Out of the Shadows
Uncovering Substance Use and Elder Abuse
Supplements
The Caregiver Abuse Screen (Reis-Nahmiash CASE)
Please answer the following questions as a helper or caregiver with yes or no:
- Do you sometimes have trouble making ( _____ ) control his/her temper or aggression?
Yes ___ No ___ - Do you often feel you are being forced to act out of character or do things you feel bad about?
Yes ___ No ___ - Do you find it difficult to manage ( _____'s ) behavior?
Yes ___ No ___ - Do you sometimes feel that you are forced to be rough with ( _____ )?
Yes ___ No ___ - Do you sometimes feel you can't do what is really necessary or what should be done for ( _____ ) ?
Yes ___ No ___ - Do you often feel you have to reject or ignore ( _____ )?
Yes ___ No ___ - Do you often feel so tired and exhausted that you cannot meet ( _____'s) needs?
Yes ___ No ___ - Do you often feel you have to yell at ( _____ )?
Yes ___ No ___
Scoring information was not provided.
Source: Nelson H.D., Nygren P., McInerney Y., Klein J. Screening Women and Elderly Adults for Family and Intimate Partner Violence: A Review of the Evidence for the U.S. Preventive Services Task Force. March 2004. Originally in Ann Intern Med 2004; 140(5)387-96. Agency for Healthcare Research and Quality, Rockville, MD.
A printable version (PDF) is available.
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