1. Respect aging Section 1: RECOGNITION Module 2: Indicators of violence Violence Prevention Initiative Respect Aging: Preventing Violence against Older Persons

2. Respect aging Agenda Welcome Learning together: Indicators of violence of older persons Small group activity Reporting back to whole group Wrap-up / Evaluation

3. Respect aging HOW MANY LEGS?

4. Respect aging Indicators of physical violence Physical indicators Behavioural indicators Medication abuse Excessive restraint use

5. Respect aging Indicators of psychological violence, emotional violence, verbal abuse Crying, depression, sadness Reports of hopelessness, helplessness Fearful around a certain person What else?

6. Respect aging Indicators of sexual violence Pain, bleeding in vaginal/rectal area Bloody, stained or torn underwear Sexually transmitted infection Upset around a certain person What else?

7. Respect aging Indicators of financial abuse No money for necessities Poor living conditions despite adequate funds Unexplained or sudden: withdrawal of money from accounts transfer of assets to others What else?

8. Respect aging Indicators of neglect Unexplained weight loss Body odour, lice, urine burns Lack of medical aids (hearing aids, dentures, cane, glasses, walker) Little or no food in the home What else?

9. Respect aging Indicators of spiritual violence Forced to attend religious service Forced to eat foods not permitted by religion (for example: pork, beef) Spouse will not grant divorce What else?

10. Respect aging Indicators of cultural violence Denied access to traditional healers Denied cultural foods even when available Not allowed to take part in cultural events or celebrations What else?

11. Respect aging ALERT ! ! ! Possible signs of violence Report of being injured or harmed Unexplained injuries Lack of food, water, utilities Sudden drop in cash, assets Fear of a certain person What else?

12. Respect aging ALERT ! ! ! Possible indicators of violence by a significant other Gives conflicting reports Has history of substance abuse, criminal acts, family violence Does not allow visitors Will not cooperate with care providers What else?