Multidimensional measurement within adult protective services: design and initial testing of the tool for risk, interventions, and outcomes.
This study describes the development, field utility, reliability, and validity of the multidimensional Tool for Risk, Interventions, and Outcomes (TRIO) for use in Adult Protective Services (APS). The TRIO is designed to facilitate consistent APS practice and collect data related to multiple dimensions of typical interactions with APS clients, including the investigation and assessment of risks, the provision of APS interventions, and associated health and safety outcomes. Initial tests of the TRIO indicated high field utility, social worker "relevance and buy-in," and inter-rater reliability. TRIO concurrent validity was demonstrated via appropriate patterns of TRIO item differentiation based on the type of observed confirmed abuse or neglect; and predictive validity was demonstrated by prediction of the risk of actual APS recurrence. The TRIO is a promising new tool that can help meet the challenges of providing and documenting effective APS practices and identifying those at high risk for future APS recurrence.
a Department of Psychiatry , University of California, San Diego , La Jolla , California , USA.
David H
DH
Sommerfeld
Linda B
LB
Henderson
Marcy A
MA
Snider
Gregory A
GA
Aarons
D000368:Aged; D004552:Elder Abuse / Q000706:statistics & numerical data*; D006801:Humans; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011594:Psychometrics / Q000295:instrumentation* / Q000379:methods*; D012306:Risk; D012946:Social Welfare / Q000706:statistics & numerical data*
APS recurrence; Adult Protective Services (APS); elder abuse and neglect; measure development; reliability; risk assessment; validity