August 25 , 2010


Brief Abuse Screen for the Elderly



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When Someone Close To You Is Dying

What You Can Expect and How You Can HelpHelping someone through the last years of their life is one of the most difficult journeys anyone can take. As the illness progresses, you may have to make important decisions on behalf of someone close to you. You may be responsible for ensuring that their most basic needs for respect, dignity and physical…

For early intervention to be possible, intake workers must always be alert to the possibility of abuse. They have to make a quick decision on the likelihood of abuse even at first contact. This first contact may be on the phone and may be brief, which is why it is particularly important to have a quick and easy screening method for case identification.
Use of the BASE helps determine answers to questions such as: What kinds of abuse are more common? And, how quickly does intervention need to take place?* The BASE provides a written assessment for the workers who subsequently become involved.
Beyond an inititial BASE screening, a second and third screening to confirm or disconfirm the possibility of suspected abuse is most effective when completed immediately following:
• A two-to-three hour home assessment interview; and
• A case conference by a multidisciplinary team
Project Care’s research findings indicated that the three successive administrations of the BASE help identify and predict cases of abuse; the incidence of abuse was approximately 9 – 14% of the cases screened among incoming health and social service agency clients.
*The urgency of intervention was found to be on average two to three weeks; urgency was defined by examples such as an immediate call to the police, safety precautions organized or an immediate visit was required.
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