Moving the Needle on Elder Abuse (November 2014)
This PowerPoint presented by the Elder Justice Initiative of the Department of Justice summarizes updated statistics on elder abuse and the roadmap forward in seeking justice.
Responding to Allegations of Abuse: Role and Responsibilities of Long-Term Care Ombudsmen Technical Assistance (TA) Guide (April 2014)
This technical assistance (TA) guide discusses how LTC Ombudsmen can respond to allegations and observations of abuse, neglect and exploitation when the resident does not or cannot give consent to pursue the complaint. In the absence of resident consent, ombudsmen can take other actions to adhere to disclosure requirements and work to ensure the resident receives quality care and is protected from harm. This guide reviews the federal requirements regarding complaint investigations and disclosure, highlights statements from the Administration on Aging, and provides advocacy strategies and additional resources.
State LTCO Program Policies, Procedures and Practices (April 2014)
This resource supplements the TA Guide titled “Responding to Allegations of Abuse: Role and Responsibilities of Long-Term Care Ombudsmen” and provides examples of statewide LTCO program policies, procedures and practices regarding responding to complaints involving abuse.
Advocacy for Victims of Abuse: How to Engage Law Enforcement and Support Residents (October 2013)
This session from the 37th annual Consumer Voice conference answers questions about abuse. Abuse is a crime and incidents of abuse occur in all types of long-term care settings, but incidents are often unidentified or unreported. How do you proceed if you suspect abuse or receive an allegation of abuse of a resident? Who do you call and when? How can you support the resident before, during and after the investigation? How do you get law enforcement to investigate the case, and what information do they need – especially if the resident is incapacitated? Join us to learn how advocates and law enforcement can work together to protect residents.
Criminal Convictions for Nurse Aides With Substantiated Findings of Abuse, Neglect, and Misappropriation - Office of the Inspector General
The objective of this memorandum report is to provide baseline information for the mandated report on the extent to which nurse aides with substantiated findings of abuse, neglect and/or misappropriation had previous criminal convictions that could have been detected through background checks and the nature of those convictions. Knowledge of this data will assist in assessing the extent to which the background check program may reduce the number of incidents of neglect, abuse and misappropriation of resident property.
The Role of Long-Term Care Ombudsman in Preventing, Reporting and Investigating Abuse: LLTCO NORC Questionnaire (March 2011)
The role of Long-Term Care Ombudsmen in preventing, reporting and investigating abuse in long-term care facilities varies widely across the country. The purpose of this brief is to summarize the responses received in the March 2011 questionnaire from Local Long-Term Care Ombudsmen regarding their program’s role. Additionally, this brief highlights barriers to Ombudsmen addressing abuse, promotes successful practices, and identifies potential topics for future training opportunities and further discussion.
The Role of Long-Term Care Ombudsman in Preventing, Reporting and Investigating Abuse: SLTCO NORC Questionnaire (February 2011)
The role of Long-Term Care Ombudsmen in preventing, reporting and investigating abuse in long-term care facilities varies widely across the country. The purpose of this brief is to summarize the responses received in the February 2011 questionnaire from State Long-Term Care Ombudsmen regarding their program’s role. Additionally, this brief highlights barriers to Ombudsmen addressing abuse, promotes successful practices and identifies potential topics for future training opportunities and further discussion.
Coordination Between Long-Term Care Ombudsman and Adult Protective Services Programs and Related Issues
Report on a Meeting Sponsored by the Administration on Aging on October 25-26, 1993
Long-Term Care Ombudsman Activities Regarding Abuse, Neglect and Exploitation (May 2011)
This chart provides a comprehensive, but brief overview of former and current practices of Long-Term Care Ombudsman Programs and their states in addressing abuse, neglect and exploitation in long-term care facilities. The information included in this chart was either received directly from State Long-Term Care Ombudsmen in the recent February 2011 questionnaire or retrieved from current news articles and previous NORC Summary Sheets, research papers and documents.
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Research Brief: Resident-To-Resident Aggression in Long-Term Care Settings
The Research Brief provides information on resident-to-resident aggression (RRA) and key findings from studies on RRA in long-term care settings. This brief was produced by the National Center on Elder Abuse.
Research Practice: Resident-To-Resident Aggression in Long-Term Care Settings
The Research to Practice presents innovative measuring instruments for RRA, RRA managing guidelines, and future research and practice implications. This document was produced by the National Center on Elder Abuse.
Resident-to-Resident Elder Mistreatment in Nursing Homes: Findings from the First Prevalence Study (February 2016)
This webinar, hosted by Consumer Voice in collaboration with the National Center on Elder Abuse (NCEA), discusses resident-to-resident mistreatment and how to prevent and respond to these incidents.
Dr. Karl Pillemer, Director, Bronfenbrenner Center for Translational Research, Hazel E. Reed Professor in the Department of Human Development, Professor of Gerontology in Medicine at the Weill Cornell Medical College, shared findings, recommendations, and best practices from his research regarding the prevalence of resident-to-resident elder mistreatment in nursing facilities. Consumer Voice staff shared information and resources to help increase awareness of these incidents and demonstrate how individualized care is critical in preventing and responding to resident-to-resident mistreatment.
The slides for this webinar can be downloaded as a PDF.
Brochure for Consumers on Resident Mistreatment
This brochure (and large font fact sheet), a product produced by the National Consumer Voice for Quality Long-Term Care in collaboration with the National Center on Elder Abuse, identifies mistreatment, shares information about an individual’s rights, and offers resources where they can seek help. The brochure and large font fact sheet can be purchased in bulk from the Consumer Voice store.
Hebrew Home at Riverdale- Research Division R-REM Online Training
LTCO Advocacy: Resident-to-Resident Aggression - (Technical Assistance Brief) - (February 2016)
Resident-to-resident aggression is a serious issue that has a significant negative impact on all residents involved, but incidents are often not reported and investigated. The purpose of this brief is to provide an overview of resident-to-resident aggression in order to assist Long-Term Care Ombudsman (LTCO) programs in effectively responding to complaints involving resident-to-resident aggression, as well as help prevent RRA and reduce the prevalence of these incidents. Click here to view the brief.
Identifying, Preventing, and Responding to Bullying in Long-Term Care Facilities Webinar
This webinar discusses bullying among residents in long-term care facilities. Dr. Robin Bonifas, John A. Hartford Faculty Scholar in Geriatric Social Work, Associate Professor with the School of Social Work at Arizona State University shared findings from her recent work regarding bullying in long-term care facilities, including:
Editorial: Deaths as a Result of Resident-to-Resident Altercations in Dementia in Long-Term Care Homes: A Need for Research, Policy, and Prevention (Eilon Caspi BSW, MA, PhD., JAMDA, 2016)
In this editorial Dr. Caspi describes the circumstances surrounding the deaths of 40 elders as a result of resident-to-resident negative interactions in the context of dementia in long-term care homes and shares information from research regarding resident-to-resident aggression. Dr. Caspi also has an archival blog featuring hundreds of free resources regarding resident-to-resident aggression in long-term care communities.
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Video Series on Representative Payee Interdisciplinary Training (December 2016)
This video series was released by the Social Security Administration (SAA). The video series includes modules providing key information for serving as a representative payee -- an overview of programs administered by SSA; representative payee program policies; roles, duties and responsibilities for representative payees; recognizing signs of abuse and financial exploitation; how to recognize financial abuse and fraud in banking activities; and changes in decisional capacity, including the need to support beneficiaries in decision-making. SSA notes that while the training was developed for representative payees, it also could be helpful for others who work with beneficiaries or other older individuals.
Protecting Residents from Financial Exploitation: How Ombudsmen Can Use the New CFPB Guide in Their Work
Tuesday, August 26, 2014
This webinar discusses the Consumer Financial Protection Bureau's new guide for assisted living and nursing facilities entitled Protecting Residents From Financial Exploitation. The guide was developed to help operators and staff of nursing facilities and assisted living facilities protect residents from financial exploitation through prevention and early intervention, and outlines ways to create awareness, policies and practices to protect residents. In addition to enhancing LTCO advocacy skills regarding the warning signs of financial exploitation and learning about effective strategies to prevent and respond to such abuse, LTCO can share these tips and the guide with facility staff
Naomi Karp, Policy Advisor, Consumer Fraud Protection Bureau (CFPB) Office of Older Americans provides background on CFPB and the new guide and detail how long-term care ombudsmen can use this new resource to work with facilities to combat financial exploitation. Iris Freeman, MSW, William Mitchell College of Law details how one state, Minnesota, developed a state-specific manual in 2010 and will provide tips how to replicate that process in your state.
Tips and Tools for Preventing and Responding to Financial Exploitation in Long-Term Care Facilities
Wednesday, March 5, 2014, 3:00-4:30 ET
This webinar discusses financial exploitation in long-term care facilities and provides tips and resources for preventing, detecting and reporting financial abuse. Naomi Karp, Policy Advisor, Consumer Financial Protection Bureau (CFPB) Office of Older Americans, explains CFPB’s role in the financial protection and education of older adults and shares new resources attendees can use with residents, family members and providers to increase financial literacy and prevent financial exploitation. Ann-Maria Beard, Deputy Director, Office of Supplemental Security Income and Representative Payment Policy of the Social Security Administration discusses the Representative Payee Program, providing an overview of the responsibilities and oversight of representative payees and how attendees can support the rights of Social Security and Supplemental Security Income (SSI) beneficiaries and report suspicion of misuse of benefits by a representative payee. Additionally, webinar participants discussed a scenario involving potential financial exploitation and shared challenges and best practices related to responding to allegations of financial exploitation. New consumer facts sheets regarding the prevention, detection and reporting of financial exploitation in nursing home and assisted living facilities produced by the National Consumer Voice for Quality Long-Term Care (Consumer Voice) for the National Center on Elder Abuse (NCEA) were introduced.
10 Things LTCO Can Do to Protect Long-Term Care Consumers: Preventing, Detecting and Reporting Financial Exploitation
Long-Term Care Ombudsmen (LTCO) are often the first to notice the warning signs of possible financial exploitation or the first person a resident confides in regarding being a victim of financial abuse. This document includes tips, tools, and action steps to help LTCO protect long-term care consumers from financial exploitation.
Consumer Factsheets on Financial Exploitation (February 2014)
Developed in part through a grant from the Administration on Aging for the National Center on Elder Abuse (NCEA), these fact sheets discuss the prevention, detection and reporting of financial exploitation in assisted living and nursing homes. There are separate fact sheets for residents of assisted living facilities and nursing homes and their family members. The consumer fact sheets provide an overview of residents’ rights and facility responsibilities related to resident finances, tips for protecting themselves and how to report incidents of financial abuse. The fact sheets for family and friends of residents also review residents’ rights and facility responsibilities, highlight warning signs and how to report incidents of financial exploitation.
Assisted Living Facilities
Combating Financial Exploitation (October 2013)
Financial exploitation of older adults has become more prevalent over the last several years. Why? How do we combat this? This session from the 37th annual Consumer Voice conference will explore why financial exploitation is on the rise and what federal agencies are doing about it. This session will also provide training techniques and educational strategies to prevent, identify and respond to financial exploitation of older adults at the local levels. Lastly, this session will provide a real-life example of how one local coalition came together and now works to identify and prevent financial exploitation.
Preventing Abuse, Neglect & Financial Exploitation in Adult Care Homes (2012)
This booklet produced by Kansas Advocates for Better Care details the principles of compassionate care and outlines the signs of financial exploitation and fiduciary abuse.
Center of Excellence on Elder Abuse & Neglect Financial Abuse Resources
The Center of Excellence on Elder Abuse & Neglect has compiled a list of resources for older and disabled veterans who are being targeted for financial abuse.
The MetLife Study of Elder Financial Abuse: Crimes of Occasion, Desperation, and Predation Against America’s Elders (June 2011)
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Voices Speak Out Against Retaliation
Prompted by a resident question at the VOICES Forum in 2005, Connecticut’s Long Term Care Ombudsman Program (LTCOP) initiated a statewide work group and also commissioned the University of Connecticut Health Center to study fear of retaliation in skilled nursing facilities. The LTCOP designed the Voices Speak Out Against Retaliation training video to acknowledge that Fear of Retaliation is a reality for individuals living in skill nursing facilities.
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National Resource Center on LGBT Aging
The National Resource Center on LGBT Aging, along with founding partner organization FORGE Transgender Aging Network, launched a new website section dedicated to LGBT Elder Abuse. The multimedia resources are especially geared toward helping abuse professionals assist in these cases and for LGBT older adults and their caregivers to understand how to get help.
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Research Brief: Mistreatment of Asian Pacific Islander (API) Elders (October 2013) National Center on Elder Abuse
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Federal Nursing Facility Regulations
CMS Survey & Certification Letter. Reporting Reasonable Suspicion of a Crime in a Long-Term Care Facility (LTC): Section 1150B of the Social Security Act. June 17, 2011.
CMS State Operations Manual (SOM) See Chapter 5, Chapter 7, Appendix P, Appendix PP
The Interpretive Guidelines: A Tool for Advocacy (Consumer Voice, 2012)
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Creating Effective Local Elder Abuse Prevention Networks: A Planning Guide
This Planning Guide, produced by the National Center on Elder Abuse and the National Committee for the Prevention of Elder Abuse, is based on the experience of several Area Agencies on Aging in the development of local elder abuse prevention networks. It offers an outline of basic steps to take in forming, directing and assessing the success of the group. Information about how the tool was developed is provided in the Background and Overview section. Instructions for strategic planning, including sample forms, an outline and suggested small group procedures are included to help organizations begin a results-oriented planning process.
Working with Older Survivors of Abuse: A Framework for Advocates (June 2016)
Since 1999, the National Clearinghouse on Abuse in Later Life (NCALL) and the U.S. Department of Justice, Office on Violence Against Women (OVW) have responded to questions from advocates on how to tailor victim services to better meet the needs of older adults. As part of our shared mission to enhance the safety and quality of life of victims across the lifespan, NCALL and OVW created Working with Older Survivors of Abuse: A Framework for Advocates. This summary report describes seven guiding principles with minimum guidelines and practical strategies for advocates to consider when working with older survivors. Hyperlinks to 34 video segments of experts discussing key content are interspersed throughout the document.
Go to the Consumer Voice website for information about the Elder Justice Act, pending federal legislation that would provide federal resources to support State and community efforts on the front lines dedicated to fighting elder abuse with scarce resources and fragmented systems.
The Fine Art of Balancing Protection with Self Determination - Webinar - (November 2015)
This session will talk about recognizing the signs and signals of abuse, neglect (self-neglect) and exploitation, tools to maximize communication with persons with differing abilities, and promoting self-determination and choice through supported approaches that mitigate against risk and empower individuals. The session will explore the application of the Supported Decision Making model to assist persons in making choices, increase access to positive life outcomes, and reduce the risk of harm. Click here to visit the website and download the webinar.
Training Resources on Elder Abuse - University of Southern California - (October 2015)
A searchable database of elder abuse and related training materials designed for professionals, caregivers and the community. Visit the website.
Adult Protective Services Flow Chart and Fact Sheet - (September 2015)
These resources serve as tools to understand the role Adult Protective Services (APS) in relation to elder abuse and may help answer some common questions. The Fact Sheet and Flow Chart are collaborative efforts between the National Center on Elder Abuse (NCEA) and the National Adult Protective Services Association (NAPSA).
Elder Justice Coordination Council
The first meeting of the Elder Justice Coordinating Council, established in the Elder Justice Act of 2009, was held on October 11, 2012 in Washington, DC. The Council is chaired by the Secretary of the Department of Health and Human Services, Kathleen Sebelius, includes the heads of other Federal departments and governmental entities having responsibilities, or administering programs, relating to elder abuse, neglect, and exploitation. Council members included the heads of the Department of Justice (a permanent member), Housing and Urban Development, Labor, Treasury, Veterans Affairs, Social Security Administration, and the U.S. Postal Inspection Service.
The Council will meet a minimum of twice per year, and will work on developing recommendations to the DHHS Secretary for the coordination of activities relating to elder abuse, neglect, and exploitation, as well as other crimes against seniors. The Council members heard testimony throughout the day from Panels of Experts discussing Financial Exploitation, Public Policy & Awareness, Enhancing Response, and Advancing Research. Testimony, white papers from the panelists and a recording of the Council meeting will be available online from DHHS.
Elder Abuse Working Groups: A Review and Comparison of 15 State Working Groups
An elder abuse working group is an entity such as a task force, council, commission, or non-profit organization, convened to address elder abuse issues at the state level. The fifteen state elder abuse working groups included in the document were categorized as short-term or long-term and included: Alabama, Alaska, Arizona, Colorado, Iowa, Maine, Massachusetts, Minnesota, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, South Dakota, and Tennessee. They were compared based on their establishment, purpose, and current status. Two broad areas of focus that almost every group focuses on are the judiciary response to elder abuse or the adult protective services system.
National Center for Elder Abuse
American Bar Association’s Commission on Law and Aging – Elder Abuse
View "Color My World Free From Elder Abuse," a video created for World Elder Abuse Awareness Day 2011.
Additional Resources From the National Center for Elder Abuse:
White House World Elder Abuse Awareness Day Commemoration
On June 14 the White House Office of Public Engagement held a day-long symposium on Elder Abuse & Financial Exploitation. This event, hosted in collaboration with the Administration for Community Living/Department of Health and Human Services, the Consumer Financial Protection Bureau, and the Department of Justice, brought together partners and elder abuse experts from around the country to discuss preventing and responding to financial exploitation. Featured speakers included representatives from the federal government, the banking industry, and national elder abuse experts.
Click here for a list of Federal Initiatives announced during the symposium.
National Center on Elder Abuse, Take A Stand Against Elder Abuse
Includes public awareness tools such as tip sheets for involvement and prevention and fact sheets covering topics such as red flags for recognizing elder abuse and 11 things anyone can do to prevent elder abuse.
Ageless Alliance United Against Elder Abuse
The Alliance website includes videos, tips, resources, and tools for preventing and responding to elder abuse.
National Center on Elder Abuse “Abuse of Residents in Long Term Care” Fact Sheet (February 2012)
This fact sheet provides a brief overview of the number of long term care facilities in the United States, and the people who live in these facilities. There is information on the prevalence of elder abuse in long-term care facilities, and the types of abuses that are occurring. The fact sheet was prepared by the Center of Excellence on Elder Abuse and Neglect at the University of California, Irvine and uses information from reports, articles and research papers.
Office of Justice Programs, Office for Victims of Crime (U. S. Department of Justice)
Office of Justice Programs, Office for Victims of Crime (U. S. Department of Justice) resources regarding elder abuse and mistreatment including reports, publications and videos (e.g. how to develop a multi-disciplinary specialist team to address financial exploitation known as F.A.S.T.- Financial Abuse Specialist Teams, a series of videos for various community leaders titled “Responding to Elder Abuse”).
An Age for Justice, Confronting Elder Abuse in America
This documentary follows the story of Vicki Bastion, 92, who became a prisoner in her own home. After her grandson moved in with her, he started allowing drug dealing, sex work and other gang activity to take place in her home. Fearing for her safety but conflicted about confronting her grandson, Vicki resorted to installing an iron security gate on her bedroom door to protect herself and her few belongings.
Also available are 100 Stories, which are intended to further draw national attention to elder abuse and support the passage of the Elder Justice Act. Select stories by state.
NCEA Elder Abuse Prevention Coalition and Task Force Search
The National Center on Elder Abuse (NCEA) believes community education and outreach is critical in combating the problem of elder abuse and neglect. NCEA provides a summary of active Elder/Vulnerable Adult Abuse related coalitions by state as well as a directory of state-specific elder/vulnerable adult abuse resources, statistics, laws and agencies.
Elder Abuse and Its Prevention: Workshop Summary (October 2013) Institute of Medicine and National Research Council of the National Academies
R2P Brief – Healthcare costs and utilization of vulnerable elderly people reported to APS for self-neglect (August 2012) National Adult Protective Services Resource Center
Many Shortcomings Exist in Efforts to Protect Residents from Abuse (March 2002) General Accounting Office
More Can Be Done to Protect Residents from Abuse (March 2002) General Accounting Office
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The Governor signed into law AB 40, which amends the State’s Elder & Dependent Adult Civil Protection Act. Prior to AB 40, mandated reporters of abuse and neglect in long-term care (LTC) facilities had the option of reporting abuse to either the LTC Ombudsman Program or local law enforcement. Because of disclosure and confidentiality provisions, Ombudsman representatives could not always cross report and disclose the identities of abuse victims. The Act now requires mandated reporters of physical abuse in LTC facilities to report first by telephone to local law enforcement and then by written report to the LTC Ombudsman Program and the licensing agency. Reports of physical abuse will now get into the hands of local law enforcement, and there will be better coordination of abuse cases between Ombudsman Programs and local law enforcement agencies.
A Montgomery County local long-term care ombudsman participates in the county’s Elder & Vulnerable Adult Abuse Task Force (EVAATF) and two local TV shows (linked below) discussed elder abuse (featuring Bob Blancato, National Coordinator of the Elder Justice Coalition) in response to their task force’s 2013 WEAAD Event (World Elder Abuse Awareness Day).
Approximately 250 people attended the New Hampshire Abuse Prevention Conference, “Supporting Elders: Prevention, Planning and Possibilities”, held on November 10 in West Lebanon. The conference was presented by the Office of the State Long-Term Care Ombudsman (OLTCO) and the NH DHHS Bureau of Elderly and Adult Services (BEAS)-Adult Protective Services, and sponsored by the Friends of the NH OLTCO. (November 2011)
Ombudsman Initiatives Addressing Neglect and Abuse (2001)
This paper provides an analysis of 13 long-term care Ombudsman Programs and their approaches to combating neglect and abuse in long-term care facilities. See also appendices in Excel format: Overview appendix; Training Group appendix.
The Maine Long-Term Care Ombudsman Program developed the following resources for healthcare professionals detailing mandatory reporting requirements as they relate to nursing homes in the state of Maine.
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Resident Mistreatment brochure and large font fact sheet for Consumers.
Fact Sheet: Long-Term Care Ombudsman Program - What You Must Know
This resource walks readers through what the long-term care ombudsman program is, what the Ombudsman program does and does not do, links to information on residents’ rights, and some helpful FAQs. This fact sheet was developed in partnership with The National Consumer Voice for Quality Long-Term Care and the National Center on Elder Abuse (NCEA).
Consumer Factsheet: How to Prevent, Detect, and Report Financial Exploitation in Assisted Living Facilities (English, Spanish, Chinese)
Consumer Fact Sheet: How to Prevent, Detect and Report Financial Exploitation in Nursing Homes (English, Spanish, Chinese)
Protecting Your Loved One: How to Prevent, Detect and Report Financial Exploitation in Assisted Living Facilities (English, Spanish, and Chinese)
Protecting Your Loved One: How to Prevent, Detect and Report Financial Exploitation in Nursing Homes (English, Spanish, and Chinese)
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