Abuse, Neglect and Violence against Older Persons. Silvia Perel-Levin Social Forum, Geneva, 2 April 2014. WHO/INPEA 2002. Risk factors – ecological model. Societal. Community. R elationshi p. Individual. Societal. Community. Relationship. Individual. Ageism, wide discrimination - PowerPoint PPT Presentation
Abuse, Neglect and Violence against Older Persons
Silvia Perel-Levin Social Forum, Geneva, 2 April
Types of abuse characteristics Examples1. Physical The infliction of pain or
injurySlapping, hitting, kicking, force-feeding, restraint, striking with objects.
2. Psychological/emotional abuse
Infliction of mental anguish
Verbal aggression or threat, threats of institutionalization, social isolation, humiliating statements.
3. Financial/material abuse
The illegal or improper exploitation and/or use of funds or resources
Theft of cheques or money, coercion to deprive the older person of his or her assets, such as forcible transfer of property.
4. Sexual abuse Non-consensual contact of any kind with an older person
Suggestive talk, forced sexual activity, touching, fondling with a nonconsenting competent or incompetent person.
5. NeglectIntentional or unintentional refusal or failure of designated caregiver to meet needs required for older person’s well-being.
Failure to provide adequate food, clothing, shelter, medical care, hygiene, or social stimulation.
Neglect isolation, abandonment and social exclusion
Violation of human, legal and medical rights
Deprivation of choices, decisions, status finances and respect
Types of abuse characteristics
6. Societal abuse
Ageism, lack of appropriate pensions, discrimination
Risk factors – ecological model
Societal Community Relationship
SocietalDementiaDepressionExperienced abuseAggressionDependence or disabilityGenderAgeIsolation Drug/alcohol dependence
Financial Dependence Emotional dependence Living arrangements Long-term abuse/violence Intergenerational transmission?
Social isolationConcentration of povertyWidowhoodWitchcraft accusations Lack of support networksErosion of intergenerational relations
Ageism, wide discriminationSexism, racismSocio-economic factors/concentration of povertyInheritance systems/WidowhoodMigration of the youngWeak police/criminal Justice
The extent of the problem
Latin America and the Caribbean• 6 to 37% prevalence
Elder Abuse in India (20 cities)• 31% faced abuse• Over 50% during 4 years in multiple
forms• 24% almost daily
Helpage India, 2012
(Helpage India, 2012)1.67% in Rajasthan to 77% in Madhya Pradesh
The extent of the problem, India
Sexual Violence in Eastern DRCAge Number Percentage< 15 252 5.916-24 809 18.825-34 841 19.535-44 988 22.945-54 752 17.455-64 211 4.9> 65 458 10.6Total 4,311 100
Prevention – ecological model
Societal Community Relationship
IndividualIndividualRelationshipCommunitySocietalWhere do we start?
Should primary health care workers
screen for elder abuse?
NICE- Canadian pocket tools
Tools for the police
• Elder Abuse risk assessment
• Assessment and intervention
• Theft by persons holding power of attorney
INPEAInternational Network for the Prevention of Elder Abuse
Established in 1997
• Raising awareness World Elder Abuse Awareness Day (WEAAD) 15 June
• Education and training of professionals and paraprofessionals in identification, treatment and prevention
• Advocacy on behalf of abused and neglected elders
• Promote research into the causes, consequences, prevalence, treatment and prevention of Elder abuse and Neglect
Scientific rigour humanistic model?
“Respect is better than food or drink”An older respondent
WHO, 2002 Missing Voices