Legislations and Programs

Transcription

1 Elder Abuse: US Policies, Legislations and Programs XinQi Dong, M.D., M.P.H. Senior Policy and Research Advisor Administration on Aging, DHHS & Associate Director, Institute for Healthy Aging Associate Professor of Medicine, Nursing and Behavioral Sciences Rush University itymedical Center, Chicago, IL

2 United Nation: Principles of Older Persons Access to Health Access to Social and Legal Services to Enhance Autonomy, Protection and Care Access to Appropriate Levels of Institutional Care in a Humane and Secure Environment Preserve Human Rights and Fundamental Freedom

3

4 1965: Three Important Programs Enacted Medicare Medicaid Older Americans Act Every State and every community can now move toward a coordinated program of services and opportunities for our older citizens. President Lyndon B. Johnson, July 1965

5 Other Relevant US Policies: Age Discrimination Act Age Discrimination in Employment Act American with Disabilities Act Elder Justice Act

6 Mission To help elderly l individuals id maintain i their health and independence d in their homes and communities through comprehensive, coordinated, and cost effective systems of long-term care, and livable communities across the United States. Vision AoA envisions ensuring the continuation of a vibrant aging services network through happropriate funding of flower-cost, non-medical services and supports that provide the means by which many more seniors can maintain their independence. Authorities Older Americans Act of 1965 Public Health Service Act sections 398 and title XXIX Medicare Improvements for Patients and Providers Act of 2008 Elder Justice Act 0f 2010 Community Living Assistance Services and Supports Act of 2010

7 Who We Serve With Older Americans Act 11 Million Older Adults 60 & Over 800,000 Caregivers

8 How We Help 11 Million Seniors (and Their Caregivers 800K) Remain At Home Through Low-Cost Community Based-Services AoA 56 State Units, 629 Area Agencies & 246 Tribal Organizations 20,000 Service Providers & 500,000 Volunteers Provides Services and Supports to 1 in 5 Seniors 241 million meals 28 million rides 29 million hours of personal care 69,000 caregivers trained 4 million hours of case management 855,000 caregivers assisted 6.4 million hours of respite care 483,000 ombudsman consultations

9 OAA: Title VII (1992) Allotments for Vulnerable Elder Rights Protection Activities Elder Abuse Prevention Programs National Center on Elder Abuse Long Term Care Ombudsman Program State Legal Assistance Development Programs

10 Administration on Aging g Under Represented dpopulations: Minority Populations: Respecting Culture and Tradition Rural and Remote Areas National Resource Center : LGBT support and services Title V programs to work with DoL: Reinforce the dual purpose of the Older American Community Service Employment Program

11 Elder Justice Act 2010 Elder Justice Coordinating Council National Advisory Board Training, Services, Reporting and Evaluation of Elder Justice Programs in Community and LTC Settings Elder Abuse Forensic Centers Grants and Demonstration Programs Collecting and Disseminating Annual Data from APS

12

13 Cost of Elder Abuse: Dong et al, JAMA 2009 Dong et al, JAMA 2011 Dong et al, Jr Am Emerg Med 2011 Dong et al, Jr of Am Geri Soc 2011 Dong et al Gerontology 2010 Dong, Clinics Geriatric Med, 2005 Halliday et al, Lancet 2000 Begal et al, Jr Interper Vio 2011 Fisher et al, Postgrd Med 2006 Schonfield Gerontologist 2006 Smith et al, Jr Nutrition 2006 Mouton et al, Ann Fam Med 2010 Lach et al, JAMA 1998 Lach et al, Gerontologist 2002 Shield et al, Jr Forensic Sci 2004 Franzini et al, Jr Am Geri Soc 2008 Baker et al. Jr Geri Soc Work 2009

14 For years, I suffered silently, unable to muster the courage to seek the help I knew I needed.i felt trapped, scared, used and frustrated. And above all, when a man feels helpless, itʹs terrible. And I was helpless. Mr. Mickey Rooney, Elder Abuse Victimi

15

16 Questions to the Panel Violence affects all parts of society. Recognizing that economic costs are just one component, what are the costs of violence to your sector/agency/organization? How does violence or the cost of violence undermine the goals or mission of your organization? All sectors have a part to play in preventing violence. Are there policies in your sector that could unwittingly contribute to the epidemic of violence? What role do you see for your agency/organization in preventing violence or mitigating costs of violence? How can different sectors/organizations work together to produce a broad and integrated response that would more effectively combat violence and mitigate its costs?