MAKING APPROPRIATE ELDER ABUSE REFERRALS Kaye Mason- Inoshita, R.N. Ombudsman Director Area Agency on Aging District 7, Inc.

Slides:



Advertisements
Similar presentations
Responsibilities of the Assistant Independent Ombudsman.
Advertisements

Mandatory Reporting of Dependent Adult Abuse. Mandated Reporters The following are mandated reporters of actual or suspected dependent adult abuse – WIC.
Adult Protective Service
Working With Adult Protective Services
1 Child Abuse Recognition and Prevention Presented by Thomas Training Associates.
Mandated Reporting Monday, August 13, 2012.
 Clarence H. Carter, Director, Department of Economic Security Edward B. Truman, Special Counsel, Arizona Attorney General’s Office 1.
Elder Abuse at End of Life
Mandated Reporting of Elder and Dependent Adult Abuse & Neglect Leslie Morrison Director, Investigations Unit Disability Rights California
RESPONSES TO ELDER ABUSE Understanding Services and Systems.
Justice Center Update NYSACRA 12 th Annual Leadership Conference December 4,
1 PAIMI Program at The Legal Center Contact information: 455 Sherman Street, Suite 130 Denver, CO TTY
WELCOME TO THE MUI RULE TRAINING Incidents Affecting Health and Safety Presented By: Kelli Nenni-Parker, Investigative Agent & Jim Crist, Investigative.
ABUSE1 Elder Abuse, Neglect and Exploitation Training for Professionals Please Sign In.
Clinton Community School District August 26, 2011.
A Day in the Life of Adult Protective Services Prepared by County Welfare Directors Association of California,
Bobby Carter Criminal Court Thirtieth Judicial at Memphis.
Reporting Child Abuse & Neglect Policy Council Training Kenna Pruitt Family & Community Partnerships Manager.
Created by: the University of Southern California, School of Pharmacy and the Center of Excellence on Elder Abuse and Neglect, University of California,
Resident rights and independence
Mandatory Reporting ~ KSA
Reporting Abuse and Neglect Ria E. Baker, Ph. D..
Pennsylvania Child Protective Services Law: Module 4: Reporting and the Role of the Child Welfare Professional Transfer of Learning The Pennsylvania Child.
Critical Incident Management. Definitions It is important to differentiate between: complaints program fraud and financial abuse critical incidents. There.
Confronting Adult Abuse in Missouri
Reporting Requirements for School Staff Presented by Nancy Hungerford November 30, 2011 Presented by Nancy Hungerford November 30, 2011.
HISTORY, ROLE AND RESPONSIBILITIES THE LONG-TERM CARE OMBUDSMAN PROGRAM:
STATE OF LOUISIANA DEPARTMENT OF JUSTICE CRIMINAL DIVISION MEDICAID FRAUD CONTROL UNIT Post Office Box Baton Rouge, Louisiana Telephone:
Copyright © American Bar Association Elder Abuse: Causing Physical and Financial Devastation Lori Stiegel, J.D., Senior Attorney American Bar Association.
Abuse and Neglect Mandatory Reporting The Process of a Report Institutional tips.
Abuse and Neglect Office of Long-Term Living Protective Services Direct Service Provider Webinars October 31, 2013.
Impact of an elder abuse multidisciplinary team on prosecution rates Joyce DeMonnin, MPH, CHES; Rick Knapp, JD, and Grady Tarbutton.
Bureau of Health Systems
Area Agency on Aging for North Florida, Inc. Case Manager Training June 22 – 23, 2010.
INFORMATION NOT RELEASABLE TO THE PUBLIC UNLESS AUTHORIZED BY LAW: This information has not been publicly disclosed and may be privileged and confidential.
Adult Protection 101 Deb Siebenaler and Jennifer Kirchen, LSW MN Department of Human Services Aging & Adult Services June 20, 2011.
Adult Protective Services Basic Skills Training Presented by: North Carolina Department of Health and Human Services Division of Aging and Adult Services.
CHICAGO DEPARTMENT OF PUBLIC HEALTH OFFICE OF VIOLENCE PREVENTION 2010.
Indicators of Abuse & Mandated Reporting Illinois Department of Child and Family Services.
LEGAL AND ETHICAL RESPONSIBILITIES TORTS. Legal Responsibilities Are authorized or based on law (a rule that must be followed) Are authorized or based.
THE LONG-TERM CARE OMBUDSMAN PROGRAM (LTCOP) Overview of the History, Role, and Responsibilities.
 Secure resident safety  Assess the resident, provide medical and/or psychosocial treatment as necessary  Examine the resident’s injury and/or psychosocial.
Caring for Older Adults Holistically, 4th Edition Chapter Four Legal and Ethical Considerations Regarding the Elderly Person.
Employee Training: Requirements for Mandatory Reporting of Child Abuse, Child Neglect, and Sexual Offenses on School Premises Involving Students
ADULT ABUSE, NEGLECT AND EXPLOITATION IDENTIFICATION Effective December 1, 2015.
Why Do Adults Need Protection? Mary McGurran, LSW and Jennifer Kirchen, LSW MN Department of Human Services Aging & Adult Services June 17, 2013.
Module Two: Elder Abuse & Neglect The National Center for State Courts developed this curriculum in collaboration with the Center of Excellence on Elder.
Adult Protective Services: Reporting Elder Abuse Policy, Practice, and Communication Robert Wallace Adult Services Program Manager June 2015.
ELDER ABUSE. Categories of Elder Abuse Domestic Elder Abuse Institutional Elder Abuse Self-neglect or Self- abuse.
Elder and Dependent Adult Protection Team Presentation to Board of Supervisors November 3, 2015.
Responding to Vulnerable Adult Neglect in King County Page Ulrey Senior Deputy Prosecuting Attorney April 20,
Empowering the Family. Outline for the Day 1.VOYCE Overview and Ombudsman Role Overview 2.Resident Rights 3.How to Advocate For Your Loved One Proactively.
1 Elder Justice Act Shirley A. Cox MSW, JD Legal Services Developer Oklahoma Department of Human Services, ASD 2401 N.W. 23rd St. Ste. 40 Oklahoma City,
Alabama Department of Human Resources Adult Protective Services
Lori Smetanka, JD Director, National LTC Ombudsman Resource Center
Child Maltreatment and Unintentional Injury
Know the Signs, Strategies, and Facts
Legal and Ethical Issues
Adult Protective Services
Date of content: Begin.
Safeguarding Vulnerable Adults
ALLEGATIONS OF ABUSE Internal Occurrence Reporting and Investigation.
Adult Protective Services Basic Skills Training
THE LONG-TERM CARE OMBUDSMAN PROGRAM:
Who is a Mandated Reporter?
Connections Abuse Prevention Plan 2018.
Adult Protective Services
Legal Parameters of Nurse Aide Work
Beth Engelking, Assistant Commissioner Adult Protective Services
Procedures for Reporting Child Abuse
Presentation transcript:

MAKING APPROPRIATE ELDER ABUSE REFERRALS Kaye Mason- Inoshita, R.N. Ombudsman Director Area Agency on Aging District 7, Inc

Domestic Elder Abuse Verses Institutional Abuse  Domestic Abuse occurs in the community setting.  Institutional Abuse occurs in a long- term care facility such as a Nursing Home or Assisted Living Facility.

Domestic Abuse Facts…  Is Not rare  Is Typically a family affair  Not all elder abuse situations can be effectively resolved.  Takes many forms  Majority of victims are female  Is considered this nation’s hidden problem

Domestic Elder Abuse Facts Continued  Reporting is more common in urban areas compared to a rural setting.  Reporting of elder abuse is more common by health and social service workers than by family members.  Neglect is the most common form of domestic elder abuse.

What is Elder Abuse? Ohio Revised Code (APS Law) Abuse: The infliction upon an older adult, by self or by others, of injury, unreasonable confinement, intimidation, cruel punishment with resulting physical harm, pain or mental anguish.  Neglect: The failure of an older adult to provide for himself or herself the goods or services necessary to avoid physical harm, mental anguish, or mental illness, or the failure of a caretaker to provide such services.

What is Elder Abuse?  Exploitation: The unlawful or improper act of a caretaker who uses an older adult’s resources for monetary benefit, personal benefit, profit or gain.

CBS Evening News Clip 11/15/2006 “Aging in the Shadows”

Institutional Elder Abuse Facts  Nursing Homes are required, by law, to ensure that all allegations of abuse are reported immediately to the administrator of the facility and are thoroughly investigated with results reported to the Ohio Department of Health within five working days of the incident.  Nursing Homes are required, by law, to develop abuse policies and procedures that prohibit abuse, neglect and exploitation of residents.

Institutional Abuse Facts Continued  Many factors contribute to abuse of residents by nursing home staff.  Characteristics of residents at risk of being abused include residents who are demented, more seriously ill, combative, and have few or no visitors.  Abuse of nursing home residents is Not Rare.

Elder Abuse Definitions Ohio Revised Code /Nursing Home Licensure Law  Abuse: Knowingly causing physical harm or Recklessly causing serious physical harm to a resident by physical contact or by use of physical or chemical restraint, medication, or isolation as punishment.

Elder Abuse Definitions/NH Licensure Law  Neglect: Means Recklessly failing to provide a resident with any treatment, care, goods, or service necessary to maintain the health or safety of the resident when the failure results in serious physical harm to the resident.  Misappropriation: Means depriving, defrauding, or otherwise obtaining the real or personal property of a resident by any means prohibited by the Revised Code.

CBS Evening News 11/15/2006 “Aging in the Shadows”

Indicators of Physical Abuse  Unexplained Bruises and Welts  Unexplained Burns  Traumatic Alopecia  Unexplained fractures, lacerations, abrasions, or punctures  Proximal Trauma  Defensive Posturing  Inappropriate administration of medication  Signs of Sexual Abuse

Indicators of Neglect and Self- Neglect  Dehydration and/or malnourishment  Pressure Ulcers  Memory Problems/Confusion  Unattended or Untreated health problems  Unsafe or Unhealthy living conditions  Poor personal hygiene  Lack of functional aides

Indicators of Exploitation  Lack of necessary functional aides, personal care items and medications.  Changes in assets or sudden poverty  Belongings that are missing, lost or loaned  Unpaid or overdue bills  Sudden appearance of previously uninvolved relatives claiming their rights to an elder’s affairs and possessions.  An elder’s report of financial exploitation.

Ohio’s Mandated Reporters Ohio’s APS law mandates the following categories of professionals to report immediately to the County Department of Jobs and Family Services/Adult Protective Services any suspected cases of elder abuse, neglect, or exploitation. Physicians, Podiatrists, Psychologists, Hospital Employees, Nurses, Home Health Employees, Social Workers, Dentists, Clergy, Attorneys, Chiropractors, Coroners, and more

Who Do You Call? For Domestic Abuse: The County Department of Jobs and Family Services/Adult Protective Services Scioto County APS: /Herman Patrick For Institutional Abuse: 1.The AAA-7 Regional Long Term Care Ombudsman Program: The Ohio Department of Health: The AG’s Office: A-BUSE

Role of the AAA-7 Ombudsman Program  Primary Role: To investigate and resolve complaints concerning long term care facilities and service providers in an effort to improve the quality of life and quality of care for long term care consumers. Complaints may encompass concerns about nursing care, rights violations, as well as abuse, neglect and exploitation.

Ombudsman Role Cont’  Victims Assistance: The Victims of Crime Act of 1984 provides for assistance and compensation to victims of crime. The AAA-7 Ombudsman Program received a grant from the Ohio Attorney General’s Office to provide advocacy and direct assistance to victims of crime, helping clients through the criminal justice maze.

Ombudsman Role Cont’  Ombudsmen are Negotiators, Educators, Advocates, Mediators, and Brokers.  Ombudsmen are Not the Enforcement Power or the Nursing Home “Police.”

The 3 “Cs” of Ombudsmen  Consent is a must!  Client-Driven  Confidential From Client, Legal Representative or from State Ombudsman. What is the goal of the client? Must maintain confidentiality of client, complainant and witnesses.

Ombudsman Role in Elder Abuse Cases The Ombudsman is a/an:  Investigator  Advocate  Educator  Broker/Making Referrals to appropriate state agencies.

Referral Numbers  Ohio Department of Health’s Complaint Hotline:  Ohio Attorney General’s Abuse Line: A-BUSE

How You Can Become Involved/Community Resources  The Scioto County Adult Protective Services Task Force and Interdisciplinary Team.  Established in 1993 to bridge the service gaps for Scioto County’s abused elders.  Members include representatives from various county agencies including SCDJFs/APS, AAA-7, MRDD, Probate Court, the Prosecutor’s Office, Sheriff’s Department, Police Department, Southern Ohio Medical Center, and more.

Scioto County APS Task Force  Developed an Elder Abuse Cluster/Interdisciplinary Team to review difficult Adult Protective Services Cases.

Scioto County APS Task Force  Participate in community elder abuse awareness and educational activities.  For More Information on how to become a member, contact: Kaye Inoshita at

Elder Abuse Educational Event

Thank You & Happy New Year!!