TY  - JOUR
PY  - 2015//
TI  - PROTECT: a pilot program to integrate mental health treatment into elder abuse services for older women
JO  - Journal of elder abuse and neglect
A1  - Sirey, Jo Anne
A1  - Halkett, Ashley
A1  - Chambers, Stephanie
A1  - Salamone, Aurora
A1  - Bruce, Martha L.
A1  - Raue, Patrick J.
A1  - Berman, Jacquelin
SP  - 438
EP  - 453
VL  - 27
IS  - 4-5
N2  - 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>
LA  - en
SN  - 0894-6566
UR  - http://dx.doi.org/10.1080/08946566.2015.1088422
ID  - ref1
ER  -