Mandated Reporter Training for Suspected Adult Abuse and Neglect

Text-Only Site

Unit 1

Purpose:

To give you a national and a local overview of the problem of abuse, neglect and exploitation as it affects incapacitated or dependent adults.

"Myth and Facts" Activity:

** This activity in the full-version is in quiz format. In the full-version, you are provided with a statement and you choose whether the statement is a "Myth" (False) or "Fact" (True). At the end of the activity in the full-version, you are shown how many responses were correct. This activity in the full-version is not submitted to anyone else and is just an informative practice to make the information easier to remember. For the purposes of providing valuable information in this text-only version, the statements and correct responses are provided below. **

Statement: Physical abuse is the most highly reported type of abuse.

Correct Response: Myth.

Statement: Most of the abuse of the elderly is done by their family, loved ones, or caregivers.

Correct Response: Fact.

Statement: Sexual abuse is the least reported type of abuse.

Correct Response: Fact.

Statement: The suicide rate is higher for the elderly than any other group.

Correct Response: Fact.

Statement: Adult Protective Services is only for the elderly.

Correct Response: Myth.

Statement: Financial exploitation is the fastest growing form of elder abuse and is frequently linked with other types of abuse.

Correct Response: Fact.

Statement: The critical factor in determining incapacity is that the person must be inable to make or communicate responsible decisions regarding his or her own person or property.

Correct Response: Fact.

Statement: Whether a person meets the legal definition of incapacity is determined by the caseworker.

Correct Response: Myth.

Key Points

When we discuss issues of abuse, we often forget to address the issues specifically facing elderly and disabled adults. Yet abuse is often intergenerational, and victims include people in their later years of life.

Elderly and disabled adults live with issues of domestic violence, substance abuse, trauma, and mental health problems.

In homes or families where children are abused, there may also be adults who are being abused, neglected or exploited.

We are faced with an increasing aging population as the “baby boomers” age. Therefore, we must begin to seriously confront the prevalent issues of adult abuse, neglect, and exploitation in this country.

Where there is a history of child abuse, domestic violence, or animal abuse within a family, there may be an incapacitated or dependent adult.

Who Does APS Serve?

For more information on APS, click on this link (this link will bring you to another web page):

http://www.maine.gov/dhhs/oads/aging/aps/

Writing Activity

** This activity in the full-version suggests you type responses to questions provided and print the page with your responses as a guide to focus and direct your learning throughout the training . Please form your own responses to following questions and keep them in mind throughout the training. **

Please consider the following questions:

  • Are you aware of adults who are at risk for abuse, neglect or exploitation?
  • Are you working with youth transitioning into adulthood who may qualify for adult protective services (i.e. Youth who will likely be dependent or incapacitated as adults)?
  • If you do not find or obtain all the information or learning you established, be sure to talk with your Supervisor or contact Rick Mooers at rick.mooers@maine.gov or call 287-9200.

Any Surprises Activity

** This activity in the full-version is in quiz format. In the full-version, you are provided with a statement and you choose which answer best completes the statement. At the end of the activity in the full-version, you are shown how many responses were correct. This activity in the full-version is not submitted to anyone else and is just an informative practice to make the information easier to remember. For the purposes of providing valuable information in this text-only version, the statements, possible responses, and correct responses are provided below. **

Statement: As many as _________ seniors are abused each year in the United States. (U.S. Senate Special Committee on Aging)

Possible Responses: 5 million; 500 thousand; 2 million
Correct Response: 5 million

Statement: ________ of all elder abuse cases are never reported. (U.S. Senate Special Committee on Aging)

Possible Responses: 70%; 66%; 84%
Correct Response: 84%

Statement: Based on the above estimates, approximately _________ seniors are abused each year in Maine.

Possible Responses: 5,000; 20,000; 12,000
Correct Response: 12,000

________ adults were referred to Maine Adult Protective Services in 2003.

Possible Responses: 725; 2,900; 1,050
Correct Response: 2,900

Statement: ________ of adults referred to Maine Adult Protective Services are over the age of 60.

Possible Responses: 70%; 66%; 84%
Correct Response: 70%

________ of these are female.

Possible Responses: 70%; 66%; 84%
Correct Response: 66%

Older adults who are abused or mistreated are ________ more likely to die within the next decade than the same age adults who are not mistreated.

Possible Responses: Three times; Ten times; Five Times
Correct Response: Three times

Statement: ________ of all elder abuse involves some sort of financial exploitation. This is of increasing concern because 40% of our nation's household net worth is controlled by people over the age of fifty.

Possible Responses: 70%; 85%, 40%
Correct Response: 70%

Statement: ________ of Maine's referrals are for self neglect.

Possible Responses: 82%, 46%, 12%
Correct Response: 46%

Statement: ________ of adults under public guardianship and/or conservatorship in Maine are under the age of 60.

Possible Responses: 53%, 28%, 37%
Correct Response: 37%

Statement: ________ of adults under public guardianship and/or conservatorship in Maine are between the ages of 18-39.

Possible Responses: 11%, 2%, 31%
Correct Response: 11%

** This part of the activity in the full-version suggests you type responses to questions provided and print the page with your responses as a guide to focus and direct your learning throughout the training . Please form your own responses to following questions and keep them in mind throughout the training. **

As you review the activity above, consider the following questions:

  • Were you surprised by any of these statistics? Why or why not?
  • How does this information compare to what you have observed in your work?
  • If you do not find or obtain all the information or learning you established, be sure to talk with your Supervisor or contact Rick Mooers at rick.mooers@maine.gov or call 287-9200.

Elder Abuse Statistics

13% abuse

55% self-neglect

20% caretaker neglect

12% financial exploitation

Elder abuse is under reported and under detected. The elderly are really bed-bound,
and 95% of the time there are no witnesses to what goes on in the household.

Conditions That Contribute to the Problem

Social Isolation.

History of family violence.

Mental state of the abuser (emotional, psychiatric, and substance abuse problems).

Dependency of the abuser on the victim.

Isolation Activity

** In the full-version, this is an activity where you type a response to the statement listed and then go to a screen where you can compare your response to other possible answers. For the purposes of providing valuable information in this text-only version, the statements and possible answers are provided below.**

Statement: List reasons or causes why a dependent or incapacitated adult may be isolated.

Possible answers : Health Problems, Transportation, Forced Isolation, Over Medication

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