El poder para evitar el abuso de las

Presentación del tema: "El poder para evitar el abuso de las"— Transcripción de la presentación:

1 El poder para evitar el abuso de las
personas mayores está en tus manos Introductions / Ice breaker This collaboration between DOEA and DCF was formalized in Since that time, this training has been delivered to over 1,000 professionals in the fields of social work, geriatric counseling, first responders, fire/rescue/law enforcement, case managers, facility administrators, certified nursing assistants (CNAs), nurses, certified nurse practitioners, and physicians. Future updates needed from Florida Department of Children & Families – During FY , the Florida Abuse Hotline received 47,261 reports of adult abuse, neglect and exploitation. 32,315 (68 percent) of these reports involved at least one victim age 60 or older. Handouts can be provided for statistical information.

2 Objetivos Entender la definición y el significado del maltrato, el abandono y la explotación de las personas mayores Fomentar los conocimientos y los pasos a tomar para notificar los casos del abuso y el abandono Mejorar las vías de comunicación entre los trabajadores y profesionales y la línea de ayuda telefónica contra el abuso Entender la necesidad e importancia de la colaboración entre las personas en el ámbito profesional As Florida’s population continues to age, the likelihood of abuse, neglect, and exploitation will also increase. This is evidenced by the increase in the number of reports each year. These numbers do not, however, reflect the actual number of victims. Nationally recognized experts estimate that for every one report there are 14 incidents that never come to the attention of authorities. On March 2, 2011, the U.S. Senate Special Committee on Aging heard the testimony of legendary entertainment celebrity Mickey Rooney about his experience as a victim of exploitation and emotional abuse. He is now an advocate for seniors across the nation and encourages them to speak out about their abuse and exploitation. Mickey Rooney’s last words to the public audience, “Don’t let it happen to you.” (Jim Toedtman, Editor, AARP Bulletin, April 2011 Vol. 52, No. 3) Our philosophy: “Education is the key to prevention” Elder abuse, neglect, and exploitation are health and human rights issues. ACTIVITY – if there are enough participants, have them count off by 15s. After everyone has counted, ask all the “number 15s” to stand. Have everyone take a look around the room and see that, for every one report filed, there are 14 that go unreported. All who are standing represent the one report, and all who are still seated represent the cases that go unreported.

3 DOEA y DCF Administra: Administra:
El programa de la prevención del abuso, la negligencia y la explotación de las personas mayores El programa Ombudsman para el cuidado a largo plazo de las personas mayores (LTCOP) Administra: La línea telefónica para notificar los casos de abuso de adultos y niños Quejas e investigaciones Older Americans Act (OAA), Title VII – “Allotments for Vulnerable Elder Rights Protection Activities” Title VII, Chapter 2 – “Ombudsman Programs” Title VII, Chapter 3 – “Programs for Prevention of Elder Abuse, Neglect, and Exploitation” (more detailed information available online at Administration on Aging – DOEA Administers the Elder Abuse, Neglect, and Exploitation Prevention program, which provides education and outreach. The Long Term Care Ombudsman Program (LTCOP) is designed to protect the rights of long-term care facility residents through investigation of complaints and education. If abuse is suspected LTCOP will contact DCF/APS to further investigate. DCF Administers the abuse hotline and conducts investigations of suspected abuse, neglect (including self-neglect), and exploitation of vulnerable adults.

4 El programa Ombudsman se dedica a ayudar y a abogar por personas que requieren cuidados a largo plazo (LTCOP) Es un programa administrado por el Departamento de las personas mayores (DOEA) Protege los derechos de las personas que residen en centros o instalaciones de cuidado frecuente o a largo plazo Provee información e investiga casos de sospecha de abuso, o quejas de maltrato, abandono o explotación This is for long-term care residents who are in facilities. If and when the LTCOP investigates and suspects abuse, neglect, and/or exploitation they will notify DCF/APS.

5 Estatutos de la Florida Capítulo 415 Capítulo 825
Chapter 415, entitled “Adult Protective Services” – provides the definitions of related terms for abuse, neglect and exploitation (i.e., caregiver, vulnerable adult, neglect, capacity, lacks capacity, etc.) and establishes everyone is a mandatory reporter. APS investigates allegations of abuse, neglect and exploitation of… individuals with disabilities age 18 and older individuals age 60 and older Chapter 825, entitled “Abuse, Neglect and Exploitation (ANE) of Elderly persons and disabled adults” – provides the penalties for ANE of such persons. These are felony charges when someone commits ANE against an elderly person or disabled adult.

6 Nociones importantes sobre el maltrato, el abandono y la explotación de las personas mayores
Este es un problema complejo y muchas veces difícil de percibir DCF investiga quejas y corrige reportes que hayan sido recibidos por la línea telefónica del abuso; sobre todo si tienen que ver con personas mayores que residen en instituciones o centros de cuidado a largo plazo Todas las personas deben sentir una obligación a notificar los casos de abuso, negligencia, maltrato o explotación In recognition of the many people in Florida who, because of age or disability, are in need of protective services, the Legislature provided for the detection and correction of abuse, neglect, or exploitation through social service and criminal investigations and established a program of protective services for all vulnerable adults in need of them. The Department of Children and Families (DCF) is responsible for providing services to detect and correct abuse, neglect (including self-neglect), or exploitation of vulnerable adults who, because of their age or disability, may be unable to adequately provide for their own care or protection. The DCF Adult Protective Services Program is a system of specialized social services directed toward assisting vulnerable adults who are unable to manage their own affairs, carry out activities of daily living, or protect themselves from abuse, neglect, or exploitation. The four components of APS are: 1 - On site investigation of reports of alleged abuse, neglect (including self-neglect), or exploitation. 2 - Determination of immediate risk of the victim and provision of necessary emergency services. 3 – Evaluation of the need for ongoing protective supervision. 4 – Provision of ongoing protective services. An investigator will respond within 24 hours of an accepted report. For emergency situations/report investigators respond within 3 hours. FL Statute 415 indicates all citizens in Florida are mandatory reporters.

7 ¿Cuáles son los indicios del maltrato, el abandono y la explotación de las personas mayores?

8 El abuso Cualquier acto intencional o amenaza por parte de un miembro de la familia, compañero de cuarto o de alguien que cuide de una persona mayor Toma lugar siempre y cuando este acto cause o pueda causar un daño o deterioro significativo a la salud física, mental o emocional de una persona mayor o una persona vulnerable, susceptible o desprotegida. Incluye actos, descuidos u omisiones por parte de las personas que cuidan de las personas mayores. Sexual Abuse means acts of a sexual nature committed in the presence of a vulnerable adult without that person’s informed consent. Sexual abuse includes, but is not limited to, the acts defined in Section (1)(h), F.S.: fondling, exposure of a vulnerable adult’s sexual organs, or the use of a vulnerable adult to solicit for or engage in prostitution or sexual performance. Sexual abuse does not include any act intended for a valid medical purpose or any act that may reasonably by construed to be a normal caregiving act or appropriate display of affection. Forcing a senior (vulnerable adult) to watch pornography (without their consent) is considered sexual abuse.

9 La negligencia y el abandono:
El incumplimiento con los deberes asignados para el cuidado y el bienestar de otra persona; incluyendo la falta de atención, o del descuido de los servicios necesarios para mantener la salud física y mental de esta persona por parte de los que le cuidan. La falta de atención o de esfuerzo para proteger a una persona mayor del abuso, la negligencia o la explotación por parte de todo aquel que le rodea. Un cambio de conducta por parte de los que cuidan de las personas mayores, siempre y cuando esta conducta demuestre la falta de atención y descuido que pudiese resultar en un daño o deterioro físico, psicológico, o un riesgo sustancial de muerte. …including, but not limited to, food, clothing, medicine, shelter, supervision, and medical services, that a prudent person would consider essential for the well-being of a vulnerable adult. Notice – “…on the part of the caregiver or vulnerable adult.” Indicating the person themselves can be the perpetrator; therefore, they are “self-neglecting.”

10 La explotación de una persona mayor puede suceder cuando hay:
Alguien que se encuentra en una posición de confianza con una persona mayor que carezca de la capacidad de dar su consentimiento. Alguien que sea capaz de engañar o intimidar a una persona mayor que se encuentre vulnerable o desprotegida, para obtener o utilizar sus fondos y propiedades, con la intención de privarle del uso de los mismos para el beneficio proprio. Florida State Statutes (7)(a)(b) Some common scams generally committed by strangers to be aware (these scams are not investigated by DCF, but by local law enforcement because the perpetrator is a stranger): Granny scams: Someone pretends to be a relative (generally grandson/daughter) who is in trouble overseas and needs money sent right away. Canadian Lottery : Victims are asked to send money in order to collect their winnings in a lottery or sweepstakes. No one has to pay an up-front fee to receive real lottery or sweepstakes winnings. Advance Fee Scams: As with the lottery scam, victims are asked to put up money in order to collect a larger sum of money, or to provide a “good faith” deposit on a loan. Pigeon Drop: A con artist approaches the victim and tells them about a large sum of money he has found. He needs their money to secure the cash, and they’ll get a cut in return. Often, a second player, pretending not to know the first one, comes in as a "lawyer" or "banker" who confirms the story. They may actually show the victim some cash. Home Repair: Scammer makes unsolicited repairs and then demands cash, or claims to have made repairs when none were done. Identity Crime: Family members and caregivers get access to a security number, bank account number, credit card number, or even debit card and proceed to make purchases or take out cash. (DCF response) Investment Scams: Many seniors are conned into participating in investment strategies that were nothing more than “ponzi” or pyramid schemes. High pressure sales pitches to invest in products such as titanium futures or currency markets lure consumers with the promise of guaranteed returns. In some cases, even a legitimate investment, such as an annuity, is sold to a senior for whom the product is entirely inappropriate.

11 La explotación de las personas mayores sucede en su mayoría por parte de:
Una persona que se encuentra en una posición de confianza con alguien que sea vulnerable o que esté desprotegido(a). (Una cita de DCF) Alguien que esté consciente de que la persona mayor de la que cuidan carece de la capacidad de dar su consentimiento. (Otra cita de DCF) Alguien cuyo abuso no es siempre obvio para la víctima. (Cita de una de las oficinas de la ley) When the perpetrator is not a person in a position of trust, i.e., a stranger, reports can be made to local law enforcement and/or the local State Attorney. In state fiscal year the Florida Department of Children & Families investigated nearly 6,000 reports of exploitation of elderly victims. The average age was 79. Future updates needed from Florida Department of Children & Families – In state fiscal year ,the Florida Department of Children & Families investigated 6,596 reports of exploitation of elderly victims. The average age was 84. The relationship of the perpetrator (in verified cases only for 09/10 SFY for exploitation) to the victim, in Institutional and In-Home reports: In institutional settings the perpetrator was an employee 93 percent of the time. In a home setting the perpetrator was a son/daughter 44 percent of the time.

12 Las personas vulnerables:
A veces carecen de la abilidad de protegerse a sí mismas ya sea por la presencia de una enfermedad o por una discapacidad que se lo impide. Son personas de al menos 18 años de edad, y cuya habilidad para realizar las actividades de la vida diaria, o para proveer su propio cuidado o protección, se ve afectada debido a un trastorno mental, emocional, o debido a algún tipo de impedimento físico, de disfunción cerebral, u otra enfermedad de la vejez. Basically, Lacks capacity or Unable to care for themselves due to their disability/infirmity (Activities of Daily Living – ADLs) “Vulnerable adult in need of services” by Florida Statute definition – means an adult who has been determined by a protective investigator to be suffering from the ill effects of neglect not caused by a second party perpetrator and is in need of protective or other services to prevent further harm.

13 La capacidad: Se refiere a la facultad, la aptitud y el conocimiento suficiente por parte de una persona para tomar y comunicar decisiones responsables con respecto a sí mismo(a) o a sus bienes; incluyendo el acto de tomar una decisión propia en cuanto a si acepta o no los servicios de ayuda o de protección que se le ofrecen por parte del Departamento de las Personas Mayores (DOEA). Remember we all have the right to make bad decisions. A person who is a “hoarder” can have capacity and choose to live that way. It is his or her right. ACTIVITY – Case Scenario (an actual call, but name has been changed) Read the following to the audience: Taylor’s dad is age 72 and lives alone. A few months ago, his dad hired a new caregiver who is age 35 and who seemed to be doing a good job at taking care of his dad (Dad is happy). But, Taylor is concerned that his dad may be a victim of exploitation because Dad recently purchased a new car, home, motorcycle, and boat for the caregiver. He tells Taylor it’s none of his business how he spends his money. Ask the audience to tell you (either one person or as a class) whether or not this is a case of exploitation. Answer: Dad has the right to spend his money on whomever and whatever he wants because he has “capacity.” The family may not like it, and it was recommended that the family have a meeting with Dad to express their concerns. There is nothing anyone can do when an individual has capacity. Again, we have the right to make bad decisions.

14 ¿Quiénes son las personas victimizadas y quiénes son los que victimizan? ¿ Cómo sucede esto?

15 Una persona victimizada:
Puede ser alguien de 18 años o más (siempre y cuando sufra de un impedimento físico o mental, o de alguna discapacidad o enfermedad de la vejez) Una persona victimizada casi siempre es: Una persona que carece de la capacidad de cuidar de sí mismo(a) Depende de los servicios de cuidado y de atención que les provee la persona que a veces tiende a aprovecharse de ellos Su estado mental puede estar afectado por el abuso del alcohol, o de otras sustancias o medicamentos (el alcohol y el abuso de sustancias no se reconoce como una discapacidad) Personas que a veces se encuentran aisladas, esquivas y que temen o no quieren pedir ayuda con su situación. In some circumstances, victims are considered to be vulnerable adults or to “lack capacity” while they are on their medication(s) even though they are lucid and have capacity while they are not on any meds (and vice-versa). Ask the audience - A person in a wheelchair who has capacity, but is unable to care for himself – is he a vulnerable adult? Answer: Yes. Because remember, by statute, a “vulnerable” adult is considered someone who is unable to care for him or herself (ADLs). AS TIME ALLOWS – use other scenarios. Even though this slide says “anyone over the age of 60” (for our purposes) remember APS investigates ALL reports for adults over the age of 18.

16 Los agresores o las personas que victimizan:
Más de un 90 % de las veces en la que ocurre un abuso, este sucede entre familiares Los agresores pueden estar bajo la influencia del alcohol u otras sustancias Pueden tener bajos recursos Pueden estar sufriendo de transtornos causados por la ansiedad y el estrés A veces no comprenden las necesidades de la persona que están cuidando Though typically males are perpetrators, females can easily be also. Because women outlive men, we are faced with many women becoming caregivers, and the odds increase that they may be become perpetrators. Please remember to not limit your understanding of what a victim or perpetrator is because either can be anyone. These lists only provide an idea of what a typical victim or perpetrator may be like or what characteristics they may or may not have. Family dynamics that may contribute to abuse: Lack of family support or isolation from others Caregivers who feel forced to provide care Too many people (or multi-generational) in a crowded home Marital conflict Financial problems Medical issues

17 ¿Qué se puede hacer sobre el presunto abuso de una persona mayor
¿Qué se puede hacer sobre el presunto abuso de una persona mayor? ¡Notifíquelo! Ask the audience – Who should report? Answer: Everyone, because we are all mandatory reporters in Florida. Applicable statute? Answer: 415

18 Las barreras que existen cuando se trata del acto de notificar un abuso:
Muchas veces las personas victimizadas tienen dificultades para denunciar el abuso por sí mismos ya sea por sentido de culpa, orgullo, vergüenza o miedo hacia el agresor A veces no es fácil reconocer las pistas o síntomas del abuso, la negligencia o la explotación que está tomando lugar Toda persona que sospeche que ha ocurrido algún tipo de abuso debe informar a las autoridades o a las agencias para la prevención del abuso de las personas mayores. Si sabe de un caso o tiene sospechas, usted puede informar a los organismos correspondientes de intervención de la ley. Todas las personas deben sentir la obligación de reportar casos de abuso. Embarrassed to be considered a victim. Fearful that DCF will take them away to a nursing home. NOT TRUE. DCF wants to help the elder remain as independent as long as possible with the assistance of the DOEA and AAA that provide resources for elders. Fearful that the family will force them to live in a nursing home. REMEMBER – you don’t have to prove it, if you suspect abuse, neglect and/or exploitation - REPORT IT! Let DCF investigate.

19 Como llenar un informe acerca de un presunto abuso que puede haber tomado lugar:
Para reportar o notificar sospechas o casos de abuso, uno debe … Entender los términos de como se deben llenar los formularios y también entender que datos se necesitan para notificar el abuso Dar datos concretos y con palabras claras Proveer información detallada As much detail as possible. Victim’s name, street address or location, phone number, with area code, age, gender, and race. A description of the abuse, neglect, or exploitation, including any signs of harm or injuries. A description of the victim’s physical, mental, or behavioral disability or infirmity. The name of the person responsible and their relationship to the victim. Be prepared to describe to the Hotline whatever portion you may know: Name, phone number and address of any witnesses. Sociographics include Social Security if available, approximate age, race, and gender. HAND OUT if you have it – DCF Fax Transmittal Form

20 Para notificar o denunciar un presunto abuso hágalo por:
Teléfono: ABUSE ( ) Internet: (Debe aceptar JavaScript y Popups para poder llenar el reporte) Fax: Available 24 hours/day, 365 days/year Hotline can be called anywhere in the United States for Florida reports. ALL CALLS and information are CONFIDENTIAL!!!! HAND OUT (if you have it) – DCF Fax Transmittal Form Use the form provided by DCF (available online as a PDF file) and include all of the information – do not send copies of medical or case notes. Always phone in information concerning emergency or critical situations. If you suspect someone is in danger, notify local law enforcement immediately! You can also help by: Learning effective interviewing techniques to get as much info. Learn about local support groups, counseling, or other available services in your area to which the victim can be referred. When in doubt – make the call and let the hotline experts decide if an investigation is needed

21 Para reportar o notificar un abuso se necesita saber: ¿Qué, quién, cómo, cuándo, dónde, y por qué?
Ask the audience – and wait for answers. Who should report? Answer: Everyone because we are all mandatory reporters in Florida. What should we report? Answer: As much detailed information as possible about the victim, the abuser, and any witnesses. When should we report? Answer: Whenever we “suspect” abuse, neglect (including self-neglect) and/or exploitation is occurring. Where do we report? Answer: Online, phone, or fax. Why do we report? Answer: Because we are all mandatory reporters How do we report? Answer: Online, phone, or fax with as much detail as possible. (I know this is a repeat, but it never hurts to hear it again.)

22 La línea telefónica de servicio al cliente está disponible para ayudarle con sus reportes e informes sobre el abuso ¡Todas las llamadas son CONFIDENCIALES! The Florida Abuse Hotline is committed to providing quality assessments and a clear understanding of services. All callers will be told if the information they have provided is being accepted as a report or not. All calls remain confidential.

23 Si usted llama a la línea telefónica de ayuda al cliente para reportar un abuso y no aceptan su notificación del mismo… Dígale al consejero de la línea de servicio al cliente que usted no está de acuerdo con su decisión de no aceptar su reporte y: Pida hablar con el supervisor. Lame al número durante los horarios normales de trabajo en los días laborales para que pueda expresar su queja.

24 Las colaboraciones This is extremely important if we are to begin addressing this issue. We need to work together. Challenges we face: Understanding each other’s framework for approaching cases Information sharing, confidentiality, mandatory reporting Turf Ego Lack of resources Lack of understanding of what other agencies can and cannot do Let’s build on our differences: Different approaches and outlooks and roles can be a strength Teach and learn from each other Share information and resources Common goal: prevention, victim safety, and support So now ask yourself: What is involved in successful collaborations? What would you like to see happen in your community? Adapted from Florida Coalition Against Domestic Violence/National Clearinghouse on Abuse in Later Life (NCALL)

25 RECUERDE – Todas las personas tienen la obligación de notificar, denunciar y reportar el maltrato, el abandono y la explotación de las personas mayores. Let’s work together to end elder abuse, neglect, and exploitation.

26 Números de contacto Para obtener más información – ELDER ( ) Para notificar un caso de abuso – ABUSE ( )

27 Referencias AARP Bulletin, April 2011 Vol. 52, No. 3
Older Americans Act Estatutos de la Florida Florida Department of Children & Families (DCF) Departamento de las Personas Mayores (DOEA) Florida Coalition Against Domestic Violence / National Clearinghouse on Abuse in Later Life (NCALL) 9/8/11