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CLINICAL RELEVANCE OF AN ELDER ABUSE INTERVENTION HELPLINE (QUEBEC, CANADA)

IFA – 11th Global Conference on Ageing Prague, May 28th to June 1st 2012. CLINICAL RELEVANCE OF AN ELDER ABUSE INTERVENTION HELPLINE (QUEBEC, CANADA). Michèle Charpentier, PhD. Professor, School of Social Work, University of Quebec in Montreal

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CLINICAL RELEVANCE OF AN ELDER ABUSE INTERVENTION HELPLINE (QUEBEC, CANADA)

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  1. IFA – 11th Global Conference on Ageing Prague, May 28th to June 1st 2012 CLINICAL RELEVANCE OF AN ELDER ABUSE INTERVENTION HELPLINE (QUEBEC, CANADA) Michèle Charpentier, PhD.Professor, School of Social Work, University of Quebec in Montreal Maryse Soulières, MSWResearch Assistant and Trainer, Elder Abuse Helpline (LAAA) Agnès Noubicier, MSWResearch Assistant, Elder Abuse Helpline (LAAA)

  2. PRESENTATION OUTLINE • Elder Abuse in Quebec (Canada) • Elder Abuse Intervention Helpline (LAAA) • Research Process • Statistics from the LAAA • Issues and Challenges • Clinical relevance of the LAAA 2

  3. ELDER ABUSE IN QUEBEC (Canada) • Very rapidly aging population • Ministerial Action Plan on Elder Abuse (2010-2015), which recognizes elder abuse as a societal priority • Sensitization campaign • Research center on elder abuse • Regional coordinators for elder abuse • Provincial Elder Abuse Intervention Helpline (LAAA) 3

  4. ELDER ABUSE INTERVENTION HELPLINE (LAAA) The LAAA was implemented on October 1st 2010 • Opening hours: 7 days/week, from 8:00am to 8:00pm • Services offered by professionals (social workers or equivalent) • Accessible to anyone concerned about a situation or potential situation involving elder abuse • Seniors, family members, friends, witnesses • Professional workers 4

  5. RESEARCH PROCESS • Co-construction of scientific and clinical knowledge (2 year process), involving researchers from 3 universities and clinicians from the LAAA • Literature review, development of tools and models • Quantitative and qualitative analysis • Final Research Report (March 2012) • Statistical portrait of calls • Qualitative analysis of calls • Calls presenting a high risk level • Calls referred to the public health and social service system • Calls made by ‘victims’ aged 90 and older

  6. STATISTICS FROM THE LAAA • A total of 4 879 calls were received during the first year of operation of the LAAA (initial predictions estimated around 3, 000 calls a year) • About 10% of those calls were out of mandate (not related to elder abuse) and were referred to the appropriate services when possible • Another 10% were calls requesting general information on the LAAA or on elder abuse (calls from students, journalists, etc.)

  7. WHO IS CALLING? WHO IS THE ‘VICTIM’? CALLER’S IDENTITY: • About a third of the calls were made by seniors claiming to be victims of abuse. • Another third of the calls were made by family members. WHO IS THE ‘VICTIM’? • Nearly 70% of the calls involved situations in which the alleged victim was a woman. • More than 40% of the calls concerned alleged victims aged 80 and older. 7

  8. RELATIONSHIP BETWEEN ALLEGED ‘VICTIM’ AND ‘ABUSER’ • In nearly 35% of the calls, the situation of alleged maltreatment involved the adult child of the senior. • In almost 50% of the calls, the alleged ‘abuser’ was a family member (spouse, child or other). 8

  9. TYPES OF ABUSE • The majority of the calls involved financial abuse (33%) and psychological abuse (31%). 9

  10. ISSUES AND CHALLENGES • Monitoring urgent calls • Knowing when to involve emergency services • Following up • References to the public health and social service system and other resources • Finding the community resources • Making efficient references • Callers with a mental health profile • Recognizing their vulnerability to abuse

  11. CLINICAL RELEVANCE OF THE LAAA • Fight against elder abuse : empowerment of seniors and their families: • Number of calls largely exceeding initial expectations • Myth of the silent and passive victim: intervention model based on empowerment. • Development of clinical expertise in elder abuse intervention • Specialized service with continuous training and clinical support • Clinical impact of the LAAA’s interventions

  12. CLINICAL RELEVANCE OF THE LAAA Telephone Intervention in Elder Abuse: • Accessible (seven days a week, from own home) • Less intrusive, allowing for anonymity (reduces hesitation, suspicion and anxiety when asking for help) • Particularly suited for callers who are suspicious or very hesitant, who have anxiety disorders, physical and psychological limitations, who have difficulty accessing regular services, etc.

  13. RESEARCH REPORT Under the direction of: • Michèle Charpentier, PhD. • Maryse Soulières, MSW Authors: • Daniel Thomas, PhD. • Lyse Montminy, PhD. • Sylvie Bouchard, SW • Marick Bertrand, clinical supervisor LAAA • Claire-Joane Chrysostome, Coordinator LAAA • Agnès Florette Noubicier, research assistant Available in French at www.ligneaideabusaines.ca 13

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