Perceived facilitators and barriers to the implementation of an advanced practice: nursing intervention for HIV regimen adherence among the seriously mentally ill.
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Anti-HIV Agents↗
Biomedical subjects
Nancy P Hanrahan
Publications and source records attributed to Nancy P Hanrahan.
Forensic markers in elder female sexual abuse cases.
Evidence exists that older adults are victims of sexual assault and rape. The scope of the problem, prevalence, and correlates of these sex crimes are relatively unknown. Such knowledge deficits are major barriers to detecting, prosecuting, and preventing sex crimes against older adults. Understanding how intentional sexual injuries are inflicted on older adults is a growing concern as the population over 65 increases. This study contributes critical information to guide the identification of physical and psychologic markers of elder sexual abuse to be integrated by clinicians and law enforcement as forensic medical evidence.
Aged↗
Core data elements tracking elder sexual abuse.
Sexual abuse in the older adult population is an understudied vector of violent crimes with significant physical and psychological consequences for victims and families. Research requires a theoretical framework that delineates core elements using a standardized instrument. To develop a conceptual framework and identify core data elements specific to the older adult population, clinical, administrative, and criminal experts were consulted using a nominal group method to revise an existing sexual assault instrument. The revised instrument could be used to establish a national database of elder sexual abuse. The database could become a standard reference to guide the detection, assessment, and prosecution of elder sexual abuse crimes as well as build a base from which policy makers could plan and evaluate interventions that targeted risk factors.
Age Factors↗
Practice patterns and potential solutions to the shortage of providers of older adult mental health services.
Little is known about the contribution of advanced practice nurses (APNs) to the mental health care of older adults. This study describes mental health services to older adults by APNs compared with primary care physicians, psychiatrists, psychologists, and social workers. The study uses a retrospective, cross-sectional design with a 5% national sample of 1999 Medicare outpatient claims. Bivariate statistics and multinomial logit models were used to determine differences among these mental health providers. A small proportion of the nationally available providers (10.4%) submitted claims for mental health services rendered to older adults. APNs, psychiatrists, and primary care physicians care for a disproportionate number of rural and poor older adults with complex medical/psychiatric needs compared with psychiatrists, psychologists, and social workers. APNs seem to be an untapped resource for providing mental health services to older adults. Health policy reform is needed to remove barriers to meet mental health care needs.
Aged↗