@article{ref1,
title="PROTECT: a pilot program to integrate mental health treatment into elder abuse services for older women",
journal="Journal of elder abuse and neglect",
year="2015",
author="Sirey, Jo Anne and Halkett, Ashley and Chambers, Stephanie and Salamone, Aurora and Bruce, Martha L. and Raue, Patrick J. and Berman, Jacquelin",
volume="27",
number="4-5",
pages="438-453",
abstract="OBJECTIVE: Rates of elder abuse and depression are both distinctly elevated in older women. The goal of this pilot program was to test the usefulness of adapted Problem-Solving Therapy (PST) and anxiety management, called PROTECT, integrated into routine elder abuse services to reduce depression, increase self-efficacy, and improve abuse outcomes among victims. <br><br>METHODS: Older adult women victims of mistreatment who sought assistance from a large, urban elder abuse service were screened for depression and anxiety. Victims with clinically significant symptoms (PHQ-9 or GAD-7 ≥ 10) were randomized to receive either elder abuse resolution services combined with psychotherapy (PROTECT), or elder abuse resolution services and a routine mental health referral. <br><br>RESULTS: 68 depressed elder abuse victims were randomized. After 16 weeks, women in the PROTECT group showed a trend toward greater reduction in depressive symptoms (57%) compared to those in the Referral condition (37%), t(44) = 1.765, p = .08. PROTECT clients also endorsed significantly greater perceived improvements in self-efficacy in problem-solving and greater satisfaction with services. <br><br>DISCUSSION: These preliminary findings support the potential usefulness of PROTECT to alleviate depressive symptoms among elder abuse victims and enhance personal resources such as self-efficacy that may foster resilience among abused older women.<p /> <p>Language: en</p>",
language="en",
issn="0894-6566",
doi="10.1080/08946566.2015.1088422",
url="http://dx.doi.org/10.1080/08946566.2015.1088422"
}