VCU DPT - Lifespan 2 (Elder Justice)

what is prevalance of elder abuse?

where is the most common place for it to occur?

1 in 6 people (just know that is a decent amount)

the person's own home

do many cases of elder abuse get reported to authorities?

NO!!!

only 1 in 24 (just know it is very few)

where are common sites of accidental brusing?

shins, back of forearms

where are common sites of abusal brusing?

what are some causes?

face, upper arms, lumbosacral area

grabbing, hitting

what are some personal risk factors for elder abuse

old age

women more than men

member of LGBTQ

chronic health conditions

low SES/poverty

physical health issues

cognitive decline

mental health issues

lives alone

AKA ALL THINGS THAT PUT PEOPLE AT RISK ALREADY, OR IN POSITION OF DEPENDENCY

old age

women more than men

member of LGBTQ

chronic health conditions

low SES/poverty

physical health issues

cognitive decline

mental health issues

lives alone

these are all _______ risk factors of elder abuse

personal

t/f: elder abuse risk factors occur at the personal, relational, community, and societal levels

t

what are some relational risk factors for elder abuse

a lack of support for the person

minimizing perpetrator's behavior/risk they pose

exposure to abuse in relationships with others throughout life

dysfnal family life

caregivers who are not trained well

a lack of support for the person

minimizing perpetrator's behavior/risk they pose

exposure to abuse in relationships with others throughout life

dysfnal family life

caregivers who are not trained well

These are all __________ risk factors for elder abuse

relational

who might commit elder abuse in the community

intimate partners/spouses

children/grandchildren/relatives

neighbors

trusted others

strangers

who might commit abuse in facilities

employees

residents

how might a trusted other commit elder abuse

- how do they use this to take adv of elder person

- how do they use their position to outsiders

- what are motivations

use their status and personality as someone the elder individual likes to build trust, hide their abuse, and gain access to property/accounts

their position in the community can cloud outsider's judgement on the situation

often motivated by greed, entitlement, ageist views

are PTs mandatory reporters in VA

yes

what is the punishment if you do not report, as mandatory reporter

500$ for first time, 1000$ for future times

is APS police?

no (they would contact them if deemed neccessary but them themselves can not make arrests)

what is APS main role

provide resources to individ who needs them

what if an adult refuses APS help

then that is that

when you report elder abuse to APS, what are you asked

adult's name, age, address

why person is at risk

describe the situation

can APS reports by anonymous

yes

can APS force adults to leave home and take them into protective services

they can not, if have capacity to refuse

can APs investigate once individ is no longer at risk

nope

what is the most important thing the APS values

the elder person's decisions

APS states they must respect the __________ of adults with capacity

self-determination

t/f, can APS do this:

a) recieve and evaluate reports

b) remove people from homes if needed

c) force reporter to state thier name

d) once the case is closed, provide the reporter with a full recap on outcomes

e) listen to adult who refuses help

f) refer client to wide array of services, providing resources

a) T

b) F- can not remove from home

c) F - can be anon

d) F - can notify that report was investigated, but not details

e) F - if adult refuses help, do not give help!

f) T

what are some personal factors leading to why reporting rate is so low (6, name a few tho)

stigma

embarrassment and shame

- feeling they let it happen

self blame and guilt

fear of retaliation/what might happen to perp

family preservation

problem recognition/acknowledgement

what are some relational factors leading to why reporting is so low (2)

relationship dynamic with perp

relationship quality with APS worker

what are some community factors leading to why reporting is so low (2)

misconceptions about APS, and lack of faith

lack of training, confidence, confusion in careworkers

what are some societal factors leading to why reporting is so low (2)

ageist policies and practices

disjointed/unlinked systems of care

discriminating, stereotyping, etc against someone on the basis of age is ________

ageism

______ is any intentional, or negligent act, usually by trusted person that causes serious risk of harm to older adult

elder abuse

define elder abuse

any intentional, or negligent act, usually by trusted person that causes serious risk of harm to older adult

t/f: more than one type of abuse can happen at once

t

are PTs MANDATORY reporters in VA?

yes

where do you report suspected elder mistreatment?

Adult Protective Services