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J Elder Abuse Negl. 2015;27(1):19-33. doi: 10.1080/08946566.2013.867241. Epub 2014 Nov 24.

Eliciting change in at-risk elders (ECARE): evaluation of an elder abuse intervention program.

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a Heritage Clinic , Pasadena , California , USA.


The current study evaluated the effectiveness of a community-based elder abuse intervention program that assists suspected victims of elder abuse and self-neglect through a partnership with local law enforcement. This program, Eliciting Change in At-Risk Elders, involves building alliances with the elder and family members, connecting the elder to supportive services that reduce risk of further abuse, and utilizing motivational interviewing-type skills to help elders overcome ambivalence regarding making difficult life changes. Risk factors of elder abuse decreased over the course of the intervention and nearly three-quarters of participants made progress on their treatment goal, advancing at least one of Prochaska and DiClemente's (1983) stages of change (precontemplation, contemplation, preparation, action, and maintenance). Forty-three percent of elders moved into the stages of action and maintenance regarding their goal. The usefulness of eliciting change via longer-term relationships with vulnerable elders in entrenched elder abuse situations is discussed.


elder abuse intervention; risk factors for abuse; self-neglect

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