Abstract Title

Pilot Testing a Brief Elder Abuse and Neglect Screening Tool for Emergency Medical Services: Results from the DETECT Project

Presenter Name

Rafiu Animashaun

RAD Assignment Number

101

Abstract

Objective: To pilot test and evaluate the effectiveness of a brief elder abuse and neglect screening tool (DETECT) for Emergency Medical Services.

Methods: The DETECT screening tool was pilot tested from September 17th, 2015 to October 27th, 2015 at a large mobile healthcare provider in North Texas. During this testing period, all medics were prompted to complete the DETECT tool when responding to a call for a community-dwelling patient who was 65 years of age or older. If the DETECT tool indicated a suspected cases of elder abuse, medics were instructed to contact APS. . The frequency of change in medic reporting to APS was evaluated, along with the predictive performance of the individual screening items.

Results: The DETECT screening tool was successfully pilot tested for more than a month. Following the introduction of the DETECT screening tool, there was a 152% improvement in reporting rates with an increase of 3.6 (p < 0.0001) validated reports per month. Overall, the false discovery rate for DETECT cases was 6% -- well below the 33% threshold of false-positive reports made to APS by all other parties.

Conclusions: Our study provides support for DETECT as an effective intervention for enhancing medics’ ability to identify and report EA.

Research Area

Aging/Alzheimer's Disease

Presentation Type

Poster

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Pilot Testing a Brief Elder Abuse and Neglect Screening Tool for Emergency Medical Services: Results from the DETECT Project

Objective: To pilot test and evaluate the effectiveness of a brief elder abuse and neglect screening tool (DETECT) for Emergency Medical Services.

Methods: The DETECT screening tool was pilot tested from September 17th, 2015 to October 27th, 2015 at a large mobile healthcare provider in North Texas. During this testing period, all medics were prompted to complete the DETECT tool when responding to a call for a community-dwelling patient who was 65 years of age or older. If the DETECT tool indicated a suspected cases of elder abuse, medics were instructed to contact APS. . The frequency of change in medic reporting to APS was evaluated, along with the predictive performance of the individual screening items.

Results: The DETECT screening tool was successfully pilot tested for more than a month. Following the introduction of the DETECT screening tool, there was a 152% improvement in reporting rates with an increase of 3.6 (p < 0.0001) validated reports per month. Overall, the false discovery rate for DETECT cases was 6% -- well below the 33% threshold of false-positive reports made to APS by all other parties.

Conclusions: Our study provides support for DETECT as an effective intervention for enhancing medics’ ability to identify and report EA.