Programme Nouveaux horizons pour les aînés, Ressources humaines et Développement des compétences Canada New Horizons for Seniors Program, Human

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1 Programme Nouveaux horizons pour les aînés, Ressources humaines et Développement des compétences Canada New Horizons for Seniors Program, Human Resources and Skills Development Canada

2 Funded through Networks of Centres of Excellence New Initiative Grant One of only 5 New Initiative networks funded Incorporated non-profit, 2006 Housed at Institute for Life Course and Aging, University of Toronto One of only 3 networks awarded International Partnership Initiative grant (2007) Over 700 members Diverse disciplines and professions

3 Networking and Knowledge Transfer Disseminate evidence-based research across university community continuum Foster interdisciplinary teams in the care of the elderly Improve geriatric and gerontological curricula and enrolment Address training shortages in the care of the elderly Effect positive policy changes Programme Nouveaux horizons pour les aînés, Ressources humaines et Développement des compétences Canada New Horizons for Seniors Program, Human Resources and Skills Development Canada

4 Only NCE-NI to be awarded additional funding through International Partnership Initiative of NCE and International Development and Research Centre (IDRC) New partnerships with researchers and organizations in: Australia China England Germany India Israel Scotland South Africa Switzerland

5 ELDER ABUSE AWARENESS FUNDING Our Elder Abuse Team: Knowledge to Action project has been generously funded by the NEW HORIZONS FOR SENIORS PROGRAM, Human Resources and Skills Development Canada, Programme Nouveaux horizons pour les aînés, Ressources humaines et Développement des compétences Canada We also thank and are grateful to the many organizations and institutions for their donations in-kind. Project Start Date October 1, 2008 and End Date Sept 30, 2011

6 Tools: Detection, Intervention and Prevention Evidence based tools, EASI, EN MAIN, IOA & CASE and Police Tool (assessment and Intervention Reference Guide). The tools are used for social workers, physicians, the police Tools are available in English and French. EASI also available in Hebrew. More languages for all the tools in the future. Piloting, dissemination and forums 5 Regions: Halifax, Montreal and area, Toronto, Regina and Vancouver Senior Advocacy :Elder Abuse Awareness Presentations & involvement in Process and Progress of the entire Project Senior presentations, innovative, creative, dynamic for all types of adult learners, visual, auditory and tactile. Peer to peer, banks, insurance companies, community agencies, schools, faith communities and more. Culturally diverse considerations. Team effort Advocacy, education, support and options

7 Elder Abuse Theme Team Elder Abuse Suspicion Index (EASI) Developed by Dr. Mark Yaffe, McGill University Tool to screen for potential cases of elder abuse Adapting for use with different health practitioners Adapting for use in different countries (Israel, England)

8 Elder Abuse Theme Team In Hand (En Main) Developed by Dr. Marie Beaulieu, University of Sherbrooke (Quebec) A framework to guide health care professionals in decision-making around suspected/confirmed cases of elder abuse Original devised in French, being translated/adapted for use with English audiences * English version available soon

9 Elder Abuse Theme Team Developed by Drs. Myrna Reis and Daphne Nahmiash Caregiver Abuse Screen (CASE) and Indicators of Abuse Screen (IOA) CASE: Screen caregivers for potential signs of abuse. Dacan French version. IOA: Training practitioners to recognize the signs of potential elder abuse. Lisa French version.

10 PASSIVE NEGLECT Unintentional failure of a caregiver to fulfill their caregiving responsibilities SELF NEGLECT Although not a form of elder abuse, it is the person s inability to provide for their own essential needs because of physical infirmity or inability to make sound choices due to addiction, mental illness and / or cognitive impairment. ELDER ABUSE Assessment and Intervention Reference Guide Developed by: Hamilton Council Against Abuse Of Older Persons and the Hamilton Police Service INSTITUTIONAL ABUSE Any physical, sexual, psychological, financial abuse or neglect occurring within a facility DOMESTIC ABUSE Actual or threatened physical, sexual, financial or psychological abuse of a person by someone with whom they have an intimate or familial relationship which aims to instil fear and / or to coercively control an individual

11 SIGNS OF ABUSE Being deprived of contact with the outside world. Being controlled and not being allowed to make your own decisions. Constant feelings of being afraid. Unusual bruising. Being told you are a bad person and/or stupid. Having your personal things destroyed or given away without your permission. No control over finances, household decisions. THE ODDS ARE HIGH THAT YOU KNOW SOMEONE WHO IS BEING ABUSED AND IT COULD BE YOU!

12 Physical: any act carried out (with the intention or perceived intention of) causing physical pain or injury to another. example: shoving, pinching, slapping, restraints) Psychological (emotional): any action (intended to) impose emotional pain or mental anguish. This can include humiliation, intimidation, isolation, threats and verbal assaults. Examples are harassment, ridiculing and coercion, silent treatment, infantilizing. Sexual: whether physical acts or unwanted sexual innuendo, unwanted sexual touching or fondling, inappropriate sexual remarks, lewdness. Financial: exploitation, misappropriation or misuse of funds, assets and resources belonging to an elderly person. Example - not repaying a loan, overcharging, unauthorized withdrawals, coercion, exchanging care for financial control. Neglect: any behaviour that results in a person s basic needs for food, shelter and safety not being met. Examples are malnourishment, refusing to provide the person to be able to obtain medical care and abandonment. Excerpt written by Robert Lapointe, past Regional Coordinator, QC.

13 Depression is caused by biological, psychological and social factors. This varies depending on the level of coping skills, i.e. resiliency. Those who respond to social support programs and treatment fair better than others. Prevention and intervention can make a huge difference. Question for discussion: Are individuals who are abused more likely to be depressed? OPMHAN March 2008

14 Social shared living accommodations History of family violence Alcohol abuse by either party Caregiver stress Caregiver risk of depression Marital sense of loyalty derived from generational/ cohort beliefs Absence of adequate support or relief for the caregiver Useful websites: Physical & mental illness Lack of social support Isolation, physical, social and emotional Low self-esteem Self-neglect Passive interpersonal style What other risk factors may exist? OPMHAN March 2008

15 5 REGIONS HALIFAX MONTREAL and area TORONTO REGINA VANCOUVER KEY: Forums and focus groups in each Region for social workers, physicians, other practitioners who work with older persons and the police. (For location and dates see KEY: Regional Coordinators and team members presentations on Elder Abuse Awareness to community members. Uncovering the complex issues of abuse and the layers of cultural diversity and ageism. Design by Kerry Brownell, Direct Image

16 Because the victim may... Fear of abandonment and/or reprisal Lacks information on Elder Abuse, resources and services Avoids shame and embarrassment Desires to keep family issues behind closed doors Is ashamed of having raised an abusive child Fears that abusive child(ren) will be jailed Is unable to communicate (cognitive impairment) Feels he/she can solve the problem ALONE Inexperience of caregiver, professional (as a witness) Caregiver/special lacks training and knowledge of resources

17 HELPFUL COMMUNITY AND OTHER SERVICES IN ONTARIO Advocacy Centre for the Elderly Association of Local Public Health Agencies Alzheimer Society of Ontario Ministry of Small Business and Consumer Services - Consumer Protection Branch Ministry of Health Tele-Help Line Ministry of Health and Long-Term Care - Complaints line Office of Public Guardian and Trustee Ontario Association of Community Care Access Centres

18 IN ONTARIO Ontario Landlord and Tenant Board Ontario Seniors' Secretariat Info Line Ontario Network for Prevention of Elder Abuse Phone busters, 24 hours help line It is a social responsibility, please help advocate for Elder Abuse Awareness THANK YOU!

19 CONTACT NUMBERS IN YOUR PROVINCE Legal Aid Senior Advocacy Organizations Elder Abuse Advocacy Organizations Victims Assistance Organizations Public Homecare Resources Government Resources Health - Consumer Protection - Housing - Seniors Provincial Public Guardian Trustee

20 National Initiative for the Care of the Elderly (NICE) To join NICE please visit our website at Contact: Charlene Spector, MEd Project Coordinator Elder Abuse Awareness Project Tel: (416) Contact: Anthony Lombardo, MA, PhD(c) Network Manager National Initiative for the Care of the Elderly 222 College Street, Suite 106 Toronto, ON M5T 3J1 Phone: (416) Fax: (

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