See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/330102998 Barnett Kaplan Presentation 140218 Final Conference Paper · February 2018 CITATIONS READS 0 9 1 author: Kate Barnett Flinders University 110 PUBLICATIONS 112 CITATIONS SEE PROFILE Some of the authors of this publication are also working on these related projects: Development of a Technology Roadmap for the Australian aged care sector View project Student Participation at Helping Hand Aged Care View project All content following this page was uploaded by Kate Barnett on 03 January 2019. The user has requested enhancement of the downloaded file.
INFORMING THE DEVELOPMENT OF A NATIONAL ELDER ABUSE ADVOCACY FRAMEWORK PRESENTATION TO 5 TH NATIONAL ELDER ABUSE CONFERENCE, 19-20 FEBRUARY 2018, SYDNEY DR KATE BARNETT, STAND OUT REPORT LEWIS KAPLAN, CEO
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 ❖ other relationships of trust, including in aged care facilities.
INTRODUCTION 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 Estimated to involve between 10 and 15 per cent of • overall 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.
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.
INTRODUCTION In recognition of OPAN organisations’ elder abuse work, the ❖ Minister for Aged Care recently provided OPAN with $1 million one-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 ❖ of OPAN’s elder abuse advocacy and prevention programs.
REVIEW PURPOSE Inform future elder abuse advocacy, education and information, including through a national approach.
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.
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) o ARAS – Aged Rights Advocacy Service (SA, since 1997) o SDRS – Seniors & Disability Rights Service (NT, since 10/2017) o Advocacy Tasmania Inc – small program supporting 30 people o provided as adjunct to Helpline (since 1/2015).
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.
TYPES OF REPORTED ABUSE, A DVOCARE & ARAS, 2016-17 0 S UBSTANCE ABUSE 8 0 M ISUSE OF P OWER OF A TTORNEY 33 5 S EXUAL 6 82 N EGLECT 136 84 P HYSICAL 73 114 S OCIAL 103 297 F INANCIAL 389 285 P SYCHOLOGICAL OR EMOTIONAL 611 0 100 200 300 400 500 600 700 (WA) Advocare (SA) ARAS
RELATIONSHIP TO PERSON BEING ABUSED, ADVOCARE & ARAS, 2016-17 14 S IBLING 21 17 S ON - IN - LAW 22 17 D AUGHTER - IN - LAW 24 21 F RIEND /N EIGHBOUR 34 27 C ARER 9 35 G RANDCHILD 39 71 S POUSE /P ARTNER 69 163 D AUGHTER 184 200 S ON 186 0 50 100 150 200 250 (WA) Advocare (SA) ARAS
CURRENT PRACTICE: KEY REFERRAL SOURCES (ARAS 2016-17) Service Family (144) Provider (114) Self Health referral Prof (74) (54)
KEY RISK FACTORS, ARAS 2016-17 P HYSICAL ILLNESS 171 C OGNITIVE IMPAIRMT 176 L IVING WITH ABUSER 176 L ACK APPROP SERVICES 198 P HYSICAL DEPEND . 232 F INANCIAL STRESS 234 P SYCHOLOGICAL DEPEND . 238 I SOLATION 266 M ENTAL HEALTH 321 L ACK OF INFORMATION 349 F AMILY CONFLICT 419 0 50 100 150 200 250 300 350 400 450
DEMAND: 7,239 HELPLINE ELDER ABUSE-RELATED CALLS, 2016-17 570 WA 2,436 V ICTORIA 116 T ASMANIA 241 SA 1,529 Q LD 40 NT 2,182 NSW 125 ACT 0 500 1000 1500 2000 2500 3000
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.
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.
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.
OPAN RESPONSES TO REVIEW RECOMMENDATIONS Develop nationally consistent elder abuse ❖ advocacy and prevention dataset with accompanying template/s. Overview and document OPAN ❖ organisations’ Elder Abuse Response Protocols.
OPAN RESPONSES TO REVIEW RECOMMENDATIONS ❖ 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.
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 View publication stats View publication stats
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