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Faith Leaders Respond to Elder Abuse

Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant

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Faith Leaders Respond to Elder Abuse

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    1. Presenter: ___________________ County: ____________________ Date: _____________________ Faith Leaders Respond to Elder Abuse Presentation Notes: Customization Notes: As appropriate, the notes section includes suggestions for ways to change individual slides so that the information reflects correct state/local policy and procedures. Approaches for engaging participants and focusing discussion are also included in the notes. Enter the appropriate information for the lead presenter and the location of the training event. Presentation Notes: Customization Notes: As appropriate, the notes section includes suggestions for ways to change individual slides so that the information reflects correct state/local policy and procedures. Approaches for engaging participants and focusing discussion are also included in the notes. Enter the appropriate information for the lead presenter and the location of the training event.

    2. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 2 The elderly are not valued in America. Yet, they are our parents and grandparents, the soldiers who landed at Normandy, the women who taught us to read. The helped make this country what it is today. They are my heroes Presentation Notes Purpose: This slide provides an opportunity to set the stage for the presentation, reaffirming the value of older persons, their role in society, why they deserve to be free from abuse, neglect and exploitation. Customization Note: This quote was selected by the author to reflect her personal view about the value of older persons in society. Users may want select another quote from a favorite poem, the Bible, the Koran, the Torah or other inspirational source. The quote/poem provides an opportunity for audience reflection. Participants may be asked to discuss their favorite reflections on older persons, their role in society, and the concept of respectfrom the individual perspective; from the societal perspective. Presentation Notes Purpose: This slide provides an opportunity to set the stage for the presentation, reaffirming the value of older persons, their role in society, why they deserve to be free from abuse, neglect and exploitation. Customization Note: This quote was selected by the author to reflect her personal view about the value of older persons in society. Users may want select another quote from a favorite poem, the Bible, the Koran, the Torah or other inspirational source. The quote/poem provides an opportunity for audience reflection. Participants may be asked to discuss their favorite reflections on older persons, their role in society, and the concept of respectfrom the individual perspective; from the societal perspective.

    3. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 3 Why Learn About Elder Abuse? What is Elder Abuse? Who Must Report Elder Abuse? What is Adult Protective Services? When Should I Report? How Do I Make a Report? What Can I Do In My Congregation? Overview Presentation Notes Purpose: This presentation will provide answers to the listed questions. The answers are targeted specifically to the role and interests of faith leaders. Customization Note: A presenter my want to change the last question by customizing it for the particular community involved. For example, What Can I do in the Southern Pennsylvania Lutheran Synod? The question is generic however, so depending on the situation, no changes may be needed. Presentation Notes Purpose: This presentation will provide answers to the listed questions. The answers are targeted specifically to the role and interests of faith leaders. Customization Note: A presenter my want to change the last question by customizing it for the particular community involved. For example, What Can I do in the Southern Pennsylvania Lutheran Synod? The question is generic however, so depending on the situation, no changes may be needed.

    4. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 4 Why Learn About Elder Abuse? Presentation Notes Purpose: These points are the foundation of the presentation. They state the key reasons why faith leaders are so critical in helping to identify and assist victims of elder abuse. Customization Note: The presenter should take a few moments to discuss each point. Ask participants to suggest additional reasons why faith leaders are important. This may provide an opportunity for participants to discuss the role of faith leaders in addressing isolation of older persons in the community. Presentation Notes Purpose: These points are the foundation of the presentation. They state the key reasons why faith leaders are so critical in helping to identify and assist victims of elder abuse. Customization Note: The presenter should take a few moments to discuss each point. Ask participants to suggest additional reasons why faith leaders are important. This may provide an opportunity for participants to discuss the role of faith leaders in addressing isolation of older persons in the community.

    5. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 5 What Is Elder Abuse? Presentation Notes Purpose: This slide provides the definitions used by the National Center on Elder Abuse. A definitional framework helps to assure that all participants have a common language for discussing the various forms of abuse. Customization Note: Use this slide to call attention to the words: knowing, intentional, and negligent acts. Ask the co-presenter (APS) to provide examples of cases to distinguish intentional and negligent acts. Presentation Notes Purpose: This slide provides the definitions used by the National Center on Elder Abuse. A definitional framework helps to assure that all participants have a common language for discussing the various forms of abuse. Customization Note: Use this slide to call attention to the words: knowing, intentional, and negligent acts. Ask the co-presenter (APS) to provide examples of cases to distinguish intentional and negligent acts.

    6. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 6 A large problem2-10% of older American population may be victims A hidden problemOnly 1 in 5 victims are identified A family problemPerpetrators are often family members and people known to the elder A serious problemAbused elders four times more likely to die prematurely What Is Elder Abuse? Presentation Notes Purpose: This slide helps to stress the point that abuse does occur, that it happens more frequently than many would like to think. Customization Notes: While conclusive data is lacking, estimates are that 2-5 million older persons may be abused. Focusing on hidden may permit a connection to the previous discussion of isolation. Participants may draw parallels with other forms of family violence child abuse, domestic violence. The premature death bullet suggests both a public health and a moral challenge. Presentation Notes Purpose: This slide helps to stress the point that abuse does occur, that it happens more frequently than many would like to think. Customization Notes: While conclusive data is lacking, estimates are that 2-5 million older persons may be abused. Focusing on hidden may permit a connection to the previous discussion of isolation. Participants may draw parallels with other forms of family violence child abuse, domestic violence. The premature death bullet suggests both a public health and a moral challenge.

    7. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 7 In (your state), the following categories of abuse are defined in law: Presentation Notes Purpose: This space is provided to summarize the applicable state elder abuse law . Customization Notes: Identify the age groups covered, whether or not the law addresses seniors and adults with disabilities or only seniors. Provide the states definitions: What is abuse? What is exploitation? What is neglect? Include additional definitions, as appropriate. This information may be provided by the APS co-presenter; or, the NCEA Web site provides access to state elder abuse/adult protective laws: http://www.elderabusecenter.org/default.cfm?p=statelaws.cfm Presentation Notes Purpose: This space is provided to summarize the applicable state elder abuse law . Customization Notes: Identify the age groups covered, whether or not the law addresses seniors and adults with disabilities or only seniors. Provide the states definitions: What is abuse? What is exploitation? What is neglect? Include additional definitions, as appropriate. This information may be provided by the APS co-presenter; or, the NCEA Web site provides access to state elder abuse/adult protective laws: http://www.elderabusecenter.org/default.cfm?p=statelaws.cfm

    8. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 8 Occurs wherever older Americans live Own home Apartment Public housing Nursing home Board and care Assisted living Relatives home Where Does Elder Abuse Occur? Presentation Notes: Purpose: This slide illustrates that abuse can occur anywhere, not only in the elder persons home but in group living situations such as nursing homes, board and care homes, as well as in the homes of relatives. Customization Notes: Your community may use different terms for some of these residential sites (e.g. boarding homes instead of board and care homes.) Presentation Notes: Purpose: This slide illustrates that abuse can occur anywhere, not only in the elder persons home but in group living situations such as nursing homes, board and care homes, as well as in the homes of relatives. Customization Notes: Your community may use different terms for some of these residential sites (e.g. boarding homes instead of board and care homes.)

    9. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 9 Presentation Notes: Purpose: This slide summarizes some of the common characteristics which make elder abuse victims particularly vulnerable. Customization Notes: This slide provides another opportunity for the participants to identify past situations that, on reflection, might have been elder abuse related. Stress the fact that the problem affects both men and women. This may also be a time for the APS co-presenter to under- line the message with data on elder abuse victims in your area. Presentation Notes: Purpose: This slide summarizes some of the common characteristics which make elder abuse victims particularly vulnerable. Customization Notes: This slide provides another opportunity for the participants to identify past situations that, on reflection, might have been elder abuse related. Stress the fact that the problem affects both men and women. This may also be a time for the APS co-presenter to under- line the message with data on elder abuse victims in your area.

    10. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 10 Presentation Notes: Purpose: While this educational presentation is focused on elders, it may be appropriate to share these points related to adults with disabilities. APS may also serve this group. Customization Notes: Ask the APS co-presenter to describe some cases, and to also describe distinctions and commonalities found with elder abuse cases. Delete this slide if the adult protective/elder abuse statute does not cover adults with disabilities.Presentation Notes: Purpose: While this educational presentation is focused on elders, it may be appropriate to share these points related to adults with disabilities. APS may also serve this group. Customization Notes: Ask the APS co-presenter to describe some cases, and to also describe distinctions and commonalities found with elder abuse cases. Delete this slide if the adult protective/elder abuse statute does not cover adults with disabilities.

    11. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 11 Presentation Notes: Purpose: This and the following slide respond to the question: who could do this? Who could abuse an older person? Customization Notes: Ask the participants what connections they see between these red flags and other forms of family violence. Provide examples of potential abusers dependence on the elder. Explore the the potential for widows/widowers to be vulnerable to new best friends. Presentation Notes: Purpose: This and the following slide respond to the question: who could do this? Who could abuse an older person? Customization Notes: Ask the participants what connections they see between these red flags and other forms of family violence. Provide examples of potential abusers dependence on the elder. Explore the the potential for widows/widowers to be vulnerable to new best friends.

    12. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 12 Presentation Notes Purpose: This slide shows the list of who are the most common alleged perpetrators of elder abuse, according to state adult protective service data. Customization Notes: Use this slide to underscore that elder abuse is a family problem - that a victim usually knows and has a personal relationship with the alleged perpetrator. This is not a problem of crime committed by strangers. If a co-presenter from adult protective services is present, ask him/her to provide data about the victims and the perpetrators in your state. Presentation Notes Purpose: This slide shows the list of who are the most common alleged perpetrators of elder abuse, according to state adult protective service data. Customization Notes: Use this slide to underscore that elder abuse is a family problem - that a victim usually knows and has a personal relationship with the alleged perpetrator. This is not a problem of crime committed by strangers. If a co-presenter from adult protective services is present, ask him/her to provide data about the victims and the perpetrators in your state.

    13. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 13 Facts and Figures in Our Area In (state/county), the data shows that: Presentation Notes Purpose: This slide provides a place for state/local data on elder abuse. Numbers can be obtained from the state adult protective services office. Include information about the numbers and types of reports; profile of Victims, profile of alleged abusers. Use additional slides, as necessary. Customization Notes: This provides an opportunity to present the number of elder abuse reports received in your state/county. Be sure to identify the time period reflected by the data. Ask your adult protective service co-presenter to comment on: whether or not the numbers are increasing; what areas of the state are most affected, and what are the most common situations reported to adult protective services. Presentation Notes Purpose: This slide provides a place for state/local data on elder abuse. Numbers can be obtained from the state adult protective services office. Include information about the numbers and types of reports; profile of Victims, profile of alleged abusers. Use additional slides, as necessary. Customization Notes: This provides an opportunity to present the number of elder abuse reports received in your state/county. Be sure to identify the time period reflected by the data. Ask your adult protective service co-presenter to comment on: whether or not the numbers are increasing; what areas of the state are most affected, and what are the most common situations reported to adult protective services.

    14. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 14 More Facts and Figures Presentation Notes: Purpose: Use this slide for additional state/local data. Customization Notes: If not needed, you may delete this slide.Presentation Notes: Purpose: Use this slide for additional state/local data. Customization Notes: If not needed, you may delete this slide.

    15. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 15 Why Abuse Is Not Reported AgeismUnfavorable attitude towards older people DisbeliefTheyre such an upstanding family Lack of knowledge of signs of abuse Lack of knowledge of reporting procedures Reluctance or fear of confronting the offender Fear of jeopardizing relationship with elder or elders family Mistreated person requests it not be reported Presentation Notes Purpose: This slide provides a list of potential reasons that elder abuse remains a hidden problem. Customization Notes: Use this slide to underscore the importance of learning the signs of elder abuse and where to make a referral. Spend some time talking about the fears engendered in reporting i.e., confronting the offender, losing the relationship with the elder. Use this slide to focus on the dilemma posed by the elder refusing help. Think with the audience of ways to build trust with the elder and ways to address his/her fears.Presentation Notes Purpose: This slide provides a list of potential reasons that elder abuse remains a hidden problem. Customization Notes: Use this slide to underscore the importance of learning the signs of elder abuse and where to make a referral. Spend some time talking about the fears engendered in reporting i.e., confronting the offender, losing the relationship with the elder. Use this slide to focus on the dilemma posed by the elder refusing help. Think with the audience of ways to build trust with the elder and ways to address his/her fears.

    16. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 16

    17. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 17 Elder's report of being mistreated Dehydration, malnutrition, untreated bed sores, poor personal hygiene Unattended/untreated health problems Hazardous or unsafe living conditions: improper wiring, no heat, no running water Unsanitary living conditionsdirt, fleas, lice, soiled bedding, fecal/urine odors, inadequate clothing Presentation Notes Purpose: The following slides help the audience understand the vocabulary used in the elder abuse field; and provide some examples of what they might see and/or hear described by the elder, family, friends or neighbors. Customization Note: The adult protective service representative may have case examples to further illustrate these types of abuse. Presentation Notes Purpose: The following slides help the audience understand the vocabulary used in the elder abuse field; and provide some examples of what they might see and/or hear described by the elder, family, friends or neighbors. Customization Note: The adult protective service representative may have case examples to further illustrate these types of abuse.

    18. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 18 Presentation Notes Purpose: Provides explanation of this type of abuse. The previous and following slides help the audience understand the vocabulary used in the elder abuse field and provide some examples of what they might see and/or hear from the elder, family, friends or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate these types of abuse.Presentation Notes Purpose: Provides explanation of this type of abuse. The previous and following slides help the audience understand the vocabulary used in the elder abuse field and provide some examples of what they might see and/or hear from the elder, family, friends or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate these types of abuse.

    19. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 19 Physical Abuse Warning Signs Elders report of being hit, slapped, kicked, etc.. Findings of medication over- or under-utilization Signs of being punished or restrained Elder's sudden change in behavior Caregiver's refusal to allow visitors to see an elder alone Presentation Notes Purpose: Provides explanation of this type of abuse. It helps the audience understand the vocabulary used in the elder abuse field and provides some examples of what they might see and/or hear from the elder, family, friends, or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse. Presentation Notes Purpose: Provides explanation of this type of abuse. It helps the audience understand the vocabulary used in the elder abuse field and provides some examples of what they might see and/or hear from the elder, family, friends, or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse.

    20. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 20 What are some Warning Signs of Physical Abuse? Bruises, black eyes, welts, lacerations, rope marks Broken or fractured bones, skull fractures Open wounds, cuts, punctures, untreated injuries in various stages of healing Sprains, dislocations, bleeding Broken eyeglasses or frames Presentation Notes Purpose: Provides explanation of this type of abuse. It helps the audience understand the vocabulary used in the elder abuse field and provides some examples of what they might see and/or hear from the elder,family, friends, or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse. Presentation Notes Purpose: Provides explanation of this type of abuse. It helps the audience understand the vocabulary used in the elder abuse field and provides some examples of what they might see and/or hear from the elder,family, friends, or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse.

    21. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 21 Presentation Notes Purpose: Provides explanation of this type of abuse. The examples help the audience understand the vocabulary used in the elder abuse field and provide some examples of what they might see and/or hear from the elder, family, friends or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse. Presentation Notes Purpose: Provides explanation of this type of abuse. The examples help the audience understand the vocabulary used in the elder abuse field and provide some examples of what they might see and/or hear from the elder, family, friends or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse.

    22. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 22 Warning Signs Financial Abuse Disparity between assets and living conditions Forged signature on financial transactions or titles of possessions Sudden appearance of previously uninvolved relatives claiming rights to elder's affairs and possessions Unexplained sudden transfer of assets to a family member or someone outside the family Elder's report of financial exploitation Presentation Notes: See the notes for the previous slide. Presentation Notes: See the notes for the previous slide.

    23. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 23 Warning Signs Emotional Abuse Elder's report of being verbally or emotionally mistreated. Emotionally upset or agitated Extremely withdrawn, non-communicative, non-responsive Unusual behavior usually attributed to dementiasucking, biting, rocking Presentation Notes Purpose: Provides an explanation of this type of abuse. The examples help the audience understand the vocabulary used in the elder abuse field and provide some examples of what they might see and/or hear from the elder, family, friends or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse. Presentation Notes Purpose: Provides an explanation of this type of abuse. The examples help the audience understand the vocabulary used in the elder abuse field and provide some examples of what they might see and/or hear from the elder, family, friends or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse.

    24. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 24 Warning Signs Sexual Abuse Elder's report of being sexually assaulted or raped Bruises around the breasts or genital area Unexplained venereal disease or genital infections Torn, stained, or bloody underclothing Presentation Notes Purpose: Provides explanation of this type of abuse. The examples help the audience understand the vocabulary used in the elder abuse field and provide some examples of what they might see and/or hear from the elder, family, friends or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse. Presentation Notes Purpose: Provides explanation of this type of abuse. The examples help the audience understand the vocabulary used in the elder abuse field and provide some examples of what they might see and/or hear from the elder, family, friends or neighbors. Customization Note: The adult protective services representative may have case examples to further illustrate this type of abuse.

    25. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 25 When the person because of depression, confusion, dementia or alcoholism does not take care of him or herself. Dehydration, malnutrition, untreated or improperly attended medical conditions, poor personal hygiene Hazardous or unsanitary living conditions Inappropriate or inadequate clothing Lack of the necessary medical aidseyeglasses, hearing aids, dentures Homelessness Presentation Notes Purpose: Provide an explanation of the concept of self neglect so that the audience knows what it is and how it relates to the problem of elder abuse. Customization Notes: Call attention to the distinction: with this form of elder abuse, there is no second-party perpetrator the older person is in dire straits and may need a range of services. According to state APS data, self-neglect cases constitute the bulk of reports they receive. Encourage the audience to discuss the distinctions between self-neglect, neglect by others (Slide #17) and other forms of abuse by a second party.Presentation Notes Purpose: Provide an explanation of the concept of self neglect so that the audience knows what it is and how it relates to the problem of elder abuse. Customization Notes: Call attention to the distinction: with this form of elder abuse, there is no second-party perpetrator the older person is in dire straits and may need a range of services. According to state APS data, self-neglect cases constitute the bulk of reports they receive. Encourage the audience to discuss the distinctions between self-neglect, neglect by others (Slide #17) and other forms of abuse by a second party.

    26. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 26 Is Elder Abuse a Crime? Penal Code Section ____ provides that: Presentation Notes Purpose: Provide a explanation of if/how elder abuse is addressed in your states criminal statutes. Customization Notes: Delete this slide if your state does not include elder abuse in the penal code. If appropriate, address whether or not there are enhanced penalties for crimes committed against vulnerable adults. Presentation Notes Purpose: Provide a explanation of if/how elder abuse is addressed in your states criminal statutes. Customization Notes: Delete this slide if your state does not include elder abuse in the penal code. If appropriate, address whether or not there are enhanced penalties for crimes committed against vulnerable adults.

    27. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 27 If I Suspect Abuse What Should I Do? You play an important role as a sentinel or gatekeeper for an abused person in your community If you suspect that something is amiss, call your local Adult Protective Services Program. It is not your responsibility to investigate abuse APS will consult with you about the case. If they believe a report needs to be made, they will take the necessary information from you Presentation Notes Purpose: This slide provides a key message act if you are worried about someone, or if you think they need help. A sentinel is not Expected to have proof or know conclusively that abuse occurred or is occurring. Rather, he/she is sensitive to the signs and knowledgeable about where to go for help. Customization Notes: This would be a good time to provide local brochures pamphlets or cards with the state/local report numbers listed. Discuss the distinction in roles: that a sentinel is someone who points to a potential problem; but adult protective services, because of legal responsibility and special training is the best entity to conduct an assessment of the situation and offer appropriate services.Presentation Notes Purpose: This slide provides a key message act if you are worried about someone, or if you think they need help. A sentinel is not Expected to have proof or know conclusively that abuse occurred or is occurring. Rather, he/she is sensitive to the signs and knowledgeable about where to go for help. Customization Notes: This would be a good time to provide local brochures pamphlets or cards with the state/local report numbers listed. Discuss the distinction in roles: that a sentinel is someone who points to a potential problem; but adult protective services, because of legal responsibility and special training is the best entity to conduct an assessment of the situation and offer appropriate services.

    28. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 28 Presentation Notes Purpose: This slide provides an opportunity to highlight whether or not clergy are mentioned as mandated reporters in your state elder abuse/adult protective services statute. Customization Note: If clergy are mentioned, provide the code reference and discuss the background of mandatory reporting in your state: when it was initiated, whether/how the list of mandated reporters has changed over time. Identify if there are any exemptions, I.e., Catholic priests may not be required to report incidents of abuse revealed during confession. If clergy are not mandated, discuss their obligations based on what your statute requires, i.e., anyone who suspects elder abuse is under obligation to report. Foster dialogue about moral and legal responsibilities relative to suspected elder abuse situations. Presentation Notes Purpose: This slide provides an opportunity to highlight whether or not clergy are mentioned as mandated reporters in your state elder abuse/adult protective services statute. Customization Note: If clergy are mentioned, provide the code reference and discuss the background of mandatory reporting in your state: when it was initiated, whether/how the list of mandated reporters has changed over time. Identify if there are any exemptions, I.e., Catholic priests may not be required to report incidents of abuse revealed during confession. If clergy are not mandated, discuss their obligations based on what your statute requires, i.e., anyone who suspects elder abuse is under obligation to report. Foster dialogue about moral and legal responsibilities relative to suspected elder abuse situations.

    29. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 29 Presentation Notes Purpose: This and the following slide provides a general context for focusing on adult protective services, their role and position in the community service system. Customization Notes: An APS representative should be invited to present this section of the training. Presentation Notes Purpose: This and the following slide provides a general context for focusing on adult protective services, their role and position in the community service system. Customization Notes: An APS representative should be invited to present this section of the training.

    30. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 30 What Does APS Do? Prevents and alleviates harm resulting from abuse, neglect or exploitation: Receives reports Investigates needs and risks Develops case plans Provides and monitors services Offers needed services Competent adults may refuse APS help Collaborates with other services to meet elders needs Presentation Notes Purpose: Provides general description of APS role and responsibilities Customization Notes: Provide an example of the case planning role, how APS collaborates with other agencies. Call attention to the phrase competent adults may refuse APS help. Ask your APS co-presenter to explain what this means. Provide a case example to further illustrate the ways in which APS must honor the rights and decisions of competent elders. Presentation Notes Purpose: Provides general description of APS role and responsibilities Customization Notes: Provide an example of the case planning role, how APS collaborates with other agencies. Call attention to the phrase competent adults may refuse APS help. Ask your APS co-presenter to explain what this means. Provide a case example to further illustrate the ways in which APS must honor the rights and decisions of competent elders.

    31. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 31 Our (state/area) APS program includes: What Does APS Do? Presentation Notes Purpose: Provide a description of your adult protective service program Customization Notes: Describe the APS program in your area. Include the legal authority, types of settings covered, summary information on the types of cases handled, and specific services provided in your area. Add additional slides, as necessary. Provide a handout which summarizes your state/community Adult Protective Services Program. Presentation Notes Purpose: Provide a description of your adult protective service program Customization Notes: Describe the APS program in your area. Include the legal authority, types of settings covered, summary information on the types of cases handled, and specific services provided in your area. Add additional slides, as necessary. Provide a handout which summarizes your state/community Adult Protective Services Program.

    32. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 32 To report abuse that occurs in the Community (i.e. private home, hotel, senior center) Call: Presentation Notes Purpose: This slide provides a place to emphasize the phone number for reporting elder abuse that occurs in the community. Customization Notes: The phone number may also be in the APS Brochure but should be listed on the slide as well, for emphasis. List the local agency name and the reporting phone number. If possible, identify a staff contact for clergy representatives who may wish to discuss aspects of a case before making a report. Presentation Notes Purpose: This slide provides a place to emphasize the phone number for reporting elder abuse that occurs in the community. Customization Notes: The phone number may also be in the APS Brochure but should be listed on the slide as well, for emphasis. List the local agency name and the reporting phone number. If possible, identify a staff contact for clergy representatives who may wish to discuss aspects of a case before making a report.

    33. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 33 Presentation Notes Purpose: This slide and the next two provide an overview of the Long Term Care Ombudsman Program. It is important for clergy to know about this program, how it can assist residents, and its role in elder abuse prevention, identification and intervention. Customization Notes: A representative of the Long Term Care Ombudsman program should be invited to present this section. Provide handout materials describing the program. Presentation Notes Purpose: This slide and the next two provide an overview of the Long Term Care Ombudsman Program. It is important for clergy to know about this program, how it can assist residents, and its role in elder abuse prevention, identification and intervention. Customization Notes: A representative of the Long Term Care Ombudsman program should be invited to present this section. Provide handout materials describing the program.

    34. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 34 What Does the LTCO Do? Advocate for Residents Receives and resolves complaints about resident care Educates residents, families and communities on Resident Rights Quality Care Collaborates on policy change to meet resident needs Presentation Notes Customization Notes: A representative of the LTCO program should be invited to present this section and provide examples of these types of activities. Presentation Notes Customization Notes: A representative of the LTCO program should be invited to present this section and provide examples of these types of activities.

    35. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 35 What Does the LTCO Do? Our LTCO program includes: Presentation Notes Purpose: Provides basic information on the state/local Long Term Care Ombudsman Program. Customization Notes: Describe the program in your area. Include role In elder abuse reporting and investigation. Describe the types of Facilities covered. Provide summary information about complaints and resolutions. Provide examples of complaints resolved. Describe how the program coordinates with adult protective services. Use additional slides, as necessary. Presentation Notes Purpose: Provides basic information on the state/local Long Term Care Ombudsman Program. Customization Notes: Describe the program in your area. Include role In elder abuse reporting and investigation. Describe the types of Facilities covered. Provide summary information about complaints and resolutions. Provide examples of complaints resolved. Describe how the program coordinates with adult protective services. Use additional slides, as necessary.

    36. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 36 Presentation Notes Purpose: This slide provides a place to emphasize the phone number for reporting elder abuse that occurs in nursing homes and other types of group living arrangements. Customization Notes: Based on states law/procedures, there may be multiple numbers that should be listed on this slide. Pertinent numbers may also be in brochure for the Long Term Care Ombudsman program. List the numbers on the slide, as well, for added emphasis. List the local agency name. If possible, identify a staff contact for clergy representatives who may wish to discuss aspects of a case before making a report.Presentation Notes Purpose: This slide provides a place to emphasize the phone number for reporting elder abuse that occurs in nursing homes and other types of group living arrangements. Customization Notes: Based on states law/procedures, there may be multiple numbers that should be listed on this slide. Pertinent numbers may also be in brochure for the Long Term Care Ombudsman program. List the numbers on the slide, as well, for added emphasis. List the local agency name. If possible, identify a staff contact for clergy representatives who may wish to discuss aspects of a case before making a report.

    37. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 37 Be patient Do not act shocked, keep your demeanor calm Reassure the person that he or she is not to blame Let him or her know that he or she is not alone. If someone tells me about abuse What Should I Do? Presentation Notes Purpose: This and following slides remind the audience of the ways they can be of greatest help to the elder. Customization Notes: This advice is a reminder about sensitivity to the needs and concerns of victims. Presentation Notes Purpose: This and following slides remind the audience of the ways they can be of greatest help to the elder. Customization Notes: This advice is a reminder about sensitivity to the needs and concerns of victims.

    38. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 38 I have never reported before What is Involved? In (state/area), the protocol for reporting elder abuse includes: Presentation Notes Purpose: Provide a step-by-step direction about getting help for older victims. Customization Notes: Some of this information may be on a separate handout or brochure. Be sure to include information on where reports can be made concerning non-deceased victims and long term care facility residents. Address additional issues such as whether or not anonymous reports are accepted, and whether or not an abuse reporter can expect follow-up information, etc. Presentation Notes Purpose: Provide a step-by-step direction about getting help for older victims. Customization Notes: Some of this information may be on a separate handout or brochure. Be sure to include information on where reports can be made concerning non-deceased victims and long term care facility residents. Address additional issues such as whether or not anonymous reports are accepted, and whether or not an abuse reporter can expect follow-up information, etc.

    39. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 39 What information do I give? Your name Victims name Victims address/location Your observations and concerns Who is the suspected abuser? Can the victim walk, hear, see, etc.? Anyone else who should be contacted. Contact information. Presentation Notes Purpose: Make sure that the audience knows what type of information to provide when they call adult protective services with a potential elder abuse referral. Customization Note: Add other necessary information required by your state/local adult protective services program. Presentation Notes Purpose: Make sure that the audience knows what type of information to provide when they call adult protective services with a potential elder abuse referral. Customization Note: Add other necessary information required by your state/local adult protective services program.

    40. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 40 In (state/area) the policy includes: Do I have to make a written report? Presentation Notes Purpose: Provide additional clarification regarding the reporting Procedure. Customization Notes: Include the state/local policy for written reports. Is there a standard form? How does one obtain it? Can it be faxed? Are e-mail reports accepted? How long does one have (after telephone report) to submit a written form? Presentation Notes Purpose: Provide additional clarification regarding the reporting Procedure. Customization Notes: Include the state/local policy for written reports. Is there a standard form? How does one obtain it? Can it be faxed? Are e-mail reports accepted? How long does one have (after telephone report) to submit a written form?

    41. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 41 What happens after I report? Presentation Notes Purpose: State/local information should be included to help the audience understand what occurs when and after a report is made. Customization Notes: List the usual and emergency actions taken by the APS program following the receipt of the report. Are all reports investigated? When are face-to-face visits completed? What types of cases might be screened-out at intake? Provide additional information to help the audience understand the operational procedures of APS. Presentation Notes Purpose: State/local information should be included to help the audience understand what occurs when and after a report is made. Customization Notes: List the usual and emergency actions taken by the APS program following the receipt of the report. Are all reports investigated? When are face-to-face visits completed? What types of cases might be screened-out at intake? Provide additional information to help the audience understand the operational procedures of APS.

    42. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 42 I am not a trained investigator How can I recognize abuse? No one expects you to be the experts on abuse or to know all the warning signs Sometimes abuse is so obvious that there is no question whether to report it If you are concerned and you think something is going on, call the professionals at APS. They are trained to investigate and make that decision Presentation Notes Purpose: The message on this slide is provided to help allay audience fears about being sure that the situation is abuse. Customization Notes: Use this opportunity to acknowledge that there may be doubts about reporting a situation that may or may not turn out to be substantiated abuse. Stress that clergy are not expected to be experts, but their help is needed to connect elders with the APS experts. Presentation Notes Purpose: The message on this slide is provided to help allay audience fears about being sure that the situation is abuse. Customization Notes: Use this opportunity to acknowledge that there may be doubts about reporting a situation that may or may not turn out to be substantiated abuse. Stress that clergy are not expected to be experts, but their help is needed to connect elders with the APS experts.

    43. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 43 Presentation Notes Purpose: Call attention to penalties, if any, established in state law for failure to report suspected elder abuse. Customization Notes: Are there penalties in your state law for mandated reporters who do not report? If so, list them on this slide. Provide any background that is known about failure to report. The APS co-presenter may best address this issue. Presentation Notes Purpose: Call attention to penalties, if any, established in state law for failure to report suspected elder abuse. Customization Notes: Are there penalties in your state law for mandated reporters who do not report? If so, list them on this slide. Provide any background that is known about failure to report. The APS co-presenter may best address this issue.

    44. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 44 Are there times when I should not report? The short answer is, no: Some Faith Leaders believe that they can assist an elder or a family without reporting abuse If you have been told, or reasonably believe that abuse is taking place, it is very important that you report it Let the experts assist the elder and the family. Presentation Notes Purpose: The purpose here is to address the fear of reporting and continue building a connection between the audience/clergy and the adult protective services system. Customization Notes: Discuss with the audience their perspectives and fears about reporting. Solicit suggesting for overcoming these barriers. Presentation Notes Purpose: The purpose here is to address the fear of reporting and continue building a connection between the audience/clergy and the adult protective services system. Customization Notes: Discuss with the audience their perspectives and fears about reporting. Solicit suggesting for overcoming these barriers.

    45. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 45 What about my relationship with my congregation member? Abused persons will often drop hints or tell someone about the abuse because they know they need help If, having been told about the abuse, you do not report it, you may be sending a message to the older person that what is happening to them is not serious In addition, in (your state), if you do not report reasonable suspicions, there are/are not legal consequences Presentation Notes Purpose: Continue to underline the importance of the clergy as sentinels helping to identify elder abuse and connect victims with appropriate interventions. Customization Notes: Adjust the 3rd bullet on this slide to reflect your state law - whether or not there are legal consequences for failure to report. Presentation Notes Purpose: Continue to underline the importance of the clergy as sentinels helping to identify elder abuse and connect victims with appropriate interventions. Customization Notes: Adjust the 3rd bullet on this slide to reflect your state law - whether or not there are legal consequences for failure to report.

    46. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 46 You can help prevent it before it gets serious: Take time to meet alone with the older person. Tell him or her what you know about some of the risk factors of elder abuse (e.g., adult child who is financially dependent). Tell him/her of your concern. Explain the role of APS. Encourage him/her to seek help before abuse occurs or worsens. What if I see early warning signs of abuse? Presentation Notes Purpose: Encourage clergy to play a role in protecting vulnerable members of the congregation. Customization Notes: Ask the audience for some examples - older persons who, looking back, may have been at-risk for elder abuse. Stress the unique role of clergy as trusted counselors to their congregation members. Presentation Notes Purpose: Encourage clergy to play a role in protecting vulnerable members of the congregation. Customization Notes: Ask the audience for some examples - older persons who, looking back, may have been at-risk for elder abuse. Stress the unique role of clergy as trusted counselors to their congregation members.

    47. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 47 What if the elder wants help but The elder may want help but doesnt want to get the alleged abuser in trouble. This is a very common response of older abused people, especially when the abuser is a family member Remind the abused person that help is available to him or her and that it is better to seek help than to try to handle a difficult situation alone. Encourage them to talk with APS APS may be able to refer the alleged abuser to services (e.g., drug or alcohol treatment), however, these are also voluntary and may be rejected by the abuser Presentation Notes Purpose: Prepare the audience for common reactions from elders. Many elders seeking help from adult protective services have conflicted feelings about protecting of family members who are abusers. Customization Notes: Use this slide to discuss parallels with other forms family/domestic violence. Discuss issues of shame, love, protection and how best to assist the victim. Presentation Notes Purpose: Prepare the audience for common reactions from elders. Many elders seeking help from adult protective services have conflicted feelings about protecting of family members who are abusers. Customization Notes: Use this slide to discuss parallels with other forms family/domestic violence. Discuss issues of shame, love, protection and how best to assist the victim.

    48. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 48 The elder may seem confused. Its not clear that he/she understands the situation. Sometimes dementia, mental illness, or other factors may hamper an older persons cognition An assessment may indicate that the elder does not have the capacity to make informed judgments about his or her care. Adult Protective Services, may, on an emergency basis, or with court approval, act on behalf of the elders best interest, even without his or her consent. The procedure for such actions varies from state to state What if the elder seems confused Presentation Notes Purpose: This slide provides the opportunity to discuss issues of competency, capacity and the role of adult protective services in providing emergency, and/or involuntary services. Customization Notes: Ask the APS representative to explain the APS authority to act on behalf of the elder: What procedures are Followed? How his/her rights are protected? What are the roles of health care professionals? The courts? Others? Presentation Notes Purpose: This slide provides the opportunity to discuss issues of competency, capacity and the role of adult protective services in providing emergency, and/or involuntary services. Customization Notes: Ask the APS representative to explain the APS authority to act on behalf of the elder: What procedures are Followed? How his/her rights are protected? What are the roles of health care professionals? The courts? Others?

    49. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 49 What about caregiver stress and elder abuse? The abuser says that caregiver stress is causing the abuse, how can I help? Caregiving is, without question, a stressful endeavor. However, research shows that stress related to caregiving is not the cause of elder abuse. Some people should not be entrusted with care of an elder. If these people become caregivers, they may abuse and blame the stress for the abuse. Be careful not to come to the support of the caregiver without also seriously considering the safety of the older person. The safety of the older person should be your foremost concern. Presentation Notes Purpose: This slide provides an opportunity to discuss a current elder abuse myth i.e., that the stresses of care giving causes elder abuse. Customization Notes: Use this opportunity to applaud and recognize the significant services provided to elders by their families. Make distinctions, however, between intentional, on-going abusive behavior and a one-time outburst by a well-intentioned, loving but overwhelmed caregiver. Remember, abusers may be domineering, controlling or sadistic family members. They may physically harm, steal-from, belittle and threaten the elder. Only a thorough, unbiased investigation by APS can uncover the facts. Presentation Notes Purpose: This slide provides an opportunity to discuss a current elder abuse myth i.e., that the stresses of care giving causes elder abuse. Customization Notes: Use this opportunity to applaud and recognize the significant services provided to elders by their families. Make distinctions, however, between intentional, on-going abusive behavior and a one-time outburst by a well-intentioned, loving but overwhelmed caregiver. Remember, abusers may be domineering, controlling or sadistic family members. They may physically harm, steal-from, belittle and threaten the elder. Only a thorough, unbiased investigation by APS can uncover the facts.

    50. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 50 What about forgiveness? Shouldnt the abusers be forgiven? Forgiveness does not mean returning to an abusive situation. An abused person may one day find that forgiveness is possible. However, no one should be told to put up with an abusive situation because their faith calls on them to forgive the abusers transgressions. Presentation Notes Purpose: Provide an opportunity for the audience to discuss the concept of forgiveness in the context of elder abuse. Focus on the well-being of the elder. Presentation Notes Purpose: Provide an opportunity for the audience to discuss the concept of forgiveness in the context of elder abuse. Focus on the well-being of the elder.

    51. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 51 What Can Faith Leaders Do? Educate yourself and other Faith Leaders about elder abuse Create a Safe Place for Elders by making your place of worship a place where elderly victims can come forward for help. Educate the Congregation on the subject of violence against and fraud and abuse of elders. Talk with other Faith Leaders about a regular meeting on issues of family violence. Presentation Notes Purpose: Identify concrete actions faith communities can take to assist elder abuse victims. Customization Notes: Take time to discuss each suggestion. How could it work? What would be needed to get started? Are there existing examples or programs to build on. What first steps would be needed to move in a positive direction? Presentation Notes Purpose: Identify concrete actions faith communities can take to assist elder abuse victims. Customization Notes: Take time to discuss each suggestion. How could it work? What would be needed to get started? Are there existing examples or programs to build on. What first steps would be needed to move in a positive direction?

    52. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 52 Establish a Friendly Visitor Program Create a Nurse Program for homebound elders Break the silence about abuse Give a sermon that mentions abuse in vulnerable populations Make it clear that this type of behavior is not condoned Intervene Do not turn a blind eye or a deaf ear to the clues of abuse What Can Faith Leaders Do? Presentation Notes Customization Notes: Take time to discuss each suggestion. How could it work? What would be needed to get started? Are there existing examples or programs to build on. What first steps would be needed to move in a positive direction? Presentation Notes Customization Notes: Take time to discuss each suggestion. How could it work? What would be needed to get started? Are there existing examples or programs to build on. What first steps would be needed to move in a positive direction?

    53. Faith Leaders Respond to Elder Abuse NCEA, 2005 Grant #90 AM 2457 53 Presentation Notes Purpose: Provide a philosophical conclusion to the presentation and a reason for joining the campaign to assist elder abuse victims. Customization Notes: The presenter may have an alternate quote or concept to share as the concluding slide which you may want to substitute for this thought. Presentation Notes Purpose: Provide a philosophical conclusion to the presentation and a reason for joining the campaign to assist elder abuse victims. Customization Notes: The presenter may have an alternate quote or concept to share as the concluding slide which you may want to substitute for this thought.

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