Inside the Black Box: The Case Review Process of an Elder Abuse Forensic Center
Inside the Black Box: The Case Review Process of an Elder Abuse Forensic Center
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DOI：
10.1093/geront/gnv052
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发表时间：
2016-08-01
期刊：
影响因子：
5.7
通讯作者：
Wilber, Kathleen H.
中科院分区：
文献类型：
--
作者：
Navarro, Adria E.;Wysong, Julia;Wilber, Kathleen H.
目的：初步证据表明，虐待老人法医中心通过增加必要的起诉和监护以及减少保护服务转介的复发来改善受害者的福利。中心团队成员收集信息并做出旨在保护客户及其资产的决策，但如何进行这些案例审查的集体过程仍未得到检查。本研究的目的是提出一个模型，描述调查和应对金融剥削（FE）的跨专业方法，这是对弱势成年人的一种常见和复杂的虐待类型。方法：为了了解洛杉矶县虐待老年人法医中心（Center）的案件审查过程，采用了准德尔菲现场研究方法，包括直接观察会议、调查小组成员和中心咨询委员会的审查。这个迭代分析的目标是了解洛杉矶县疑似FE的病例审查过程。结果：开发了关键法医中心要素的流程图，可用于其他设置的复制。该流程图包括：(a)多学科数据收集，(b)供考虑的关键决策，以及(c)专注于老年人正义的跨专业团队所采取的战略行动。讨论：老年人司法依赖于一个复杂的提供者系统。虐待老人法医中心提供了一个旨在有效解决客户安全、客户福利和资产保护问题的程序。研究结果提供了一个流程图，可以帮助其他社区复制一个已建立的多学科团队，一个在保护FE受害者的司法系统结果方面经验丰富的团队。
Objective: Preliminary evidence suggests that elder abuse forensic centers improve victim welfare by increasing necessary prosecutions and conservatorships and reducing the recurrence of protective service referrals. Center team members gather information and make decisions designed to protect clients and their assets, yet the collective process of how these case reviews are conducted remains unexamined. The purpose of this study is to present a model describing the interprofessional approach of investigation and response to financial exploitation (FE), a frequent and complex type of abuse of vulnerable adults.Methods: To develop an understanding of the case review process at the Los Angeles County Elder Abuse Forensic Center (Center), a quasi-Delphi field study approach was used involving direct observations of meetings, surveying team members, and review from the Center's Advisory Council. The goal of this iterative analysis was to understand the case review process for suspected FE in Los Angeles County.Results: A process map of key forensic center elements was developed that may be useful for replication in other settings. The process map includes: (a) multidisciplinary data collection, (b) key decisions for consideration, and (c) strategic actions utilized by an interprofessional team focused on elder justice.Discussion: Elder justice relies on a complex system of providers. Elder abuse forensic centers provide a process designed to efficiently address client safety, client welfare, and protection of assets. Study findings provide a process map that may help other communities replicate an established multidisciplinary team, one experienced with justice system outcomes designed to protect FE victims.