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Manna Santokhee Action on Elder Abuse. Action on Elder Abuse.

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  • Manna Santokhee

    Action on Elder Abuse

  • Action on Elder Abuse

  • Manna Santokhee MA(Business and Fundraising Manager)

    Background $ Experience

  • Action on Elder Abuse is a Four Nations organisation based in LondonIt was established in 1993 by practitioners from health and social care, academics and voluntary sector representatives, and is now one of the key Adult Protection agencies in the UK.We are an ABUSE charity focusing upon the needs of older people

  • a single or repeated act or lack of appropriate action occurring within any relationship where there is an expectation of trust, which causes harm or distress to an olderperson.

  • A Vulnerable Adult is a person who is or may be in need of community care services by reasonof mental or other disability, age or illness; and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harmor exploitation.An Adult at Risk is a person who is (a) unable to safeguard his/her own well-being, property, rights or other interests, (b) is at risk of harm, and (c) is affected by disability, mental disorder, illness or physical or mental infirmity, and is therefore more vulnerable to being harmed than adults who are not so affected.

  • Five types of abuseTime for Action(11 minutes DVD)

  • The overall prevalence of abuse, defined by expectation of trust in the year preceding the survey wasUK Study of Abuse and Neglect of Older People - 20074%This equates to 342,000 people aged 66 and over, or 1 in every 25 of the population aged 66 and over

  • UK Study of Abuse and Neglect of Older People - 2007Nation Specific Prevalence01234567EnglandWalesScotlandN IrelandPercentagesPercentage of all respondents who experienced abuse

  • Age of victim051015202530354045

  • Gender of victim

  • UK Study of Abuse and Neglect of Older People - 2007The Perpetrators0510152025303540PercentagePercentage of all respondents who had experienced abuse in the last year

  • Where abuse occurs010203040506070

  • Factors that may lead to elder abuse: Social IsolationPoor quality long term relationshipsPatterns of family violenceDependencyAlcohol, drug and mental health problemsMinority status

  • Factors that may lead to elder abuse in institutional settings: Poor staffing levels and working conditionsLack of training, supervision and supportNo procedures or policies on abusePoor communication

  • Mis-diagnosis of abuse as something elseReasons for the hidden nature of abuseFamily matters are private and should stay that way The abuse is my fault.I have no one to turn to who can help.The consequences of speaking up are worse than keeping quiet.I love my partner/son/daughter dont want them criticised or punished for what they did

  • Reasons for the hidden nature of abuseI am completely dependent on my abuser.Im afraid if I break the family secret, the person hurting me will get back at me in a way worse than what is happening now.Im so ashamed and embarrassed that my own family member could be behaving in an abusive or neglectful wayFailings in the system.Long term conditioning by the abuser

  • Mrs Frances Hales

  • Mrs Frances HalesDied from neglect

  • Visitors were encouraged to ring ahead when they came to see relatives at the home in Oxford. It gave the staff time to hide the stench of urine and scrape faeces off the curtainsNot that they would ever see the 89 year old man whose suppurating pressure sores had rotted the flesh down to his bones. He was locked away upstairs, in too much pain to move and too much confusion to cry out. For the last four months of his life Alec Taylor saw no one except the owner, who cleaned his wounds by hacking at the skin around the sores with office scissors and ripping out his rotting flesh, wearing gloves he had used to scoop faeces off the sheets.

  • Adult Safeguarding

  • Adult Safeguarding and Adult Protection are concepts that seem reasonably straightforward at face value; they involve protecting vulnerable adults from harm or abuse. But they are in fact complex and challenging constructs in reality - both in terms of practical implementation but also in terms of the ethical/moral dilemmas that can be inherent within them.

  • No Secrets was issued in 2000, as guidance under section 7 of the Local Authority Social Services Act 1970, to respond to a growing concern about elder abuse in particular, and adult abuse in general. It was statutory guidance, and local authorities were consequently required to follow it unless they could demonstrate a clear reason why they should not do so. It created, for the first time, a framework for multi-agency action in response to the risk of abuse or harm. Background:

  • Process: How it worksAlert:Referral:Decision:Assessment:Plan:Review:by anybody Accepted into the systemIs it Safeguarding?Is it happening? What is it?How to respondIs it working?

  • The consultation was eventually published 14 October 2008 and concluded on 31 January 2009. In February 2010 the Government announced a three-pronged approach: legislation to address the governance of Safeguarding Boards (but without a commitment to what that meant or when it would happen), an Inter-Ministerial Cross Government Group on safeguarding adults, and an updated version of No Secrets Whats going on:

  • a duty on social services to investigate or cause an investigation into adult protection cases; and a duty on Government to prescribe the process for such investigations; Key points from the Law Commission: a new definition of people at risk of abuse and of harm in order to ensure those in need receive adequate protection; a statutory basis for adult safeguarding boards which should as a minimum comprise local social services, police and health; the legal requirement to establish serious case reviews; and an enhanced duty to cooperate between relevant organisations.

  • Safeguarding Boards will be made statutory.Government response: A statement of principles for use by Local Authority Social Services and housing, health, the police and other agencies for both developing and assessing the effectiveness of their local safeguarding arrangements. The outcomes for adult safeguarding, for both individuals and agencies Principles: Empowerment, Protection, Prevention, Proportionality, Partnership, and Accountability

  • Thinking about Outcomes: Lord Justice MunbyPhysical health and safety can sometimes be bought at too high a price in happiness and emotional welfare. The emphasis must be on sensible risk appraisal, not striving to avoid all risk, whatever the price, but instead seeking a proper balance and being willing to tolerate manageable or acceptable risks as the price appropriately to be paid in order to achieve some other good in particular to achieve the vital good of the elderly or vulnerable persons happiness. What good is it making someone safer if it merely makes them miserable .

  • Thinking about Outcomes: Lord Justice MunbyIntervention which is proportionate to the harm, or real possibility of future harm, and which has the overall effect (outcome) of improving the life of the adult, including their safety, happiness and mental well-being.If the State is to justify removing vulnerable adults from their relatives, partners, friends or carers it can only be on the basis that the State is going to provide a better quality of care than that which they have hitherto been receiving

  • Key Issues

  • Key issues:There is a poor level of co-ordination across all organisations/capable guardians within the public and private sectors, leading to inconsistent delivery of appropriate advice, support and intervention.Those organisations/capable guardians, who come into contact with vulnerable adults exhibiting high levels of independence, may not recognise their vulnerability.

  • Key issues:Where organisations see no immediate threat to a persons well-being, they may fail to consider the long-term impact of victimisation. This lack of realisation or sense of urgency can lead to safeguarding procedures not being invoked, or organisations choosing not to share data.The social care element of the No Secrets definition has the potential to limit the response of Adult Social Care, leaving a group of people, who are unable to safeguard themselves against harm or exploitation, excluded from the provision of protection.

  • Key issues:ACPO found a lack of consistent understanding of financial crime across police services and several examples of victims being turned away at police front desks. This may be due to a lack of understanding of financial crime, or an assumption that the loss of monies or assets is of less importance than other forms of abuse or crime. There is also evidence that police officers are, on occasion, making their own judgements about capacity, in circumstances where referring the adult for an assessment may be more appropriate.

  • Key issues:Despite high levels of contact, GPs appear to generate disproportionately low numbers of referrals. The role of GPs is considered crucial to safeguarding, as they are:In an ideal position to identify safeguarding concerns with their knowledge of patients, their families and situations. These low volumes of referral could be due to a lack of ability to identify safeguarding problems, or a concern over breaching confidentiality.

  • Elder Abuse Helpline 080 8808 8141Admin telephone: 020 8835 9280WEBSITE: WWW.ELDERABUSE.ORG.UKEmail: [email protected]

  • All Our Tomorrows Yfory PawbConference Sponsors Noddwyr y Gynhadledd

    Thank you Diolch yn Fawr

    *******KEY MESSAGES:

    Prevalence figure is 4%, or 342,000 older people more than the population of some of our cities.

    2.6% of older people face abuse by those who society would consider to occupy a position of trust i.e. family or paid staff*KEY MESSAGES:

    There are variations in prevalence across the four nations and we clearly need further research to understand why this is.***KEY MESSAGES:

    Victims could experience abuse from more than one person at a time.

    But primarily we are looking at partners, other family members, and neighbours/acquaintances: mention the potential for grooming.

    9% of all abusers are home helps.****


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