PROFILE OF OKLAHOMA CLIENTS REFERRED TO ADULT PROTECTIVE SERVICES FOR ALLEGED SELF-NEGLECT

Self-neglect is the most commonly reported allegation of abuse to Adult Protective Service (APS) agencies nationwide. Researchers collaborated with Oklahoma APS to understand characteristics of allegedly self-neglecting clients who were reported to APS (focus of this paper), and to subsequently refe...

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Autores principales: Tuft, Samantha, Ejaz, Farida, Rose, Miriam, Reynolds, Courtney
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767203/
http://dx.doi.org/10.1093/geroni/igac059.2726
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author Tuft, Samantha
Ejaz, Farida
Rose, Miriam
Reynolds, Courtney
author_facet Tuft, Samantha
Ejaz, Farida
Rose, Miriam
Reynolds, Courtney
author_sort Tuft, Samantha
collection PubMed
description Self-neglect is the most commonly reported allegation of abuse to Adult Protective Service (APS) agencies nationwide. Researchers collaborated with Oklahoma APS to understand characteristics of allegedly self-neglecting clients who were reported to APS (focus of this paper), and to subsequently refer a random sub-sample to home-and community-based services and track outcomes. Clients (n = 188) were interviewed by phone; data were collected on demographic and background characteristics, physical and mental health, social support, social isolation, and the impact of COVID-19 on them. Most clients were white, 18% were American Indian, and 14% were African American. Their ages ranged from 18–92 years, 63% were women, most were low-income ($12,000-$15,000 annually), and 60% lived alone. Many used public benefits such as Medicare (75%), Social Security, and Medicaid. Based on PHQ scores, about a third had moderate to severe symptoms of depression; and 27% scored similarly on anxiety. More than a third saw family and friends less often during the pandemic. APS administrative data was also obtained on these clients and preliminary analyses indicated that the 188 study participants had a total of 205 allegations of self-neglect prior to the study, with 76% of the allegations needing a referral for community services. During the intervention phase, however, only 31 clients had any type of abuse allegations with 24 being for self-neglect. About half needed community services. It is possible that services they were referred to prior and during the study was related to the decline in self-neglect allegations during the study period.
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spelling pubmed-97672032022-12-21 PROFILE OF OKLAHOMA CLIENTS REFERRED TO ADULT PROTECTIVE SERVICES FOR ALLEGED SELF-NEGLECT Tuft, Samantha Ejaz, Farida Rose, Miriam Reynolds, Courtney Innov Aging Late Breaking Abstracts Self-neglect is the most commonly reported allegation of abuse to Adult Protective Service (APS) agencies nationwide. Researchers collaborated with Oklahoma APS to understand characteristics of allegedly self-neglecting clients who were reported to APS (focus of this paper), and to subsequently refer a random sub-sample to home-and community-based services and track outcomes. Clients (n = 188) were interviewed by phone; data were collected on demographic and background characteristics, physical and mental health, social support, social isolation, and the impact of COVID-19 on them. Most clients were white, 18% were American Indian, and 14% were African American. Their ages ranged from 18–92 years, 63% were women, most were low-income ($12,000-$15,000 annually), and 60% lived alone. Many used public benefits such as Medicare (75%), Social Security, and Medicaid. Based on PHQ scores, about a third had moderate to severe symptoms of depression; and 27% scored similarly on anxiety. More than a third saw family and friends less often during the pandemic. APS administrative data was also obtained on these clients and preliminary analyses indicated that the 188 study participants had a total of 205 allegations of self-neglect prior to the study, with 76% of the allegations needing a referral for community services. During the intervention phase, however, only 31 clients had any type of abuse allegations with 24 being for self-neglect. About half needed community services. It is possible that services they were referred to prior and during the study was related to the decline in self-neglect allegations during the study period. Oxford University Press 2022-12-20 /pmc/articles/PMC9767203/ http://dx.doi.org/10.1093/geroni/igac059.2726 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Late Breaking Abstracts
Tuft, Samantha
Ejaz, Farida
Rose, Miriam
Reynolds, Courtney
PROFILE OF OKLAHOMA CLIENTS REFERRED TO ADULT PROTECTIVE SERVICES FOR ALLEGED SELF-NEGLECT
title PROFILE OF OKLAHOMA CLIENTS REFERRED TO ADULT PROTECTIVE SERVICES FOR ALLEGED SELF-NEGLECT
title_full PROFILE OF OKLAHOMA CLIENTS REFERRED TO ADULT PROTECTIVE SERVICES FOR ALLEGED SELF-NEGLECT
title_fullStr PROFILE OF OKLAHOMA CLIENTS REFERRED TO ADULT PROTECTIVE SERVICES FOR ALLEGED SELF-NEGLECT
title_full_unstemmed PROFILE OF OKLAHOMA CLIENTS REFERRED TO ADULT PROTECTIVE SERVICES FOR ALLEGED SELF-NEGLECT
title_short PROFILE OF OKLAHOMA CLIENTS REFERRED TO ADULT PROTECTIVE SERVICES FOR ALLEGED SELF-NEGLECT
title_sort profile of oklahoma clients referred to adult protective services for alleged self-neglect
topic Late Breaking Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767203/
http://dx.doi.org/10.1093/geroni/igac059.2726
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