Our current grant funded initiatives Our partnerships Our abuse in later life work is primarily funded through grants. Our current grant funded initiatives are: Statewide and local Partnerships with others are central to our work. Our partners include both statewide and local agencies as well as coalitions that include disciplines as varied as: Central Virginia Task Force on Domestic Violence in Later Life Two grants provide funding for this initiative: This project is supported in part by Grant NO. 16N4145VA15 awarded by the Department of Criminal Justice Services from funds authorized by the federal Violence Against Women Act and awarded to Virginia by the U.S. Department of Justice. Opinions or points of view expressed do not necessarily represent those of DCJS or the Justice Department. This project is supported by the Department of Criminal Justice Services award no. 16-K4895DV16 from funds made available through the Virginia Sexual and Domestic Violence Victim Fund. The opinions, findings, conclusions or recommendations expressed are those of the authors and do not necessarily reflect the views of DCJS. Law enforcement Criminal justice Social services Aging services Health care Mental health Victim advocacy Housing Faith communities Financial institutions We always welcome new partnerships. Please contact us to become a partner agency or to get involved. The curriculum for our daylong multi-disciplinary trainings was developed by the US Justice Department, Office of Violence Against Women, US Department of Homeland Security; and the National Clearinghouse on Abuse in Later Life. Virginia Elder Justice Training and Services Project This project is supported by Grant No. 2012-EW-AX-K004 awarded by the Office of Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication/ program/exhibition are those of the author(s) and do not necessarily reflect the views of the Department of Justice Office on Violence Against Women. Project concludes 9/30/2016. If you or someone you know is experiencing abuse: Virginia Center on Aging For almost 40 years, the Virginia Center on Aging (VCoA) has worked to protect and improve the quality of life of older Virginians. We are a statewide agency located on the MCV Campus of VCU. VCoA was created by the Virginia General Assembly in 1978 to be an interdisciplinary study, research, information and resource facility utilizing the full capabilities of faculty, staff, libraries, laboratories and clinics for the benefit of older Virginians and for the expansion of knowledge related to the aged and the aging. For crisis intervention, support, information and local program referrals for victims of family violence or sexual assault, their friends, families, professionals and the general public, contact The Virginia Sexual and Domestic Violence Action Alliance's toll-free, confidential 24-hour statewide Virginia Family Violence and Sexual Assault Hotline at (800) 838-8238 or visit their website at www.vsdvalliance.org. Updated 3/31/16 Helping professionals respond to abuse in later life Our workshops, training, and technical assistance help professionals understand the types and dynamics of abuse in later life; discover resources available from professionals in other disciplines; better understand the role different disciplines can play in finding solutions; create avenues to find innovative approaches to improve systems; join with new partners to enhance coordinated care, always placing the person first. Abuse in later life Our response to a growing problem The nation and the Commonwealth of Virginia are aging rapidly. As the number of adults 50 and over grows, so does the incidence of abuse of older adults. Services are under resourced, inadequately staffed, and training is lacking. At the same time, caseloads are growing and becoming more complex.1 Our Abuse in Later Life Program has been tackling this issue since 1998, providing training and technical assistance in best practices for professionals from diverse fields who encounter older victims. We help them gain the knowledge and skills needed to provide appropriate and meaningful assistance. Our ultimate goal is to bring hope, healing and dignity to older victims in Virginia. In an emergency: Call 9-1-1 To report any form of elder abuse (physical, emotional, sexual or financial abuse) or neglect, call your local department of social services or the Virginia Department of Social Services' 24-hour, toll-free Adult Protective Services Hotline at (888) 832-3858. Our services Since 2007, we have trained more than 3,000 professionals throughout the Virginia and across the nation in recognizing and responding to abuse in later life. Growing our resources to respond Our abuse in later life programs would not exist without grant awards. New funding will be required to maintain and expand our response. The purple ribbon in the symbol for both domestic violence and elder abuse. Trainings and workshops can run from 30 minutes to a full day. Technical assistance in adopting best practices is tailored to the needs of each agency. National recognition Our work is recognized in White House report In September 2014, our Central Virginia Task Force on Domestic Violence in Later Life was one of six Violence Against Women Act funded programs from Virginia recognized in the White House Report: 1 is 2 Many: Twenty Years Fighting Violence Against Women. Virginia Center on Aging Abuse in Later Life Program P.O. Box 980229 Richmond, VA 23298-0229 (804) 828-1525 vcoa@vcu.edu http://www.vcu.edu/vcoa Abuse in Later Life Program The numbers Questions and answers Aging of the population Every day in the US, 10,000 people turn 65.2 The fastest growing demographic is those over 80.3 Who is affected by abuse in later life? People from all backgrounds: all income levels all ages from 50 to 100+ all racial and ethnic groups all religions all living settings women and men all geographic settings all ability levels Underreporting of abuse Elder abuse can be difficult to research, since most cases go unreported. One study estimated four out of five cases go unreported and another suggests unreported cases are 24 times those of reported cases.4 Many studies, however, don’t reveal the full scope of the problem because they limited the types of abuse explored or they excluded older adults with cognitive impairments. Health and economic costs Current data suggest about ten percent of people 60 and older who live at home suffer abuse, neglect or exploitation.5 Some studies show approximately half of those with dementia are victims of abuse, neglect or exploitation.6 Abuse in later life triples the risk of premature death and causes unnecessary illness, injury and suffering.7 Victims are four times more likely to be admitted to a nursing home and three times more likely to be admitted to a hospital.18 While not much research has been done on the total economic cost, one study found the annual financial loss by victims nationwide was estimated to be at least $2.9 billion in 2010, an increase of 12% over 2008.9 Those with cognitive incapacities suffer 100% greater economic losses than those without cognitive incapacities.10 What does it look like? Abusive behavior includes: controlling who the victims see, what they do, where they go, or what happens with their money calling the victims names or threatening to hurt them stealing from the victims threatening to leave or put them in a nursing home hurting the victims’ pets hitting, shaking, pushing, burning or choking the victims touching the victims in ways or places they do not want to be touched withholding food, water, medication or other needed goods or services What are the signs an older adult may have been victimized? A victim of abuse in later life may have any of the following signs: fear unexplained injuries isolation or withdrawal verbal abuse or controlling behavior by a caregiver or family member lack of amenities or medical aids he or she should be able to afford loss of control of funds unexplained sexually transmitted disease Sources: 1. Government Accountability Office (2011). Stronger federal leadership could enhance national response to elder abuse. Retrieved from http:// www.gao.gov/assets/320/316224.pdf U. S. , “What GAO Found.” 2. Pew Research Center at http://www.pewresearch.org/daily-number/baby-boomers-retire/ 3. U. S. Census Bureau at http://www.census.gov/prod/cen2010/briefs/c2010br-03.pdf 4. Virginia Department for Aging and Rehabilitative Services (2014). Strategies to Improve the Safety, Financial Stability, and Well-being of Adults with Disabilities and Older Adults throughout the Commonwealth http://www.dss.virginia.gov/files/division/dfs/as/aps/intro_page/prevention_month/ activities_resources/DARS_Report_on_Adult_Abuse.pdf, p. 8 What are people saying about our trainings? When asked, “What did you like” and “What was most valuable,” participants in our cross-training for victim service providers responded: [information on] ageism; makes you more aware not [making assumptions] about people learning about all the agencies that can assist the different approaches by different agencies use of videos in increasing sensitivity to different aspects of [abuse] trainers were experienced and gave good examples from their work safety plans ...[and] questions to ask victims information on abuser tactics engagement…kept me interested and involved different ... way of thinking; areas to improve on best activities in any training I’ve had now [I] know how to handle these referrals/issues in my clients learning to collaborate more with other agencies and services Comment from a trainer on the nationally developed day-long victim services curriculum The time, planning, and detail that has been put into this curriculum almost makes the process seem effortless ... Every detail has been covered. Power Points, sample scripts, videos, and even small group discussions have been planned out to the minute. We have everything we need to facilitate Abuse in Later Life workshops for victim and aging service practitioners ... When asked, “What did you like” and “What was most valuable,” participants in our law enforcement training responded: first class attended in 18 years that addressed this issue. Very good. explanation of elder abuse statutes the emphasis on agency collaboration being reminded that elder abuse occurs more often than we think real life examples the details to look for to initiate a case learning about the [long-term care] ombudsman learning about APS really wonderful job!! All of the trainers presented as if they had been doing this together for years!!! great job in talking about cognitive limitations, how this impacts the investigation good information regarding conducting interviews and possible roadblocks helping recognize abuse signs and how to start investigations. gaining more information and resources to better investigate these incidents Comment on a cross-disciplinary training for a project kick-off Judges joined with social workers and law enforcement officers joined with attorneys, mental health professionals joined with the faith community leaders and bankers joined with prosecutors; . . . Each member brought to the table their expertise and knowledge, and each … left the table with more of both ... 5. Lifespan of Greater Rochester, Inc., Weill Cornell Medical Center of Cornell University, & New York City Department for the Aging. (2011). Under the Radar: New York State Elder Abuse Prevalence Study. Self-reported prevalence and documented case surveys [Final Report]. 2014, from http:// www.lifespan-roch.org/documents/UndertheRadar051211.pdf; and Acierno, R., Hernandez, M. A., Amstadter, A. B., Resnick, H. S., Steve, K., Muzzy, W., & Kilpatrick, D. J. (2010). Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. American Journal of Public Health, 100(2), 292-297. 6. Wiglesworth, A., Mosqueda, L., Mulnard, R., Liao, S., Gibbs, L., & Fitzgerald, W. (2010). Screening for abuse and neglect of people with dementia. Journal of the American Geriatrics Society, 58(3), 493-500; and Cooney, C., Howard, R., & Lawlor, B. (2006). Abuse of vulnerable people with dementia by their carers: Can we identify those most at risk? International Journal of Geriatric Psychiatry, 21(6), 564-571; and Cooper, C., Selwood, A., Blanchard, M., Walker, Z., Blizard, R., & Livingston, G. (2009). Abuse of people with dementia by family caregivers: Representative cross , 338, b155. sectional survey. 7. Lachs, M. S., Williams, C. S., O’Brien, S., Pillemer, K.A., & Charlson, M. E. (1998). The mortality of elder mistreatment. Journal of the American Medical Association, 280(5), 428-432. (p. 431). , 173 (10), 911-917. 8. Dong, X. Q., & Simon, M. A. (2013). Elder abuse as a risk factor for hospitalization in older persons. 9 . The MetLife Study of Elder Financial Abuse (2011) http://www.preventelderabuse.org/documents/mmi-elder-financial-abuse.pdf 10. Gunther, J. (2011). The Utah cost of financial exploitation. Salt Lake City, UT: Utah Division of Aging and Adult Services. Retrieved March 12, 2014, .pdf. Gunther, J. (2012). The 2010 Utah Cost of Financial Exploitation. Salt Lake City, from www UT: Utah Division of Aging and Adult Services. Our current grant funded initiatives Our partnerships Our abuse in later life work is primarily funded through grants. Our current grant funded initiatives are: Statewide and local Partnerships with others are central to our work. Our partners include both statewide and local agencies as well as coalitions that include disciplines as varied as: Central Virginia Task Force on Domestic Violence in Later Life Two grants provide funding for this initiative: This project is supported in part by Grant NO. 16N4145VA15 awarded by the Department of Criminal Justice Services from funds authorized by the federal Violence Against Women Act and awarded to Virginia by the U.S. Department of Justice. Opinions or points of view expressed do not necessarily represent those of DCJS or the Justice Department. This project is supported by the Department of Criminal Justice Services award no. 16-K4895DV16 from funds made available through the Virginia Sexual and Domestic Violence Victim Fund. The opinions, findings, conclusions or recommendations expressed are those of the authors and do not necessarily reflect the views of DCJS. Law enforcement Criminal justice Social services Aging services Health care Mental health Victim advocacy Housing Faith communities Financial institutions We always welcome new partnerships. Please contact us to become a partner agency or to get involved. The curriculum for our daylong multi-disciplinary trainings was developed by the US Justice Department, Office of Violence Against Women, US Department of Homeland Security; and the National Clearinghouse on Abuse in Later Life. Virginia Elder Justice Training and Services Project This project is supported by Grant No. 2012-EW-AX-K004 awarded by the Office of Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication/ program/exhibition are those of the author(s) and do not necessarily reflect the views of the Department of Justice Office on Violence Against Women. Project concludes 9/30/2016. If you or someone you know is experiencing abuse: Virginia Center on Aging For almost 40 years, the Virginia Center on Aging (VCoA) has worked to protect and improve the quality of life of older Virginians. We are a statewide agency located on the MCV Campus of VCU. VCoA was created by the Virginia General Assembly in 1978 to be an interdisciplinary study, research, information and resource facility utilizing the full capabilities of faculty, staff, libraries, laboratories and clinics for the benefit of older Virginians and for the expansion of knowledge related to the aged and the aging. For crisis intervention, support, information and local program referrals for victims of family violence or sexual assault, their friends, families, professionals and the general public, contact The Virginia Sexual and Domestic Violence Action Alliance's toll-free, confidential 24-hour statewide Virginia Family Violence and Sexual Assault Hotline at (800) 838-8238 or visit their website at www.vsdvalliance.org. Updated 3/31/16 Helping professionals respond to abuse in later life Our workshops, training, and technical assistance help professionals understand the types and dynamics of abuse in later life; discover resources available from professionals in other disciplines; better understand the role different disciplines can play in finding solutions; create avenues to find innovative approaches to improve systems; join with new partners to enhance coordinated care, always placing the person first. Abuse in later life Our response to a growing problem The nation and the Commonwealth of Virginia are aging rapidly. As the number of adults 50 and over grows, so does the incidence of abuse of older adults. Services are under resourced, inadequately staffed, and training is lacking. At the same time, caseloads are growing and becoming more complex.1 Our Abuse in Later Life Program has been tackling this issue since 1998, providing training and technical assistance in best practices for professionals from diverse fields who encounter older victims. We help them gain the knowledge and skills needed to provide appropriate and meaningful assistance. Our ultimate goal is to bring hope, healing and dignity to older victims in Virginia. In an emergency: Call 9-1-1 To report any form of elder abuse (physical, emotional, sexual or financial abuse) or neglect, call your local department of social services or the Virginia Department of Social Services' 24-hour, toll-free Adult Protective Services Hotline at (888) 832-3858. Our services Since 2007, we have trained more than 3,000 professionals throughout the Virginia and across the nation in recognizing and responding to abuse in later life. Growing our resources to respond Our abuse in later life programs would not exist without grant awards. New funding will be required to maintain and expand our response. The purple ribbon in the symbol for both domestic violence and elder abuse. Trainings and workshops can run from 30 minutes to a full day. Technical assistance in adopting best practices is tailored to the needs of each agency. National recognition Our work is recognized in White House report In September 2014, our Central Virginia Task Force on Domestic Violence in Later Life was one of six Violence Against Women Act funded programs from Virginia recognized in the White House Report: 1 is 2 Many: Twenty Years Fighting Violence Against Women. Virginia Center on Aging Abuse in Later Life Program P.O. Box 980229 Richmond, VA 23298-0229 (804) 828-1525 vcoa@vcu.edu http://www.vcu.edu/vcoa