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Elder Abuse: Assessment and Intervention.
Kris Fredrickson, MSW, LICSW
Clinical Social Worker
Geriatric Research, Education and Clinical Center- PSHCS
9/28/09
Stats and Facts
"Every year an estimated 2.1 million older Americans are victims of physical, psychological, or other forms of abuse and neglect.

For every case of elder abuse and neglect reported to authorities, experts estimate that there may be as many as 5 cases not reported.

American's over the age of 50 years represent 30% of the population, 12% of murder victims and 7% of other serious and violent crime victims.

90% of elder abuse and neglect incidents are by known perpetrators, usually family members; 2/3 are adult children or spouses. 42% of murder victims over 60 were killed by their own children. Spouses were the perpetrators in 24% of family murders of persons over 60.

The eldest of our seniors, 80 years and older, are abused and neglected at 2-3 times the proportion of all other senior citizens. -- Bureau of Justice Statistics

21.6% of all domestic elder abuse reports came from physicians or health care professionals 9.4% from service providers, 14.9% from family members.

Types of abuses and frequency:
Neglect 58.5% Sexual abuse .04% Physical abuse 15.7% All other types 5.1% Financial exploitation 12.3% Unknown .06% Emotional abuse 7.3%

National Center on Elder Abuse, 1994 The National Elder Abuse Incidence Study: Final Report Washington, DC: Administration for Children and Families & Administration on Aging, US Department of Health and Human Services King County

http://www.metrokc.gov/proatty/ELDER/index.htm

for questions: Page Ulrey, Senior Deputy Prosecuting Attorney 206-296-9000. Elder Abuse Project

“As the elderly population in King County grows, so do the incidents of abuse against it. Currently, about 29% (roughly 24,540 citizens) of Washington's 85 and over population reside in King County. This community is expected to increase 53% by the year 2025. In2002, there were 2,637 reports of adult abuse in King County, a number that has increased 6% since 2001 and exceeds the reports of any other Washington county by 105%.”

Elder Abuse Project goals are three-fold: to prosecute cases of neglect of the elderly and disabled; to work collaboratively with police, social service agencies, and medical professionals to improve the referral, investigation, and, ultimately, prosecution of cases of abuse and neglect of vulnerable adults; and, to provide training to first responders so that they can better recognize and respond to such cases.

DANIEL T. SATTERBERG King County Prosecuting Attorney W554 King County Courthouse 516 Third Avenue Seattle, WA  98104 Phone:  206-296-9000 FAX:  206-296-9013 TDD:  206-296-0100

** Coordinated Quality Response Workgroup (through Elder Abuse Council): City, HSD, Criminal Justice Types of Abuse

Neglect:
*Active neglect: the CG fails to meet their obligation to care for the Pt’s physical, social, and/or emotional needs. Can also be abandonment by leaving Pt without the means or ability to obtain necessary food, clothing, shelter, health care.

*Passive neglect: the failure is unintentional. Often the result of CG overload or lack of information concerning appropriate care giving strategies.
*Self neglect: failure of Pt to meet their own physical, psychological, and/or social needs.

Physical Abuse: intentional infliction of physical harm upon a Pt.

Psychological Abuse: intentional infliction of mental harm and/or psychological distress upon the Pt.

Sexual Abuse: any sexual activity for which the Pt does not or can not give consent.

Financial Exploitation: misuse, misappropriation, and/or exploitation of a Pt’s...
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