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Elder AbusE

Elder AbusE. DISCLAIMER: Persons depicted in this training are models and are used for illustrative purposes only. National Clearinghouse on Abuse in Later Life. Presenters. Bonnie Brandl National Clearinghouse on Abuse in Later Life (NCALL). Amanda Kay

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Elder AbusE

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  1. Elder AbusE DISCLAIMER: Persons depicted in this training are models and are used for illustrative purposes only. National Clearinghouse on Abuse in Later Life

  2. Presenters Bonnie Brandl National Clearinghouse on Abuse in Later Life (NCALL) Amanda Kay National Council for Juvenile and Family Court Judges (NCJFCJ)

  3. Acknowledgment This project was supported by Grant No. 2016-TA-AX-K077 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication/program/exhibition are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.

  4. Workshop Agenda • Overview of Elder Abuse • Responding to Older Survivors of Abuse • OVW Abuse in Later Life Program and NCALL Resources • Judicial Training and NCJFCJ Resources

  5. Elder Abuse Overview

  6. Elder Abuse “Abuse, neglect, abandonment, or financial exploitation of an older individual by another person or entity who has a trust-based relationship with the older adult or, any harm that occurs because an older person is targeted by a stranger based on their age or disability” (DOJ, 2013).

  7. Why Address Elder Abuse Disclaimer: Persons depicted in this presentation are models and are used for illustrative purposes only.

  8. Population of older Americans is expanding— one in five Americans will be a senior citizen by 2030. In the past century, life expectancy has increased by almost 30 years. https://www.everydayhealth.com/senior-health/aging-and-health/by-the-numbers-aging-in-america.aspx

  9. Community-residing older adults 1 in 10 community-residing older adults reported experiencing elder abuse in the past year. Acierno et al. (2010). Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. American Journal of Public Health, 100(2), 292-297.

  10. Elder Abuse is Mostly Hidden For every 1 case of elder abuse that comes to light . . . another24 do not. Source: NYS Elder Abuse Prevalence Study; Weill Cornell Medical College, NYC Department for the Aging; Lifespan; (2011)

  11. Financial Exploitation by the Numbers • For every 1 case of financial exploitation that comes to light, 44 do not. • For every 1 case of neglect that comes to light, 57 do not. • Under the Radar – NYS Elder Abuse Prevalence Study. http://ocfs.ny.gov/main/reports/Under%20the%20Radar%2005%2012%2011%20final%20report.pdf

  12. Studies have consistently shown that a significant portion of elder abuse cases involve female victims with spouses as perpetrators. Lane et al., (2013).

  13. Perpetrators of elder abuse In the community, older victims of sexual abuse were violated most often by spouses/partners. Acierno, et al., (2010). In facilities, employees responsible for care (43%) or other residents (41%) were most likely offenders.  Ramsey-Klawsnik, H., Teaster, P. B., Mendiondo, M. S., Marcum, J. L., & Abner, E. L. (2008).

  14. A word about caregiver stress: Providing care can be stressful, but NOT a cause of abuse Early research was based on abuser’s self-reports, used as excuse to justify behavior, elicit sympathy

  15. Financial Exploitation Co-Occurs Often financial exploitation co-occurs with other forms of abuse. Family, friends, caregivers and trusted others may be the offenders.

  16. Household Wealth Nearly 80% of household wealth in the US is held by individuals age 50 and over. http://erickson.umbc.edu/files/2015/05/2016-Longevity-Economy-AARP.pdf

  17. Older Adults’ Financial Losses Older adults lose approximately $36 billion/year. On average, victims lose $120,300. AARP BankSafe Initiative: A Comprehensive Approach to Better Serving and Protecting Consumers (Jan 2016) p.2

  18. Older Adults and Financial Abuse Nearly 1 in 5 older adults has been the victim of financial abuse. Investor Protection Trust http://www.investorprotection.org/downloads/IPT_EIFFE_Medical_SurveyNews_Release_03-22-16.pdf Gina Bower

  19. Victims Are Often Vulnerable Nearly half of all victims have a physical impairment. About one-third of victims have mental impairment or dementia. The New York State Cost of Financial Exploitation Study, 2016. Yufan Huang, PhD, New York State Office of Children and Family Services Bureau of Research, Evaluation, and Performance Analytics and Alan Lawitz, Esq., New York State Office of Children and Family Services Bureau of Adult Services.

  20. But be cautious… While conditions associated with aging may create accessibility challenges for older victims, this does not automatically equal incapacity. Elders who are abused often find themselves legally vulnerable due to suspicion of incapacity: reporting abuse, particularly sexual abuse, automatically raises flags that the elder is fabricating or has capacity issues.

  21. Risk of Death Elders who experienced abuse, even modest abuse, had a 300% higher risk of death when compared to those who had not been abused. Dong X, Simon M, Mendes de Leon C, Fulmer T, Beck T, Hebert L, et al. (2009)

  22. Transition slide with older adults NativeStock.com/Angel Wynn

  23. Responding to Elder Abuse

  24. Lois, Miss Mary, Anne, Sam, and Pat

  25. CCR Questions Small Group • Does your CCR address the needs of older victims? • Who might you want to invite to your CCR to assist in addressing elder abuse? • Are there policies you might want to review or revise to enhance your response to older victims while holding offenders accountable.

  26. Report Back

  27. OVW Abuse in Later Life Program

  28. Required MOU Partners • Law enforcement • Prosecutors’ office • Adult protective services/aging network • Domestic violence/sexual assault victim services

  29. ALL Program Purpose Areas • Direct Trainings • Cross-Trainings • Coordinated Community Response (CCR) • Victim Services

  30. Direct Trainings: Justice System • Training for Law Enforcement • Advanced Law Enforcement Training • Prosecutors’ Institute • Judicial Institute

  31. Optional Direct Training • Civil attorneys • Faith leaders and communities • Health care providers *NCALL will be holding webinars on these topics

  32. OVW Abuse in Later Life Program Grantees 32

  33. Resources

  34. NCALL Online www.facebook.com/ncall.us/ www.ncall.us https://twitter.com/ncall_us NCALL eNews Update

  35. Awareness/Outreach Materials

  36. Advocates’ Toolkit • Working with Older Survivors of Abuse: A Framework for Advocates • Abuse in Later Life Education Series for Advocates

  37. Trainers’ Toolkit • PowerPoint Slide Sets with suggested videos • Interactive Training Exercises

  38. NCALL Video Library • 30+ downloadable video clips featuring subject matter experts discussing topics on providing services to older survivors of abuse

  39. NCALL YouTube Channel • Features more than 100 streaming videos related to working with older survivors of abuse.

  40. Elder Abuse and Faith Tools • Where Faith and Safety Meet: Faith Communities Respond to Elder Abuse (2010) • Partnering to Address Faith and Safety: A Guide for Faith Leaders and Domestic and Sexual Violence Service Providers to Assist Older Victims of Abuse (2013)

  41. Abuse in Later Life Info Sheets

  42. Technology and Abuse in Later Life

  43. National Resource Center for Reaching Victims

  44. National Resource Center for Reaching Victims • Funded by Office of Victims of Crime (OVC) • Focus on underserved populations of crime victims, including older adults • One-stop-shop for professionals to get information and expert guidance to help identify, reach, and serve all victims

  45. NCJFCJ Training and Technical Assistance • Enhancing Judicial Skills in Elder Abuse Cases • Regional, state, and local training of judges, court staff, court-related professionals, attorneys, and community partners • Full range of technical assistance

  46. NCJFCJ Resources • Articles, tools, reports, etc.: https://njidv.org/education-opportunities/elder-abuse/materials.html • Policy statement: https://www.ncjfcj.org/sites/default/files/daysonthehill/2018/onepagers/Elder_Abuse_FNL-2-2018.pdf

  47. Lois, Sam, and Pat – What Happened Next

  48. Mother Teresa quote “None of us, including me, ever do great things. But we can all do small things, with great love, and together we can do something wonderful.” Mother Teresa

  49. Thank You Bonnie Brandl, Director National Clearinghouse on Abuse in Later Life (NCALL), A project of End Domestic Abuse Wisconsin 1245 E. Washington Ave., Suite 150 Madison, WI 53703 Email: bbrandl@ncall.us Website: www.ncall.us Amanda Kay, Program Attorney National Council of Juvenile and Family Court Judges (NCJFCJ) P.O. Box 8970 Reno, NV 89507 Email: akay@ncjfcj.org Websites: www.ncjfcj.org www.njidv.org National Clearinghouse on Abuse in Later Life, 2018

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