May 2005 | Volume 7 | No. 7

Policy & Legislation

Elder Justice Act Update

Elder Justice Coalition Coordinator Robert Blancato reports that the coalition continues to wait for the introduction of the Elder Justice Act in the 109th Congress, but indications are that a bill will be introduced in June. Senator Orrin Hatch (R-Utah) is expected to be the bill's lead author.

"Discussions between the coalition and several of its members with the staffs of Senator Hatch and Senator Blanche Lincoln (D-Arkansas) are continuing over a few remaining issues prior to introduction," Blancato said.

For more information, contact Robert Blancato at [email protected], elderjusticecoalition.com.


2005 White House Conference on Aging Takes Forward Looking Theme

The theme of the 2005 White House Conference on Aging, to be held December 11-14, 2005 in Washington, DC, is "The Booming Dynamics of Aging: From Awareness to Action." The conference was originally scheduled to take place in October.

Names of WHCoA delegates nominated by the Governors, Members of Congress, and the National Congress of Indians are expected to be announced soon. The deadline for applications for WHCoA At-Large Delegates is June 1, 2005.

The President meanwhile has appointed 22 external experts to serve in an advisory role to the WHCoA Policy Committee. The next WHCoA Policy Committee meeting is scheduled for July 19-20, 2005.

More information about the Conference can be found at whcoa.gov

Advisory Committee Members List >> whcoa.gov/press/releases/2005/pr_051705.asp


"Financial Literacy throughout the Life Cycle"
Employee Benefits Research Institute to Host Official WHCoA Mini-Conference

The Employee Benefits Research Institute announced this month it will host an official WHCoA Mini-Conference on July 14, 2005 to discuss issues related to financial literacy throughout the life cycle. The issue of elder fraud and financial exploitation is one of the topics on the agenda.

The meeting is being held in Washington, DC and will include three break-out sessions:

  • Building a Financially Smart Society
    What Can Be Done to Help Americans Plan and Save Properly Throughout Life?
  • Building a Financially Secure Society
    What Can Be Done to Help Americans Optimally Manage their Assets to Last throughout Life?
  • Building a Financially Safe Society
    What Can Be Done to Help Americans Avoid Financial Fraud and Exploitation as They Age?

Recommendations adopted at this conference will be presented to the WHCoA Policy Committee for its consideration. Contact Michael Herndon, [email protected], www.ebri.org for more information.


2005 Older Americans Act Reauthorization

On May 17, the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) held a hearing on reauthorization of the Older Americans Act (OAA). Assistant Secretary for Aging Josefina G. Carbonell testified for the U.S. Administration on Aging (AoA).

In her testimony, Secretary Carbonell outlined broadly some of the changes that AoA supports to modernize the OAA and to help prepare for the coming wave of older baby boomers. The Secretary specifically recommended that the committee consider in its deliberations:

  • The growing demand for long-term care,
  • Future public and private costs of long term care, and
  • Systemic problems inherent in our current approach to financing and delivering long-term care services and supports.

Keep in mind all aspects of the OAA will be reviewed as part of the reauthorization process. This holds true for Title VII Vulnerable Elder Rights Protection and programs for the prevention of elder abuse, neglect, and exploitation carried out by state and area agencies on aging.

Recommended Reading

- Reported by Kathy Miller, National Association of State Units on Aging, [email protected], (202) 898-2578.


OAAreauth-talk Listserve

The Center for Social Gerontology recently announced it has set up a new listserve called OAAreauth-talk for members of the aging network and policymakers. This is a private discussion forum dealing strictly with the OAA reauthorization. It costs nothing to join.

If you wish to join the list, send a note to [email protected] and simply write "subscribe" in the subject line.


State News

Michigan Governor Creates Elder Abuse Task Force

On May 25, Michigan Governor Jennifer M. Granholm signed an executive order creating a task force to offer recommendations on ways to protect Michigan's senior citizens from abuse, fraud, neglect, and financial exploitation.

"Each year, an estimated 80,000 Michigan citizens aged 60 or older are the victims of financial fraud and physical abuse," the Governor said in a press statement. "This task force will help us develop a blueprint to ensure our most vulnerable citizens are protected."

The Michigan Task force on Elder Abuse is charged with identifying resources and changes in law that will assist in the prevention of elder abuse.

The directors of the Office of Services to the Aging, the Department of Community Health, the Department of Human Services, the Department of State Police, and the commissioner of the Office of Financial and Insurance Services will serve as non-voting members.

A final report must be presented to the Governor by May 31, 2006


May 2005 Elder Abuse Prevention Proclamations and Resources

Governors in several states signed proclamations this month recognizing the importance of elder abuse prevention. The following are a sample of the proclamations and public awareness resources:

Michigan
michigan.gov/som/0,1607,7-192-29941-118058--,00.html

Texas
dfps.state.tx.us/Adult_Protection/Adult_Abuse_Prevention/2005proclamation.asp

Virginia
seniornavigator.com/content/LegalFinancial/adultabusepacket.asp

Yolo County, Florida
http://www.yolocounty.org/org/BOS/agendas/2005/051705/06.pdf.


In Focus

Elder Abuse and the Legal Service Connection
by Deanna Clingan-Fischer, JD

Several years ago, the Vulnerable Elder Rights Protection title was created in the Older Americans Act to enhance and protect basic rights and benefits to vulnerable older persons. The overall intent was to create in every state a comprehensive elder rights advocacy system. With the creation of this title, the Congress brought together three important advocacy activities:

  • Long-Term Care Ombudsman Program
  • Programs for Prevention of Elder Abuse, Neglect, and Exploitation
  • State Legal Assistance Development Program

Working together, the long-term care ombudsmen, elder abuse prevention specialists, adult protective services workers, legal services developers, and legal providers can make a difference for all vulnerable older persons, including victims of elder abuse. This article will highlight some of the interventions and resources available to assist the victim of elder abuse with his or her civil legal assistance needs.

Legal Interventions and Resources
Many do not always think of collaborating with the legal assistance network, as too often the needs of the victim are not identified as "legal" in nature, or the legal issue is classified as a criminal matter that requires prosecution.

Criminal or civil prosecution of perpetrators should be sought, but there are other legal assistance avenues available to assist the victim as well. Possible legal interventions might include:

  • Assisting the victim to enter into a new power of attorney arrangement revoke authority of an existing attorney in fact [individual who holds a power of attorney].
  • Terminating the powers of a guardian who has abused his or her role.
  • Providing defense for a proposed ward in a guardianship proceeding if the abuser is attempting to gain control without looking out for the ward's best interests.
  • Returning title to the victim's name for property, vehicles, certificates of deposit or bank accounts taken by a perpetrator.
  • Filing a replevin action to recover property or money wrongfully taken.
  • Obtaining a restraining order or injunction to stop the perpetrator
  • Establishing a trust to protect the resources of the victim.
  • Changing a will back to the testator's/victim's wishes from the changes made by the perpetrator.
  • Appealing a denial of public benefits, Social Security, or disability decision. Filing for a name change.
  • Filing an order for removal of a perpetrator from the victim's property.

These are just a few of the legal avenues or interventions available to victims and their advocates through legal assistance programs. Of course, not all state programs work or are funded in the same manner, so it is best to look into the legal services network that exists in your state.

If the legal services system for older Americans in your state is not what you would like to see, start the process of building a system that includes the type of interventions listed above. Contact your state legal services developer for more information.

A legal services developer is the individual in each state who is responsible for providing leadership in developing legal assistance programs for persons 60 and older. Developers play a key role in assisting states in the development and the provision of a strong elder rights system. They provide oversight of the OAA Title III-B legal assistance programs, and assure that at-risk older people have access to the civil justice system.

The activities of legal providers and state legal services developers make a profound difference in the lives of the nation's most vulnerable seniors, enabling them to retain personal autonomy and remain living independently in the community. They assist in the prevention of many kinds of abuses against older people.

To find the legal services developer for your state, go to tcsg.org/lsd_01.pdf
For more resources, see the highlights box below.

- Deanna Clingan-Fischer, JD is Legal Services Developer, Iowa Department of Elder Affairs, and past chair of the National Association of Legal Services Developers. She can be reached at 200 10th Street, 3rd Floor, Des Moines, IA 50309, (515) 242-3319, or [email protected].


Elder Rights & Resources
Web sites, Online Directories, Search Tools

Legal Assistance to Vulnerable Older Americans

AoA Funded National Legal Resource Centers

Bar Associations & Lawyer Referral Networks

Hotlines

Federal Resources

State Resources

Selected Print Resources

- Compiled by Deanna Clingan-Fischer, JD, Legal Services Developer, Iowa Department of Elder Affairs


Remedies for Financial Abuse

This is a special reprint of an article published by Central California Legal Services.

If careful investigation and assessment indicates that abuse has occurred, a variety of interventions can be initiated to recover assets and protect clients from further abuse. Here are some actions that legal services providers can take to help abused clients.

Misused bank accounts

  • Contact the bank immediately and request that it "flag" the account, and observe it with caution.
  • Access information regarding the account by visiting the bank with the client. If the client is homebound and hasn't granted anyone power of attorney, have the client sign a release of information form for the bank or arrange a home visit by bank personnel.
  • Close the misused account and have the client open a new account. This can be done in person or via a letter signed by the client. Make sure any direct deposits are transferred to the new account.
  • Request copies of past cancelled checks, bank statements, and withdrawals to look for forgery or unusual activity. If forgery or misuse of funds is apparent, the client can sign an affidavit with the bank and it will be investigated. The police or FBI may get involved at this point.

Misuse of power of attorney

  • Have the client verbally inform the attorney-in-fact [the individual who has been granted power of attorney — not necessarily a lawyer] that the power of attorney is being revoked. This revocation can only be performed if the client is capable. If the client no longer has capacity and the power of attorney is not a durable one, it is not a valid document.
  • The client should sign a letter of revocation.
  • Send copies of the letter to the attorney-in-fact.
  • In some states, courts can call for an accounting.
  • Declare that the attorney-in-fact has misacted and have the power revoked if it is in the best interest of the principal.
  • The investigating worker should file the revocation letter with the County Recorder's office.
  • In some states, a court investigator can be asked to investigate the use of a power of attorney.
  • Legal counsel should be sought.

Stolen SSA, pension or annuity checks

  • Notify SSA, the VA or the pension board of the problem. SSA can hold on to the checks until the problem resolved or can require assignments of a new representative payee if checks are being misused.
  • Arrange for direct deposit of checks or change the address on the check to a reliable address. In this situation, changing the address to which the check is mailed can be accomplished much more quickly than arranging for direct deposit. Changing the address is, therefore, recommended as an interim measure until the direct deposit request takes effect.

Suspicious deed change on property (often in exchange for a promise of life care)

  • Look up the deed at the County Recorder's office to check the title on the property. See if the deed has been transferred and recorded (anyone can look up these public records).
  • If a new deed has not been recorded, ask the client and involved parties for any papers indicating a transfer of property. If the deed has not been transferred, make sure the client signs no documents in the future which may transfer the home or give power of attorney.
  • If the deed has been transferred, get legal assistance in transferring the property back to the client, either voluntarily or via a lawsuit. (Legal advice is essential if any property has been transferred.)
  • Before any transfer back to the client, make sure that a title search is done to ensure that the title is clear (there are no liens on the property or the property hasn't been subsequently transferred to a third party.) If there are liens, contact a lawyer.
  • A "guardian ad litem" can be appointed by the court specifically and solely for the purposes of litigation [taking legal action in court] if a client has the capacity to manage his or her own affairs but cannot participate effectively in litigation.

Misuse of client's cash

  • This type of abuse includes abusers withholding some of the change from a purchase or using the client's cash for their own benefit. The act can be perpetrated by caregivers, neighbors, and others who are asked by the elder to do errands on his or her behalf.
  • Get as many "purchased services" as possible in order to minimize the need for cash. Examples include home delivered meals, grocery delivery (with receipts going to a third party), and mail order catalogue purchases.
  • Require receipts from the suspected abuser for all transactions performed in the interest of the elder. This would include a homemaker.
  • Have the client withdraw cash in small amounts (i.e., $1 and $5 bills). Some clients tend to say "keep the change" even when have given the person a twenty dollar bill for a small purchase.
  • If large amounts of money have been misused, there may be legal actions available, so consult a lawyer.

- Reprinted with permission of Central California Legal Services centralcallegal.org/

Central California Legal Services (CCLS) provides free legal assistance to low income families in California's Central Valley. Services range from advice-only to full representation in civil matters. Partial funding for CCLS comes from the Fresno-Madera Area Agency on Aging.


Find Out More About Financial Abuse


Calendar/Coming Up

"My World, Your World, Our World - Free of Elder Abuse"
World Elder Abuse Awareness Day
June 15, 2006

World Awareness Day sponsors and supporters include the International Network for the Prevention of Elder Abuse (INPEA), International Association on Gerontology, World Health Organization, International Federation of Aging, Help Age International, Pan American Health Organization, Subcommittee on Elder Abuse of the United Nations NGO Committee on Ageing, International Longevity Center (ILC-USA), National Center on Elder Abuse, AARP, Canadian Network for the Prevention of Elder Abuse, and Ontario Seniors Secretariat/Government of Ontario, Canada.

To find out more about World Elder Abuse Awareness Day, go to >> www.INPEA.net.

. . . . . . . . . . . . . . .

Conferences

June 26-30, 2005
International Association on Gerontology (IAG)
18th World Congress of Gerontology
Rio de Janeiro, Brazil

Online registration >> gerontology2005.org.br/english/registration/index.asp

. . . . . . . . . . . . . . .

World Conference on the Prevention of Family Violence 2005 "Knowledge to Practice to Impact"

The World Conference on the Prevention of Family Violence will be held October 23-27 in Banff, Alberta, Canada. The World Health Organization (WHO) is one of several co-sponsors.

The key conference topics are child abuse and neglect, intimate partner violence, and elder abuse.

Dr. Elizabeth Podnieks, International Network for the Prevention of Elder Abuse, Ontario, Canada will present on her work to raise the profile of elder abuse and recent research and initiatives in the field. Also presenting is Dr. Etienne Krug, Director, WHO Department of Injuries and Violence Prevention.

Six hundred conference seats will be reserved for Alberta registrants until June 6, 2005. After this date any remaining seats will open to all registrants, regardless of place of residence, on a first-come, first-served basis.

Online Registration >> wcpfv2005.ca/en_registration.cfm

. . . . . . . . . . . . . . .

Check our Web site often for more dates and events elderabusecenter.org/default.cfm?p=conferencesevents.cfm


NCEA News & Resources

Reaching Underserved and Isolated Elders — NCEA Small Grant Program Funds Six Initiatives Around the Country

NCEA is pleased to announce its selection of six small projects to develop and test interventions for reaching underserved and isolated elders who are victims of or at-risk of elder abuse. Each grantee will receive approximately $5,000 for a 12-month period.

"This national effort to reach underserved and isolated elders is important because we know that most elder abuse is hidden away from the community," NCEA Director Sara Aravanis said. "We need these special initiatives in order to respond. We're hoping they turn out to be examples for other parts of the country that are facing the very same challenges."

The NCEA is grateful to all who sent in proposals. There were many strong applications, but not all could be funded. Of the 64 proposals submitted, the NCEA Partners selected six. The six grant awardees are:

  • Blackfeet Elder Protection Team, Browning, MT
    Building on the existing Elder Protection Team, this project will expand the team and develop and implement a new Organizational Payee Program to protect elders' finances. This program may serve as a model for Indian Country. An information system will be instituted. Contact: Terry Flamand, Blackfeet Elder Protection Team, P.O. Box 1070, Browning, MT 59417, [email protected], (406) 338-3483.

  • Cass County Council on Aging, Cassopolis, MI
    The goal is enhanced community collaboration between the Cass County (MI) Council on Aging (COA), the Cass County Sheriff's Office, and the Pokagon Band of Potawatomi Indians, to include disseminating information and increasing awareness of elder abuse, with an initial focus on financial abuse. A key objective of the collaboration is to develop and implement presentations and a marketing plan, all with the advice and consent of the Pokagon Elders Council Officers, which can serve as a replication model. Contact: Mary Hinrichs, Cass County Council on Aging, 60525 Decatur Road, P.O. Box 5, Cassopolis, MI 49031, [email protected], (269) 445-8110.

  • Center for Advocacy for the Rights and Interests of the Elderly (CARIE), Philadelphia, PA
    CARIE aims to provide elder abuse training and ongoing support with suspected cases to two key groups of community gatekeepers/sentinels: 1) service coordinators of section 202 housing for the elderly, and 2) volunteers who deliver meals to homebound elders. Contact: Diane Menio, 100 N. 17th Street, Suite 600, Philadelphia, PA 19103, [email protected]. (215) 545-5728, ext. 244.

  • Community Refugee and Immigration Services, Columbus, OH Through information, training, and linkages, this project seeks to close service gaps for victims of elder abuse for Limited English Proficient (LEP) older adults in Franklin County, Ohio. The project will train LEP outreach staff on elder abuse issues and services. Cultural competency training will be provided for adult protective services and area agency on aging staff. Contact: Jane McGrew, 3624 Bexvie Avenue, Columbus, OH 43227, [email protected], (614) 235-5747.

  • Mid-Florida Area Agency on Aging, Gainesville, FL
    The goal is to increase prevention and reporting of elder self-neglect and abuse and increase awareness of home and community based services for the elderly in three rural Florida counties (Bradford, Dixie and Union). Partnerships will be developed with government employees, including animal control and code enforcement officers, and also with a local humane society (Alachua County Humane Society). A training package and referral materials (checklists, contact cards, etc.) focusing on self-neglect with an emphasis on hoarding as an indicator will be developed and disseminated. Contact: Julie Crosby, Mid-Florida Area Agency on Aging, 5700 SW 34th Street, Suite 222, Gainesville, FL 32608, [email protected], (352) 378-6649, ext. 145.

  • Southwestern Vermont Council on Aging, Rutland, VT
    The Council plans to convene a statewide Vermont Conference and conduct follow-up training, which will provide in-home service providers/case managers/adult protective services staff with tools that will enable them to better formulate and implement interventions with self-neglecting clients who are chronic clutterers. Contact: Robert T. Smith, Southwestern Vermont Council on Aging, East Ridge Professional Building, 1085 U.S. Route 4 East, Unit 2B, Rutland, VT 05701, [email protected], (802) 786-5990.

For more information, contact Suzanne Stack, Program Associate, Elder Rights, National Association of State Units on Aging, [email protected].


Tools & Resources
CANE Annotated Bibliography: "The Scope of Elder Abuse"

As a resource to the research, policy, and practice communities, this latest addition to the CANE Bibliography Series offers a comprehensive survey of research studies that have attempted to quantify the extent of elder abuse.

CANE Annotated Bibliography: The Scope of Elder Abuse >> elderabusecenter.org/default.cfm?p=cane_EAScope.cfm


Elder Abuse MOU/MOA Database

The Clearinghouse on Abuse and Neglect of the Elderly (CANE) has compiled a database that now includes MOU/MOAs from several states. The database is a joint initiative of CANE and ABA Commission on Law and Aging.

Why are MOUs important? According to the New York State Office for the Prevention of Domestic Violence, opdv.state.ny.us/coordination/poldev_tool.html.

"It is important for agencies and organizations to have formalized domestic violence policies in place for many reasons. These include: Building victim safety and offender accountability into the system's response; providing for consistency of the system's response; establishing accountability for practitioners; and helping to link different parts of the system together in a more coordinated way."

A reminder for all . . . We still seek MOUs/MOAs and encourage you to send what you can. Contact Sharon Merriman-Nai [email protected] for more information.

Clearinghouse on Abuse and Neglect of the Elderly
211 Alison Hall West
Department of Consumer Studies
University of Delaware
Newark, DE 19716
[email protected]
Fax: (302) 831-6081 Attn: CANE

Search the MOU/MOA Database >> http://db.rdms.udel.edu:8080/CANE/index.jsp


Join Our Listserve

Sign up today for
The National Center
On Elder Abuse Listserve.

See our Web site for details.
http://www.elderabusecenter.org/default.cfm?p=listserve.cfm


On the Front Lines

North Dakota Facts & Stats1

  • The Vulnerable Adult Protective Services Program had 570 new cases in FY 2004, as well as answered 421 information and referral calls and provided 263 brief services. The most common reason for referral was self-neglect (65%). Other reasons included neglect (14%), abuse (10%), and financial exploitation (11%).
  • Seventy percent of the reported incidents involved adults 60 and older. Twenty-eight percent had some form of dementia.
  • In total, 84 percent of cases investigated in 2003-04 were considered non-emergency, 9 percent emergency, and 7 percent imminent danger.
  • In FY 2004, 845 verified nursing facility complaints were reported by the Long Term Care Ombudsman Program. The majority of concerns dealt with systems and issues such as guardianship, power of attorney, wills, family conflict, or interference, etc.
  • North Dakota's 2001 Uniform Crime Reporting data show that 17 North Dakotans age 60+ were reported to have been physically abused by a family or household member. Most of those individuals were males between the ages of 60 and 64.

SOURCES: Linda Wright, Testimony before the North Dakota House Appropriations Committee, 13 January 2005 state.nd.us/humanservices/info/testimony/house-approp-hr/hb1012-aging-2005-01-12.html North Dakota Department of Human Services, "Vulnerable Adult Protective Services," December 2004 state.nd.us/humanservices/info/pubs/aging.html; North Dakota Department of Human Services, "Long Term Care Ombudsman Fact Sheet," January 2005 state.nd.us/humanservices/info/pubs/aging.html; Office of the Attorney General, Bureau of Criminal Investigation, "Domestic Violence in North Dakota," 2002 ag.state.nd.us/Reports/Reports.htm

1The statistics highlighted in this column are gathered from a variety of state-specific data sources and should be cited using the sources referenced. Readers should note that elder abuse incidence and prevalence rates vary among states and differ depending upon the definitions used and state laws regarding reporting. The National Center on Elder Abuse cannot guarantee and assumes no responsibility for the accuracy or completeness of the information.


North Dakota Online Resources

AGENCY SOURCES

North Dakota Aging Services Division state.nd.us/humanservices/services/adultsaging/index.html

Vulnerable Adult Protective Services state.nd.us/humanservices/services/adultsaging/vulnerable.html

Regional Human Services Centers (APS) state.nd.us/humanservices/locations/regionalhsc/

Long Term Care Ombudsman Program state.nd.us/humanservices/services/adultsaging/ombudsman.html

Tribal Liaison North Dakota Department of Human Services state.nd.us/humanservices/triballiaison/

North Dakota Office of Attorney General ag.state.nd.us/

STATUTES

North Dakota Century Code, Chapter 50-25.2 Vulnerable Adult Protective Services state.nd.us/lr/cencode/t50.html

REFERENCES & RESOURCES

Legal Services of North Dakota legalassist.org/tree/land_tree.asp

North Dakota Council on Abused Women's Services/Coalition Against Sexual Assault in North Dakota ndcaws.org/sharedfiles/elderabuse.asp


Research & Scholarship

"APS Workers Job Requirements Associated with Elder Abuse Rates

by Jeanette M. Daly, [email protected], University of Iowa, GJ Jogerst, KM Haigh, JL Leeney, and J Dawson
Social Work Health Care, Vol. 40, No. 3 / January 2005

STUDY AND RESULTS
This study sought to evaluate the relationship of required educational background of APS workers to the 1999 rates of domestic elder abuse. Data were obtained from APS related statutes and regulations and questions to the National Center for Elder Abuse list serve. Those states whose legislations required a social work degree for APS caseworkers did have higher elder abuse investigation rates. A lower substantiation ratio was found for those states requiring a social work degree or license. These findings suggest that social work education may lead to an emphasis on investigation and interventions and de-emphasis on the criminal aspects of elder abuse evaluation substantiations.


"Vertebral Artery Laceration Mimicking Elder Abuse"

by Kim A. Collins, MD [email protected], Pathology and Laboratory Medicine, Medical University of South Carolina, and Katherine Sellars, BS
American Journal of Forensic Medicine and Pathology, Vol. 26, No. 2 / June 2005

CONCLUSION
The difficult aspect of assessing the possible elder abuse homicide victim is delineating such inflicted trauma from accidental trauma. The exact injuries and etiology of the hemorrhage must be determined to distinguish strangulation from blunt force trauma. The presentation of signs and symptoms can be helpful in assessing the decedent; however, in the practice of forensic pathology such a history is more often lacking.


"Core Data Elements Tracking Elder Abuse"

By N.P. Hanrahan, [email protected], The Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, A.W. Burgess, and A.M. Gerolamo
Clinics in Geriatric Medicine, Vol. 21 No.2 / May 2005

STUDY AND RESULTS
Sexual abuse in the older adult population is an understudied vector of violent crimes with significant physical and psychological consequences for victims and families. Research requires a theoretical framework that delineates core elements using a standardized instrument. To develop a conceptual framework and identify core data elements specific to the older adult population, clinical, administrative, and criminal experts were consulted using a nominal group method to revise an existing sexual assault instrument. The revised instrument could be used to establish a national database of elder sexual abuse. The database could become a standard reference to guide the detection, assessment, and prosecution of elder sexual abuse crimes as well as build a base from which policy makers could plan and evaluate interventions that targeted risk factors.


"Dementia and Elder Abuse"

by Maria R. Hansberry, MD [email protected], Section of Geriatric Medicine, Rush University Medical Center, Elaine Chen, BS, Rush Medical College, and Martin J. Gorbien, MD, FACP, Section of Geriatric Medicine, Rush University Medical Center
Clinics in Geriatric Medicine, Vol. 21 No.2 / May 2005

CONCLUSION
Dementia and elder abuse are relatively common and under-diagnosed geriatric syndromes. A unique relationship is observed when the two entities coexist. Special issues can confound the care of the dementia patient suspected of being abused. Impaired language or motor abilities to communicate abusive situations to a third party; lack of decisional capacity to address the abusive situation; lack of impulse control (disinhibited behavior) that contributes to a cycle of violence; and coincident depression of the abused elder complicate the diagnosis and management of elder abuse. Education of the caregiver and attention to caregiver depression may prevent onset and perpetuation of abuse.


International:Sweden
"Perceptions of Elder Abuse in Sweden: Voices of Older Persons"

Christen Erlingsson, RN, MScN, [email protected]ik.se, Britt-Inger Saveman, RNT, PhD, and Agneta C. Berg, RNT, PhD, Department of Health and Behavioural Sciences, University of Kalmar, Kalmar, Sweden

Brief Treatment and Crisis Intervention, Vol. 5, No. 2 / May 2005

PURPOSE
To explore the perceptions of elder abuse held by older persons in Sweden. Six focus group interviews were conducted.

FINDINGS AND CONCLUSION
Older persons associated elder abuse with robbery or assault and the main consequence was fear. Nurses and other health care personnel need to be aware of what older persons believe to be the cause of elder abuse and what they consider abusive.


To see abstracts of more published studies, visit the Clearinghouse on Abuse and Neglect of the Elderly at http://db.rdms.udel.edu:8080/CANE/index.jsp. For assistance, e-mail CANE at [email protected].


Funding Opportunities

Archstone Foundation Announces Elder Abuse and Neglect Initiative

The Archstone Foundation of California invites proposals for its newly-launched Elder Abuse & Neglect Initiative. The foundation has committed $8 million to improve the quality and coordination of elder abuse and neglect services in California.

Letter of Intent Deadline: June 20, 2005

Download RFP >> archstone.org/info-url_nocat2293/info-url_nocat_show.htm?doc_id=260746


AoA: National Legal Assistance and Elder Rights Projects

The U.S. Administration on Aging (AoA) invites applications for National Legal Assistance and Elder Rights Projects aimed at building and strengthening the national system of legal assistance and improving the quality and accessibility of the legal services provided to older people.

Eligible Applicants: National nonprofit organizations experienced in providing support and technical assistance on a nationwide basis to states, area agencies on aging, legal services providers, ombudsmen, elder abuse prevention programs, and other organizations interested in the legal rights of older individuals.

No. of Awards: Approx. 5 new projects

Application Deadline: July 8, 2005

Download RFP >> http://aoa.gov/doingbus/fundopp/fundopp.asp

Grants.Gov Grant Writing Tips

Writing proposals is hard work even for the best writers. At Grants.gov you will find a number of suggestions on what makes a good proposal >> http://12.46.245.173/pls/portal30/CATALOG.GRANT_PROPOSAL_DYN.show


IN BRIEF

Blue Cross Blue Shield of Michigan Accepting Nominations for Claude Pepper Awards

The Senior Advisory Council for Blue Cross Blue Shield of Michigan seeks nominations of individuals who have helped to improve the lives of Michigan's senior citizens for the 2005 Claude Pepper Awards.

The 15th annual awards will be presented to two individuals whose professional or volunteer efforts have made significant contributions to improving the lives of Michigan seniors, particularly those whose access to health care services may be hindered by physical, mental, financial, or geographical limitations.

The awards ceremony will take place September 9 during the Blues' 2005 Senior Advisory Council conference in Mount Pleasant, MI.

Deadline: June 30, 2005
Nomination forms are available online at >> bcbsm.com/blues/itc/pepper.shtml

Call 1 (800) 733-BLUE (2583) for more information.


World Health Organization Creates Curriculum on Injury and Violence Prevention

The World Health Organization is making available a new curriculum called TEACH-VIP — Training, Educating, and Advancing Collaboration in Health on Violence and Injury Prevention.

TEACH-VIP is a comprehensive training course designed to train students, professionals, and practitioners in public health to better apply key injury prevention and control principles; contribute to the development of preventive programs and policies; design effective surveillance systems; evaluate intervention programs and policies; and collect and assess injury data.

Developed through the efforts of WHO and a network of global injury prevention experts, the course includes PowerPoint slide presentations and supporting lecture notes, which address a wide variety of topics relevant to injury prevention and control including elder abuse.

The course material, piloted tested last fall in 23 settings worldwide, is currently online. This coming fall instructors will be able to order the course in CD-ROM format.

Training is structured around 60 lessons, each lesson taking approximately one hour of classroom time to teach. Each lesson is supplemented by a series of institutional instructor and class materials, including the following three components:

  1. A PowerPoint presentation for the training audience providing visual reinforcement
  2. A Microsoft-Word document for students providing core competencies and objectives for each lesson, slide materials, required and suggested readings and references, and sample questions.
  3. A Microsoft-Word document for instructors providing additional material: slide notes for each teaching slide and full references, including an annex to each lesson with full text abstracts, and responses to sample questions.

View the Curriculum Online >> who.int/violence_injury_prevention/capacitybuilding/teachvip/en/index6.html

Online Order Form >> who.int/violence_injury_prevention/capacitybuilding/teachvip_form/en/


New Online CME Case Study: "Screening for Family and Intimate Partner Violence"
American Family Physician, Vol. 71, No. 9 / May 1, 2005

This CME continuing medical education case study on screening for family and intimate partner violence is based on the recommendations of the U.S. Preventive Services Task Force that were released March 2004.The clinical content of the case study conforms to American Academy of Family Physicians (AAFP) criteria for evidence-based continuing medical education.

Online CME Family & Intimate Partner Violence Case Study >> aafp.org/afp/20050501/putting.html

U.S. Preventative Services Task Force Recommendation: Screening for Family and Intimate Partner Violence >> ahrq.gov/clinic/3rduspstf/famviolence/famviolrs.htm

Review of the Evidence: Screening Women and Elderly Adults for Family and Intimate Partner Violence >> ahrq.gov/clinic/3rduspstf/famviolence/famviolrev.htm


Quote of the Month

"As Ralph Waldo Emerson suggested, 'Sometimes a scream is better than a thesis.' . . . Although elder abuse has had its share of horror stories, exposes, and Congressional hearings, somehow they have failed to capture the attention required for significant research funding, federal policy, or comprehensive programming."
—Georgia J. Anetzberger, Ph.D., ACSW, "Moving Forward on Elder Abuse and Guardianship: Will It Take a Thesis or a Scream?" The Gerontologist, Vol. 45, No. 2 / April 2005

Table of Contents

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State News


In Focus


Calendar/Coming Up


NCEA News & Resources


On the Frontlines


Research & Scholarship


Funding Opportunities


In Brief


Quote of the Month

 
NCEA Newsletter

is published 10 times a year by

THE NATIONAL CENTER
ON ELDER ABUSE


May 2005
Volume 7, No. 7
Sara Aravanis, Director
Susan Coombs Ficke, Contributing Writer/Editor

Request for Information
Call the NCEA Help Desk at
(202) 898-2586, e-mail
[email protected], or visit
elderabusecenter.org

 
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The NCEA Newsletter is supported in part by a grant, No. 90-AM-2792, from the U.S. Administration on Aging, Department of Health and Human Services.

Points of view or opinions expressed in this publication do not necessarily represent the official views of AoA/HHS or any of the NCEA's affiliated partners.

NATIONAL CENTER ON
ELDER ABUSE

National Association of State Units on Aging
1201 15th Street, NW, Suite 350
Washington, DC 20005
PHONE: (202) 898-2586
FAX: (202) 898-2583
E-MAIL: [email protected]
WEB SITE: elderabusecenter.org