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A Global Response to Elder Abuse - page 124 / 149

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Conclusions: e questions can serve as a base for an instrument applicable in Chile. However, they must be simplified and shortened, otherwise they may not be un- derstood. It is important, therefore, to use a few examples that help to illustrate the questions and to address in each item only one aspect. Some PHC professionals seem to be familiar only with physical abuse. e questions could, therefore, draw their at- tention to further abuse categories.

Workshop with social workers

Eight social workers attended the workshop and discussed issues of elder abuse and the SWEF.

In Chile, there are many cases of abandon- ment reported by the community. Abuse of older people takes place not only within the family but also at a societal level. Older people are the most vulnerable group in society and are often discriminated against and negatively connoted. Older people do not have a strong lobby representing them on the public agenda. Legal regulations and more financial resources could improve their isolated position.

Furthermore, there are neither specific pro- tocols for elder abuse nor any training and evaluation tools offered at the institutions where the participants work.

A GLOBAL RESPONSE TO ELDER ABUSE AND NEGLECT

  • e Form is considered long but com-

prehensible and could be used as an as- sessment tool. e following adaptations were suggested in order to make the Form applicable to the Chilean context. e introductory part (up to Question 19) can be omitted, as this information is available from other sources such as the medical record. Furthermore, some specific sections need some revision:

  • Relationship with grandchildren: some older people have 30–40 grandchildren, but it is difficult to refer to all of them.

  • Housing categories: add the category of allegados (homeless families living in a home for families).

  • Dependence: this section should also take into account that the dependence of older people can lead to abusive behav- iour.

  • Handling of cases involving cognitively deteriorated older people.

PAGE 109

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