Online Program

Critical case review committee: A systems approach to reducing abuse neglect and exploitation of individuals with intellectual and developmental disabilities

Sunday, November 1, 2015

Sara Molina-Robinson, ChildLink, Public Health Management Corporation, Philadelphia, PA
Stephen Davis, MHS, Social Services-PersonLink, Public Health Management Corporation, philadelphia, PA
The prevention of abuse neglect and exploitation is fundamental to overall health and well-being. Individuals with intellectual and developmental disabilities (IDD) experience greater degrees of abuse, neglect, and exploitation than the wider population over longer periods of time, and from a greater number of abusers which has a detrimental effect on overall health and well-being. The purpose of this qualitative program evaluation was to examine the extent to which a risk assessment tool and corresponding peer review committee lead to improved staff member and organizational response to factors commonly associated with abuse neglect and exploitation of individuals with IDD receiving support coordination services, and a decrease in incidents of abuse or neglect characterized as avoidable. Using root cause analysis (RCA) and the social- ecological model for abuse prevention our analysis focused on program participants identified as at risk or high risk of abuse neglect or exploitation based on statewide reportable incident criterion. After one year of implementation the evaluation results demonstrated increased awareness among support coordinators of risk factors, increased multilevel organizational response to high risk and at risk participants, a decrease in avoidable incidents, an increase in reportable incidents and the development of a risk assessment and prevention manual. As an innovative program in the state of Pennsylvania the critical case review committee has implications for social change on local, state, and federal level disabilities, aging, and health promotion service systems.

Learning Areas:

Program planning
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Identify three indicators of abuse neglect or abuse of individuals with intellectual and developmental disabilities Describe the impact of diagnostic overshadowing on recognizing abuse, neglect, and exploitation of individuals with Intellectual and developmental disabilities Develop a peer review process for case managers supporting individuals with Intellectual and developmental disabilities

Keyword(s): Case Management, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a professional in the developmental disabilities field for 15 years earned my MA degree in Human Services and I am currently a candidate for my PhD in human services with competencies in qualitative research including case studies, phenomenological and ethnographic research. Among my research interests has been systems approach to intellectual and developmental disabilities, and the diffusion of innovative models of care for individuals with developmental disabilities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.