Elder Abuse and Its Prevention: Workshop Summary (2014)
Chapter: Appendix A: Workshop Agenda
ELDER ABUSE AND ITS PREVENTION: A WORKSHOP
APRIL 17-18, 2013
AGENDA
Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder abuse every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults ages 65 and older continues to grow, the implications of elder abuse for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem.
This workshop will illuminate the burden of elder abuse around the world and the evidence base for its detection and prevention. Occurrences and co-occurrences of different types of abuse—including physical, sexual, and emotional violence; neglect; and financial exploitation—will be addressed. Promising innovative approaches to intervention and prevention will be explored, as well as opportunities for scalability and cross-sectoral collaboration.
DAY 1: WEDNESDAY, APRIL 17, 2013
| 8:00 AM | Continental breakfast will be served |
| 8:15 AM | Welcome |
| JACQUELYN CAMPBELL, Johns Hopkins School of Nursing, Planning Committee Co-Chair | |
| XINQI DONG, Rush Institute for Healthy Aging, Planning Committee Co-Chair | |
| 8:30 AM | Opening Remarks |
| JUDITH SALERNO, Institute of Medicine | |
| 8:45 AM | Keynote |
| KATHY GREENLEE, Administration for Community Living/Administration on Aging | |
| CAROLE JOHNSON, White House Domestic Policy Council | |
| 9:15 AM | Panel I: Overview of Elder Abuse Globally |
This panel will address the global perspectives of elder abuse and the growing international recognition of its impacts on individuals, families, communities, and societies. Panelists will illuminate different types of maltreatment and their common co-occurrences, including abuse, neglect, and financial exploitation.
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Moderator: ALEXANDRE KALACHE, International Longevity Centre–Brazil, Planning Committee • GILL LIVINGSTON, University College of London • RONALD ACIERNO, Medical University of South Carolina • ELSIE YAN, University of Hong Kong |
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| 10:00 AM | Q&A |
| 10:30 AM | BREAK |
| 10:45 AM | Conceptual Framework |
This session will aim to describe the diverse conceptual frameworks proposed to examine the issues of elder abuse. Based on the literature and work of the National Academy of Sciences (NAS), Pamela Teaster will summarize key conceptual frameworks with relevance to elder abuse: ecological framework, cycle of violence framework, NAS sociocultural context framework, and lifecourse framework.
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PAMELA TEASTER, University of Kentucky |
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| 11:05 AM | Q&A |
| 11:15 AM | Panel II: Risk and Protective Factors and Adverse Health Outcomes |
The objectives of this session are to describe the status of evidence regarding (1) factors influencing the likelihood of elder abuse (risk factors, protective factors, correlates/comorbid conditions, etc., for victimization and perpetration, according to elder abuse type, setting, and ecological level); (2) adverse outcomes stemming from experiences that are abusive, neglectful, or exploitative; and (3) scope and factors associated with elder abuse in assisted living and long-term care settings.
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Moderator: JEFFREY HALL, Centers for Disease Control and Prevention, Planning Committee • ROBERT WALLACE, University of Iowa College of Public Health • XINQI DONG, Rush Institute for Healthy Aging, Planning Committee Co-Chair • MARK LACHS, Weill Cornell Medical College |
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| 12:00 PM | Q&A |
| 12:15 PM | LUNCH |
| 1:15 PM | Keynote |
| MARIE BERNARD, National Institute on Aging | |
| 1:45 PM | Panel III: Neglect and Self-Neglect |
The goals of the session are to (1) review what we know about caregiver neglect and self-neglect as a subset of elder abuse; (2) examine how caregiver neglect is distinctly different from self-neglect; (3) explore what research is crucial for future progress; and (4) determine possible ways to prepare the workforce to detect, treat, and prevent caregiver neglect and self-neglect.
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Moderator and Discussant: JAMES O’BRIEN, University of Louisville • TERRY FULMER, Northeastern University, Planning Committee • CARMEL DYER, The University of Texas Health Sciences Center at Houston • KATHLEEN QUINN, National Adult Protective Services Association |
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| 2:30 PM | Q&A |
| 2:45 PM | BREAK |
| 3:00 PM | Panel IV: Ethical Considerations in Research and Practice |
What are the challenges and ethical issues in measuring and conducting research on elder abuse and implementing interventions? Panelists will discuss issues of informed consent and human subject protection, certificate of confidentiality, decisional capacity issues, lack of reporting, stigma and discrimination, and how to approach victims who refuse needed services. Consideration will be given to challenges within the United States and globally.
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Moderator: BRIGID MCCAW, Kaiser Permanente • SIDNEY STAHL, National Institute on Aging (retired) • SUSAN LYNCH, Department of Justice • JASON KARLAWISH, University of Pennsylvania |
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| 4:00 PM | Q&A |
| 4:15 PM | Wrap-Up and Discussion of Day 1 |
| Moderator: XINQI DONG, Rush Institute for Healthy Aging, Planning Committee Co-Chair | |
| • AGNES TIWARI, University of Hong Kong | |
| • GILL LIVINGSTON, University College of London | |
| • ELIZABETH PODNIEKS, Ryerson University | |
| 5:15 PM | ADJOURN DAY 1 |
DAY 2: THURSDAY, APRIL 18, 2013
| 8:00 AM | Continental breakfast will be served |
| 8:15 AM | Welcome and Recap of Day 1 |
| 8:30 AM | Keynote |
| GREG SHAW, International Federation on Ageing | |
| 8:50 AM | Panel V: Cultural Diversity and Role of Community |
The goals of this session are to (1) understand the scope of elder abuse in diverse communities; (2) explore in depth the sociocultural context (measurement, detection, treatment, and help seeking) for elder abuse in diverse communities; (3) examine the role of grassroots community organization in prevention of elder abuse; and (4) explore the role of Community Based Participatory Research (CBPR) methodology in advancing the field of elder abuse and its prevention.
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Moderator: XINQI DONG, Rush Institute for Healthy Aging, Planning Committee Co-Chair • CHARLES MOUTON, Meharry Medical College • LORI JERVIS, University of Oklahoma • E-SHIEN CHANG, Rush Institute for Healthy Aging • JAVIER VASQUEZ, Pan American Health Organization |
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| 9:50 AM | Q&A |
| 10:10 AM | BREAK |
| 10:25 AM | Panel VI: Screening and Detection |
This panel will discuss the measurement development, screening, and prevention of elder abuse across varied settings and providers. This panel will open up with a discussion about elder maltreatment measurement work with the Centers for Medicare & Medicaid Services. Other panel discussions will explore what screening and prevention are and how to improve these processes, led by researchers in the field of elder abuse.
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TARA MCMULLEN, Centers for Medicare & Medicaid Services, Planning Committee • MARK YAFFE, McGill University • SCOTT BEACH, University of Pittsburgh |
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| 11:05 AM | Q&A |
| 11:20 AM | Panel VII: Interventions |
Panelists will present intervention models and strategies that target different forms of elder abuse and their evidence of effectiveness and success. A moderated panel discussion will focus on opportunities for cross-sector collaboration, and adaptation and scalability of promising approaches.
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Moderator: JACQUELYN CAMPBELL, Johns Hopkins School of Nursing, Planning Committee Co-Chair • DANIEL REINGOLD, The Hebrew Home at Riverdale • RONALD LONG, Wells Fargo Advisors • LORI STIEGEL, American Bar Association |
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| 12:15 PM | Q&A |
| 12:30 PM | LUNCH (Pick up lunch and head to breakout groups) |
| 12:45 PM | BREAKOUT SESSIONS |
The purpose of the breakout sessions is to explore primary, secondary, and tertiary prevention strategies in different settings, as well as challenges and barriers to implementing such strategies. Specific focus will be given to opportunities for cross-sector collaboration and issues of potential scalability and transferability.
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• Health Care System Breakout Leaders: MARK YAFFE, McGill University ELSIE YAN, University of Hong Kong |
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• Legal System Breakout Leaders: CHARLES SABATINO, American Bar Association ALEXANDRE KALACHE, International Longevity Centre–Brazil, Planning Committee |
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• Community-Based Breakout Leaders: JOY SOLOMON, The Hebrew Home at Riverdale JEFFREY HALL, Centers for Disease Control and Prevention, Planning Committee |
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• Financial Sector Breakout Leaders: PAUL SMOCER, Financial Services Round Table/BITS EDWIN WALKER, Administration on Aging, Planning Committee |
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| 2:00 PM | BREAK |
| 2:15 PM | Reports from the Breakout Groups |
| Moderator: KATRINA BAUM, National Institute of Justice | |
| 2:45 PM | Panel VIII: Health Policy and Promoting Awareness |
Often compared to the campaigns against domestic violence and child abuse, relative to incidence data and estimates, efforts to combat elder abuse are far behind the curve when it comes to development and implementation of efficient and effective responses. In the United States, passage of the Elder Justice Act as part of the Patient Protection and Affordable Care Act was a first step in solidifying federal activities dedicated to the eradication of elder abuse. This panel will address opportunities, both in the United States and globally, for policy makers and a wide range of stakeholders to identify the variety of ways that elder abuse cuts across sectors and how to promote awareness and prevention.
| Moderator: EDWIN WALKER, Administration on Aging, Planning Committee | |
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• SUSAN SOMERS, International Network for the Prevention of Elder Abuse • MARIE-THERESE CONNOLLY, Woodrow Wilson International Center for Scholars • ROBERT BLANCATO, Elder Justice Coalition |
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| 3:30 PM | Q&A |
| 3:45 PM | Way Forward |
| KATHY GREENLEE, Administration for Community Living/Administration on Aging | |
| TERRY FULMER, Northeastern University, Planning Committee | |
| GREG SHAW, International Federation on Ageing | |
| 4:30 PM | ADJOURN DAY 2 |
