Adult Protective Services Perspectives on Responding to Elder Abuse and Serving Clients During the COVID-19 Pandemic

Abstract

The initial COVID-19 pandemic and subsequent public health measures dramatically impacted Adult Protective Services (APS), requiring rapid adjustments. Our goal was to describe challenges for APS and strategies developed to respond. We conducted six focus groups and seven interviews during March–April 2021 using a semi-structured topic guide, with 31 participants from APS leadership, supervisors, and caseworkers in New York City, a community hard hit by the initial COVID surge. Data from transcripts were analyzed to identify themes. Participants identified challenges faced by APS (e.g., clients less willing to engage with APS, inability to perform necessary job tasks remotely, and low staffing levels) as well as strategies APS used in response (e.g., increasing collaboration with other community-based programs and service providers, enabling remote court hearings through technology and in-person facilitation, and ensuring staff had access to personal protective equipment). These findings may inform APS planning for future large-scale societal disruptions.

Keywords

abuse and neglect focus group analysis social support COVID-19

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References

Administration for Community Living . (2020). Supporting adult protective services. https://acl.gov/programs/elder-justice/supporting-adult-protective-services

Bradley

E. H.

Curry

L. A.

Devers

K. J.

(2007). Qualitative data analysis for health services research: Developing taxonomy, themes, and theory. Health Services Research, 42(4), 1758–1772. https://doi.org/10.1111/j.1475-6773.2006.00684.x

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Chang

E. S.

Levy

B. R.

(2021). High prevalence of elder abuse during the COVID-19 pandemic: Risk and resilience factors. The American Journal of Geriatric Psychiatry, 29(11), 1152–1159. https://doi.org/10.1016/j.jagp.2021.01.007

Chang

V. N.

Greene

(2001). Study of service delivery by community mental health centers as perceived by adult protective services investigators. Journal of Elder Abuse and Neglect, 13(3), 25–42. https://doi.org/10.1300/J084v13n03_02

Elman

Breckman

Clark

Gottesman

Rachmuth

Reiff

Callahan

Russell

L. A.

Curtis

Solomon

Lok

Sirey

J. A.

Lachs

M. S.

Czaja

Pillemer

Rosen

(2020). Effects of the COVID-19 outbreak on elder mistreatment and response in New York city: Initial lessons. Journal of Applied Gerontology, 39(7), 690–699. https://doi.org/10.1177/0733464820924853

Fereday

Muir-Cochrane

(2006). Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5(1), 80–92. https://doi.org/10.1177/160940690600500107

Han

S. D.

Mosqueda

(2020). Elder abuse in the COVID-19 era. Journal of the American Geriatrics Society, 68(7), 1386–1387. https://doi.org/10.1111/jgs.16496

Lachs

M. S.

Pillemer

K. A.

(2015). Elder abuse. The New England Journal of Medicine, 373(20), 1947–1956. https://doi.org/10.1056/NEJMra1404688

10.

Liu

P.-J.

Delagrammatikas

(2021). Adult protective service’s role in addressing older and dependent adult abuse in the age of COVID. Frontiers in Public Health, 9, 659640. https://doi.org/10.3389/fpubh.2021.659640

11.

Liu

P.-J.

Wang

Schwab-Reese

L. M.

Stratton

S. K.

(2022). Elder mistreatment victims during the COVID-19 pandemic: Administrative data from san Francisco adult protective services. Journal of Family Violence, 37(7), 1027–1040. https://doi.org/10.1007/s10896-021-00305-1

12.

Lobe

Morgan

D. L.

Hoffman

(2022). A systematic comparison of in-person and video-based online interviewing. International Journal of Qualitative Methods, 21, 160940692211270. https://doi.org/10.1177/16094069221127068

13.

Makaroun

L. K.

Bachrach

R. L.

Rosland

A. M.

(2020). Elder abuse in the time of COVID-19-increased risks for older adults and their caregivers. The American Journal of Geriatric Psychiatry, 28(8), 876–880. https://doi.org/10.1016/j.jagp.2020.05.017

14.

Mansell

Bennett

Northway

Mead

Moseley

(2004). The learning curve: The advantages and disadvantages in the use of focus groups as a method of data collection. Nurse Researcher, 11(4), 79–88. https://doi.org/10.7748/nr2004.07.11.4.79.c6217

15.

Morgeson

F. P.

Mitchell

T. R.

Liu

(2015). Event system theory: An event-oriented approach to the organizational sciences. Academy of Management Review, 40(4), 515–537. https://doi.org/10.5465/amr.2012.0099

16.

New York State Office Of Child and Family Services . (2022) Adult protective services. New York State Office Of Child and Family Services. https://ocfs.ny.gov/programs/adult-svcs/aps/

17.

Renov

Risser

Berger

Hurley

Villaveces

DeGue

Katz

Henderson

Premo

Talis

Chang

J. C.

Ragavan

(2022). The impact of the COVID-19 pandemic on child protective services caseworkers and administrators. Child Abuse and Neglect, 130(Pt 1), 105431. https://doi.org/10.1016/j.chiabu.2021.105431

18.

Rosen

Lien

Stern

M. E.

Bloemen

E. M.

Mysliwiec

McCarthy

T. J.

Clark

Mulcare

M. R.

Ribaudo

D. S.

Lachs

M. S.

Pillemer

Flomenbaum

N. E.

(2017). Emergency medical services perspectives on identifying and reporting victims of elder abuse, neglect, and self-neglect. The Journal of Emergency Medicine, 53(4), 573–582. https://doi.org/10.1016/j.jemermed.2017.04.021

19.

Rosen

Stern

M. E.

Mulcare

M. R.

Elman

McCarthy

T. J.

LoFaso

V. M.

Bloemen

E. M.

Clark

Sharma

Breckman

Lachs

M. S.

(2018). Emergency department provider perspectives on elder abuse and development of a novel ED-based multidisciplinary intervention team. Emergency Medicine Journal, 35(10), 600–607. https://doi.org/10.1136/emermed-2017-207303

20.

Steinman

K. J.

Anetzberger

G. J.

(2022). Measuring the diverse characteristics of county adult protective services programs. Journal of Elder Abuse and Neglect, 34(3), 153–173. https://doi.org/10.1080/08946566.2022.2092243

21.

Teaster

P. B.

Roberto

K.A.

Hoyt

Savla

Fua

Kebede

(2020) Adult protective services study on the impact of COVID-19: Findings from state administrator survey and interviews with local APS staff. U. S. D. o. H. Services and Human. https://apstarc.acl.gov/getattachment/Information-Research/COVID-19/LRC_COVID_19_Final_Report_508.pdf.aspx?lang=en,-U.∼S

22.

Tong

Sainsbury

Craig

(2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042

23.

Uitdewilligen

Rico

Thommes

Waller

M. J.

(2021). A pandemic is dynamic: Viewing COVID-19 through an adaptation lens. Industrial and Organizational Psychology, 14(1–2), 61–65. https://doi.org/10.1017/iop.2021.14

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