OPENING THE DOOR: A TRAINING PROMOTING ENGAGEMENT SKILLS IN ADULT PROTECTIVE SERVICES WORKERS

摘要

The global population of older adults will reach 2 billion in 2050. WHO estimates that 1 in 10 elders experience abuse each month, but this is likely underestimated; research indicates for every known case, 24 go unreported. Reasons for under-detection include inadequate training and older adults’ reluctance to report abuse. Training adult protective services (APS) workers to interact with elders in a manner maximizing disclosure is imperative. Various theories support fostering strong worker-client relationships to enhance disclosure, facilitate appropriate interventions, and guide programs and policies.An 8-hour training in relational engagement and assessment of older adults at risk for abuse was developed in response to and in extensive collaboration with NYC APS workers. The training, grounded in adult learning theory, includes case examples, role-plays, and self-reflection. Participants learn techniques for cultivating trust and eliciting information, learn to build relationships with alleged victims and abusers, and begin a person-centered, problem-solving process responsive to clients. Skills on use-of-self, self-awareness, and self-care are covered.The training was piloted and evaluated with 3 groups of APS workers (n=55). We found statistically significant improvements in pre- and post-training items measuring self-efficacy and knowledge gain. Focus groups 6 weeks post-training revealed high satisfaction with training and self-reported application of specific skills learned, but continuing gaps and needs for training and support with elder abuse cases. We discuss national and international implications for APS training, practice, and policy, as well as future research directions to increase sustainability of the knowledge and skills acquired through this promising program.