Recognizing and Reporting Abuse - PowerPoint Presentation

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Recognizing and Reporting Abuse

Spring 2014

By: Diane Drew, CHELP

Member of IACCPHP

Funds for this program were made available through an Illinois Department on Aging Educational GrantSlide2

Adult Protective Service

Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or cruel punishment with resulting physical harm, pain or mental anguish; Or the deprivation by a person, including a caregiver, of goods or services that are necessary to avoid physical harm, mental anguish, or mental illness.

Exploitation is the use of an individuals resources by another person, to the disadvantage of that individual or for the advantage of another person, other than that of the individual.Slide3

ELDER ABUSE LAW

The Illinois Elder Abuse and Neglect Act became law in 1988 and called for the state to address the problem of domestic elder abuse. As a result, the Elder Abuse and Neglect Program was implemented under the direction of the Illinois Department on Aging (IDOA). This statewide program was established to respond to reports of alleged elder abuse, neglect and exploitation and to work with the older victims in resolving abusive situations

.

On July 1, 2013 Elder Abuse became

Adult Protective Services

.Slide4

Who should report Abuse ?

Everyone is encouraged to report abuse!

Certain professionals are

MANDATED BY LAW

to report suspected cases if the individual is unable to report for themselves:

Social Service staff Educators

Licensed Professionals Law Enforcement

Formal Caregivers

State, County, local governmentSlide5

Types of Abuse

Financial Exploitation

Misusing an older or disabled persons’ money or resources for the personal gain of another

Exerting undue influence-this includes the use of emotional tactics such as inducing guilt, shame, or anxiety to convince an older adult or disabled person to make changes to a will for the personal gain of the abuser.

Stealing money or propertySlide6

Indicators of Financial Exploitation

A gap between income and lifestyle

Individual has no knowledge of their finances

Unusual activity in bank accounts

Unpaid bills despite adequate resources

Caregiver or family is evasive about the financial arrangements.Slide7

Types of Abuse

Emotional Abuse -

actions intended to compel an eligible adult to engage in conduct a person wants to abstain or prevention of conduct wished to engage.

Threats

Destruction of Property

Humiliation

Verbal Assaults

Harassment

IntimidationSlide8

Types of Abuse

Physical Abuse

is causing the infliction of physical pain or injury to an eligible adult.

Assault

Battery

Hitting

Slapping

Pulling Hair

Burning

Over MedicatingSlide9

Indicators of Physical Abuse

Bruises and other physical injuries

Bilateral injuries

Injuries at various healing stages

Over or under medicated

Dehydration

MalnutritionSlide10

Types of Abuse

Confinement

– restraining or isolating an individual for reasons other than medically necessary.

Denies access to phone/mail

Controls activities of individual

Limits time the individual spends with loved onesSlide11

Types of Abuse

Passive Neglect

Failure of the caregiver to provide for the basic needs of the older adult, including food, medicine, shelter, clothing, etc……….

Willful Neglect

Intentional failure of the caregiver to provide for the basic needs of the older adult, including food, medicine, shelter, clothing, etc……………..Slide12

Indicators of Neglect

Leaving a dependent adult alone

Unsanitary or hazardous conditions

Inadequate food

Malnutrition

Inappropriate clothing for the weather

Utilities turned off

Slide13

Types of Abuse

Sexual Abuse

Any non-consensual sexual conduct

Any sexual activity with a person who is unable to understand or give consent

Any sexual act committed under threat of harm

Any forced sexual actSlide14

Indicators of Sexual Abuse

Behavior Signs

Expression of fear around males

Withdrawn or sexualized behavior

Refusing to cooperate with normal routine

Physical Signs

Genitals or anal area bruised

Vaginal or anal bleeding

Swelling or redness of genital area

Venereal DiseaseSlide15

What Constitutes Abuse ?

Victim 18 – 59 years of age with a disability or

A senior 60 +

Victim resides in a domestic setting

Alleged Abuse has occurred within the past 12 months

Alleged abuse must be caused by someone other than the victim

Reporter must name an abuserSlide16

The Intake Process

The report taker shall attempt to secure all the information on the ANE Intake Form.

Alleged victims name, address, age, phone number.

If the APS case worker can contact the reporter for further information.

The reason the reporter has a concern.

Any knowledge the reporter has regarding any risk of harm to the alleged victim.Slide17

The Intake Process, Cont.

‒

Knowledge the reporter may have about any danger the case worker might have.

‒Knowledge the reporter may have about the mental and physical condition of the alleged victim and alleged abuser.

‒The identity and location of possible witnesses

‒Directions to any rural route, apartment number or other address.

‒

If the reporter is a mandated report.Slide18

Defining Urgency

Priority

I = Serious Physical Harm or Immediate Danger

Caseworker must respond within 24 hours

Priority II

= Less Serious Consequences than Priority I

Caseworker must respond within 72 hours

Priority III

= Emotional Abuse, Financial Exploitation with no Immediate threat

Caseworker has 7 days to respond.Slide19

Behavior Characteristic of the Victim

Fearful

Withdrawn

Hesitant to talk

Depressed

Helpless

Confused and/or disoriented

Angry

Explanations of injuries do not make sense

Denial

Non-Responsive

Agitated/ anxiousSlide20

Behavior Characteristics of the Abuser

Doesn’t allow the victim to speak for themselves

Lack of assistance

Attitudes of indifference or anger toward victim

Aggressive Behavior

Substance Abuse

Mental Illness

Gives conflicting accounts of incidents

Non-Compliance with plan of care

Blames victimSlide21

Conclusion

Protect individuals from abuse, neglect, and exploitation

Report any suspicions of abuse, you can remain anonymous

Help people stay in their homes

Report any concerns to

1-866-800-1409

Visit IDOA website for more information

www.state.il.us/agingSlide22

Adult Protective Services

In July of 2013 the Adult Protective Services Act was established. It expanded the Illinois Elder Abuse and Neglect Act to include disabled individuals ages 18 – 59, as well as, individuals 60 years of age and older.