TY - JOUR
T1 - Executive Function Impairment and Recidivism in Adult Protective Services Clients Referred for a Decision Making Capacity Assessment
AU - Terracina, Katherine A.
AU - Aamodt, Whitley W.
AU - Schillerstrom, Jason E.
N1 - Funding Information:
This study was approved by the University of Texas Health Science Center at San Antonio (UTHSCSA) Institutional Review Board (IRB) prior to data extraction. We conducted a retrospective medical record review of APS clients in Texas APS Region 8 (28-county catchment area) referred to the UTHSCSA Department of Psychiatry for decision-making capacity assessments between March 2008 and March 2011. These referrals consisted of APS clients who were under investigation most commonly for suspected neglect or exploitation and in need of a decision-making capacity assessment in order to assist APS with recommendations for level of care, placement, and the need for guardianship. All assessments were conducted in the clients’ homes by author JES. Demographic data and neuropsychological test scores were extracted from the UTHSCSA Department of Psychiatry’s electronic medical record.
Publisher Copyright:
© , Copyright © Taylor & Francis Group, LLC.
PY - 2015/3/15
Y1 - 2015/3/15
N2 - The objective of this study was to determine if recidivistic Adult Protective Services (APS) cases referred for a decision-making capacity assessment were more cognitively impaired than nonrecidivistic cases. A retrospective medical record review of neuropsychological and demographic data was gathered during decisional capacity assessments. Recidivistic clients were those referred to APS more than once; those with a single open case were nonrecidivistic. Mean neuropsychological test scores were compared between recidivistic (n = 138) and nonrecidivistic (n = 95) subjects. No significant differences were found for age, gender, ethnicity, education, or dwelling status. Both recidivistic and nonrecidivistic cases performed poorly in all cognitive domains. Recidivistic clients performed significantly worse on measures of executive function (CLOX1, EXIT25). Executive function impairments seem to be one risk factor for recidivism in APS referrals. With 60% of cases referred for decision capacity assessments being recidivistic, identifying risk factors may help identify when targeted interventions are indicated to preclude recurrence of abuse.
AB - The objective of this study was to determine if recidivistic Adult Protective Services (APS) cases referred for a decision-making capacity assessment were more cognitively impaired than nonrecidivistic cases. A retrospective medical record review of neuropsychological and demographic data was gathered during decisional capacity assessments. Recidivistic clients were those referred to APS more than once; those with a single open case were nonrecidivistic. Mean neuropsychological test scores were compared between recidivistic (n = 138) and nonrecidivistic (n = 95) subjects. No significant differences were found for age, gender, ethnicity, education, or dwelling status. Both recidivistic and nonrecidivistic cases performed poorly in all cognitive domains. Recidivistic clients performed significantly worse on measures of executive function (CLOX1, EXIT25). Executive function impairments seem to be one risk factor for recidivism in APS referrals. With 60% of cases referred for decision capacity assessments being recidivistic, identifying risk factors may help identify when targeted interventions are indicated to preclude recurrence of abuse.
KW - Adult Protective Services
KW - executive function
KW - recidivism
UR - http://www.scopus.com/inward/record.url?scp=84928584846&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84928584846&partnerID=8YFLogxK
U2 - 10.1080/08946566.2014.976894
DO - 10.1080/08946566.2014.976894
M3 - Article
C2 - 25495662
AN - SCOPUS:84928584846
SN - 0894-6566
VL - 27
SP - 91
EP - 99
JO - Journal of Elder Abuse and Neglect
JF - Journal of Elder Abuse and Neglect
IS - 2
ER -