These guidelines were prepared by Sara C

Diagnostic and TreatmentGuidelines onElderAbuse andNeglect1These guidelines were prepared by Sara C. Aravanis, Washington, DC; Ronald D. Adelman,MD, Mineola, New York; Risa Breckman, CSW, Brooklyn; Terry T. Fulmer, PhD, RN,FAAN, New York; Elma Holder, MPH, Washington, DC; Mark Lachs, MD, New Haven;James G. O Brien, MD, East Lansing, Michigan; and Arthur B. Sanders, MD, Tucson. Theguidelines were also reviewed by experts in law and geriatric health whose assistance isgreatly appreciated. American Medical Association (AMA) staff assistance was provided byRoger L. Brown, PhD; Sona Kalousdian, MD, MPH; Carol O Brien, JD; Marshall D.Rosman, PhD; Elaine Tejcek; and Martha Witwer, MPH.These guidelines are not intended to be construed or to serve as a standard of medical care.Standards of medical care are determined on the basis of all the facts and circumstancesinvolved in an individual case and are subject to change as scientific knowledge andtechnology advance and patterns of practice evolve. These guidelines reflect the views ofscientific experts and reports in the scientific literature as of October 1992.2Introduction……………………………….4Facts About Elder Mistreatment…….…..5Interviewing……………………………….7Diagnosis and Clinical Findings………….9Assessment………………………………..11Intervention and Case Management……13Abuse and Neglect in Institutions…….…15Regulations and Legal ProtectionThe Role of the PhysicianDocumentation……………………………18Legal Considerations………………….… ...