In 2015, the Administration for Community Living (ACL) established the first federal “home” for Adult Protective Services (APS). This leadership has included working collaboratively with state Adult Protective Service systems to ensure that older adults and adults with disabilities are afforded the same protections against abuse, neglect, and financial exploitation regardless of where in the country they live. As part of that leadership, ACL created draft Voluntary Consensus Guidelines for State APS Systems. ACL undertook a process of public and stakeholder engagement and analyzed the resulting comments to improve upon the initial draft of the draft to arrive at the final version. This article examines the comments, including the concerns raised by the commenters about specific areas of the Guidelines, areas identified for future research, and reflections and opinions on the role of the federal government in guiding the development of the field of adult protection. 相似文献
Objectives: This pilot study describes implementation procedures of goal attainment scaling (GAS) and examines the feasibility of using GAS to measure the multifarious intervention outcome of case resolution in elder mistreatment (EM) adult protective services (APS).
Methods: Substantiated EM victims (n = 27) were recruited prospectively from the State of Maine APS. An adapted GAS approach was implemented involving development of a pre-populated goal scale menu and web-based GAS application.
Results: The GAS menu comprised 18 goals and corresponding scales spanning several domains of case resolution: social support, service access, health/functioning, enhancing independence, and protective measures. The overall GAS process had mean length 33.8 min per case. The mean GAS summary t-score (54.3) aligned with theoretical expectations.
Discussion: Without a measure of case resolution, research cannot compare the effectiveness of different EM intervention models. Findings suggest that GAS is a feasible, client-centered strategy to measure the multifarious EM intervention case resolution outcome. 相似文献
Services for older adults and younger people with disabilities are increasingly merging, as reflected in the creation of Aging and Disability Resource Centers (ADRCs). Using ADRCs to coordinate services is challenging, primarily because these fields have different service delivery philosophies. Independent Living Centers, which serve people with disabilities, have a philosophy that emphasizes consumer control and peer mentoring. However, the aging service delivery philosophy is based in a case management or medical model in which the role of consumers directing their services is less pronounced. Using institutional logics theory and a qualitative research design, this study explored whether a unified service delivery philosophy for ADRCs was emerging. Based on focus groups and questionnaires with staff from ADRCs, findings revealed that competing service delivery models continue to operate in the aging and disability fields. 相似文献
This article assesses the relationships between the individual and family characteristics of minors and juvenile delinquency in Romania. This cross-sectional study involved Romanian delinquent minors, 285 of whom were incarcerated in prisons in Romania and 280 subject to educational measures in re-education services in Romania. The multivariate logistic regression analysis showed that delinquency in incarcerated minors is associated with age, the offence committed, drug use, school dropout rates, recidivism, family alcoholism, the relationship with the biological parents, and the number of biological siblings. The study provides baseline data to identify at-risk minors in order to develop prevention programmes. We have adopted a public health approach to analysing delinquency and targets risk factors. 相似文献
The implementation of information and communication technologies (ICT) is in line with a general transformation of the work of home help services in Sweden. One strong motivation behind the introduction of new technology was to change the ways of working towards greater efficiency in order to reduce costs and at the same time raise the value of care‐giving work. This article discusses the introduction of ICT in home help services as a part of the increasing rationalization of care‐giving work and its consequences for the workers. The results of an ethnographic study of the introduction of hand‐held computers in a working team in home help services in Sweden shows that the motives for the implementation of ICT run counter to the basic norms that are supposed to govern care‐giving work. The technology participates in reproducing the subordinate position of care‐giving work as well as that of the front‐line workers. The workers act according to personal decision‐making ability and show a form of limited resistance to the technology while, at the same time, taking part in their own subordination. 相似文献
As alternatives to mainstream institutions, local non-profit organisations (NPOs) are important sites for immigrant civic engagement; yet, there is little research on how immigrants negotiate the benefits of NPOs. We use ethnographic fieldwork and multiple in-depth interviews with 39 NPO staff and Latina immigrants in San Francisco, California. We offer new insights about how undocumented, low-income, Latina mothers – a group constrained by multiple barriers – negotiate direct assistance and civic engagement in NPOs. Although NPOs provide both direct services and civic engagement opportunities, we find that moral judgments within the broader anti-immigrant and anti-welfare climate impact how Latinas feel the need to ‘give back’ or ‘ration’ services in NPOs. Additionally, the expectation that direct services are an entrée for civic engagement has consequences for how Latinas negotiate deservingness and work to preserve their self-worth. For some, these expectations depress further engagement or drive intergroup divisions. 相似文献
As the broad construct of recovery increasingly guides addiction services and policy, federal agencies have called for the expansion of peer-driven recovery support services. The high prevalence of substance use and abuse in colleges and universities in the United States constitutes a significant obstacle to pursuing an education for the unknown number of youths who have attained remission from substance use dependence. Collegiate recovery programs (CRPs) are an innovative and growing model of peer-driven recovery support delivered on college campuses. Although no systematic research has examined CRPs, available site-level records suggest encouraging outcomes: low relapse rates and above-average academic achievement. The number of CRPs nationwide is growing, but there is a noticeable lack of data on the model, its students, and their outcomes. We review the literature supporting the need for the expansion of CRPs, present information on the diversity of CRP services, and outline key areas where research is needed. 相似文献