@article{ref1,
title="Executive Function Impairment and Recidivism in Adult Protective Services Clients Referred for a Decision Making Capacity Assessment",
journal="Journal of elder abuse and neglect",
year="2014",
author="Terracina, Katherine A. and Aamodt, Whitley W. and Schillerstrom, Jason E.",
volume="27",
number="2",
pages="91-99",
abstract="OBJECTIVES: To determine if recidivistic APS cases referred for a decision making capacity assessment were more cognitively impaired than non-recidivistic cases. <br><br>METHODS: A retrospective medical record review of neuropsychological and demographic data gathered during decisional capacity assessments. Recidivistic clients were those referred to APS more than once; those with a single open case were non-recidivistic. Mean neuropsychological test scores were compared between recidivistic (n = 138) and non-recidivistic (n = 95) subjects. <br><br>RESULTS: No significant differences for age, gender, ethnicity, education, or dwelling status were found. Both recidivistic and non-recidivistic cases performed poorly in all cognitive domains. Recidivistic clients performed significantly worse on measures of executive function (CLOX1, EXIT25). <br><br>CONCLUSIONS: Executive function impairments seem to be one risk factor for recidivism in APS referrals. With 60% of cases referred for decision capacity assessments being recidivistic, identifying risk factors may help identify when targeted interventions are indicated to preclude recurrence of abuse.<p /><p>Language: en</p>",
language="en",
issn="0894-6566",
doi="10.1080/08946566.2014.976894",
url="http://dx.doi.org/10.1080/08946566.2014.976894"
}