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Developing a rigorous, systematic methodology to identify and categorize elder mistreatment in criminal justice data

Dion, Sarah; Gogia, Kriti; Elman, Alyssa; Clark, Sunday; Ulrey, Page; Connolly, Marie-Therese; Lewis, Stuart; LoFaso, Veronica M; Lachs, Mark S; Wartell, Julie; Rosen, Tony
Elder mistreatment is complex, with cases typically requiring integrated responses from social services, medicine, civil law, and criminal justice. Only limited research exists describing elder mistreatment prosecution and its impact. Researchers have not yet examined administrative prosecutorial data to explore mistreatment response, and no standardized analytic approach exists. We developed a rigorous, systematic methodologic approach to identify elder mistreatment cases in prosecutorial data from cases of crimes against victims aged ≥60. To do so, we operationalized elements of the accepted definition of elder mistreatment, including expectation of trust and vulnerability. We also designed an approach to categorize elder mistreatment cases, using the types of charges filed, into: financial exploitation, physical abuse, sexual abuse, verbal/emotional/psychological abuse, and neglect. This standardized methodological approach to identify and categorize elder mistreatment cases in prosecution data is an important preliminary step in analyzing this potentially untapped source of useful information about mistreatment response.
PMCID:7328292
PMID: 32151210
ISSN: 1540-4129
CID: 4931702

Intention is not method, belief is not evidence, rank is not proof: Ethical policing needs evidence-based decision making

Mitchell, Renée J.; Lewis, Stuart
Purpose: The purpose of this paper is to argue that police research has reached a level of acceptance such that executive management has an ethical obligation to their communities to use evidence-based practices. Design/methodology/approach: Using an Evidence-Based Medicine (EBM) framework the authors apply an ethical-based decision-making model to policing decisions. EBM does not allow physicians to ignore research when giving guidance to patients. The authors compare the two professional approaches to decision making and argue policing has reached a level of research that if ignored, just like medicine, should be considered unethical. Police interventions can potentially be harmful. Rather than do no harm, the authors argue that police managers should implement practices that are the least harmful based on the current research. Findings: The authors found policing has a substantial amount of research showing what works, what does not, and what looks promising to allow police executives to make decisions based on evidence rather than tradition, culture, or best practice. There is a deep enough fund of knowledge to enable law enforcement leadership to evaluate policies on how well the policies and procedures they enforce prevent crime with a minimum of harm to the communities they are sworn to protect and serve. Originality/value: Policing has yet to view community interventions as potentially harmful. Realigning police ethics from a lying, cheating, stealing, lens to a "doing the least harm" lens can alter the practitioner"™s view of why evidence-based policing is important. Viewing executive decision from an evidence-based ethical platform is the future of evaluating police executive decisions.
SCOPUS:85033668866
ISSN: 2047-0894
CID: 2796422

Inside a Class That Trains Cops to Use Words Instead of Guns

Lewis, Stuart
ORIGINAL:0010519
ISSN: 1077-6788
CID: 1910232

What Does It Take to Be a Doctor on a SWAT Team?

Lewis, Stuart D
ORIGINAL:0009276
ISSN: 1077-6788
CID: 1343372

Eyes wide shut

Lewis, Stuart
ORIGINAL:0009489
ISSN: 0884-8734
CID: 1467122

Burden of suffering [Comment]

Lewis, Stuart
Comment on "Prescription Drug Abuse: Executive Summary of a Policy Position Paper From the American College of Physicians" /
ORIGINAL:0008695
ISSN: 0003-4819
CID: 802592

How refereeing soccer made me a better doctor [Newspaper Article]

Lewis, Stuart
ORIGINAL:0007557
ISSN: 0261-3077
CID: 174033

Brave New EMR

Lewis, Stuart
PMID: 21357914
ISSN: 1539-3704
CID: 126590

Intestinal and peritoneal tuberculosis

Chapter by: Field S; Lewis S
in: Tuberculosis by Ron WN; Garay SM [Eds]
Philadelphia : Lippincott Williams & Wilkins, 2004
pp. 523-535
ISBN: 0781736781
CID: 3975

Intestinal and periotoneal tuberculosis

Chapter by: Lewis, Stuart; Field, Steven
in: Tuberculosis by Rom, William; Garay, Stuart M [Eds]
Boston : Little Brown, 1996
pp. ?-?
ISBN: 0316755745
CID: 4843