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SOCIAL ISSUES AND SOCIAL POLICY RESPONSES TO ABUSE AND NEGLECT OF OLDER ADULTS

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SOCIAL ISSUES AND SOCIAL POLICY RESPONSES TO ABUSE AND NEGLECT OF OLDER ADULTS Presenter: Patricia Brownell, PhD, LMSW brownell_at_fordham.edu Fordham University ... – PowerPoint PPT presentation

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Title: SOCIAL ISSUES AND SOCIAL POLICY RESPONSES TO ABUSE AND NEGLECT OF OLDER ADULTS


1
SOCIAL ISSUES AND SOCIAL POLICY RESPONSES TO
ABUSE AND NEGLECT OF OLDER ADULTS
  • Presenter Patricia Brownell, PhD, LMSW
  • brownell_at_fordham.edu
  • Fordham University Graduate School of Social
    Service, New York City, USA

2
Presentation for 16th John K. Friesen
Conference Simon Fraser University
  • Gerontology Research Centre Vancouver,
    BC Thursday, May 11, 2006

3
Social Issues Related to Abuse and Neglect of
Older Adults, or Senior Abuse
  • Ageism and Lack of Respect (ILC, 2005)
  • Aging of the Population as a Global Phenomenon
    (UN, 2005)
  • Diversity of Older Adults Age 50
  • Political Economy of Aging Gender Differences
  • Families in Later Life
  • The Senior Abuse Movement
  • Social Biases that Privilege Protection over
    Empowerment

4
Challenges to Social Policy Responses
  • Lack of clear and consistent definitions
  • Lack of reliable and quantifiable data
  • Paucity of intervention outcome research
  • Prevention and early intervention versus
    protection
  • Social health and services versus criminal
    justice response
  • Gerontologist versus feminist perspective

5
Challenges to Social Policy Responses (Contd)
  • Lack of perceived power/skills/knowledge among
    senior abuse victims/survivors to change social
    policies
  • Lack of consensus among provider and advocacy
    community on remedies
  • Fragmentation and gaps in aging service delivery
    systems
  • Insufficient funding for services to older adults
    and their families

6
U.S. Public Policy Responses Two National
Legislative Examples
  • Older Americans Act of 1965
  • Followed first While House Conference on Aging
    (1961)
  • Created Federal Administration on Aging headed by
    Assistant Secretary in U.S. Department of Health
    and Human Services
  • Promoted social inclusion for older adults
  • 1992 Amendment to Older Americans Act Title VII
    (Elder Rights and Resources)
  • Elder abuse counseling and related services
  • Health insurance counseling
  • Legal assistance
  • Long Term Care Ombudsman Program
  • Preventing fraud and abuse

7
Two National Legislative Examples (Contd)
  • Violence Against Womens Act (1994)
  • Created Office on Violence Against Women in U.S.
    Department of Justice
  • Violence Against Womens Act (VAWA) 2000 and
    2006 Amendments
  • Safe Homes for Older Women
  • Law enforcement and cross training to address
    older women victims of domestic and sexual
    violence
  • Multidisciplinary collaborative community
    responses to senior abuse victims
  • Culturally and linguistically relevant services
  • Priority given to needs of underserved

8
Example of U.S. National Social Policy Coalition
Effort
  • National Elder Abuse Summit (December 2001)
  • National Elder Justice Coalition
  • Elder Justice Act (bill pending in Congress
    2002-Present)
  • Would create Office of Elder Justice in U.S.
    Department of Health and Human Services

9
Example of U.S. State/Local Coalition Building
Efforts to Influence Public Policy
  • New York State Project 2015 (2000)
  • New York State Elder Abuse Summit (May 2003)
  • New York State Delegation 2005 White House
    Conference on Aging
  • New York City Elder Abuse Summit 2006

10
Example of an International Public Policy Agenda
Building Effort MIPAA
  • Madrid 2002 International Plan of Action on
    Ageing (MIPAA) (Priority direction III Ensuring
    enabling and supportive environments Issue 3
    Neglect, abuse and violence)
  • Objective One Elimination of all forms of
    neglect, abuse and violence of older persons
  • Objective Two Creation of support services to
    address elder abuse

11
MIPPA (contd) United Nations Madrid 5 Review
(Monitoring Plan)
  • Important Grassroots bottom-up review
  • Assumption of top down support
  • Governments can decide what part(s) of MIPAA to
    monitor
  • NGOs must advocate with governments on what
    part(s) of MIPAA to include in monitoring plan
  • NGOs, older adults must advocate with government
    to participate in the review

12
MIPAA (contd) Madrid 5 Overview of Structure
of United Nations in relation to Madrid 5
Review
  • Secretary General
  • (UN Bureaucracy)
  • Department of Economic and Social Affairs (DESA)
  • Department of Public Information (DPI)
  • General Assembly
  • (Government Missions)
  • Commission on Social Development
  • Commission on the Status of Women

13
MIPAA (contd) Madrid 5 Review
  • Commission on Social Development (CSD) will
    oversee the Madrid 5 monitoring Plan and
    Implementation
  • 2006 Nations that signed onto MIPAA must decide
    what sections to include in their monitoring
    plan Implications for Canadian senior abuse
    advocates

14
Madrid 5 (contd)
  • February 2007 At CSD, member nations will be
    requested to report on laws passed, programs
    established, etcetera, since MIPAA (without
    outcome analyses), and on what aspects of MIPAA
    they have decided to review.
  • During 2007, bottom up action review appraisal
    will begin on those aspects of MIPAA selected for
    monitoring (review).

15
Madrid 5 ( contd)
  • February 2008 At CSD, governments will present
    their responses to what they have found about
  • Impact of policies, programs and other
    initiatives,
  • Outcomes for older adults, and
  • Direction of future social welfare policies
  • Role for elder abuse advocates, NGOs and
    academic institutions what constitutes good
    and bad laws how are older persons rights
    balanced against intrusive protection what
    good is a law without adequate funding to
    implement it?

16
Madrid 5 (contd)
  • To Date
  • Draft recommendations on the review methodology
    have been distributed to the member nations by
    DESA (to be finalized shortly)
  • CSD has approved the modality for the first
    review and appraisal endorsed calendar to start
    global review in 2007 and report back in 2008
  • CSD has established theme for first review at
    global level Addressing the Challenges and
    Opportunities of Ageing
  • CSD has recommended format for 2008 review
    plenary debates, series of panel discussions and
    events.

17
International Efforts in the Works
  • INPEA taking lead in global awareness of elder
    abuse through World Day Project
  • NGO Committee on Ageing (umbrella NGO for over 45
    NGOs with ageing focus) supporting education and
    awareness about senior abuse
  • World Environmental Scan will provide information
    in addition to government reports on MIPAA social
    policy response to senior abuse

18
Opportunities for North American Senior Abuse
Advocates to Work Together to Promote Public
Policy Responses
  • Share information on public policies and
    coalition building at conferences
  • Collaborate on responses to the Madrid 5
    monitoring and review process
  • Contribute to journals and publications like the
    Journal of Gerontological Social Work
  • Other ideas? (Lets keep talking!)
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