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Symposium

Social Research, Policy, and Practice

RISE: A Community-Based Elder Abuse and Self-Neglect Response Intervention Addressing a Critical Systems Gap

Friday, November 10, 2023
12:00 PM – 1:30 PM ET
Location: Room 123

    Chair(s)

  • David Burnes, PhD

    Professor, Canada Research Chair
    Social Work
    University of Toronto
    Toronto, Ontario, Canada

    Slides

    • Discussant(s)

  • KP

    Karl Pillemer, PhD

    Professor
    Human Development
    Cornell University
    Ithaca, New York, United States

    • Individual Symposium Abstract First Author(s)

  • David Burnes, PhD

    Professor, Canada Research Chair
    Social Work
    University of Toronto
    Toronto, Ontario, Canada

    Slides
  • SL

    Stuart Lewis, MD

    Associate Professor
    Geisel School of Medicine
    Dartmouth College
    Lebanon, New Hampshire, United States

  • AM

    Andie MacNeil, MA, MSW

    Research Assistant
    Factor-Inwentash Faculty of Social Work
    University of Toronto
    Toronto, Ontario, Canada

    Slides

  • M.T. Connolly, JD (she/her/hers)

    Adjunct Professor
    Leonard Davis School of Gerontology
    University of Southern California
    Los Angeles, California, United States

    Slides

Knowledge of effective interventions for elder abuse and self-neglect (EASN) is limited. Adult Protective Services (APS) represents the primary agency responsible for receiving reports and investigating suspected cases of EASN in the US. However, APS lacks a distinct, conceptually informed intervention phase to support EASN cases. Based on theory, research, and consultations with stakeholders, RISE was designed to address this intervention gap within overall EASN response systems. Informed by ecological-systems, relational, and client-centered perspectives, RISE is a community-based EASN intervention that integrates core modalities (motivational interviewing, restorative justice, teaming, supported decision making) demonstrating evidence and/or promising results in EASN and other domains. The intervention operates at Relational, Individual, Social, and Environmental levels of ecological influence. Specifically, RISE works with both older adult victims and others, including alleged harmers, their relationships, and strengthens the social supports surrounding them. RISE began as a pilot in two Maine counties, was expanded to the entire state, has been used in over 450 cases, was written into Maine’s 2023 budget, is now being implemented and tested in New Hampshire and Toronto, Canada, and is being expanded to the criminal justice system. This symposium will describe RISE’s development and conceptual underpinnings (presentation 1), findings on implementing “teaming” (social support), an intervention modality (presentation 2), a qualitative evaluation of RISE from the perspective of APS caseworkers (presentation 3), evidence of RISE reducing EASN recidivism (presentation 4), and case studies of implementing RISE (and its restorative justice modality) in the criminal justice diversion context (presentation 5).

This is an Abuse, Neglect and Exploitation of Older Persons Interest Group Sponsored Symposium.

Learning Objectives:

  • After attending this session, participants will learn about and understand the RISE model of community-based EASN intervention
  • After attending this session, participants will understand preliminary evidence of RISE as a community-based EASN intervention in partnership with Adult Protective Services and the criminal Justice system
  • After attending this session, participants will understand the strengths and challenges of teaming as an EASN intervention modality designed to strengthen informal and formal social support systems surrounding EASN victims and alleged harmers

Presentations:

  • 12:00 PM – 1:30 PM ET
    RISE: A Conceptual Model of Integrated and Restorative Elder Abuse and Self-Neglect Intervention

    Individual Symposium Abstract First Author: David Burnes, PhD – University of Toronto

  • 12:00 PM – 1:30 PM ET
    Effect of RISE on Repeat Elder Abuse and Self-Neglect Investigations by Adult Protective Services

    Individual Symposium Abstract First Author: Stuart Lewis, MD – Dartmouth College

  • 12:00 PM – 1:30 PM ET
    A Qualitative Evaluation of RISE From the Perspective of Adult Protective Services Caseworkers

    Individual Symposium Abstract First Author: David Burnes, PhD – University of Toronto

  • 12:00 PM – 1:30 PM ET
    Using a “Teaming” (Enhanced Social Support) Approach in the Context of the RISE Elder Abuse and Self-Neglect Intervention

    Individual Symposium Abstract First Author: Andie MacNeil, MA, MSW – University of Toronto

  • 12:00 PM – 1:30 PM ET
    Using RISE in Cases Diverting Defendants in Elder Abuse Scenarios Out of the Criminal System and Into Treatment

    Individual Symposium Abstract First Author: M.T. Connolly, JD (she/her/hers) – University of Southern California