Reply to: Comment on “Accelerating the Pace of Elder Justice Policy to Meet the Needs of a Growing Aging Population”

IF 4.5 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Kristin E. Lees Haggerty, Gary Epstein-Lubow
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引用次数: 0

Abstract

Thank you for the opportunity to respond to Dr. Marian Liu's thoughtful letter regarding our recent article, “Accelerating the Pace of Elder Justice Policy to Meet the Needs of a Growing Aging Population” [1]. We are grateful for Dr. Liu's insights and her deep, ongoing contributions to the field of elder justice.

We especially appreciate Dr. Liu's emphasis on the critical importance of sustained and expanded investment in Adult Protective Services (APS). As we highlighted in our article, APS serves as the front line in responding to elder abuse, neglect, and exploitation. In addition to leading investigations to understand the context of abuse, neglect, exploitation, and self-neglect, APS staff address risks and act to prevent crises, provide essential referrals to resources to address financial barriers, provide legal services, and address mental and physical health needs.

At this moment, APS faces significant headwinds. The broader political climate—including increasing calls to cut federal domestic spending—poses real risks to the future of APS. Some states' APS workers may have few co-workers and higher caseloads, or their APS system may become diminished to almost no activities. Proposed funding reductions, along with recent and ongoing administrative changes such as the reorganization of the Administration for Community Living (ACL), could destabilize essential elder justice infrastructure to such a degree that access to APS will become impossible at a time when the need is growing.

In this context, it is critical that we stand firmly behind APS. Federal leadership and investment remain vital—not only to maintain the current workforce and ensure consistency and equity across states, but also to foster innovation, workforce development, and data-driven improvements. We must advocate not just to preserve existing supports, but to expand them meaningfully.

At the same time, we recognize the importance of building a broader, more resilient elder justice ecosystem. This requires a “both/and” approach—one that continues to grow and protect federal investments while also activating local, philanthropic, and private−sector partnerships. These additional channels can amplify impact, foster cross-sector collaboration, and sustain momentum, especially in times of federal uncertainty.

Finally, we would like to extend our sincere appreciation to Dr. Liu for her leadership and for acknowledging the historic and ongoing work of the U.S. Senate Special Committee on Aging. The Committee has played a critical role in advancing elder justice policy, raising awareness, and holding systems accountable. Its continued productivity and bipartisan commitment are deeply valued.

Thank you again for the opportunity to respond, and for helping to advance this dialogue. We look forward to continued collaboration to accelerate progress and strengthen protections for older adults nationwide.

Kristin Lees Haggerty prepared the manuscript.

The sponsor was not involved in the preparation of the manuscript.

The authors declare no conflicts of interest.

This publication is linked to a related comment by Pi-Ju Liu. To view this article, visit https://doi.org/10.1111/jgs.19524.

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回复:关于“加快长者司法政策步伐以应付人口日益老化的需要”的评论。
感谢您有机会回复玛丽安·刘博士对我们最近的文章《加快老年人司法政策步伐以满足日益增长的老龄化人口的需求》的深思熟虑的来信。我们感谢刘博士的见解和她对老年人正义领域的深刻而持续的贡献。我们特别赞赏刘博士对持续和扩大对成人保护服务(APS)投资至关重要的强调。正如我们在文章中强调的那样,APS是应对虐待、忽视和剥削老年人的第一线。除了领导调查以了解虐待、忽视、剥削和自我忽视的背景外,心理服务人员还处理风险并采取行动预防危机,提供必要的资源转介以解决财务障碍,提供法律服务,并解决精神和身体健康需求。目前,APS面临着巨大的阻力。更广泛的政治气候——包括越来越多的要求削减联邦国内开支的呼声——对APS的未来构成了真正的风险。一些州的APS工作人员可能没有几个同事,案件量更高,或者他们的APS系统可能会减少到几乎没有活动。拟议的资金削减,以及最近和正在进行的行政改革,如社区生活管理局(ACL)的重组,可能会在一定程度上破坏基本的老年人司法基础设施,以至于在需求不断增长的时候,获得APS将变得不可能。在这种情况下,我们坚定地支持APS至关重要。联邦政府的领导和投资仍然至关重要——不仅是为了维持现有的劳动力,确保各州之间的一致性和公平性,也是为了促进创新、劳动力发展和数据驱动的改进。我们必须提倡不仅要保留现有的支持,而且要有意义地扩大这些支持。与此同时,我们认识到建立一个更广泛、更具复原力的老年人司法生态系统的重要性。这需要一种“双管齐下”的方法——既要继续发展和保护联邦投资,又要激活地方、慈善和私营部门的伙伴关系。这些额外的渠道可以扩大影响,促进跨部门合作,并保持势头,特别是在联邦不确定时期。最后,我们衷心感谢刘博士的领导,并感谢美国参议院老龄问题特别委员会所做的历史性和正在进行的工作。委员会在推进老年人司法政策、提高认识和追究制度责任方面发挥了关键作用。它持续的生产力和两党承诺受到高度重视。再次感谢您给我这个答复的机会,感谢您帮助推进这一对话。我们期待着继续合作,加快进展,加强对全国老年人的保护。Kristin Lees Haggerty准备了手稿。主办单位未参与稿件的准备工作。作者声明无利益冲突。本出版物链接到刘碧菊的相关评论。要查看本文,请访问https://doi.org/10.1111/jgs.19524。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
10.00
自引率
6.30%
发文量
504
审稿时长
3-6 weeks
期刊介绍: Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.
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