Evidence map›Paper›PMID 37427825›Full record

Observational studyJournal of the American Geriatrics Society2023

Effect of an elder abuse and self-neglect intervention on repeat investigations by adult protective services: RISE project.

Stuart Lewis, Marie-Therese Connolly, Erin Salvo, Patricia F Kimball, Geoff Rogers, Andie MacNeil, David Burnes

2 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07368257 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Replication and Evaluation of the RISE-APS Model In New Contexts

TypeinterventionalSponsorRISE CollaborativeRan2026 to 2027Enrolled300ConditionsElder Abuse, Self-NeglectArmsRISE, APS
NCT07527962 nacompletednot on this map

Implementing and Testing RISE: Addressing a Gap in Community-Based Elder Abuse Response Intervention

TypeinterventionalSponsorRISE CollaborativeRan2023 to 2025Enrolled114ConditionsElder Abuse, Self NeglectArmsRISE Model, Brief Consultation and Resource Sharing
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Screening and Interventions for Elder Mistreatment: Geriatric Emergency Department Guidelines 2.0 Systematic Review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Pooled it
  2. Article
  3. Reducing Depression and Suicidal Ideation Among Elder Abuse Victims Using PROTECT.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Stuart LewisOne Medical Center Drive, Lebanon, New Hampshire, USA.ORCID 0000-0001-9904-8116
Marie-Therese ConnollyLeonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
Erin SalvoMaine Adult Protective Services, Augusta, Maine, USA.
Patricia F KimballElder Abuse Institute of Maine, Brunswick, Maine, USA.
Geoff RogersSilberman School of Social Work, Hunter College, New York, New York, USA.
Andie MacNeilFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-6868-5307
David BurnesFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.

Funding

Understanding the Causes, Consequences, and Severity of Elder Mistreatment: A Longitudinal, Population-Based StudyR01AG060080 · NIA · UNIVERSITY OF TORONTO · PI BURNES, DAVID · 2018 to 2020
$542k
NIA NIH HHS R01 AG060080
6 · The paper itself

Abstract

backgroundAdult Protective Services (APS) is the primary agency responsible for investigating elder abuse and self-neglect (EASN) allegations in the United States. The harms of EASN are well established; however, APS lacks a conceptually derived evidenced-based intervention phase. RISE is a community-based intervention designed to complement APS that provides enhanced services and a longer intervention phase. The objective of this study was to test whether exposure to the RISE/APS collaboration was associated with reducing the case outcome of recurrence (repeat investigations) compared to usual care APS only services.

methodsA retrospective observational study (n = 1947) of two counties in Maine where RISE was available to provide enhanced services to persons referred from APS. An extended regression endogenous treatment Probit model using APS administrative data was used to predict case recurrence.

resultsBetween July 2019 and October 2021, 154 cases participated in RISE and 1793 received usual APS only services. 49% of cases in RISE had 2 or more prior substantiated allegations versus 6% for those receiving usual APS care, and 46% of cases in RISE had a recurrence during the observation period versus 6% for usual care group. However, after accounting for the non-random treatment assignment, RISE was associated with a significantly lowered likelihood of recurrence compared to persons receiving usual care provided by APS (probability of recurrence reduced by 0.55 for the Average Treatment Effect on the Treated and 0.26 for the Average Treatment Effect).

conclusionsA reduction in recurrence carries important implications for APS clients, costs, resources, and workflow. It may also serve as a proxy indicating a reduction in revictimization and harm for EASN victims.

Indexed as

Elder AbuseSelf-NeglectAgedHumansModels, TheoreticalRetrospective StudiesSocial WelfareUnited Stateselder abuseinterventionrecidivismself-neglect

Identifiers

PMID37427825
PMCPMC10776806

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.