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A PROJECT AGAINST VIOLENCE WITHIN CARE RELATIONSHIPS Loredana Ligabue Technical Coordinator

A PROJECT AGAINST VIOLENCE WITHIN CARE RELATIONSHIPS Loredana Ligabue Technical Coordinator. AIM OF THE PROJECT:. Action research aimed to prevent and deal with violence (physical, sexual, psychological, financial, gender…) provoked and suffered by:. IN HOME PAID CAREGIVERS. ELDERLY.

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A PROJECT AGAINST VIOLENCE WITHIN CARE RELATIONSHIPS Loredana Ligabue Technical Coordinator

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  1. A PROJECT AGAINST VIOLENCE WITHIN CARE RELATIONSHIPS Loredana Ligabue Technical Coordinator

  2. AIM OF THE PROJECT: Action research aimed to prevent and deal with violence (physical, sexual, psychological, financial, gender…) provoked and suffered by: IN HOME PAID CAREGIVERS ELDERLY vs vs vs FAMILY CARERS

  3. ACTIVITIES AND OUTCOMES: • A report containing the transcriptions of all the interviews (280 pages) • 1 glossary of violence – related terms • 3 analytical reports • The training course report • 13 newsletters • 52 qualitative interviews • 8 focus groups • 2 Final workshops • A training course for professionals

  4. PART ONE: RESULTS OF INTERVIEWS

  5. FROM INTERVIEWS TO LOCAL ACTORS • 219 cases were reported that can be considered as an abuse occurred in a care relationship

  6. AGAINST THE IN HOME CAREGIVER: EG. OF VIOLENCE • PHYSICAL Violence: abuses, aggressions, sexual harrassments The elderly husband beat me, they had to call the ambulance… He (the elderly) came in the bed with me… • PSYCHOLOGICAL Violence: Impositions of forced work like “I pay so you must…”, segregation, threats, ethnic or social insults, privacy violations... We pay you so you obey… you don’t have any rights • Violation of RIGHTS: day off or holidays denied (45% of cases), inadequate board and lodging (24%) They didn’t gave me enough food I didn’t have my own room, I slept with the old lady..… • FINANCIAL Violence: Employers don’t pay the social security or they don’t respect the minimum salary foreseen by the national contract for in-home caregivers In the pay roll it is written that I worked 25 hours a week but in fact I worked 24 hours a day

  7. AGAINST THE ELDERLY : EG. OF VIOLENCE • PHYSICAL Violence (actions and negligence): physical mistreatements (30%) inadequate care interventions, scarce hygiene, malnutrition, dehydratation, abandonment (40%) She (the caregiver) yanked, jostled or strongly bound her (the elderly) … She (the caregiver) put her in the bed with the edges and then she went out • PSYCOLOGICAL Violence: verbal abuses, lack of social relations It really was a manipulation situation … She wanted the elderly to marry her … • FINANCIAL Violence: petty thefts, money or jewellery embezzlement, signed cheques obtained with deceit There have been huge deficit from the current account • Violation of RIGHTS: blackmailing If you want me to keep on working you have to pay me more

  8. FROM LOCAL ACTORS... • 69% of interviews reports alcoholism problems among the in home caregivers and a wide use of psychodrugs • 78% points out problems linked to cognitive pathologies (mainly dementia) as elements that can become risk factors • 43% of interviews highlights the absence of a social network • Many interviews report working stress conditions as the main factor that negatively influences the caregiving process • 25% of interviews detects some elements that can be considered as illegal job placement

  9. PART TW0: RESULTS OF GROUP WORKS

  10. PRIORITIES & PROPOSALS TO PREVENT ABUSE WITHIN CARE RELATIONSHIPS • In home caregivers must be trained • The work of in-home caregivers should be regulated as far as working hours and duties are concerned • Families should be supported by local social services in the recruitment of their in-home caregiver, their needs should be assessed and an adequate service---mix should be provided

  11. PROCEDURES AND GUIDELINES Proposal of guidelines to coordinate interventions among social, health, employment, training services

  12. AWARENESS RISING CAMPAIGN TO PREVENT ABUSE AND VIOLENCE TO OVERCOME THE ISOLATION AND TO PROMOTE MUTUAL RECEPTION TO ENSURE THE RESPECT OF THEIR DIGNITY AND RIGHTS TO QUALIFY CARE WORKERS AND DOMESTIC ASSISTANCE

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