the counterpoint project: tools to enhance practice
DESCRIPTION
The Counterpoint Project: Tools to Enhance Practice. Legal Theme Team NICE Network Canadian Centre for Elder Law. Canadian Centre for Elder Law. NICE NETWORK. National Centre of Excellence Knowledge Exchange ~2000 members Evidence-based ~900K requests ~200 tools. National non-profit - PowerPoint PPT PresentationTRANSCRIPT
The Counterpoint Project:
Tools to Enhance Practice
Legal Theme TeamNICE NetworkCanadian Centre for Elder Law
CANADIAN CENTRE FOR ELDER LAW
• National non-profit• Legal issues that concern
older adults
1. Legal research
2. Law reform
3. Legal education
4. Public outreach
• National Centre of Excellence
• Knowledge Exchange
1. ~2000 members
2. Evidence-based
3. ~900K requests
4. ~200 tools
NICE NETWORK
Our Path
1927 / 1952 Old Age Security 1960s US Legislation – Great Society
1970s Grassroots Local Development
1980s Literature, Leaders, Organizations
1990s Broad Networks, Guardianship Laws
2000s Research, Inter-disciplinary Networks, Consciousness Raising
2010s Gov’t strategies, Financial sector, Community Responses, Tools and
Organization
Vulnerability Redefined
• A social construct• Not an inherent quality
or individual flaw –
• Not a static concept
More Vulnerable
Less Vulnerable
MOTIVATION FOR PROJECT
1. Uniquely positioned to respond
2. Practice involves difficult questions and ethical dilemmas
3. How can knowledge of the law support or assist practice?
WHERE DID THE EVIDENCE COME FROM?
1. Analyze select legal cases involving elder abuse and neglect,
2. Identify challenges to practice for social service and health practitioners
3. Produce a summary of key laws across the country that are relevant to practice
4. Develop helpful tools
QUESTIONS AND DILEMMAS
• What is my obligation to respond to abuse and neglect?
• What confidentiality rules apply?
• How can I respond to my concerns in a manner that respects an adult’s right to privacy and independence and a choice to live at risk?
• What is the impact of mental capacity?
• How can I support the older adults I work with to live with dignity, to age in place, without abandoning in abusive relationships?
CONFIDENTIAL PATIENT AND CLIENT INFORMATION
• Brochure - print and fold
• Details of law vary a lot – recurring themes - focus on principles and key messages, eg
– The easiest way to comply with the law is to get consent before sharing personal or health information
MENTAL CAPACITY AND CONSENT
• The right to make decisions: understanding information and consequences of decisions
– A medical diagnosis or disability does not necessarily mean a person does not have mental capacity .
– Failing to seek consent in certain circumstances is a form of elder abuse.
FACTSHEETS
• Examples of abuse and neglect
• Identifies obligation to respond to abuse, neglect and risk
• Identify some existing assessment tools
• Doctors, nurses, facility administrators, personal support workers
• 1 page two-sided plus table
CHARTING TOOL
• Two-sided 1 page sheet
• Form with tick boxes, questions and scales
• Ease of documentation of concerns about an older adult
• Team approach to care and response
• Patient/ client file
• Identifies existing assessment tools
GUIDELINES FOR DEVELOPING IMPROVED PRACTICES
• Targets people who support health and social service practitioners (employers, institutions)
1. Recommendations for policy development, practices, tool development and education
2. Highlights some of the challenges front line staff face
3. Overview of the cases
VIDEO PANEL DISCUSSIONS
• Leaders from various areas of practice
• social work, medicine, nursing, administration
• Discussing some of the challenges
• Offers some strategies for enhanced practice
• No simple answers
• 4-6 minutes each
6 ENGLISH VIDEOS
1. Confidentiality and Privacy Issues
2. Mental Capacity and Risk
3. Social Isolation and Elder Abuse
4. Asking Difficult Questions and Building Relationships of Trust
5. Risk, Vulnerability and Family Dynamics
6. Developing an Inter-Professional Practice
Video participants – NICE Members
1. Lynn McCleary, Associate Professor, Brock University, Department of Nursing
2. Dr. Tricia K. W. Woo, Associate Professor, Department of Medicine (Geriatrics), McMaster
3. Marie Beaulieu, Professor, Department of Social Work, University of Sherbrooke
4. Peter Donohue, Associate Professor, School of Social Work, Renison University College - Waterloo
5. Denise Koster, Koster Consulting & Associates
Canadian Centre for Elder Law
www.bcli.org/ccel
NICE Network
www.nicenet.ca