title: Variability in Findings From Adult Protective Services Investigations of Elder Abuse in California.
abstract: Adult Protective Services (APS) workers in California investigate complaints of elder abuse and must determine the validity of a complaint with minimal guidelines. It is unclear whether APS workers reach similar conclusions given cases with similar circumstances. To assess variation in case findings and reasons for them, we used data from monthly reports of completed investigations, and investigation outcomes from all 58 California counties from September 2004 to August 2005, telephone interviews with 54 of 58 counties, and site visits to 17 counties. We also compared the data from 2004-2005 with more recent data from 2013. Large variability was found from county to county in the proportions of cases found to be conclusive, inconclusive, and unfounded. The combined analyses revealed significant differences in how individual APS workers interpret definitions of different types of case outcomes, varying skill and experience of the APS workers, individual and county agency factors, and other reasons that influence variability in case findings. Widespread inconsistencies in the outcomes of elder abuse investigations raise issues to be addressed on multiple levels, including the use of APS data for developing policy, standardizing training of APS workers, and seeking just outcomes for the victims of elder abuse.
authors.affiliation: a Department of Family Medicine , University of California Irvine , Orange , California , USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Mosqueda
authors.affiliation: a Department of Family Medicine , University of California Irvine , Orange , California , USA.
authors.forename: Aileen
authors.initials: A
authors.lastname: Wiglesworth
authors.affiliation: a Department of Family Medicine , University of California Irvine , Orange , California , USA.|b Department of Medicine , University of California Los Angeles , Los Angeles , California , USA.
authors.forename: Alison A
authors.initials: AA
authors.lastname: Moore
authors.affiliation: a Department of Family Medicine , University of California Irvine , Orange , California , USA.
authors.forename: Annie
authors.initials: A
authors.lastname: Nguyen
authors.affiliation: a Department of Family Medicine , University of California Irvine , Orange , California , USA.
authors.forename: Melanie
authors.initials: M
authors.lastname: Gironda
authors.affiliation: a Department of Family Medicine , University of California Irvine , Orange , California , USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Gibbs
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002140:California / Q000453:epidemiology; D004552:Elder Abuse / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D015995:Prevalence; D015203:Reproducibility of Results; D012947:Social Work
keywords: Mistreatment; epidemiology; justice