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Symposium

Health Sciences

Improving Elder Mistreatment Screening and Intervention in Dementia: Early NIA Research Findings

Saturday, November 16, 2024
3:30 PM – 5:00 PM PST
Location: Room 606
CE: 1.5

Elder mistreatment (EM) poses a significant public health concern for older adults, particularly those with mild cognitive impairment and Alzheimer’s Disease and Related Dementias (MCI/ADRD). This symposium presents innovative NIA-funded research aimed at assessing risk factors for EM and developing interventions to address these risks, focusing on caregivers and older adults with MCI/ADRD. The first presentation describes the development of a Screening, Brief Intervention, and Referral to Treatment model based on Medicare outpatient data and interviews with stakeholders. Preliminary findings highlight social determinants of health, caregiver stress, and education gaps as key contributors to EM risk. The second presentation introduces a caregiver risk assessment tool linked to an abuse prevention intervention for persons living with dementia (PLWD). The study demonstrates strong predictive capabilities in identifying modifiable caregiver risk factors associated with abuse. The third presentation describes adapting an evidence-based EM screening tool for home-based primary care providers. Qualitative data from seven sites inform the adaptation of the DETECT tool, addressing policy implications, barriers to recognition, and necessary adaptations for effective implementation. The fourth presentation highlights the development of a strategy to screen for caregiver neglect in PLWD. By evaluating existing tools and creating an item bank, this study aims to enhance measurement precision in elder mistreatment interventions. The final presentation reviews interventions targeting elder neglect by informal caregivers. Findings emphasize the need for feasible programs with rigorous evaluation strategies to address caregiver neglect effectively. This symposium presents projects aimed at improving EM risk assessment, identification, and interventions.

Learning Objectives:

  • List key risk factors contributing to elder mistreatment, including social determinants of health, caregiver stress, and education gaps, through the use of Medicare outpatient data and stakeholder interviews.
  • Describe efforts to develop and rigorously evaluate tools for identifying elder mistreatment and neglect.
  • Apply findings from the presentation to advocate for policies and practices that minimize risk factors for caregivers and older adults with MCI/ADRD in their care settings.

Presentations:

  • 3:30 PM – 5:00 PM PST
    Developing a Risk Assessment and Brief Intervention for Elder Mistreatment: A Mixed-Methods Study

    Individual Symposium Abstract First Author: Monique R. Pappadis, PhD, MEd, FACRM (she/her/hers) – The University of Texas Medical Branch

  • 3:30 PM – 5:00 PM PST
    Development of a Risk Screen of Elder Abuse in Caregivers of People Living With Dementia

    Individual Symposium Abstract First Author: Bonnie J. Olsen, PhD (she/her/hers) – University of Southern California

  • 3:30 PM – 5:00 PM PST
    Adapting the DETECT Tool for Home-Based Primary Care: Insights on Policies, Provider Perspectives, and Tool Design

    Individual Symposium Abstract First Author: Kristin Lees Haggerty, PhD (she/her/hers) – Education Development Center

  • 3:30 PM – 5:00 PM PST
    Developing a Strategy to Screen for Caregiver Neglect: Examining Existing Published Tools

    Individual Symposium Abstract First Author: E-Shien Chang, PhD (she/her/hers) – Weill Cornell Medical College

  • 3:30 PM – 5:00 PM PST
    Updated Systematic Review to Identify Interventions to Combat Elder Neglect Targeting Caregivers

    Individual Symposium Abstract First Author: Sophie Park, MMedSt (she/her/hers) – Weill Cornell Medicine/Center on Aging and Behavioral Research