression, and Suicidality in Older Adults: A Comprehensive Approach
March 31st, 2021
Interviewing Alleged Perpetrators: The Why, The When, and The How
June 3rd, 2021
APS professionals and others who conduct investigations may be required to attempt to interview alleged perpetrators. Where abuse has occurred, the interview can provide insights into whether a perpetrator can safely continue to assist or have contact with a client/victim, may benefit from social services or counseling, and is willing to redress past wrongs. The information gathered during the interview may establish that a situation is less serious than originally believed or doesn’t involve culpable conduct. Effective interviewing does not come naturally to many interviewers. And while some skills used when interviewing clients may be similar, it is helpful to understand where there are differences in goals, approaches and questions. In this webinar, presenters will provide an overview of ways to improve the productiveness of A/P interviews. A tip sheet tool, which can be used in APS practice, will be introduced and additional related training options will be provided.
Self-Neglect Among Older Adults: Is it a “Lifestyle” Choice?
May 20th, 2021
Self-neglect among older adults is a rapidly growing public health and global issue, and is the most problematic in the elder abuse and neglect literature. Data suggests that self-neglect contributes to diminished quality of life and is associated with high mortality rates, however, research on the perspectives of older adults who have been identified as self-neglecting has not received the attention it deserves. Understanding the perspectives of older adults who self-neglect has never been as critical as it today. Studies estimate that the prevalence of self-neglect is expected to rise with the increase in the growth of the elderly population. Therefore, it is reasonable to ask, how could we better serve older adults who engage in self-neglecting behaviors if we lack adequate understanding of their lived experiences?
Elder Abuse and Its Consequences: Findings from Waves I and II of the National Elder Mistreatment Study
February 3rd, 2021
This presentation will discuss, in broad strokes, findings from Wave I of the NEMS, which centered on answering the questions “how often” and “with what risk factors;” as well as findings from Wave II eight years later, which focused on the questions “what are the consequences” and “for whom.” Specifically, the prevalence of different types of elder mistreatment and risk factors for each type will be discussed in the context of outcomes of abuse and protective factors. This discussion should illustrate some steps communities and community based workers can take to both prevent elder abuse, and if elder abuse occurs, prevent or at least limit its negative consequences.
Accountability and Rebuilding- A Panel Discussion on Restorative Responses to Elder Abuse
January 6th, 2021
The victim’s refusal to cooperate and other evidentiary challenges may pose a significant barrier to investigating and prosecuting elder abuse. In other instances, family members – particularly parents – who have participated in prosecution may seek to repair relationships damaged by the abuse, the legal process, or both. Might restorative practices such as mediation and peacemaking be utilized to hold a wrongdoer accountable to and rebuild relationships with the victim, family, and community in such cases? In what circumstances might these approaches provide an appropriate complement to law enforcement?
Panelists representing prosecution, victim services, peacemaking, and mediation will provide a concise foundation for this interactive discussion of the potential benefits, drawbacks, and limitations of using restorative practices to address elder abuse.
Providing Help, Restoring Hope_ The US Department of Justice National Elder Fraud Hotline
December 10th, 2020
Financial exploitation and fraudulent scams aimed at older adults result in the loss of billions of dollars every year. These crimes often go unreported because victims are scared, embarrassed, or don’t know who to call. The U.S. Department of Justice National Elder Fraud Hotline, managed by the Office for Victims of Crime, provides services to adults aged 60 and older who experience fraud and exploitation to help them report the crime and access appropriate resources. This webinar will offer an overview of the National Elder Fraud Hotline and answer frequently asked questions about the available services.
Elder Fraud Prevention and Response Networks – Building Collaboration to Fight Exploitation and Abuse
September 25th, 2020
This course aims to help community stakeholders establish Elder Fraud Prevention and Response Networks and expand the capacity of existing ones to better address the issue of elder financial exploitation.
Role of APS workers in Healthcare Settings: An Innovation in Practice
August 20th, 2020
Two Adult Protective Services (APS) Specialists were embedded in a healthcare system that operates primary care clinics across Texas. The patient population served by the healthcare system is primarily Medicare beneficiaries. This webinar will delineate: the types of roles the APS Specialists played in the healthcare system, how they trained clinicians to identify and report alleged abuse to APS, how clinicians screened for abuse and consulted with the APS Specialists, the number and types of cases of suspected abuse that clinicians identified and reported to APS, and services that APS provided/referred patients to.
From In-person to Virtual Deliveries:
Successes, Challenges and Considerations for the Future
July 13, 2020
- Webinar recording
- Handout Brain Breaks and Ice Breakers for Virtual Work
- Handout Virtual Learning – Seven Considerations for Today
Join your APS colleagues in an interactive panel discussion on curriculum development and training in the era of COVID-19. Learn from their experiences with a quick pivot from in-person to virtual training – the successes, the challenges and their future plans. Join us as we learn from each other and consider the short, medium and long-term changes born from this pandemic.
– Define virtual and the difference between eLearning, webinars and workshops.
– Identify platforms for virtual training delivery including the strengths and challenges of use.
– Discuss the considerations for the curriculum developer, trainer, participant and staff with virtual training.
Recognizing Secondary Trauma and Promoting Resilience in Helper Professions
June 30, 2020
This training defines and identifies secondary trauma and its risk factors for those working in helper professions, including challenges arising out of the COVID era, alternatives to unhealthy coping, and a review of techniques to promote resilience.
Addressing Capacity to Consent to Sex
May 21, 2020
The webinar will address determining Capacity to Consent to Sex for Vulnerable Adults.
Animal Abuse, Animal Hoarding and Elder Abuse: Challenges and Strategies for Adult Protective Services
April 29, 2020
The age-old concept that cruelty to animals often serves as an indicator and predictor of interpersonal, family, and community violence has particular relevance for adult protective services, eldercare and social services agencies confronting elder/disabled abuse and animal hoarding situations. This presentation will describe The LINK that connects animal abuse as a marker for elder/disabled abuse, domestic violence and child maltreatment, with a particular focus on eldercare and animal hoarding issues. It will describe innovations in academic research, public policy and organizational programming in these areas, with emphasis on specific strategies, animal-assisted interventions and best practices for providing more effective collaborative services that protect all victims of family violence.
At the end of this presentation, participants will have a greater understanding of:
Seven ways in which animal cruelty and animal hoarding impact the neglect, self-neglect, financial exploitation, health, and safety of vulnerable adults.
How pets can improve the mental and physiological health, resilience, well-being and functioning of seniors and the social capital of communities.
Specific collaborative strategies for APS with animal protection, veterinarians, domestic violence, and other law enforcement and social services agencies to assess and address animal-related abuse and exploitation of elders and the disabled.
Legislative and policy issues of housing, health and safety affecting elders with pets.
Integrating adult protection into multi-disciplinary community collaborations and coalitions to prevent violence and neglect affecting all vulnerable family members.
Working Out Logistics in an Integrated Care Model Between APS and Capacity Evaluation Provider
April 23, 2020
An innovation project was funded to support enhanced partnership between APS and the UCCS Aging Center (mental health clinic). The partnership increased the rate of capacity-evaluations for the community and an evaluation of the project generated insights into the challenges of such partnerships. The purpose of this presentation is to share information about the findings related to factors that make this partnership work. Attendees can expect to learn key barriers to partnership even when a provider and funding are available, practical strategies to support successful partnership, and factors to consider when designing a partnership.
Safety Practices and Use of Personal Protective Equipment for Community Visits
April 2, 2020
During this webinar, Dr. Edwards covers:
- Practices to enhance worker safety when making a home visit
- Practices that enhance client safety
- What kinds of masks are being recommended for APS workers and the rationale
- When/How to use PPE in regards to COVID 19 and home visits
- Correct ways to don and remove/dispose of PPE
- How to keep your government or personal vehicle virus free
- How to keep people you live with safe when you return home
Dangers in Disaster Evacuation – What does APS need to know?
February 27, 2020
Disasters are increasing in frequency, intensity, and duration. People with disabilities and older persons are disproportionately impacted during disasters and this impact includes an increase of abuse that is well known but rarely discussed. The role of Adult Protective Services is underappreciated however there are simple strategies that can significantly improve the safety and positive outcomes for disaster impacted people with disabilities and older persons. This webinar provides awareness and tools for APS administrators about the risks to persons with disabilities and older persons needed to effectively contribute to the state disaster plan.
The Intersection of the Protection and Advocacy for Beneficiaries with Representative Payees Program and APS
February 18, 2020
In April 2018, the President signed the Strengthening Protections for Social Security Beneficiaries Act (H.R. 4547), which increased independent oversight of the Social Security Administration’s Representative Payee Program. H.R. 4547 specifically authorizes the nation’s Protection and Advocacy (P&A) system to monitor and investigate how representative payees are administering Social Security funds. P&As are federally mandated organizations that provide legal and other advocacy services to people with disabilities in every U.S. state and territory. In over a year of reviewing the financial records of Representative Payees, as well as speaking with thousands of Representative Payees and beneficiaries, Protection and Advocacy agencies have received referrals from and referred beneficiaries to local Adult Protective Services. The purpose of the webinar is to provide resources to Adult Protective Services to use when financial exploitation is suspected and Social Security funds are not being used in the best interest of beneficiaries.
New Findings in the Intersection of Financial Decision Making and Exploitation: Results from Michigan APS and the SAFE Program
February 13, 2020
Evidence-based scales that help APS workers investigate cases of possible financial exploitation are valuable. When the information gleaned from the scales can be translated into useful next steps for APS workers there is a stronger likelihood of implementing these evidence based scales broadly. This webinar will review the work done at Wayne State University in financial decision making, its intersection with financial exploitation, and cognitive decline. Dr. Lichtenberg will review the validation of three person-centered scales, and then detail the partnership between Wayne State and the State of Michigan Adult Protective Services professionals in implementing the scales. Dr. Lichtenberg will examine the basic principles used to begin the implementation process and detail the importance of bi-directional communication between the Michigan APS leadership and field staff in making improvements that enhanced implementation. Dr. Lichtenberg will share empirical findings from the first full year of implementation; including the olderadultnestegg.com website where any professional can become trained and use our web based screening tool at no cost. Supportive documents such as a user guide and decision tree will also be discussed as will the document on how to use the results from the scale. In the last part of the webinar Dr. Lichtenberg will share an overview of the Wayne State financial coaching program for older scam and identity theft victims. Results from cross sectional and longitudinal research will be shared.
Best Practices and Tools That Build the Capacity of APS to Serve Immigrant Domestic and Sexual Violence Victims
January 30, 2020
Adult Protective Services (APS) agencies across the country encounter immigrant and limited English proficient victims of abuse in later life. Congress created immigration protections for immigrant victims of domestic violence, spousal abuse, elder abuse, sexual assault, stalking, human trafficking, and other crimes. When APS staff identify eligible victims and connect them with programs that can assist elderly victims in applying for these forms of immigration relief, the types of help APS can offer immigrant victims greatly expands. This webinar will provide an overview of immigrant seniors’ and disabled adults’ legal rights to access immigration relief, U and T visa certification, family law protections, victim, legal and social services, and which forms of publicly-funded benefits and services immigrant victims of abuse in later life qualify for in your state. Participants can access U visa certification toolkits, screening tools, free legal technical assistance, and a library of materials to help APS Administrators ensure that immigrant victims whom their agencies are assisting receive all the help that they are legally eligible to receive.
How to Reframe Elder Abuse on Social Media
January 24, 2020
Join NAPSA’s Regional Representative Advisory Board (RRAB) as we welcome presenters Aly Neumann and Kimmy Moon. Over the past few years, the NCEA’s Reframing Elder Abuse project, an initiative to change the way we talk about elder abuse with the public has built momentum. The project aims to demonstrate how we can restructure our communities to put elder abuse on the public agenda, generate a sense of collective efficacy on the issue, and boost support for systemic solutions to prevent and address it. Social media can be the first, and in some ways, the easiest place to begin to reframe how the public thinks about elder abuse. During this webinar, participants will review best practices in public communications on elder abuse based on an evidence-based strategy and receive tips and resources in social media application.
Expanded Standard Form for APS to Request Financial Records
December 13, 2019
Join NAPSA’s Regional Representative Advisory Board (RRAB) as we welcome presenters Joe Snyder, Kathleen Quinn, and Ron Long. The webinar will feature a nationally available standardized form for APS to request financial records when investigating financial exploitation. Created in conjunction with representatives from the financial services industry to protect the well-being of vulnerable adult victims of financial abuse, while encouraging all financial institutions to promptly provide client records to APS in conformance with state and federal privacy laws.
Where Faith and Safety Meet: Building Partnerships with Faith Communities to Keep Older Adults Safer
October 10, 2019
Join NAPSA’s Regional Representative Advisory Board (RRAB) as we welcome presenters Rev. Dr. Anne Marie Hunter and Alyson Morse Katzman, MPA of Safe Havens Interfaith Partnership Against Domestic Violence and Elder Abuse to learn more about the important intersection of faith and abuse, why faith is so important to older adults, and how you can begin to build partnerships with local faith leaders.
New Hampshire APS Structured Decision Making®
September 18, 2019
Join NAPSA’s Regional Representative Advisory Board (RRAB) as we welcome presenter Rachel Lakin of New Hampshire Department of Health and Human Services Bureau of Elderly and Adult Services to review New Hampshire’s development and implementation of Structured Decision Making®. The benefits and drawbacks of SDM® will also be discussed.
Rachel G. Lakin has worked for the Department of Health and Human Services Bureau of Elderly and Adult Services for 20 years. In her tenure with BEAS, she worked as a social worker in the Keene District Office and as a supervisor in the Portsmouth, Salem and Concord Offices. She has been in her current role as Adult Protection Program Operations Administer since 2009. Prior to working with BEAS, Rachel had several years working in child welfare as well as with the developmental services system.
The Role of Social Support in the Lives of Elder Abuse Victims
July 17, 2019
The role of social support as a protective factor against abuse of older adults has received increasing attention over the past several years. Based on findings from population-based studies, this webinar will highlight the importance of social support in the lives of elder abuse victims. Findings suggest that social support plays a key role in protecting victims from adverse health and mental health consequences of abuse, while enhancing their resilience. However, exact mechanisms by which social support enhances resilience are understudied. Our research also introduces a group referred to as concerned others – members of a victim’s informal support network who actively help them to deal with mistreatment. Findings reveal that the concerned other role is highly distressing, yet these helpers are critical to facilitating victims’ use of formal support services. Building on these promising findings related to the role of social support in the lives of elder abuse victims, discussion will emphasize examples of how social support initiatives may be implemented in different communities. We will also discuss the need to further understand which dimensions of social support have the greatest influence on what type of victim under what type of circumstance.
Dr. David Burnes, Associate Professor and Associate Dean, Academic at the University of Toronto, Factor-Inwentash Faculty of Social Work
Melba A. Hernandez-Tejada, PhD, DHA, Research Associate Professor, MUSC College of Nursing; Research Scientist, Ralph H. Johnson Veterans Affairs Medical Center
Risa Breckman, LCSW, Executive Director, New York City Elder Abuse Center (NYCEAC),Weill Cornell Medicine’s Division of Geriatrics and Palliative Medicine
Supported Decision-Making: Maximizing Self-Determination, Safety and Opportunity
May 9, 2019
There are no studies proving people are safer under guardianship, but many show the benefits of self-determination in avoiding and reducing maltreatment of vulnerable adults. Supported Decision Making recognizes that all people need help in making decisions; this session will discuss approaches that APS workers can use to address vulnerabilities while supporting a person’s decision making, reducing unnecessary guardianships.
Jonathan Martinis, Senior Director for Law and Policy, Burton Blatt Institute at Syracuse University
Anita Raymond, Program Manager, Center for Excellence in Supported Decision Making and Care Management & Consultation programs at Volunteers of America MN
APS Basic Skills Development
April 23, 2019
During the course of the webinar, participants will be provided with an overview of the Texas APS Basic Skills Development program. We will also share information regarding the collaborative efforts between APS and the Center for Learning and Organizational Excellence Training Division to provide a supportive learning environment with the desired outcome of staff retention and enhancement of the quality of casework.
Leslie Williams, APS Training Division Administrator, Texas Department of Family and Protective Services
Maxine Stevenson, APS Trainer, Texas Department of Family and Protective Services
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.