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Abuse, Neglect and Violence against Older Persons

Abuse, Neglect and Violence against Older Persons. Silvia Perel-Levin Social Forum, Geneva, 2 April 2014. WHO/INPEA 2002. Risk factors – ecological model. Societal. Community. R elationshi p. Individual. Societal. Community. Relationship. Individual. Ageism, wide discrimination

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Abuse, Neglect and Violence against Older Persons

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  1. Abuse, Neglect and Violence against Older Persons Silvia Perel-Levin Social Forum, Geneva, 2 April 2014

  2. WHO/INPEA 2002

  3. Risk factors – ecological model Societal Community Relationship Individual Societal Community Relationship Individual • Ageism, wide discrimination • Sexism, racism • Socio-economic factors/concentration of poverty • Inheritance systems/ • Widowhood • Migration of the young • Weak police/criminal Justice Social isolation Concentration of poverty Widowhood Witchcraft accusations Lack of support networks Erosion of intergenerational relations • Financial Dependence • Emotional dependence • Living arrangements • Long-term abuse/violence • Intergenerational transmission? • Dementia • Depression • Experienced abuse • Aggression • Dependence or disability • Gender • Age • Isolation • Drug/alcohol dependence

  4. The extent of the problem • Latin America and the Caribbean • 6 to 37% prevalence • Elder Abuse in India (20 cities) • 31% faced abuse • Over 50% during 4 years in multiple forms • 24% almost daily • Helpage India, 2012

  5. The extent of the problem, India 1.67% in Rajasthan to 77% in Madhya Pradesh (Helpage India, 2012)

  6. Sexual Violence in Eastern DRC

  7. Prevention – ecological model Where do we start? Societal Community Relationship Individual Societal Community Relationship Individual Interdisciplinary action

  8. Should primary health care workers screen for elder abuse?

  9. NICE- Canadian pocket tools

  10. Tools for the police • Elder Abuse risk assessment • Assessment and intervention • reference guide • Theft by persons holding power of attorney

  11. Interventions Safety Autonomy?

  12. INPEA International Network for thePreventionof Elder Abuse Established in 1997 • Raising awareness World Elder Abuse Awareness Day (WEAAD) 15 June • Education and training of professionals and paraprofessionals in identification, treatment and prevention • Advocacy on behalf of abused and neglected elders • Promote research into the causes, consequences, prevalence, treatment and prevention of Elder abuse and Neglect

  13. Concluding remarks Scientific rigour humanistic model? “Respect is better than food or drink” An older respondent WHO, 2002 Missing Voices

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