abuse of older manitobans: a collaborative framework and action plan
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Abuse of Older Manitobans: A Collaborative Framework and Action Plan. Moira Horgan – Jones Maggie Nishimura. M ANITOBA N ETWORK FOR THE P REVENTION OF A BUSE OF O LDER A DULTS. Agenda for the day. Who we are and why we are here Common understanding of the problem - PowerPoint PPT PresentationTRANSCRIPT
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Abuse of Older Abuse of Older Manitobans: Manitobans: A Collaborative Framework and A Collaborative Framework and Action Plan Action Plan
Moira Horgan – JonesMaggie Nishimura
MANITOBA NETWORK FOR THE PREVENTION OF ABUSE OF OLDER ADULTS
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Agenda for the dayAgenda for the dayWho we are and why we are hereCommon understanding of the
problemResearch and identification of
issuesWhat needs to be consideredWho needs to do it When
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Who We AreWho We Are
Manitoba Network for the Prevention of Abuse of Older Adults (MNPAOA)
MissionTo act as a central point of contact for provincial
efforts and to support regional and community initiatives to prevent abuse of older adults.
Vision Older adults in Manitoba will live in a safe
environment of respect and dignity.
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Network GoalsNetwork Goals
Support Regional and Community Efforts
Develop/Adapt Education and Training Resources
Raise Public AwarenessEncourage research and advise on
issues relating to abuse of older adults
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NetworkNetworkFunded by the Seniors and
Healthy Aging SecretariatLed by and housed at MSOS Over 30 partners and growingStudy of other Canadian
NetworksWebsiteBuilding our Future
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Project GoalsProject GoalsCreate new partnerships across Manitoba and
develop opportunities for new collaborations for existing Regional Community efforts
Create a provincial collaborative framework and an action plan that addresses the unique needs and priorities of the province’s regions to ensure a concerted effort in the prevention and intervention of abuse of older Manitobans.
Facilitate the process for knowledge transfer of Manitoba’s promising approaches, best practices lessons learned, inter-generational approaches, challenges, materials and resources among communities across all regions in Manitoba
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A Little Bit of TriviaA Little Bit of TriviaClassical Greek culture supported
euthanasia for the incurable old.
Some ancient cultures supported ritual suicide of tribal elders during drought so food and water could be reserved for the more productive young.
King Lear – Shakespeare writes about the king’s maltreatment by his sons.
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Canadian HistoryCanadian History 1973 Newfoundland passes the Neglected Adults Welfare Act,
creating a mandatory reporting obligation for “any person who has information which leads him to believe that an adult is a neglected adult...”.
Early mention of abuse & neglect in Canadian literature in the 1980s. Local service providers in some communities are beginning to identify family violence as an issue affecting older adults
1990s Development of New Horizons and other Health Canada family violence prevention initiatives. These provide many Canadian communities with their first opportunity to explore abuse issues in later life.
2000 Canadian Network for the Prevention of Elder Abuse is created as a legal entity.
2002 Canada is the host location for the development of the Toronto Declaration on the Global Prevention of Elder Abuse. Declaration is based on the recommendations of the United Nations International Plan of Action adopted by all countries in Madrid, 2002.
2003 1st provincial senior abuse awareness campaign (Alberta). 2004 (October 19) Ontario marks its first Elder Abuse Awareness
Day.
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Manitoba AchievementsManitoba Achievements 1999 Manitoba Law Reform Commission on Abuse 1999 Establishment of an abuse line 2001 Manitoba proclaims Protection for Persons in
Care Act. 2002 Establishment of a Manitoba Strategy on Abuse
of Older Adults 2003 Manitoba establishes "Expect respect" initiative
to help raise awareness of abuse and promote respect of older adults in the province.
2005 RESOLVE study 2006 WEAAD June 15th 2006 Manitoba Network for the Prevention of Abuse of
Older Adults (MNPAOA) is established 2007 Establishment of a Safe Suite (A&O) 2008 First Manitoba Conference 2009 CAG in Winnipeg devotes one day to abuse
issues 2010 Building our Future – consultations and strategy
for change
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The field of prevention of abuse and neglect of older adults in Canada is lagging behind other areas of family violence prevention. It is largely the case that multiple small-scale projects and a few noteworthy larger programs exist in a patchwork of service delivery and under-coordinated effort. It is also far from being able to use practice standards such as are available for other fields (e.g. health).
Promising approaches in the Prevention of Abuse and Neglect of older adults in Canada (2007)
Canadian Network for thePrevention of Elder Abuse (CNPEA)
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Prevalence of Elder AbusePrevalence of Elder AbuseActual incidence and prevalence of elder
abuse is unknown and difficult to measure. It is believed that 4 -10% of all older adults
have been a victim at some time.As part of an1999 study, 4000 older
Canadians were interviewed to examine their experience regarding emotional and financial abuse as well as physical and sexual violence committed against them by children, caregivers and spouses. ◦ approximately 7% of seniors interviewed
reported that they had experienced some form of emotional or financial abuse by an adult child, caregiver or spouse within the past five years
◦ emotional abuse was reported most frequently ◦ financial abuse was the second most reported
form of abuse ◦ almost 2% of older Canadians reported
experiencing more than one form of abuse
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Why so difficult to measure?Why so difficult to measure?Vast majority (80%) of cases go
unreported or unsubstantiated.Definitions of abuse of older
adults can differ from agency to agency, and person to person.◦Subject to cultural interpretation
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Definition of Abuse of Older Definition of Abuse of Older Adults Adults
According to the World Health Organization, abuse and neglect of older adults can be a single or a repeated act. It can occur in any relationship where there is an expectation of trust or where a person is in a position of power or authority.
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Consequences of Elder Consequences of Elder Abuse Abuse
◦Consequences are devastating and include: Increased mortality and morbidity
Poor quality of life Emotional distress Loss of property and security
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Ageism Ageism
◦Elder abuse is one of the most extreme forms of ageism
◦Ageism remains one of the least recognized forms of oppression
◦Ageism intersects with other forms of oppression (e.g. gender, race, class, etc.)
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VisionVisionOlder adults in Manitoba will live in a
safe environment of respect and dignity.
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IssuesIssuesEducation and TrainingPublic AwarenessPolicy and LegislationSenior’s AdvocateReporting and ResponseResearchAbuse line ServicesResources and SupportsCompetency -decision making
capacity
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Education and TrainingEducation and Training
Here we speak to the education and training of professionals working with older people:
Health care professionalsLaw enforcementSenior serving professionalsBanking industryRetail i.e. Grocery, pharmacies,
etc
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Public AwarenessPublic Awareness
Engaging the public at all levels we will need to reach them through all media forms such as:
PrintTVRadioPeriodicals
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Policy & LegislationPolicy & LegislationPolicies are those actions
adopted and pursued by a government, political party, organizations, corporations
Legislation is the law of the Province it usually has consequences if you break it. It requires members of the legislature to enact.
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Senior’s advocateSenior’s advocate
A mechanism for a Seniors’ Advocate to investigate, review investigative results, and decide on an appropriate course of action to remove or reduce the effects of the causes of distress affecting Older adults in Manitoba.
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ResearchResearch
Identification of all areas where we need more information so that better actions, decisions and programs can be planned and implemented
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Abuse Line ServicesAbuse Line Services
Currently these services are available 8 – 4 at the Secretariat
Some consider this inadequate
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Resources and SupportsResources and Supports
Resources and supports are interlinked and include knowledge, information, materials, funding, tools etc
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Competency & CapacityCompetency & CapacityIn this context we are considering the
ability to make decisions; How do we determine if the older person is competent?
If indeed there is competency is there physical capacity to act on the decision.
Ultimately we are talking about venerability
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Reporting and ResponseReporting and Response
Reporting of abuse requires a means clearly understood by all Manitobans
Response is the way we respond when abuse of older people is identified
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IssuesIssuesEducation and TrainingPublic AwarenessPolicy and LegislationSenior’s AdvocateReporting and ResponseResearchAbuse line ServicesResources and SupportsCompetency -decision making
capacity