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A GLOBAL RESPONSE TO ELDER ABUSE AND NEGLECT

3.1 – Intervention Plan

In every case of abuse or neglect, the intervention will depend principally on the accep- tance by the older individual of the offer of assistance, as well as the person’s capacity to decide. e level of intervention will depend on the services for the protection of the elderly available within the country. We suggest a way to develop a general program in Diagram 1.3, and ask you to decide what path to take in your region.

Diagram 1.3 –Intervention scheme in case of abuse or neglect

iNTERVENTiONS

COORDiNATE APPROACH WiTH ADULT PROTECTiVE SERViCES OR AS MANDATED iN YOUR COUNTRY

PATiENT iS WiLLiNG TO ACCEPT VOLUNTARY SERViCES

  • Educate the patient about the incidence of elder abuse and neglect, and the tendency for them to increase in frequency and severity over time.

  • implement a safety plan (ex: safe home, court protective order, hospital admission).

  • Provide assistance that will alleviate causes of mistreat- ment (ex: refer the caregiver to a drug or alcohol rehabili- tation clinic, provide educa- tion, home health, and/or homemaker services for both caregiver and older person).

  • Referral of patient and/or family members to appropri- ate service (ex: social work, counselling services, legal assistance).

PATiENT iS UNWiLLiNG TO ACCEPT VOLUNTARY SERViCES OR LACKS CAPACiTY TO CONSENT

• Conservatorship or Guardianship.

•Provide written information on emergency numbers and appropriate referrals.

• Special court proceedings (ex: orders of protection).

•Develop and review safety plan.

  • Develop a follow-up plan.

PATiENT WiTHOUT THE CAPACiTY TO DECiDE

PATiENT WiTH THE CAPACiTY TO DECiDE

Discuss with appropriate au- thorities the following services or options:

  • Financial management assist-

ance.

  • Educate the patient about the incidence of elder abuse and neglect, and the tendency for them to increase in frequency and severity over time.

PAGE 87

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