Brief Abuse Screen for the Elderly (BASE)

1. Is the client an older person or caregiver? Yes___ No___
2. Is the client a caregiver of an older person? Yes___ No___
3. Do you suspect abuse? (see also #4 and #5) Yes___ No___
i) By caregiver (comments)____________________________
1 2 3 4 5
1=no; not at all‚ 2= only slightly doubtful‚ 3=possibly; probably somewhat‚ 4= yes; quite likely‚ 5= definitely
ii) By care receiver or other (comments)___________________
1=no; not at all‚ 2= only slightly doubtful‚ 3=possibly; probably somewhat‚ 4= yes; quite likely‚ 5= definitely
4. If any answer for #3 except “no‚ not at all‚” indicate what kind(s) of abuse(s) is (are) suspected.
a) physical‚ b) psychosocial‚ c) financial‚ d) neglect (includes passive and active)‚ e) sexual
5. If abuse is suspected‚ about how soon do you estimate that intervention is needed?
1= immediately‚ 2= within 24 hrs‚ 3=24-72 hrs‚ 4= 1 week‚ 5= 2 or more weeks
Scoring information was not provided.
 
 
 

Reis M‚ Nahmiash D. (1998). Validation of the Indicators of Abuse (IOA) screen. The Gerontologist; 38(4):471-480.

Nelson. Heidi‚ Nygren. Peggy‚ McInerney. Yasmin‚. (2004). Screening for Family and Intimate Partner Violence. U.S. Department of Health and Human Services Agency for Healthcare Research and Quality. Systematic Evidence Review; 28. www.ahrq.gov