title: Interventions from home-based geriatric assessments of adult protective service clients suffering elder mistreatment.
abstract: OBJECTIVE
  To describe the interventions for adult protective service (APS) clients referred for geriatric assessment.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  In-home geriatric assessments conducted in two New Jersey counties.
  
  
  METHODS
  Two hundred eleven APS clients; 74% female; mean age 77.
  
  
  METHODS
  Cognition, affect, nutrition, prevalence of selected medical diagnoses and functional conditions, and categories of interventions.
  
  
  RESULTS
  Home health agency services were initiated for 46% of APS clients suffering from all forms of mistreatment. Institutional placements (36%) and guardianship interventions (36%) were correlated with caregiver neglect, especially in female APS clients and those diagnosed with dementia. Urgent medications (25%) were prescribed across all mistreatment classifications, and acute hospitalization (20%) was correlated with circumstances of physical abuse.
  
  
  CONCLUSIONS
  An in-home geriatric assessment service was able to contribute at least one relevant intervention for 81% of referred APS clients to collaboratively help mitigate elder mistreatment circumstances.
authors.affiliation: Department of Family Medicine, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, New Brunswick, New Jersey, USA. heathjm@UMDNJ.edu
authors.forename: John M
authors.initials: JM
authors.lastname: Heath
authors.forename: Fred A
authors.initials: FA
authors.lastname: Kobylarz
authors.forename: Merle
authors.initials: M
authors.lastname: Brown
authors.forename: Susan
authors.initials: S
authors.lastname: Castaño
mesh_terms: D000368:Aged; D015331:Cohort Studies; D004552:Elder Abuse / Q000628:therapy; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006699:Home Care Services; D006801:Humans; D008297:Male; D012189:Retrospective Studies