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Elder Abuse Knowledge to Action Project

NICE Network Goals. Networking and Knowledge TransferDisseminate evidence-based research across university

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Elder Abuse Knowledge to Action Project

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    2. 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

    3. 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

    4. 2 Key Components of 3 Year Project Evidence –based tools Tools are and will be directed to varied responders and older adults Tools are available in English and French. More languages for all the tools in the future 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 Older Adult Leadership in All Aspects of Project

    5. Detection Tools EA Knowledge to Action Project

    6. Detection Tools Overview EASI - complete BASE, CASE, IOA - complete Z card for older women or ROW – complete for BC, Greater Toronto area and pocket card version for Newfoundland/Labrador currently being produced

    7. 1. Detection Tool – EASI 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)

    8. 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.

    9. 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

    10. Intervention Tools EA Knowledge to Action Project

    11. Intervention Tools Overview In – Hand: An Ethical Decision Making Framework - complete Elder Abuse Assessment and Intervention Reference Guide – complete Aboriginal Resource: Being Least Intrusive: An Orientation to Practice – nearing end of piloting Theft by Power of Attorney Investigation Reference Guide – amending for piloting Amended B-Safer – a safety planning risk assessment tool – beginning piloting process Financial Exploitation Tool – beginning work on production

    12. 1. Intervention Tool – In Hand: An Ethical Decision-Making Framework

    13. 2. Detection/Intervention Tool for Police: Elder Abuse Assessment and Intervention Reference Guide 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

    14. 3. Intervention Tool – Orientation to Practice 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

    15. 4. Intervention Tool - Theft by Person(s) Holding Power of Attorney Investigation Reference Guide Outlines steps police can take to do a theft by POA investigation in situations where the adult is: Mentally capable Mentally incapable

    16. 5. Intervention Tool - Amended B-Safer Safety planning risk assessment tool currently used in domestic violence Focused on physical and emotional abuse Amended for non-couple abuse of older adult situations Beginning process of piloting with police

    17. 6. Intervention Tool – Financial Exploitation Tool Negotiating with researchers from Chicago about inclusion in our package of a 25 item questionnaire to ascertain type and severity of financial abuse and possible interventions

    18. Prevention Tools EA Knowledge to Action Project

    19. Prevention Tools Overview Under development/negotiation: Elements of an Ideal Coordinated Response – piloting

    20. 1. Prevention Tool - Elements of an Ideal Coordinated Response Whole community response - not case specific, but inclusive 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

    21. 2. Preventing Financial Abuse Developed by NICE in the Financial Literacy Project funded by the Status of Women Canada

    22. Summary - Overall Tool Kit Vision

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