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Barnett Kaplan Presentation 140218 Final
Conference Paper · February 2018
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SLIDE 2 INFORMING THE DEVELOPMENT OF A NATIONAL ELDER ABUSE ADVOCACY FRAMEWORK
PRESENTATION TO 5TH NATIONAL ELDER ABUSE CONFERENCE, 19-20 FEBRUARY 2018, SYDNEY
DR KATE BARNETT, STAND OUT REPORT LEWIS KAPLAN, CEO
SLIDE 3
SLIDE 4 INTRODUCTION
❖ Older Persons Advocacy Network (OPAN) aged care advocacy, information and education services include a focus on elder abuse. ❖ OPAN members have for some time been addressing elder abuse issues through CHSP or other funded advocacy and prevention work, including from State/Territory governments. ❖ Elder abuse is not determined by context. It happens in families and
- ther relationships of trust, including in aged care facilities.
SLIDE 5 ❖ It is estimated that between 2% and 10% of older Australians experience elder abuse. The prevalence of neglect is possibly higher (Australian Institute of Family Studies) https://aifs.gov.au/publications/elder-abuse/export . ❖ With 1.3 million aged care consumers (2016-17) this could mean that between 26,000 and 130,000 are experiencing some form of abuse. ❖ It is important that groups like OPAN are able to provide advocacy tailored to prevent and address elder abuse, for those receiving aged care services as well as those who may one day receive them.
INTRODUCTION
SLIDE 6 INTRODUCTION
- Estimated to involve between 10 and 15 per cent of
- verall time and resources of those not specifically
funded to provide elder abuse advocacy and prevention services.
- Excludes State and Territory government funded Elder
Abuse Help Line services.
SLIDE 7
INTRODUCTION
❖ Australian Law Reform Commission Inquiry into Elder Abuse (2017) found existing mechanisms for ensuring quality of aged care and its underpinning legislation inadequate for responding to elder abuse in aged care settings. Inquiry noted: ➢ residential care consumers can be more at risk of abuse and neglect because of their frailty and vulnerability. ➢ Abuse may be committed by paid staff, other residents in residential care settings, family members or friends.
SLIDE 8 INTRODUCTION
❖ In recognition of OPAN organisations’ elder abuse work, the Minister for Aged Care recently provided OPAN with $1 million
- ne-off grant to support elder abuse advocacy & prevention.
❖ OPAN aiming to develop national focus on elder abuse advocacy and prevention activities. ❖ Initiatives already undertaken include 2017 independent review
- f OPAN’s elder abuse advocacy and prevention programs.
SLIDE 9
REVIEW PURPOSE
Inform future elder abuse advocacy, education and information, including through a national approach.
SLIDE 10 REVIEW SCOPE
- 1. Document current practice in elder abuse advocacy and prevention
services by OPAN members.
- 2. Map where OPAN elder abuse advocacy sits within national
landscape.
- 3. Case Study analysis of established elder abuse advocacy and
prevention models – ARAS (SA) and Advocare Inc (WA).
- 4. Literature review and analysis informing the above.
SLIDE 11 KEY FINDINGS: CURRENT OPAN PRACTICE
❖ Practice reflects funding over time: DoH one of several funders. ❖ Most OPAN members provide elder abuse advocacy and prevention (EAAP) as part of wider advocacy role, but without dedicated funding. 4 exceptions:
- Advocare Inc (WA, since 1997)
- ARAS – Aged Rights Advocacy Service (SA, since 1997)
- SDRS – Seniors & Disability Rights Service (NT, since 10/2017)
- Advocacy Tasmania Inc – small program supporting 30 people
provided as adjunct to Helpline (since 1/2015).
SLIDE 12 WHAT ARE CORE OPAN ELDER ABUSE ADVOCACY AND PREVENTION ACTIVITIES?
- 1. Advocacy support to consumers or potential consumers of aged care
services.
- 2. Information services – consumers, supporters, service providers.
- 3. Education services – consumers, supporters, service providers,
community.
- 4. Linkage and referral to other relevant services.
- 5. Collaboration to address elder abuse at systemic level.
SLIDE 13 611 389 103 73 136 6 33 8 285 297 114 84 82 5
100 200 300 400 500 600 700
PSYCHOLOGICAL OR EMOTIONAL FINANCIAL SOCIAL PHYSICAL NEGLECT SEXUAL MISUSE OF POWER OF ATTORNEY SUBSTANCE ABUSE
TYPES OF REPORTED ABUSE, ADVOCARE & ARAS, 2016-17
(WA) Advocare (SA) ARAS
SLIDE 14 186 184 69 39 9 34 24 22 21 200 163 71 35 27 21 17 17 14
50 100 150 200 250
SON DAUGHTER SPOUSE/PARTNER GRANDCHILD CARER FRIEND/NEIGHBOUR DAUGHTER-IN-LAW SON-IN-LAW SIBLING
RELATIONSHIP TO PERSON BEING ABUSED, ADVOCARE & ARAS, 2016-17
(WA) Advocare (SA) ARAS
SLIDE 15
CURRENT PRACTICE: KEY REFERRAL SOURCES (ARAS 2016-17)
Family (144)
Service Provider (114) Health Prof (74) Self referral (54)
SLIDE 16 419 349 321 266 238 234 232 198 176 176 171
50 100 150 200 250 300 350 400 450
FAMILY CONFLICT LACK OF INFORMATION MENTAL HEALTH ISOLATION PSYCHOLOGICAL DEPEND. FINANCIAL STRESS PHYSICAL DEPEND. LACK APPROP SERVICES LIVING WITH ABUSER COGNITIVE IMPAIRMT PHYSICAL ILLNESS
KEY RISK FACTORS, ARAS 2016-17
SLIDE 17 125 2,182 40 1,529 241 116 2,436 570
500 1000 1500 2000 2500 3000
ACT NSW NT QLD SA TASMANIA VICTORIA WA
DEMAND: 7,239HELPLINE ELDER ABUSE-RELATED CALLS, 2016-17
SLIDE 18
OPAN IN NATIONAL ELDER ABUSE SERVICE LANDSCAPE
❖ Critical role of State/Territory governments in building OPAN’s EAAP capacity. ✓ Includes Helplines, Specialist services, Frameworks to address elder abuse systemically. ❖ Has built individual and collective capital in this specialist field.
SLIDE 19
ADVANTAGES OF A NATIONAL OPAN ELDER ABUSE ADVOCACY AND PREVENTION PROGRAM
❖ Opportunities to leverage from multiple sources of expertise and resources within OPAN, and from their partnerships and alliances outside of OPAN. ❖ Opportunities for economies of scale in addressing elder abuse and its prevention e.g. sharing staff training and development, information and education resource development, elder abuse awareness raising and promotion.
SLIDE 20
REVIEW RECOMMENDED DIRECTIONS
❖ Elder Abuse Advocacy & Prevention program must be recognised as a specific OPAN advocacy service. ❖ Needs to be reflected as a specific component in the National Aged Care Advocacy Program Framework. ❖ Older people experiencing abuse should be identified as an additional Special Needs Group, and given priority within OPAN services.
SLIDE 21 OPAN RESPONSES TO REVIEW RECOMMENDATIONS
❖ Develop nationally consistent elder abuse advocacy and prevention dataset with accompanying template/s. ❖ Overview and document OPAN
- rganisations’ Elder Abuse Response
Protocols.
SLIDE 22
❖ Review and map OPAN partnerships, linkages and pathways, documenting MOUs and developing template MOUs and flowcharts for responses in all jurisdictions. ❖ Develop a national OPAN Elder Abuse Prevention Program Advocacy Framework, complementary to the National Advocacy Framework.
OPAN RESPONSES TO REVIEW RECOMMENDATIONS
SLIDE 23
FURTHER INFORMATION
❖ OPAN website (including review report) - http://www.opan.com.au/elder-abuse/ ❖ Dr Kate Barnett – kate@standoutreport.com.au ❖ Lewis Kaplan - lewis.kaplan@opan.com.au
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