Toward a better understanding of the elder abuse forensic center model: comparing and contrasting four programs in California

ABSTRACT

Resolving elder abuse, neglect, and self-neglect often requires the authority and expertise of multiple providers. Prior research of the elder abuse forensic center (FC) model, although limited, has indicated strong member support, increases in prosecution of abusers, and increases in conservatorship for those lacking capacity. This study expands on previous single-site research by conducting a cross-site multimethod evaluation of four established FCs to better describe the model and inform its replication with fidelity. Data were compiled from FC administrative data, site visits completed from 2011–2012, and a follow-up telephone interviews conducted in 2018. Site characteristics, processes, desired outcomes, and long-term sustainability were compared. All FCs had dedicated staff who convened a multidisciplinary team (MDT) of medical, legal, and social services providers to jointly engage in case review, consultation, and provision of supportive professional services. Similar results were observed across all sites in team effectiveness and member-perceived improvements in personal practice and inter-agency relationships. While three programs had unified philosophies and practice approaches, one employed a distinct model and was no longer in operation at follow-up. Commonalities in case characteristics, program structure, processes, and outcomes provide insight into the core model components and a foundation for continued program replication and standardization.

KEYWORDS:

• Intervention
• multidisciplinary team
• evidence-based
• sustainability
• evaluation
• promising practice

Acknowledgments

We wish to thank Adria Navarro and Marguerite DeLiema for their support and contributions to this project. This work would not have been possible without the participation, guidance, and support of the dedicated program leaders, staff, and members of the studied Forensic Centers. We wish to thank: Diana Homeier, Allyson Young, Danielle Silva, Kathleen Tor, and the members of the Los Angeles County Elder Abuse Forensic Center; Laura Mosqueda, Kerry Burnight, Lynn Rodriguez, Lisa Gibbs, and the members of the Elder Abuse Forensic Center; Erika Falk, Talitha Guinn, Herschell Larrick, Shawna Reeves, and the members of the San Francisco Elder Abuse Forensic Center; and Danielle Lingle, Anne Rios, Carlos Morales, and the members of the HOPE Team.

Declaration of interest

The authors have no potential conflicts of interest to report.

Additional information

Funding

This work was supported by the Archstone Foundation under grant 11-02-24 and the U.S. Department of Health and Human Services, Administration for Community Living under grant [90EJIG0006].