Elder Abuse Knowledge to Action Project Alison Leaney, MSW, RSW National Project Coordinator National Initiative for the Care of the Elderly (NICE)

NICE Network Goals  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

NICE Structure  Central Committees  Knowledge Identification  Program Development Researcher Training Curriculum Development Professional Development  Communications  Advisory Committees Business Advisory Seniors Advisory ICCE Advisory Theme Teams  Caregiving  Dementia  Elder Abuse  End-of-Life  Mental Health  Ethno-Cultural  Financial Literacy

2 Key Components of 3-Year Project  Evidence –based tools  Tools are and will be directed to varied responders and older adults  Tools available in English and French and other languages  5 Regions: Halifax, Sherbrooke, Toronto, Regina and Vancouver  Senior abuse awareness presentations to peers  Innovative, creative, dynamic for all types of adult learners  Culturally diverse considerations  On the ground coordination of piloting and dissemination /training forums Tools: 3 Possible Types - Detection, Intervention and /or Prevention Meaningful Senior Leadership in All Aspects of Project

Prevention Tools EA Knowledge to Action Project

1. Prevention Tool - Coordinated Community Response to Abuse of Older Adults  Whole community response - not case specific, but inclusive  Outlines helpful provincial/territorial elements  Based on 15 years of community development experience in BC re abuse/neglect of adults who are vulnerable

1. Prevention Tool - Coordinated Community Response to Abuse of Older Adults, cont’d Community Level Elements:  Guiding Principles  Ongoing Outreach  Public Awareness/Education  Professional Awareness/Education  Relationship, Team, Community Building  Protocol Development  Case Consultation/Case Review  Link to Related Initiatives  Keeping Track of the Community’s Response  Administrative Infrastructure

2. Prevention Tool – Train the Trainer – EM Tool  Developed by Jeannette Lindenbach  Outlines key elements to successful development and implementation of a Train the Trainer program  Before, during and after: How to prepare for training How to train your champions How to “cascade” the learning onto others and maintain the “train gain”

Detection Tools EA Knowledge to Action Project

1. Detection Tool – Elder Abuse Suspicion Index - (EASI)  Developed by Dr. Mark Yaffe, Maxine Lithwick and Christina Wolfson – Montreal/McGill  6-question tool for use by physicians to assess suspicion of potential cases of abuse of older adults  Designed for use with mentally capable older adults  Other uses being explored  Distributed to 23,000 family physicians across Canada (Feb 2011)  Adapted for use in different countries (Israel, England)

2. Detection Tools – BASE/CASE/IOA  Developed by Drs. Myrna Reis and Daphne Nahmiash (Montreal)  BASE/DESIA- how urgently does situation need to be addressed?  CASE/DACAN: screen caregivers for potential signs of abuse  IOA/LISA: training practitioners to recognize the signs of potential senior abuse.

3. Detection Tool – Resources for Older Women  Produced by “Bridging Aging and Women Abuse Project”  Covers rights information and numbers to call to get help once safe  2 formats and 2 different distribution plans

Intervention Tools EA Knowledge to Action Project

1. Intervention Tool – In Hand: An Ethical Decision-Making Framework  Developed by Dr. Marie Beaulieu, University of Sherbrooke (Quebec)  Originally developed in French, known as En Mains  A framework to guide psychosocial professionals in ethical decision- making in suspected/confirmed cases of elder abuse  3 different types of scenarios illustrated  Video introduction to In Hand /En Mains at

2. Detection/Intervention Police Tool 1: Elder Abuse Assessment and Intervention Reference Guide  Amended by Police Sub-Team of NICE EA Theme Team  Includes:  What to do – ABUSER acronym outlining actions to take  Check for forms of abuse  Interview strategy  Safety planning  Privacy issues  Education  Possible interview questions  Available help

3. Intervention Police Tool 2 - Theft by Person(s) Holding Power of Attorney Investigation Reference Guide  Amended by Police Sub-Team of NICE EA Theme Team  Outlines steps police can take to do a theft by POA investigation in situations where the adult is: Mentally capable Mentally incapable

 Developed by Jennifer Storey, Stephen Hart and Randy Kropp  Safety planning risk assessment tool based on Structured Professional Judgement approach found in SARA, B-SAFER tools re domestic violence  Focused on physical and emotional and non-couple abuse 4. Intervention Tool - Elder Abuse Risk Assessment Tool EARA

5. Intervention Tool – Orientation to Practice  Developed by Lindsay Neufeld and April Struthers  Based on literature re cultural safety, aboriginal models of wellness, vulnerability and worldview  Series of questions for responders to ask themselves re practice in intervening as outsiders in aboriginal contexts

6. Intervention Tool – Financial Exploitation Tool  Developed by Kendon Conrad et al from Chicago, Illinois  25-item checklist  Working on a short 5-item screener and a tool for financial institutions based on this work  Part of the overall Elder Abuse Decision Support System about to be implemented in Illinois

Summary - Overall Tool Kit Vision PREVENTION PREVENTIONDETECTIONINTERVENTION Coordinated Community Response Elder Abuse Suspicion Index – EASI In Hand – An Ethical Decision-Making Framework Train the Trainer Brief Abuse Screen for the Elderly (BASE) Police Tool 1 - Elder Abuse Assessment and Intervention Reference Guide Caregiver Abuse Screen (CASE) Police Tool 2 – Theft by Person(s) Holding Power of Attorney Indicators of Abuse –(IOA) Police Tool 3 - Elder Abuse Risk Assessment – EARA Resources for Older Women Being Least Intrusive: An Orientation to Practice Financial Exploitation Self- Report Measure **Coloured items are sets of tools

Elder Abuse Knowledge to Action Project Any Questions or Comments?

Elder Abuse Knowledge to Action Project Alison Leaney, MSW, RSW National Project Coordinator National Initiative for the Care of the Elderly (NICE)