A n I n t roduc t i o n - PowerPoint Presentation

Slide1

A

n Introduction to ElderAbuse for Professionals:

Psychological Abuse

NC

EA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/

1

Slide2

NC

EA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/2

Slide3

Lear

ning ObjectivesAt the end of this presentation, you w

ill be able to:

Defin

e and describe psychologicalabus

e

I

den

tif

y

indicators of psychological abuseIdentify strategies to respond topossible psychological abuse situations

NCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/

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Slide4

C

ase ExampleAnthony told his elderly mother that he w

ould kidnap and

tort

ure her beloved cat unless s

h

e

l

e

t

him live in her basement apartment.NCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/4

Slide5

Ca

se Example (Cont.)Staff at an Adult Day Health Center overheard

Jane telling her

elderl

y father, as she dropped him off, th

a

t he was

“

s

l

ow”, “stupid” and “smelly”.Jane was also verbally abusive to the Center staff.NCEA Elder Abuse Presentation: Psychological Abuse •

https://ncea.acl.gov/5

Slide6

Ca

se Example(Cont.)Eddie (age 75) and Marta’s home (age 76) we

re friends from bridg

e clu

b.Marta received several

le

tt

e

rs

fr

om Eddie in which he said that he dreamed about her, wanted to make love to her, and could not live without her.Edd

ie left telephone messages on he

r

an

s

we

ri

n

g m

a

ch

i

n

e

stating he wanted to see her and that he loved her. Marta saw his car outside her house and outside her church though he did not attend services there.Marta lost sleep, was unable to eat, added locks to her doors and windows, and was afraid to leave her home.

NCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/

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Slide7

P

sychological AbuseThe infliction of anguish, pain, or distress through verbal

or nonverbal acts(

Nati

onal Center on Elder Abuse)

NC

EA

El

d

er

Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/7

Slide8

P

sychological Abuse (Cont..)The systematic perpetration of malic

ious and explici

t non-ph

ysical acts against a victim

O

ft

e

n

a

pattern of tactics calculated to:Undermine the victim’s confidence andself-relianceCreate fearNC

EA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/8

Slide9

P

sychological Abuse (Cont.)Often co-occurs with other forms

and is used t

o fa

cilitate commission of other form

s

(

C

on

r

ad, 2011; Anetzberger, 1998)Takes several forms (Conrad et al, 2011)IsolationThreats and intimidationIn

sensitivity and disrespect

S

ha

m

in

g

an

d

bl

a

m

ing

NC

EA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/9

Slide10

Abu

ser TacticsIsolationGiving the “silent treatment”Den

ying the victi

m acce

ss to money or economic supportIsola

t

in

g t

h

e

victim from family, friends, previously enjoyed activities, and informationWithdrawing affectionLying o

r making misleading comments wi

th

in

t

en

t

to c

au

se

e

m

otional painPreventing the victim from eating, sleeping, or leaving their residenceNCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/10

Slide11

Abu

ser Tactics- (Cont.)Threats and IntimidationHarassing the vic

timDamaging

the vic

tim’s propertyThreatening or physica

ll

y

abu

s

in

g the familypetThreatening nursing home placementThreatening to injure, permanently disfigure, orkill the victim and/o

r loved ones.NCEA Elder Abuse Presentation: Psycho

l

og

i

c

al

A

b

use

•

https://ncea.acl.gov/

11

Slide12

Abu

ser Tactics(Cont.)Insensitivity and DisrespectVe

rbally insulting

or humilia

tingTreating an older adult

li

ke

a

se

rvantIntentionally disrespecting or disregarding the cultural or religious values/needs of the adultNCEA Elder Abuse Presentation: Psychological A

buse • https://ncea.acl.gov/12

Slide13

Abu

ser Tactics (Cont.)Shaming and BlamingTreating an old

er adult like an

child

Willfully undermining an older person’s abilities t

o

m

ak

e

decisions, control their own life, and remain independent for personal benefitBlaming the older person for accidentsF

alsely claiming that an older person

i

s

de

m

e

nted

NC

EA

El

d

er

Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/13

Slide14

Non

-Criminal and Criminal BehaviorsNon-CriminalCriminalInsultsPut downsName callingSilent treatment“Mind games”CriminalBehaviorsStalkingCriminal threatsVandalism or destruction of propertyPet abuseNCEA Elder Abuse Presentation:

Psychological Abuse • https://ncea.acl.gov/

14

Slide15

Co

nsider adding state, tribal, or terri

torial st

atu

tes relating

t

o

p

syc

ho

logical abuse here. These may be found in criminal law,

protective servic

e

s

,

o

r

o

t

he

r

,

statutes.Consider discussing reporting laws in the Response Section (slide 23).NCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/15

Slide16

Ind

icators: Potential VictimSocial isolation, withdrawalFearf

ulDefers in

the p

resence of the suspected abuser

C

r

y

i

ng,

shaking, tremblingMay question own capabilitiesDifficulty concentratingIncreased use of drugs and/or alcohol

Suicidal thoughts and/or suici

de

a

tt

emp

t

s

NC

EA

El

d

er

Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/16

Slide17

I

mpact on Potential VictimPsychological abuse may result

in deteriorat

ion

of physical and mental heal

t

h.

Dep

r

e

ss

ionDisturbed eating and sleepingDeclining functional abilitiesInability to make decisions

when no underlying physical or m

ed

i

c

a

l

e

x

p

l

ana

t

i

onPoor work or volunteer performanceNon-compliance with medical treatmentNCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/17

Slide18

NC

EA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/18

Slide19

V

ictim SafetyAll responses and interventions must consider and prioritize victim safety.NCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/

19

Slide20

What

You Can DoRecognize the signs ofPsychological Abuse

AskRep

ort

or referNCEA Elder Abuse Presentation: Psychol

og

i

c

al

A

buse • https://ncea.acl.gov/20

Slide21

I

f The Older Adult Can AnswerQuestions, Consider Asking:

When is t

he last

time you visited with friends and fa

m

il

y?

A

r

e

you afraid? Worried?Is anyone hurting you or frightening you?Is anyone telling you to do things which make you uncomfortabl

e?*Ask privately in an ar

ea

w

he

r

e

you

wil

l

not be ove

rheardNCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/21

Slide22

I

f The Older Adult Can AnswerQuestions, Consider Asking:

Is anyone threat

ening or

intimidating you?Have personal i

t

e

m

s

been

damaged or destroyed or disappeared?Are you concerned for the welfare of your pet?*Ask privately in an area where you will not beoverhear

dNCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/

22

Slide23

Report

- ReferREPORT911 or law enforcement (life threatening or possible c

rime)Adul

t pr

otective servicesLicensing

boa

r

d

(i

f

abus

e occurs in a facility)REFERDomestic violence or sexual assault organizationAging network agencyOmbudsman

(if abuse is in a facility)NCEA Elder

A

bu

se

Pres

e

nt

a

t

i

on

:

Psychological Abuse • https://ncea.acl.gov/23

Slide24

Con

sider inserting slides describing the loc

al jurisd

ict

ion’s elder abuse/v

u

l

n

e

rab

l

e adult reporting lawNCEA Elder Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/24

Slide25

C

onsider adding local resources and

progra

ms

. (See “A Guide

t

o

P

l

an

ning Your Elder Abuse Presentation” at ***** for mo

re information.)

25

NC

EA

El

d

er

A

bu

se

Pres

entation: Psychological Abuse • https://ncea.acl.gov/

Slide26

Add

itional Resources26National Center on Elder

Abuse (NCEA)

Na

tional Adult Prot

ec

ti

ve

Se

r

vices Resource Center (NAPSRC)National Domestic Violence Hotline: 1-800-799-SAFENat

ional Clearinghouse on Abuse in

La

t

er

L

ife

(N

C

A

L

L

)Stalking Resource CenterThe National Consumer Voice for Quality Long-TermCareNational Long-Term Care Ombudsman Resource Cen

terNCEA Elder Abuse Presentation: Psychological Ab

use

•

https://ncea.acl.gov/

Slide27

F

or more information, visit us!ncea.acl.govAlso on Fac

ebook, Twitte

r, YouTube

centeronelderabuse.org Also on Facebook, YouTube

NC

EA

El

d

er

Abuse Presentation: Psychological Abuse • https://ncea.acl.gov/27

Slide28

F

or additional resources, visit https://ncea.acl.gov/This slide set was created for the National C

learinghouse on

Abuse

in Later Life for the National Center on

E

l

de

r

Abuse and is supported in part by a grant (No. 90AB0002/01) from the Administration on Aging, U.S. Department of

Health and Human Services (DHHS).

G

r

antee

s

c

a

rr

y

i

n

g

out projects under government sponsorship are encouraged to express freely their findings and conclusions. Therefore, points of view or opinions do not necessarily represent official Administration on Aging or

DHHS policy.”NCEA Elder Abuse Presentation: Psy

c

ho

l

og

i

c

al

A

b

use

•

https://ncea.acl.gov/

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