Forum July 25 th 2014 Deborah Merrill Senior Policy Director Page 1 introduction amp objectives Page 2 What do people know Violence against animals ID: 778504
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The Hawaii Elder Abuse Prevention Forum
July 25th, 2014Deborah Merrill, Senior Policy Director
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Slide2introduction & objectivesPage 2
Slide3What do people know?Violence against animalsViolence against childrenDomestic ViolenceElder Abuse
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Slide4Learning ObjectivesDefine and distinguish elder abuse and related phenomenon (e.g. self-neglect and abuse in later life)Describe older victims, their abusers and the impact of elder abuse on themDetermine what agencies to prevent Elder Abuse
Identify strategies to respond to possible elder abuse situationsPage 4
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Today we are using:A broad definition of Abuse
*Abuse – including physical, sexual, psychological,
*Neglect – including by self and others
*Exploitation – including financial and property
Slide6Growth in Elderly populationFrom 1990Population 65 and older at 30 millionIn 2050
Population 65 and older at 88 million Page 6
Slide7StoriesElder Abuse is an iceberg.
Reported estimates use the number 10% Page 7
Slide8Elder Abuse: Under the RadarA 2011 study in New York State found that for every one case of elder abuse that comes to the attention of a responsible entity…Another twenty
three point five cases never come to light 1 discovered vs. 23.5 hiddenElder Abuse robs an older person of their independence. Their life is never the same. Page
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Slide9Elder AbusePhysical, sexual, or psychological abuse, as well as neglect, abandonment and financial exploitation of an older person by another person or entity
That occurs in any setting (e.g. home, community, or facility),EitherIn a relationship where there is an expectation of trust; and/orWhen an older person is targeted based on age or disabilityPage 9
Slide10Related PhenomenaAbuse in Later Life (term often used by domestic violence and sexual assault advocates (50+)Abuse of vulnerable adults (some statutes/APS – adults aged 18+)
All crimes against persons age 60 and older (criminal justice)Self-neglectPage 10
Slide11Hawaii state laws???Who are mandatory reporters?
What is the state definition?Page 11
Slide12Polyvictimization:Multiple forms of elder abuse often occur at the same time. Page 12
Slide13Discomfort in DisclosureShameFear
EmbarrassmentGriefPage 13
Slide14Who are the older victims of abuse?All races, religions, ethnicities, cultures and socio-economic
groups- commonality that they are older and victimsBoth men and women, more women are victims of intimate partner violencePersons who are socially isolated, age is a contributing factorHealthy, activeNeeding care and with cognitive impairmentIn private homes, congregate living arrangements, and facilitiesPage 14
Slide15Who are the Abusers?
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Slide16AbusersMost older victims are abused by someone they know and trust or would expect to trust
Family membersSpouses or partnersCaregivers (family, paid staff or volunteers)Persons in positions of trust/authority( powers of attorney, guardians, faith leaders)Some target older adults for their age and perceived or real frailtyStrangers
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Slide17Victims Living in Facilities are Abused by:Caregivers and other facility staff and volunteersOther residents
Spouses and partnersFamily membersStrangersPage 17
Slide18Victims of abuse are never the same.Page 18
Slide19Effects of Elder Abuse on VictimsMortality: Up to 300% higher mortality rates than non-abused older people
Distress: Significantly higher levels of psychological distress and lower perceived self-efficacy than other older adultsHealth: Bone or joint problems, digestive problems, depression or anxiety, chronic pain, high blood pressure and heart problems Page 19
Slide20Complex Dynamics Page 20No single dynamic explains elder abuse
“Depending on the victim-offender relationship and the type of elder abuse, elder abuse may resemble domestic violence, child abuse, or fraud or the phenomenon can stand on its own with the complexity of the relationships, individual vulnerabilities and contexts in which it occurs.”
Slide21Victims Want the Abuse to EndBut often maintain a relationship with or protect the abuser because:Fear (of retaliation, death, facility placement, or loss)Love/care about the abuser (especially an adult child)
Economic reasonsHealth concerns Page 21
Slide22What can you do?Listen to older adultDo not assume cognitive impairmentWhat do you do in your work?
What is Hawaii doing now?Page 22
Slide23Contact information:Deborah MerrillSenior Policy DirectorNASUAD
202.898.2578 x 122Dmerrill@nasuad.orgPage 23
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