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Interventions from home-based geriatric assessments of adult protective service clients suffering elder mistreatment.

OBJECTIVES: To describe the interventions for adult protective service (APS) clients referred for geriatric assessment.

DESIGN: Retrospective cohort study.

SETTING: In-home geriatric assessments conducted in two New Jersey counties.

PARTICIPANTS: Two hundred eleven APS clients; 74% female; mean age 77.

MEASUREMENTS: 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.

CONCLUSION: 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.

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