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Mediation with Older Adults. Judy McCann-Beranger M.A., CCFE, Cert.CFM , Cert.EM. University of South Australia April 29, 2013. Session Overview. What is elder mediation? Principles & philosophy When and with whom is it likely to be useful Special knowledge and skills.
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Mediation with Older Adults Judy McCann-Beranger M.A., CCFE, Cert.CFM, Cert.EM University of South Australia April 29, 2013
Session Overview • What is elder mediation? • Principles & philosophy • When and with whom is it likely to be useful • Special knowledge and skills
Historical Context From infancy. . .
Underlying Principles • Reduces caregiver burden • Promotes dignity and respect • Mediation can often prevent and/or reduce conflict • Increased involvement of family members and others • Family learns new way of communicating • Focus on family strengths • Changing the face of health care. • Older adults need to be heard • Requires knowledge of aging
Benefits of Elder Mediation • Larger numbers involved and interested • promotes communication & cooperation • promotes self-determination • typically less costly than litigation • respectful and inclusive • more likely to offer more supports & follow through • recognizes and promotes capacity.
Ageism • Attitudes that stereotype older adults • Reflects power relationships within groups • Inherent in our society
Person Centered • Everyone has strengths, gifts, and contributions to offer. • Every person has hopes, dreams and desires. • Each person, and those who love the person, are the primary authorities on his or her life. • Every person has the ability to express preferences and to make choices. • A person’s choices and preferences shall always be considered.
Person Centered (2) • Natural supports can help improve the person’s quality of life by: • Maximizing independence • Creating community connections • Working toward achieving the person’s dreams & goals • Person-centered care is: • Listening • Trying things • Seeing how they work • Changing things as needed
When & with whom? • Setting the stage • The participants • Respect & dignity • Emotional alliance
Housing Safety Environment Managing care Care for the caregiver Intergenerational conflict New relationships Loss of dignity/voice Holiday schedules Abuse & neglect Religious issues Family business Financial issues End of life decisions Estate planning Guardianship Others… Mediation & Older Adults
Specialized Training • Dynamics of normal aging & life cycle • Intergenerational relationships • Balance of power • Elder abuse • Ethical issues • Community support services • Living arrangements • Guardianship - capacity
Specialized Training • Ageism • Culture & aging • Dementia, progressive diseases and chronic illness • Documenting the agreement • Family and elder law • Financial & Estate • Grief Issues • Others…
Pat Mutch “A Courageous Story” “It is tragic that so many of us go for so long without hearing about this wonderful service of mediation. Why is that?”
Staying Current! • New research • New medications/treatment • Limitations of screening tests • Information dissemination to clients • Timely referrals
“Hold On” Sons of Maxwell www.sonsofmaxwell.com Among the Living , 2000