2007 Community-based Research Programs
A Population-Based Study of Elder Mistreatment: Epidemiology, Associated Factors, and Trends over Time Refined
Jonathan Evans, MD, School of Medicine
Claire Curry, JD, Law School, Community Partnership for Improved Long Term Care
James Roche, MD, PhD, School of Medicine
Sue Dwoskin, BA, Albemarle Department of Social Services
Elder mistreatment is a serious and often under-reported problem in Virginia as elsewhere in America. Adult Protective Services investigations in Virginia documented over 12,000 cases of adult abuse in 2005, with approximately 61 percent of reports being substantiated. More than 2,400 of the investigations involved reports from nursing and adult care facilities. (See http://www.dss.virginia.gov APS Statistics for 2005). In this collaborative research study all reports of alleged elder mistreatment investigated by Albemarle County Adult Protective Services for the period July 1, 2006- June 30, 2007, will be reviewed and analyzed to yield information and a better understanding about who the victims of mistreatment are, and the settings and characteristics associated with their mistreatment. With an aging population more and more vulnerable adults will receive their care not only in long-term care facilities, but also in the community where problems may be more difficult to detect and prevent. This third year of research results about adult mistreatment in Albemarle County will provide important information to help insure that the Department of Social Services, the Community Partnership for Improved Long-Term Care, and others can maximize the effectiveness of elder abuse prevention efforts by targeting them towards all those at risk.
Collaborative Communities in Long Term Care: Charting a Pathway to Improved Care
James Roche, MD, PhD, School of Medicine
Charlotte McDaniel, PhD, STM, Center for Study of Law and Religion
Summit Square, Waynesboro, VA
The primary purpose of this research project is to address the need for more collaborative communities among personnel in long term care facilities, so they, in turn, will enhance patients’ outcomes, which is the long-term aim. These collaborative communities will be exemplified within their care facilities as well as their collaboration in their residential communities—those in which they exist and serve. Using one site as a test-case, we plan to administer measures—as described below—so that we may examine the current status of personnel need and the potential for community development. Among several measurable indicators of a collaborative community are (a) ethical environments and (b) management of disagreements among personnel; ethics is foundational to workers’ respect, dignity, and trust. These two indicators also address the critical long term care issue: retention of qualified and caring personnel. Retention is enhanced by quality work environments. However, in a nursing home setting, it is untested whether retention is linked to collaborative community environments, as well as to work satisfaction and productivity of personnel, and their ability to manage disagreements; additionally, whether these environments are linked via health care workers to outcomes of resident care (McDaniel, 1998-2004; McDaniel et al, 2006). A strong correlation, if found, would suggest specific ways to increase retention of staff and to enhance their productivity, e.g., care of residents.
ecoMOD Student Research and Construction Fellowship
John Quale, March, School of Architecture
Piedmont Housing Alliance, Jefferson Area Board for Aging
ecoMOD is a research and design / build / evaluate project of the School of Architecture, in partnership with the School of Engineering and Applied Science, that aims to create a series of ecological, modular and affordable house prototypes. Our goal is to demonstrate the environmental and economic potential of prefabrication, and to challenge the modular housing industry in the U.S. to explore this potential. Since 2004, two ecoMOD homes have been built – one in the Fifeville neighborhood in Charlottesville and one to house a family displaced by Hurricane Katrina in Gautier, MS. The third ecoMOD project is currently in the design phase and will be built this summer. The third iteration of this multi-year project is ecoMOD3: the SEAM house. Its target community is the increasingly aging demographic in the United States. The SEAM house is a response to the difficulty of allowing long-term neighborhood residents the ability (physically and economically) to “age in place” – in the homes and communities of which they are an integral part. ecoMOD3 will produce two housing units specifically designed to address the needs of an aging population in an affordable and sustainable model. The units will be both fully accessible and equipped to accommodate disabled occupants. One of the units will involve the renovation of a seriously dilapidated house that is a part of Charlottesville’s African-American history; and the other will involve the addition of a contemporary, modular and sustainable structure to significantly expand and improve the property.