A n I n t roduc ti - PowerPoint Presentation

A n Introduction to Elder Abuse for Professionals: Abuse in Later Life (Related Phenomenon) NC EA Elder Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/ 1

2 NCEA Elder Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/

Learn ing ObjectivesAt the end of th is presentation, you will be able to: De scribe the dynamics of abuse in later lifeDescribe abuser tactics I den tif y strategies to respond to abuse in later life NCEA Elder Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/ 3

Ca se Example 1Beatrice and Johan have been married for over 50 years. Both ar e in the ir seventies and live on a farm.Throughout the marriage Johan has beaten his wife, controlled t h e fi nances, prohibited Beatrice from leaving the farm with out his permission, and alienated her family.Beatrice confides to her daughter tha t Joha n has become “even worse” and pointed a shotgun at her and said he would kill her. The daughter called police. 4 NC EA El d e r A bu se Prese nt a t i on : A bu se in L a t er L i f e • https://ncea.acl.gov/

Ca se Example 2Agnes is 87 and in good health. Her grandson, Buddy, is habitually unemployed. He has lived w ith Agnes rent free for several years.Buddy demands that Agnes provide him with money, clean the home and make his m eals. H e has threatened to hurt her if she refuses.Agnes has vision problems and does not feel safe driving.Buddy is supposed to drive her to appointments and shopping. He often refuses and instead takes Agnes’ car and disappears. He often yells at her and calls her derogatory names.Agnes noticed that several pieces of valuable jewelry were missing. She asked Buddy about them and he struck her with a bat, breaking her ar m. She lo v es Buddy but is now afraid of him and afraid to tell anyone what has happened. NCEA Elder Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/ 5

Abu se in Later LifeVictims age 50 an d older in an ongoing relationship with an expectati on of trust with the abuserIntimate partnersFamily membersSome caregivers P e r son s in legal positions of trust over the victim and/or their assets persons in authorityPower and control dynamics, including en titl e me nt thinkingNCEA Elder Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/ 6

Abu se in Later Life Does not Include:Self-neg lectStranger crimes against pe rsons 50 and older, such as burglary, scams, and identity theftNCEA Elder Abuse Prese nt a t i on : Abuse in Later Life •https://ncea.acl.gov/ 7

Add your area’s statutesC onsider adding state, tr iba l, or territorial statutes relating to abuse in later life definiti ons an d crimes (including domestic violence and sexual assault) here. These may be found in criminal law, protective services, o r other, statutes.Consider discussing reporting laws in t he Respons e S ection (slide 20).NCEA Eld er Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/8

I ntimate Partner Violence in Later Life Spouses/partners were most common perpetr ators of physical and emotional abuse in later life (Lifespan of Greater Rochester et a l ., 20 1 1).Older women who are physically abused are most likely to be harmed by spouses/partner (Acierno, 2010).NCEA Elder A bu se Presentation: Abuse in Later Life •https://ncea.acl.gov/9

E xtent of Intimate Partner Violence in Lat er LifePervasive problem Fo r many it has occurred for decadesOften includes multiple forms and acts( B ono mi e t al., 2007; Fritsch et al., 2005; Fisher and Regan, 2006) NCEA Elder Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/ 10

I ntimate Partner RelationshipsSpouse , partners, and same-sex relationship s in Long-term relationshipsNew relationshipsLate onset abuseNew health c ondi t ion? History of power and control?NCEA Eld er Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/11

A dult Children and Grandchildren as AbusersProtect the child rather than considering personal safetyWant con tact wi th children and grandchildrenFear child will be homeless if turned awayGuilt, shame o r e mbarrassmentLonely and isolatedMay feel abuse rel ated to poor child raisingNCEA Elder Abuse Presentation: Abuse in Lat er L ife •https://ncea.acl.gov/12

Abu se in Later Life DynamicsUnderstandi ng Power and ControlPower and control C oerciveManipulativeFocused on fulfilling the controller’s needs, not the older per son ’ s Fee li ng of entitlementNCEA Elder A buse Presentation: Abuse in Later Life •https://ncea.acl.gov/13

P ower and Control Wheel for Abuse Later in Life Created by the National Clearinghou se on Abuse in Later Life (NCALL), a project of the Wiscon sin Co ali t ion Against Domestic Violence (WC ADV) 307 S. Paterson St., Suite 1, Madison, WI 53703; (608)255 - 0 53 9; www.ncall.us; www.wcadv.org This diagram is adopted fro m the P o w er and Control/Equality wheels developed by the Domestic Abuse Intervention Project, Duluth, M N NC EA El d e r A bu se Prese nt a t i on : A bu se in L a t er L i f e • https://ncea.acl.gov/ 14

V ictim SafetyAll responses and interventions must consid er and prioritize victim safety.NCEA Elde r Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/15

W hat You Can DoRecognize the signs of abuse in later lifeAsk Report or referNCEA Elder Abuse Presentation: Abuse in Later L i f e • https://ncea.acl.gov/16

I f The Older Adult Can Answer Q uestions, Consider Asking:Is any one hurt ing you or scaring you?How are decisions about your life made?How often d o y o u see your family and friends?Who makes dec isions about your finances?Are you afraid? Are there things your (son, s pou s e , etc.) does that make you fearful?Can you safely disagree with your (abuser)?* Ask pri v a t ely, in an area where you will not be ov erheardNCEA Elder Abuse Presentation: Abuse in Later Life • https://ncea.acl.gov/ 17

Report - ReferREPORT911 or law enforcement (lif e threatening or possible crime)Adult prot ective servicesLicensing board (if abuse occurs in a facility)REFERDomestic violence or sexua l assau l t organizationAging network agencyOmbudsma n (if abuse is in a facility)NCEA Elder Abuse Presentation: Abuse in La t er Life •https://ncea.acl.gov/18

A dd your area’s reporting law Consider inserting slide s descr ibing the local jurisdiction’s elder abuse/vulnerab l e adu l t reporting law.NCEA Elder Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/19

Add your local information Consider inserting lo cal resources, programs, and contact information here. NC EA El d er Abuse Presentation: Abuse in Later Life •https://ncea.acl.gov/20

Add itional ResourcesNational Domestic Violence Hotline1-800-799-SAFE Nation al Sexual Assault Hotline1-800-656-HOPENational Clearinghouse o n Abu s e in Later LifeNa tional Center on Elder AbuseNCEA Elder Abuse Prese nt ation: Abuse in Later Life •https://ncea.acl.gov/21

F or more information, visit us!ncea.acl.go vAlso on Facebook, Twitter, YouTube centeronelderabuse.org Also on Facebook, YouTubeNCEA Elder Abuse Presentation: Abuse in La t er L i fe •https://ncea.acl.gov/22

F or additional resources, visit n cea.acl.govThi s sli de set was created for the National Clearinghouse on Abuse in Later Life for the National Center on Elder Abuse and i s supported in part by a grant (No. 90AB0002/01) from the Admini stration on Aging, U.S. Department of Health and Human Services (DHHS). Grantees carrying out projects under go v ernment sponsorship are encouraged to express freely their findings and conclusions. Therefo re, points of view or opinions do not necessarily repre sent official Administration on Aging or DHHS policy.”NCEA Elder Abuse Prese nt a t i on : A bu se in L a t er L i f e • https://ncea.acl.gov/ 23