Resolving elder abuse, neglect, and self-neglect often requires the authority and expertise of multiple providers. Prior research of the elder abuse forensic center (FC) model, although limited, has indicated strong member support, increases in prosecution of abusers, and increases in conservatorship for those lacking capacity. This study expands on previous single-site research by conducting a cross-site multimethod evaluation of four established FCs to better describe the model and inform its replication with fidelity. Data were compiled from FC administrative data, site visits completed from 2011-2012, and a follow-up telephone interviews conducted in 2018. Site characteristics, processes, desired outcomes, and long-term sustainability were compared. All FCs had dedicated staff who convened a multidisciplinary team (MDT) of medical, legal, and social services providers to jointly engage in case review, consultation, and provision of supportive professional services. Similar results were observed across all sites in team effectiveness and member-perceived improvements in personal practice and inter-agency relationships. While three programs had unified philosophies and practice approaches, one employed a distinct model and was no longer in operation at follow-up. Commonalities in case characteristics, program structure, processes, and outcomes provide insight into the core model components and a foundation for continued program replication and standardization.

中文翻译：

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为了更好地理解老年人虐待取证中心模型：比较和对比加利福尼亚的四个程序。

解决虐待，忽视和忽视自我的行为通常需要多家医疗机构的权威和专门知识。先前对老年人虐待取证中心（FC）模型的研究虽然有限，但已显示出强大的成员支持，对虐待者的起诉增加以及对能力不足者的保管。这项研究通过对四个已建立的FC进行跨站点多方法评估来更好地描述模型并忠实地复制它，从而扩展了以前的单站点研究。数据来自FC行政数据，2011-2012年完成的现场访问以及2018年进行的后续电话采访。比较了站点的特征，流程，期望的结果和长期的可持续性。所有功能界别都有专职人员召集一支由医疗，法律，与社会服务提供者共同参与案例审查，咨询和提供支持性专业服务。在所有站点上，团队效率以及成员在个人实践和机构间关系方面的感知改善均观察到类似结果。虽然三个程序具有统一的理念和实践方法，但其中一个程序采用了独特的模型，并且在后续行动中不再运行。案例特征，程序结构，过程和结果的共性提供了对核心模型组件的洞察力，并为持续的程序复制和标准化奠定了基础。在所有站点上，团队效率以及成员在个人实践和机构间关系方面的感知改善均观察到类似结果。虽然三个程序具有统一的理念和实践方法，但其中一个程序采用了独特的模型，并且在后续行动中不再运行。案例特征，程序结构，过程和结果的共性提供了对核心模型组件的洞察力，并为持续的程序复制和标准化奠定了基础。在所有站点上，团队效率以及成员在个人实践和机构间关系方面的感知改善均观察到类似结果。尽管三个程序具有统一的理念和实践方法，但其中一个程序采用了独特的模型，并且在后续行动中不再运行。案例特征，程序结构，过程和结果的共性提供了对核心模型组件的洞察力，并为持续的程序复制和标准化奠定了基础。