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Introduction to

The Elder Abuse Guide for Law Enforcement Julie Schoen, JD Deputy Director National Center on Elder Abuse NCEA Julie.Schoen@med.usc.edu. Introduction to. EAGLE. About Us. The Elder Abuse Guide for Law Enforcement. Background Learning Objectives Site Tour

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Introduction to

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  1. The Elder Abuse Guide for Law EnforcementJulie Schoen, JDDeputy Director National Center on Elder Abuse NCEAJulie.Schoen@med.usc.edu Introduction to EAGLE

  2. About Us The Elder Abuse Guide for Law Enforcement • Background • Learning Objectives • Site Tour • Types of Elder Abuse, quick reference Add a footer

  3. Background Development The Elder Abuse Guide for Law Enforcement EAGLE Tools and Capabilities In addition to quick reference educational information on various forms of elder abuse, EAGLE also provides: Assistance in documenting a case for prosecution ZIP-code-based community resources locator State-by-state penal codes relating to elder abuse • EAGLE is a FREE tool that helps officers effectively identify and investigate potential elder abuse cases • Funded by the Department of Justice and developed by elder abuse experts at the University of Southern California • EAGLE was also cross tested by law enforcement departments across the country • EAGLE is for everyone! Feel free to access and use at will http://eagle.trea.usc.edu/ Add a footer

  4. Site Tour The Elder Abuse Guide for Law Enforcement Printable and digital checklist detailing what needs to be collected on scene for a successful prosecution Contact information for organizations such as Adult Protective Services (APS) State specific elder abuse statues, charging information, consumer protection statutes and state mandated reporting Quick reference with definations, signs, red flags, and actions for all forms of elder abuse Add a footer

  5. Site Tour The Elder Abuse Guide for Law Enforcement On the LIVE site you will be able to access each unit EAGLE contains many ”How-to Resources” developed and requested by Law Enforcement officers ACTION ITEM: Select and explore 3 how-to tools that would be useful to you in dealing with older adults and elder abuse cases Add a footer

  6. Site Tour The Elder Abuse Guide for Law Enforcement eaglehelp@usc.edu EAGLE Phase 2 provides up to date elder abuse alerts, roll call videos, and webinars developed by the Department of Justice and the International Assocation of Chief of Police ACTION ITEM: Sign up for the EAGLE newsletter and receive alerts when new information is posted to the website Add a footer

  7. Financial Abuse FR EAGLE The Elder Abuse Guide for Law Enforcement

  8. Financial Abuse The Elder Abuse Guide for Law Enforcement • Financial Elder Abuse is using an older adult’s money or assets (pension, home, social security checks) contrary to their wishes, needs or best interested, or for the abuser’s personal gain • Undue influence is when a person of trust manipulates and takes advantage of a vulnerable elder to gain control of money, property or life—either directly or through power of attorney, trust, marriage, adoption, or inheritance. Add a footer

  9. Signs of Financial Abuse The Elder Abuse Guide for Law Enforcement • Changes of trusts, wills, deeds for the benefit of the abuser • Large purchases for the abuser’s benefit • Inappropriate financial reimbursement for services to the older adult victim • Caregiver “living off” the older adult Add a footer

  10. Ask Yourself The Elder Abuse Guide for Law Enforcement • What is the victim’s understanding of their financial situation? • Do they have a durable power of attorney? If so, can you see it? Who is named as having power of attorney for the older adult? (Take a copy or a picture!) • Is the person having power of attorney for the older adult abusing their authority? • Is the older adult’s money being used for their care? • Who pays the bills? Add a footer

  11. Take Action The Elder Abuse Guide for Law Enforcement • Use the First Responder Checklist to document whether there have been any missing funds, sudden changes in a will, or new credit card applications. Also make note of the victim’s overall level of independence and functioning. • Collect Power of Attorney (POA) documents for finances and any other relevant financial documents available on-scene. • Multiple types of elder abuse may be present. Explore and document the possibility of other types of abuse. Development Note: activelink to First Responder Checklist Add a footer

  12. Roll Call Training Videos The Elder Abuse Guide for Law Enfocement Watch the below Case Examples, documenting how law enforcement and legal prosecuted common financial abuse cases Add a footer

  13. Physical Abuse FR EAGLE The Elder Abuse Guide for Law Enforcement

  14. Physical Abuse The Elder Abuse Guide for Law Enforcement Physical Elder Abuse is: • Hitting • Kicking • Pinching • Grabbing • Burning • Misuse of medications • Punching • Choking • Slapping • Twisting • Force-feeding • Misuse of chemical or physical restraints Add a footer

  15. Signs of Physical Abuse The Elder Abuse Guide for Law Enforcement • Bruising • Fractures • Burns (including cigarette burns; medical equipment burns; water burns) • Hoarse voice, leaning forward to breathe, respiratory emergencies (signs of strangulation) • Pressure sores, AKA bedsores • Choking on food, or pneumonia resulting from food in lungs (signs of force-feeding) • Misuse of medications (for example: unfilled or expired prescriptions; over-administering, such as sedatives; stealing opiates) Development Note: underline words should have pop ups of image example Add a footer

  16. Ask Yourself The Elder Abuse Guide for Law Enforcement • Can the injuries be satisfactorily explained? Do the explanations make sense? • How did the victim fall? • Did the victim trip or were they pushed? • If they fell, were any obstructions placed in their pathway? • Do they normally use an ambulatory device? Was that present when they fell? If not, where was it? Add a footer

  17. Take Action The Elder Abuse Guide for Law Enforcement • Use the First Responder Checklist to document AND DESCRIBE any physical injuries, as well as the victim’s overall level of independence and functioning. • Take photographs of any physical injuries. (See Photo Tips.) • Take victim’s and witness accounts of how the victim was injured. (See Interviewing Older Adults.) • Multiple types of elder abuse may be present. Explore and document the possibility of other types of abuse. Development Note: activelink to First Responder Checklist, Photo Tips, Interviewing Older Adults Add a footer

  18. Roll Call Training Videos The Elder Abuse Guide for Law Enfocement Watch the below Case Example, documenting how law enforcement and legal prosecuted a common physical abuse case Add a footer

  19. Neglect FR EAGLE The Elder Abuse Guide for Law Enforcement

  20. Elder Neglect The Elder Abuse Guide for Law Enforcement Physical Elder Abuse is the failure of an identified caregiver or responsible other to provide basic necessities, including: • Nutrition • Hygiene • Shelter • Clothing • Necessary medical care • Safety If the elder is neglected and there is no formal or presumed caregiver, then it is Self-Neglect. Add a footer

  21. Signs of Elder Neglect The Elder Abuse Guide for Law Enforcement • Lack of medical aids (glasses, teeth, hearing aid, medications) • Lack of assistive medical devices (wheelchairs, walkers, scooters, canes) • An unsupervised person with dementia • A bed-bound person left without care • Medical orders not followed, including administration of medications • Delay in seeking care for injuries or medical conditions, including bedsores • Unchanged diapers or lack of incontinence supplies Development Note: underline words should have pop ups of image example Add a footer

  22. Ask Yourself The Elder Abuse Guide for Law Enforcement • Does the caregiver isolate the elder? • Are medications being taken properly? Are prescriptions current? • Is the elder eating regularly? Do they require help at mealtime? • Who pays the bills? Who cashes the social security check? • Is the caregiver compensated? How? Are they “living off” the elder? • How does the victim’s area compare to the rest of the house (cleanliness, safety, access)? Add a footer

  23. Take Action The Elder Abuse Guide for Law Enforcement • Use the First Responder Checklist to document AND DESCRIBE the victim’s hygiene, bedsores (if applicable), living environment, as well as the victim’s overall level of independence and functioning. • Take photographs of any physical injuries, as well as the living quarters. (See Photo Tips.) • Financial exploitation often accompanies elder neglect. Explore and document the possibility of other types of abuse. • Report victim to Adult Protective Services. Development Note: activelink to First Responder Checklist, Photo Tips, APS Add a footer

  24. Roll Call Training Videos The Elder Abuse Guide for Law Enfocement Watch the below Case Example, documenting how law enforcement and legal prosecuted an elder neglect case Add a footer

  25. Supports and Tools for Elder Abuse Prevention (STEAP) Initiative National Center on Elder Abuse (NCEA), in partnership with the National Association of Area Agencies on Aging (n4a), launched the STEAP (Supports and Tools for Elder Abuse Prevention) Initiativein an effort to educate and empower communities to create a sturdy structure of support to notice, report, and prevent elder abuse.  The centerpiece of this Initiative is a toolkit with practical and customizable elder abuse education and outreach tools.

  26. Customizable & ready-to-use outreach tools nceausc.tk/STEAP Presentation template & evaluation form Fact sheets and brochure Outreach calendar for year-round elder abuse prevention programming

  27. Customizable & ready-to-use outreach tools nceausc.tk/STEAP Add your own logo, contact information, and local elder abuse reporting numbers. Instructions: nceausc.tk/STEAPCI Contact us at 1-855-500-3537 or ncea-info@aoa.hhs.gov for questions or assistance. [Insert LTCOP Contact Info] [Insert Local APS Contact Info] [Agency Name] [Insert Local LE Contact Info] [Contact Information]

  28. Thank You. EAGLE Help (626) 457 - 6619 eaglehelp@usc.edu www.eagle.trea.usc. You may also contact us at National Center on Elder Abuse NCEA1-855-500-3537 (ELDR) ncea-info@aoa.hhs.gov https://ncea.acl.gov/ USC Center on Elder Mistreatment website: http://eldermistreatment.usc.edu/ or www.trea.usc.edu

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