ADULT PROTECTIVE SERVICES

1. ADULT PROTECTIVE SERVICES

2. Adult Protective Services

3. Who abuse the elderly? • People often hear about elderly abuse in institutions, but only a small percent of elderly live in institutes. • Most elderly persons live independently. This may be alone, with a spouse, or with relatives.

4. Who abuse the elderly? • Most families don’t abandon, abuse, neglect or take advantage of their elderly relatives. But studies don’t point to the family as the single greatest source of elder abuse. • Daughters, sons, grandchildren or other relatives may be abusers. Physical abusers are usually male.

5. Psychological abusers are usually 50 or older. These relatives may have been looking forward to a time of personal freedom. They instead find themselves supplying almost constant personal and medical care to an elderly relative.

6. In many families where abuse happens, conflicts have existed for years. There may be a pattern of violence in the family. The parent may have treated the child badly earlier in life. These problems come to a head when family members move into the same home.

7. How are the elderly being abused? • Much has been written about abuse of the elderly by strangers. However, there is a higher chance that family members will:

8. give improper or little care to the elderly • neglect them or keep them in isolation • deny proper food or medical care • verbally abuse them • threaten them with nursing home placement • physically restraint them • hit or beat them • misuse their money or property • wish for their death to preserve an inheritance that will otherwise need to be spent on their care

9. Rights of Adults - Adults have the right: - to be treated with dignity and respect - to refuse assistance - to make their own choices about how and where they will live - to privacy

10. The abused elderly often are not willing to tell anyone about their situation. They may resign themselves to the abuse due to: • embarrassment • pride • fear • love for the abuser • a belief that living in an institute is the only other choice

11. At times they do seek help. They may try to tell someone, but not be believed. Or they may suffer from a medical condition that prevents them from understanding or clearly explaining what is happing to them

12. Class • Page 39 Box 4-5

13. The average abused elderly person is : • 75 or older • Living with his/her children or relatives • In poor physical or mental health • Usually female

14. “Hurt people, hurt people”. Sandra Bloom, M.D.

15. FY 2009 APS Statistics In FY 2009,15,625reports of adult abuse, neglect, and/or exploitation were received by local departments of social services. 59%of APS reports were substantiated.

16. Who Are the Victims? SFY 2009 APS Reports - 69% over age 60 - 31% ages 18–59 and incapacitated - 63% women - 37% men - 69% white - 23% African-American

17. SFY 2009 Substantiated Reports

18. SFY 2009 APS ReportsLocation of the Incident - 63% own home or apt - 11% other’s home or apt - 10% nursing facilities - 5% assisted living facilities - 4% DBHDS facility/group home - 4% other setting - 2% shelter or are homeless - 1% hospital

19. Class • Page 40 Box 4-6

20. Who are Mandated Reporters? § 63.2-1606 requires certain persons to report suspected cases of abuse, neglect, or exploitation

21. Who are Mandated Reporters? - A partial list of mandated reporters includes: - doctors - dentists - nurses - guardians - social workers - law enforcement - mental health professionals

22. Who are Mandated Reporters? - Any person employed by or contracted with a public or private agency or facility who works with adults in an administrative, supportive or direct care capacity

23. Who are Mandated Reporters? - Any person providing full, intermittent, or occasional care to an adult for compensation, including but not limited to: - companion - chore - homemaker - personal care (home health) workers

24. But Remember. . . ANYONE can make an APS report!

25. Challenges - Illness, frailty or dementia may mask abuse or neglect. - Social isolation increases risk and difficulty of identifying mistreatment.