Association between Type of Residence and Clinical Signs of Neglect in Older Adults.

Background: Studies have demonstrated that measures of lower quality of care and associated adverse health effects are more prevalent in for-profit nursing homes compared to not-for-profit facilities. However, these studies omit persons who receive care in the community setting, and exclusively focus on isolated clinical signs that may obscure the true effect size, since these clinical signs rarely occur in isolation.

Objective: In this study, we use the Clinical Signs of Neglect Scale (CSNS), which is an aggregate measure of clinical signs of neglect and substandard care, to evaluate the association of residence type on health outcomes among individuals living in both private community residences and for-profit and not-for-profit long-term care facilities.

Using clinical signs of neglect to identify elder neglect cases.

Elder neglect is the one of the most pervasive forms of mistreatment, and often the only place outside of the individual's residence to identify and assist neglected individuals is in a medical setting. However, elder neglect cases treated in hospitals do not present with a single diagnosis or clinical sign, but rather involve a complex constellation of clinical signs. Currently, there is a lack of comprehensive guidelines on which clinical signs to use in screening tools for neglect among patients treated in hospitals.

Physical Abuse of Elderly Adults: Victim Characteristics and Determinants of Revictimization.

Objectives: To describe victim characteristics and determinants of recurrent physical abuse of elderly.

Design: Multicenter retrospective analysis of multiple data systems to study victims of elder mistreatment in the greater Chicago metropolitan area.

Setting: Five teaching hospitals with Level 1 trauma centers.

A description of cases of severe physical abuse in the elderly and 1-year mortality.

We conducted a case-control study to evaluate severe physical abuse of the elderly treated in two Chicago area Level I trauma centers. This report details whether physicians are adequately reporting cases of abuse to Adult Protective Services (APS), and assesses 1 year. The failure to report two-thirds of the cases and the substantially higher risk of death during the first year after hospitalization indicates the need for improved identification, reporting, and intervention.

Screening for traumatic stress among survivors of urban trauma.

Objective: This study piloted the use of the Primary Care PTSD (PC-PTSD) screening tool in an outpatient setting to determine its utility for broader use and to gather data on traumatic stress symptoms among direct (patients) and indirect (families) survivors of traumatic injuries.

Methods: Using the PC-PTSD plus one question exploring openness to seeking help, participants were screened for PTSD in the outpatient clinic of an urban Level 1 trauma center. The survey was distributed during a 23-week period from April to September 2011.

Medical interpretation for immigrant workers.

Foreign-born workers have high rates of occupational mortality and morbidity, despite downward trends for the U.S. workforce overall.

A case-control study of severe physical abuse of older adults.

Unlabelled: To characterize the severity and outcome of traumatic injuries suffered by victims of elder abuse, describe the characteristics of the perpetrators, and identify risk factors associated with severe traumatic elder abuse.

Design: Case-control study.

Setting: Two Level I trauma units in the greater Chicago, Illinois, metropolitan area.

Youth violence prevention curriculum evaluation: outcomes of a Cook County, Illinois community based partnership.

The John H. Stroger, Jr. Hospital Departments of Trauma and Emergency created a youth violence prevention curriculum for healthcare providers and staff with a community partnership of practitioners and professionals.

Traumatic occupational injuries in Hispanic and foreign born workers.

Background: Hispanic and foreign-born workers suffer high rates of occupational fatality. Reasons for this are not well understood. Our aim was to gather information about the details related to severe, non-fatal occupational injuries in this vulnerable population.