Presented by: ElderCare Rights Alliance
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Transcript Presented by: ElderCare Rights Alliance
Older, Wiser, Stronger
Understanding Elder Abuse
Presented by:
ElderCare Rights Alliance
© 2008 Elder Care Rights Alliance
Objectives
Gain a comprehensive understanding
of Minnesota’s Vulnerable Adult law
and understand the process and
aftermath of making a maltreatment
report.
© 2008 Elder Care Rights Alliance
Objectives
Improve your ability to assess the risk
for abuse in staff, care recipients, and
facilities and learn how to address
these challenges.
© 2008 Elder Care Rights Alliance
Objectives
Create innovative abuse prevention
plans for individuals and families.
© 2008 Elder Care Rights Alliance
National Elder Abuse Statistics
90% know their perpetrator 6.
66% adult children/spouses 5.
Various authorities report for every
1 case of elder abuse reported 5 to
8 go unreported
Every 2 minutes someone
is
1.
sexually assaulted
Every 2.7 2.minutes an elder is
victimized
© 2008 Elder Care Rights Alliance
Minnesota Elder Abuse Facts
Abuse has been increasing at
approximately 10% a year
Types of abuse investigated (2003)
Neglect 45.8%
Self-neglect 29.8%
Abuse 12.4%
Financial Exploitation 11.9%
Sexual Assault 0.1%
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© 2008 Elder Care Rights Alliance
Minnesota Elder Abuse Facts
Housing settings where abuse typically
occurs:
Licensed facilities 48%
Other facilities 8%
Home and Community 36%
Unknown 8%
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© 2008 Elder Care Rights Alliance
QUIZ
© 2008 Elder Care Rights Alliance
Who is the Vulnerable Adult?
© 2008 Elder Care Rights Alliance
© 2008 Elder Care Rights Alliance
Vulnerable Adult
Person 18 years or older who is:
• resident or inpatient of a facility
• one who receives services from a
licensed home care provider, or
• from a personal care attendant
provider under the Medical
Assistance program
© 2008 Elder Care Rights Alliance
Vulnerable Adult
The law applies to persons 18 years of
age or older who regardless of
residence or whether any type of
service is received, possesses a
physical, mental, or emotional
impairment which limits that person’s
ability to provide adequately for his or
her own care without help, and has an
impaired ability to protect himself or
herself from harm.
© 2008 Elder Care Rights Alliance
Vulnerable Adult
Categorical vs. Functional
• Categorical: automatically
considered to be a vulnerable adult
because they are a patient or
resident of a facility
• Functional: person resides in the
community or assisted living facility
© 2008 Elder Care Rights Alliance
Vulnerable Adult
Situational vs. Chronic
• Situational: temporary illness or
recovering from a broken bone
• Chronic: long-term such as Parkinson’s
disease, dementia, or developmental
disability
© 2008 Elder Care Rights Alliance
What Are the Types of Abuse
© 2008 Elder Care Rights Alliance
What Are the Types of Abuse
Neglect
Physical Abuse
Verbal Abuse
Emotional Abuse
Sexual Assault
Financial Exploitation
Self-Neglect
© 2008 Elder Care Rights Alliance
Warning Signs
Unexplained
bruises
Sudden decline in
hygiene
Sudden withdrawal
or isolation
Crying spells
Hoarding
© 2008 Elder Care Rights Alliance
Medications not
being filled
Unexplained
transfer of assets or
possessions
A vulnerable adult’s
report of being
abused
Who Abuses?
© 2008 Elder Care Rights Alliance
Who Abuses?
Care givers (formal and informal)
Adult children and other family
members
Spouses
Friends
© 2008 Elder Care Rights Alliance
Who are Mandated Reporters
© 2008 Elder Care Rights Alliance
Who are Mandated Reporters
Professionals such as:
• Social Workers
• Law Enforcement
• Nurses
• Healthcare Professionals
© 2008 Elder Care Rights Alliance
What is Reportable
(1) Two residents of assisted living
facility (both have dementia) get into a
pushing/shoving altercation in the
dining room.
© 2008 Elder Care Rights Alliance
What is Reportable
(2) A care provider witnesses another
staff person yelling and swearing at a
resident.
© 2008 Elder Care Rights Alliance
What is Reportable
(3) On your daily walk, you hear a
neighbor yelling and cursing at their
elderly next door neighbor.
© 2008 Elder Care Rights Alliance
What is Reportable
(4) A resident is walking down the hall
using his walker, trips, falls and breaks
his hip.
© 2008 Elder Care Rights Alliance
What is Reportable
(5) A resident is walking down the
hallway with her walker, trips on some
broken tile (that had been there for a
while), falls and breaks her ankle.
© 2008 Elder Care Rights Alliance
What is Reportable
(6) A nurse is transferring a resident,
when she accidentally drops the
resident.
© 2008 Elder Care Rights Alliance
What is Reportable
(7) A resident needs a two-person
transfer, however only one staff person
assists transferring the resident from
their wheelchair to the bed, drops the
resident and the resident sustains
injuries.
© 2008 Elder Care Rights Alliance
Where to Report?
© 2008 Elder Care Rights Alliance
Where to Report?
Common Entry Point (CEP)
Office of Health Facility Complaints
(OHFC)
Adult Protective Services (APS)
Law Enforcement (911)
Supervisor (if you are in a facility that
has an internal reporting process)
© 2008 Elder Care Rights Alliance
What Happens Next?
True or False:
Vulnerable Adult is removed from
the dangerous situation.
Abuser is removed or arrested.
Law enforcement is called to
investigate?
Nothing happens.
© 2008 Elder Care Rights Alliance
End of Quiz
© 2008 Elder Care Rights Alliance
What is Reportable?
© 2008 Elder Care Rights Alliance
What Should be Included in
Reports
Name and address of the vulnerable adult
What makes the person vulnerable?
What harm has been done?
Who is doing the harm?
Always be thinking of why does this
person need protection and how can
they be helped.
© 2008 Elder Care Rights Alliance
Duties of Designated Facility
Reporters
Facility must have an established and
enforced written policy on internal
reporting.
The initial reporter meets their statutory
requirements by reporting internally.
Facility is responsible for complying
with immediate reporting requirements.
© 2008 Elder Care Rights Alliance
Duties of Designated Facility
Reporters
After a report has been made to the
designated reporter, the facility MUST
give the initial reporter WRITTEN
notice whether or not the facility
reported the incident to the Common
Entry Point (CEP).
© 2008 Elder Care Rights Alliance
Duties of Designated Facility
Reporters
This written notice must be provided
within two working days and in a
manner that protects the confidentiality
of the initial reporter.
The written notice MUST note that if
the initial reporter is not satisfied with
the action taken by the facility to report
to the CEP, the reporter can report
externally.
© 2008 Elder Care Rights Alliance
Duties of Designated Facility
Reporters
The written notice MUST also inform
the initial reporter that they are
protected from retaliatory measures by
the facility if they chose to report
externally.
A facility MAY NOT prohibit a
mandated reporter from reporting
externally.
© 2008 Elder Care Rights Alliance
Risk Factors
Elders
Caregivers
Housing
© 2008 Elder Care Rights Alliance
Elder Risk Factors
Argumentative
Demanding
Hostile
Mute
Verbally abusive
Incontinent
Intrusive
© 2008 Elder Care Rights Alliance
Combative
History of multiple
incidents
History of
substance abuse
Manipulative
Caregiver Risk Factors
Alcohol drug use
Excessive absenteeism
Financial problems
Poorly trained
Family problems
Mental illness
Chronic physical illness
Insubordination
Role reversal
© 2008 Elder Care Rights Alliance
Housing Risk Factors
Accepting residents whose needs
cannot be met by facility adequately
Frequent “reorganizations”
High personnel turn-over
High overtime demands
Inadequate and uninformed response
to abuse
© 2008 Elder Care Rights Alliance
Housing Risk Factors
Crowding/concentration of vulnerable adults
Inconsistent and unclear expectations of
staff:
Lack of staff training
Lack of clear role definition
Poor communication – admin and staff
Underpaid staff
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© 2008 Elder Care Rights Alliance
Cultural, Gender, & Generational
Considerations
© 2008 Elder Care Rights Alliance
What Will You Do
Differently Now?
© 2008 Elder Care Rights Alliance
Promising Practices
Home administration communicates clearly
and consistently that all residents and staff
be treated with dignity and respect.
Employees feel comfortable about personnel
problems with their supervisors.
Staff deal with minor incidents of abuse
immediately. No level of abuse is tolerated.
Administration provides orientation and
ongoing training programs for staff.
© 2008 Elder Care Rights Alliance
Questions?
© 2008 Elder Care Rights Alliance
Thank You!
© 2008 Elder Care Rights Alliance