Adult Abuse & Neglect Prevention (AANP) Training

Background Information

In 2004, the Centers for Medicare and Medicaid Services awarded a grant to the Michigan Department of Community Health to develop and pilot curricula and trainings to identify, report, and prevent adult abuse and neglect across a wide array of long-term care settings and programs. In the course of the demonstration, 66 certified trainers conducted over 460 training sessions for almost 8,000 long-term care workers. The curricula, developed through the leadership of BEAM, the Michigan Office of Services to the Aging, and researchers from Michigan State University, with assistance from PHI, are highly interactive and focus on building skills and strategies to prevent abuse and neglect.

Evaluation

In evaluating the impact of the curriculum, MSU found:

  • Dramatic gains in knowledge as indicated by statistically significant positive changes in the pre- and post-test scores of 4,638 direct access staff (DAS) on over half of the test items.
  • Application of the knowledge gained through Abuse and Neglect Prevention (AANP) trainings in work settings over a sustained period. In a longitudinal telephone survey of a subset of DAS who participated in the AANP trainings:
    • 92 percent indicated that the AANP training improved their ability to recognize abuse. 
    • Nearly half (48%) stated that they actually reported suspected abuse more often because of the AANP training. 
    • 91 percent perceived that the AANP training improved their ability to prevent potentially abusive situations from developing. 
    • 60 percent indicated they had used prevention techniques learned in the training and of these, 96 percent indicated that it helped prevent an abusive situation from occurring.

The Curriculum

The twelve 60-minute modules focus on developing skills to prevent abuse and neglect, as well as other communications and relational skills relevant to all people working anywhere in the array of long-term supports and services settings and programs. These modules:

  • Use adult learner-centered approaches that actively engage participants in learning; 
  • Are easy to use by educators for in-services in a wide variety of long-term care settings; and 
  • Can be used as stand-alone training, though they are ideally taught consecutively to effectively prevent abuse and neglect. 

Most notably, the federal Elder Justice Act, enacted in 2010 as part of the Affordable Care Act, now requires all employees of nursing homes, hospices that provide services in nursing homes, and intermediate care facilities for the mentally retarded (ICF/MR) to report “reasonable suspicions of a crime against a resident” to a local law enforcement agency. This new federal reporting requirement is not discussed or covered in these materials.

In addition, state laws on the definitions of and reporting of abuse and neglect are not reflected in these modules. Users should make appropriate adaptations, particularly to Module 3.

Modules 4 through 10 are applicable to all states, settings, and job categories. These modules use the PHI approach to building core communication and problem-solving skills, including developing self-awareness and self-management skills, to increase the ability of staff to prevent abuse, neglect, and exploitation.

Contact Catherine Macomber or Cean Eppelheimer for more information about this curriculum, how to adapt it, and how to prepare educators to build these skills.

These materials were produced by BEAM in cooperation with the Michigan State University and the Michigan Office of Services to the Aging through the Michigan Department of Community Health Grant No. *11-P-93042/5-01, awarded by the Centers for Medicare and Medicaid Services.