The elder abuse suspicion index easi is a ed tool developed for family doctors to perform quick and easy pun intended triage of possible elder abuse or. One that is easy to complete in the ed is the elder abuse suspicion index easi. The elder abuse suspicion index is validated to screen for abuse in cognitively intact patients. Elder abuse screening tools for healthcare professionals 2016 2. The objective was to describe emts experience detecting and. These images are a random sampling from a bing search on the term elder abuse suspicion index. At the elder mistreatment symposium convened by the centers for medicare and medicaid services in 20, three screening tools presented in table below were identified for increased use in practice for the. Unpacking the elder abuse suspicion index the elder abuse suspicion index easi is a ed tool developed for family doctors to perform quick and easy pun intended triage of possible elder abuse or neglect among their aging patients. Click on the image or right click to open the source website in a new browser window. A more detailed twostep process is used to screen patients with cognitive impairment. The states participating in the demonstration and evaluation are. Documentation of an elder maltreatment screening must include identification of the tool used. Elder abuse is increasingly recognized as an important problem associated with significantly increased rates of hospital admission, 1 nursing home placement 2 and mortality.
Elder abuse suspicion index easi, vulnerability to abuse screening scale vass and hwaleksengstock elder abuse screening test hseast. One of the important points in the recognition of elder abuse is that there is no stereotypical victim. Abuse and violence 129 working with our patients in general practice appendix 6. Have you relied on people for any of the following. Signs of abuse based on physician assessment such as withdrawn, malnourished, poor hygiene or bruises. Reporting of suspected elder financial exploitation by. The ncea provides the latest information regarding research, training, best practices, news and resources on elder abuse, neglect and exploitation to professionals and the public. A feasibility study this study explored the feasibility of seniors aged 65.
Abuse, neglect, exploitation, and abandonment are actions that can result in elder mistreatment em. Exploring the potential use of the elder abuse suspicion index by law enforcement in the field. The elder assessment instrument eai, a 41item assessment instrument, has been in the literature. An underrecognized epidemic of elder abuse needs your. Elder abuse suspicion index consideration for using. An estimated 8%10% of all us seniors will experience some form of abuse each monthsuch as being deliberately injured, suffering neglect of basic needs, andor becoming exploited financially.
The elder abuse suspicion index easi is a short screening tool that has been validated for cognitively intact patients being treated in family practice and ambulatory care settings, and may be used in eds. All of the bureaus 2016 recommendations remain vital today. Elder abuse and neglect are highly underreported in the united states. Currently available elder abuse screening and identification tools have limitations for use in longterm care ltc. Elder abuse ebulletin june 2011 public health agency of. Download the elder abuse suspicion index easi for clinical use. Caregiver stress is common and it is normal to feel emotional and physical stress when caregiving. This mixedmethods study sought to explore the appropriateness of using the elder abuse suspicion index a suspicion tool originally created for use with older adults in the ambulatory setting with minimental state examination scores.
Elder abuse suspicion index easi department of family. Read on to learn more about the easi and how it assists in identifying and reporting elder abuse. New directions for developing theories of elder abuse occurring in domestic settings pdf, 40 pages in the united states, the issue of elder mistreatment is garnering the attention of the law enforcement, medical, and research communities as more people are living longer than ever before. Information for health professionals about the risk factors and signs of elder abuse. Overview of elder abuse national institute of justice. Elder abuse suspicion index consideration for using mark j. Understanding elder abuse pdf icon 185 kb, 2 pages, 508 this fact sheet provides a basic overview of elder abuse. Growing awareness has led to greater efforts to help identify and report elder abuse. Advisory and recommendations covered a spectrum of voluntary best practices to assist financial institutions. Em screening instruments department of family medicine. This was adapted from the easi physician administered, developed by dr. Elder abuse is increasingly recognized as an important problem associated with significantly increased rates of hospital admission,1 nursing home placement2 and mortality. Resources on elder abuse yaffe mj, wolfson c, lithwick m, weiss d.
Carver college of medicine 200 hawkins drive pomerantz family pavilion iowa city, ia 522421089. Support services for seniors who are victims of abuse and discrimination. Request pdf seniors selfadministration of the elder abuse suspicion index easi. There are several screening tools to facilitate the detection of elder abuse. The easi was developed to raise a doctors suspicion about elder abuse to a level at which it might be reasonable to propose a referral for further evaluation by social services, adult protective services, or equivalents. The assessment of the ability of the easisa to identify indicators suggestive of elder abuse is an assessment of the elder abuse suspicion indexself administered easisa tool. The elder abuse suspicion index easi is one such effort. This may be partially attributed to low incidence of reporting among emergency medical technicians emts, despite statemandated reporting of suspected elder abuse. Elder abuse and neglect assessment form this form was prepared by the researchers in accor dance with the literature.
Seniors selfadministration of the elder abuse suspicion index. Did you notice any of these today or i n the last 12 months. Examples of screening tools for elder maltreatment include, but are not limited to. Seniors selfadministration of the elder abuse suspicion index easi. Volume 31, 2019 vol 30, 2018 vol 29, 2017 vol 28, 2016 vol 27, 2015 vol 26. Use of the elder abuse suspicion index easi screening. A more detailed twostep process is used to screen patients with. Administration on aging aoa in 1988 as a national elder abuse resource center, the ncea was granted a permanent home at aoa in the. Unpacking the elder abuse suspicion index elder law firm. The elder abuse suspicion index easi was granted by the canadian intellectual property office industry canada february 21, 2006.
Tools in healthcare settings john cochran, deputy director art mason, lmsw, director nys office for the aging upstate elder abuse center at aging concerns unite use june 12, 2019 albany, ny. Learn the risk factors for and signs of various types of elder abuse and the need to report to the proper authorities. One tool, the sixitem elder abuse suspicion index, was developed for use in primary care settings. It is designed to guide physicians in establishing when to discuss with their patients referrals to community services, such as legal help, specialist elder abuse organisations, and home and aged care supports. Barriers in detecting elder abuse among emergency medical. There are a range of services that can provide advice, support or referrals if you or someone you know is experiencing elder abuse. The easi was published here with permission from mark j. Elder abuse may be associated with findings such as.
The elder abuse suspicion index is available for download right here. The national center on elder abuse defines abuse as. Validation of the hwaleksengstock elder abuse screening test. Findings were compared to a recognized, detailed elder abuse social work evaluation swe later administered to participants by social workers blinded to the results of the easi. One such validated tool promoted by the royal australian college of general practitioners is the elder abuse suspicion index easi pdf, 290. Development and validation of a tool to improve physician identification of elder abuse. Reporting elder abuse is a criminal offense in all states.
Screening device useful to service providers interested in identifying people at high risk of the need for protective services. Recognizing and managing elder abuse in the emergency. Pocket cards for practical office use in english and french may be obtained from the national initiative for care of the elderly nice in canada. Yaffe, professor, department of family medicine and mcgill university and st. Hwaleksengstock elder abuse screening test hseast purpose. Any yes answer for questions 26 should raise concern. Six resulting questions became the elder abuse suspicion index easi administered by 104 family doctors to 953 cognitively intact seniors in ambulatorycare settings. Elder abuse and neglect geriatric emergencies wiley. Innovative solutions are needed to address underreporting. Adapting the elder abuse suspicion index for use in long.
Cfpb provided six categories of voluntary best practices to help financial institutions prevent elder financial abuse and interve ne effectively when it occurs. The unfortunate thing is that elder abuse often goes unnoticed or unreported but there are tools that professionals or loved ones can use to screen for elder. Can artificial intelligence help identify elder abuse and neglect. These tools are psychometrically sound instruments with demonstrated reliability and validity indices. Development and validation of a tool to assist physicians identification of elder abuse. Seniors selfadministration of the elder abuse suspicion. While all six questions should be asked, a response of yes on one or more of questions 26 may establish concern.