Responding to an Elder Abuse Case in the Community: A Collaborative Approach Maggie Mc. Nally Senior Case Worker for the Protection of Older People North Tipperary / East Limerick
LIVE LONG…. .
BE HEALTHY…. .
Case Process l Referral l Assessment l Intervention
Referral 88 year old female - Mrs. T l Visually impaired l Subject to multiple fractures / falls l Lives with 92 year old husband – Dementia l No Children – niece lives locally and manages finances l Private care – 1 person only l
Referral Continued… l l Recent fall, Hospital admission (surgery) Required Rehabilitative services prior to going home - Discharge Co-ordinator arranged a period of rehab in Nursing Home Opposition from niece Questions previously regarding falls by hospital staff; no referral made however given nieces demeanour/response a referral was forwarded by Discharge Co-ordinator to Service for Protection of Older People
What next – Assessment Referrer- Background information / concerns l Meeting with Mrs. T at Hospital l Contact with G. P / PHN l Meeting with Mr. T at Home l Contact with niece l Contact with private carer l Ongoing contact with Mr. and Mrs. T. l
What next? Safety Assessment l Risks identified l Other professionals contacted – O. T, Home Help Service, Home Care Package, Alzheimer Society – Home Support/Day Care Centre, NCBI l Case Conference l
Safety Assessment Is the older person in immediate danger? l What steps can be taken to increase safety? l Prevent social isolation l Decrease Caregiver stress l Manage medical issues l
Case Conference The purpose of a case conference is to bring together all the relevant people involved in the care/future care of the older person in order to: l Exchange information l Determine the degree of risk l To formulate a plan to protect the service user l To make arrangements for the monitoring and the review of the case
Case Conference l To clarify the roles and responsibilities of the various professionals involved l To nominate a key worker l To establish a care plan to work with the perpetrator if he/she is also a person who is vulnerable l To arrange for any other appropriate follow up
Professionals / Agencies Involved…. Discharge Coordinator – Hospital l Registrar / Consultant – Hospital l Nursing Home Rehabilitation Unit l G. P l PHN l Alzheimer Society l l (Day l Centre / Home Support) Social Worker – NCBI
Professionals / Agencies Involved…. Occupational Therapist l Physiotherapist l Home Help Service /Home Care Package/ Private Care l Counselling Service l Social Welfare Department l Senior Case Worker for Protection of Older People l
Intervention Ongoing Home Visits - monitoring l Assessment concluded that home environment was safe l Private care supplemented with Homehelp/Home Care Package/Alzheimer Soc. l Counselling for Mrs. T l Support from NCBI l O. T aids for house / Mr. and Mrs. T l
Intervention cont’d Physio – Rehab Unit l Social welfare – pension l Rehab Unit – Discharge plan l Day Centre – Alzheimer Society – Mr. T l Meals on Wheels l Pendant Alarm – Social Services l
Goal of reporting is to: l Find a solution to the problem not to make situation worse l Keep the Older Person at home l Enlist resources
Other Possible Interventions l Referral to counselling (older person &/or abuser) l Dietary assistance l Housing assistance l Mediation service l Emergency responses for housing, food, health (crisis intervention) l Placement in Long Term Care
Key Points Multiple types of Elder Abuse typically occur – Polyvictimisation l Complexities professionals confront l Collaborative efforts are necessary in responding effectively to Elder Abuse cases l
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