Forensic center multidisciplinary teams (MDTs) have emerged to address older adult maltreatment; however, little research is available on this approach. The current study employed a randomized-control design to test the impact of a victim-focused, forensic center MDT relative to usual care (UC) on older adult victim and criminal justice outcomes. Cases of abuse, neglect, and/or financial exploitation involving a perpetrator in a position of trust were randomly assigned to MDT or UC. Outcomes were assessed via interviews with older adult victims, system-based advocates' surveys, and administrative data. According to system-based advocates, MDT had a better prognosis, higher across-agency coordination, and more types of engaged services relative to UC. Administrative data indicated low rates of APS case openings and prosecution. Findings provide support for continued use of MDTs following older adult maltreatment and highlight difficulties engaging older adults given the complex social and material circumstances often related to maltreatment.

中文翻译：

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一项随机对照试验，测试了多学科团队应对老年人虐待的影响。

法医中心多学科小组（MDT）已经出现，以解决对成年人的虐待；但是，关于这种方法的研究很少。当前的研究采用随机对照设计来测试以受害者为中心的法医中心MDT相对于常规护理（UC）的影响对成年受害者和刑事司法结果的影响。涉及犯罪者处于信任位置的虐待，忽视和/或金钱剥削案件被随机分配给MDT或UC。通过与老年人受害者的访谈，基于系统的拥护者的调查以及行政数据对结果进行评估。根据基于系统的拥护者的观点，相对于UC，MDT的预后更好，跨机构的协调性更高，参与的服务类型更多。行政数据表明，APS案件的开立和起诉率较低。