Judy Taylor with the Idaho Commission on Aging presented on APS during the 2017 Idaho Summit on Protecting and Respecting Vulnerable Adults

1. Maltreatment of Vulnerable
Adults
A Preventable Public Health Problem
The science and art of preventing disease,
prolonging life and promoting health and efficiency
through organized community effort.
Source: CEA Winslow, 1920.

2. Ecological Model
Societal Community Relationship Individual
IndividualRelationshipCommunitySocietal
The Institute of Medicine definition
"a model of health that emphasizes the linkages and relationships
among multiple factors (or determinants) affecting health.”

4. Likelihood of Abuse
Resiliency Risk

5. Resiliency Risk
Pillemer, K., Burnes, D., Riffin, C., & Lachs, M. S. (2016). Elder Abuse: Global Situation,
Risk Factors, and Prevention Strategies. The Gerontologist, 56(Suppl 2), S194–S205.
*Social Embeddedness
*Social Support
*Living Arrangement
*Caregiver Support
*Money Management
*Helplines
*Emergency Shelter
*Multidisciplinary Teams

6. Resilient
Elder
Legal
Surrogate
education,
access to legal
aid
Abuse and
reporting
Awareness
education
Maximized
health and
Nutrition
Socialization
and
transportation
Community
based
in home
support
Caregiver
support,
education,
and respite
Prevention and Early Identification of Elder Abuse
Burnett, Jason et al.
Clinics in Geriatric Medicine , Volume 30 , Issue 4 ,
743 - 759

7. Resiliency Risk
Pillemer, K., Burnes, D., Riffin, C., & Lachs, M. S. (2016).
Elder Abuse: Global Situation, Risk Factors, and
Prevention Strategies. The Gerontologist, 56(Suppl 2),
S194–S205.
Victim:
*Functional dependence
*Poor physical health
*Cognitive impairment
*Poor mental health
*Social isolation
Perpetrator:
*Mental illness
*Substance misuse
*Abuser dependency

8. Mosqueda L, Burnight K, Gironda MW, Moore AA, Robinson J, Olsen B. The Abuse Intervention Model (AIM): A pragmatic
approach to intervention for elder mistreatment. J Am Geriatr Soc, Aug 2016.

9. Connect the Dots……
Societal Community Relationship Individual
IndividualRelationshipCommunitySocietal
The goal is to reduce risk, and promote resiliency
in every sphere, by using primary, secondary, and
tertiary interventions.

10. There are six planning and service areas
(PSAs) that cover the 44 counties, who
contract with ICOA to provide APS

11. Journal of the American Geriatrics Society
Volume 63, Issue 6, pages 1214-1238, 11 JUN 2015 DOI: 10.1111/jgs.13454
http://onlinelibrary.wiley.com/doi/10.1111/jgs.13454/full#jgs13454-fig-0002
Vulnerability
Self-neglect
Referrals
Law, H&W

12. ICOA
Strategic Goal 1:
• Support Older Idahoans to live independent
and healthy lives in the communities of their
choice.
Strategic Goal 2:
• Promote safety, self-determination and
dignity for seniors and vulnerable adults.

13. Stakeholders:IdentifyUnmet
Needs
Stakeholders:Recommendation
Education, Training
Prevention
Investigation, Intervention
Identification
Registry, Prosecution
Enforcement
Adult Protection Program
Neglect
Abuse
Exploitation
Self-neglect
Form a Governance Structure
Sub-committees: Specialized Deliverables: Registry, Delivery Model, Education
(Provider, Public, Elected Officials), Legislation, and Implementation

14. Recommend needed state policies, legislative solutions, and
provide an implementable path to develop a multi-disciplinary
approach to APS. Research will include:
1. Methodologies to provide early prevention,
2. Early crisis intervention including short term alternative
community placements,
3. The use, effectiveness, and implementation of State Adult
Protection registry,
4. Feasibility analysis to incorporate established rural support
systems, such as Rural Critical Access Hospitals and primary care
providers, into the APS network, and
5. Performance standards to build core competencies that measure
APS progress, effectiveness, and efficiency.
The research will involve stakeholders, facilitated meetings and
national subject matter experts. The outcome is to select an
evidence based model tailored to Idaho’s needs to prevent and/or
respond to abuse, neglect and exploitation.