elder abuse response team - canadian bar association

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Elder Abuse Response Team Waterloo Regional Police Service

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Page 1: Elder Abuse Response Team - Canadian Bar Association

Elder Abuse Response Team

Waterloo Regional Police Service

Page 2: Elder Abuse Response Team - Canadian Bar Association

PartnershipThe Elder Abuse Response Team

Detective Mike Payne, WRPS

Elizabeth Nieson, RN Elder Abuse Resource Consultant, WW CCAC

[email protected]

Page 3: Elder Abuse Response Team - Canadian Bar Association
Page 4: Elder Abuse Response Team - Canadian Bar Association

Family Violence ProjectWaterloo Region

SA/DV Treatment CentreCFCC Counselling ServicesCommunity Action Program for ChildrenEARTVictim ServicesWRPS Domestic ViolenceFamily and Children ServicesWomen’s Crisis Services of Waterloo RegionCredit Counselling CFCCCrown Attorney

Page 5: Elder Abuse Response Team - Canadian Bar Association

Supporting Documents

Memorandum of UnderstandingSharing of information (PHIPA, Freedom of Information and Protection ActAgreement between CCAC and WRPS

Elder Abuse Response Team ProtocolSupports operating principles and key values (safety, confidentiality, dignity and respect, autonomy, access to information and least restrictive interventions)

Page 6: Elder Abuse Response Team - Canadian Bar Association

Victim directed InterventionCapable

follow direction of older adultoptions and referrals to supportsinvolvement of other family/services

Incapableevidence of Power of AttorneySubstitute Decision Makeradvocate on behalf of older adultPublic Guardian and Trustee

Page 7: Elder Abuse Response Team - Canadian Bar Association

Elder Abuse - Definition

“Elder abuse is the mistreatment of an elderly

person by someone that they should be able to

rely on: a spouse, a child, another family

member, a friend, or a paid caregiver.”Senate Committee Report on Aging, 2009 – Canada’s Aging Population:

Seizing the Opportunity

Page 8: Elder Abuse Response Team - Canadian Bar Association

Types of abuse – EART statsFinancial (fraud, forgery, theft by POA)

53Neglect (unsafe or inadequate care, wandering)

34Psychological (harassment, threat, control of decisions)

24Physical (assault, improper use of restraints)

22Self Neglect (hoarding, unkempt, wandering)

6

Page 9: Elder Abuse Response Team - Canadian Bar Association

EART - Call source

EART is direct referralmandate to raise awarenessabuse recognized by family and professionalsvictims need support to seek help 0

5

10

15

20

25

30

35

call source

family

police

otheragencyCCAC

LTC/RH

doctor

victim

Page 10: Elder Abuse Response Team - Canadian Bar Association

EART - Who abuses?

Adult child SpouseDependent on the older personHistory of mental illnessAlcohol and substance abuseShared living situation 0

5

10

15

20

25

30

35

Relationship

Son

daughter

care -providerspouse

friend

Page 11: Elder Abuse Response Team - Canadian Bar Association

Red flags

isolationdelay in seeking medical attention/services functional/cognitive impaired person without adequate care or supervisionlack food, clothing and other necessitiessuddenly unable to meet financial obligationsunusual withdrawals from their bankwho is speaking for this client???

Page 12: Elder Abuse Response Team - Canadian Bar Association

Criminal Code

Sect 331 Theft by Power of Attorney

Sect 215 Duty of Persons to Provide Necessaries

Sect 334 Theft over and under

Sect 380 Fraud

Sect 342 Possession of credit card/dataMartins Canadian Criminal Code, 2009

Page 13: Elder Abuse Response Team - Canadian Bar Association

Joint Investigation

determine offence (facts in issue)background (investigative and intelligence)mobile obtainment of statements (audio/video)interview of caregivers, physicians, community servicesobtain statements (witnesses)obtain relevant documents (POA, Dr., health care professional assessments)

Page 14: Elder Abuse Response Team - Canadian Bar Association

Theft by POA

POA – document authorizing person to act on one’s behalf for financial decisions in effect at time of signing if no restrictionsconflicting POAs (bank, family)Judicial authorizations – Production OrdersInterview

Page 15: Elder Abuse Response Team - Canadian Bar Association

Duty of Persons to Provide Necessaries sect 215Legal Duty

satisfied by POA/SDM, health care provider, guardianUnder Charge

victim inability to care for self and transferred to care providerOffence

knowledge of care needs and responsibilityfailure to perform duties endangers life or causes or likely to cause the health of that person to be injured permanently

R. V Petersen 2005 Ontario Court of Appeal

Page 16: Elder Abuse Response Team - Canadian Bar Association

Outcomes

victim/POA directedcharges release PTA-OIC term/bail “not to act as a POA for personal care &/or property as defined by SDA/HCCA”crown liaison screenRestorative Justice diversion

Page 17: Elder Abuse Response Team - Canadian Bar Association

Restorative Justice – Why is this an option?

abuse is a violation of people and relationshipsrelationship is important to the victimvictim and the abuser supported equallyholistic approach to repair the relationshiphealing, prevention oriented

Page 18: Elder Abuse Response Team - Canadian Bar Association

Prevention

know your clientlearn to recognize abuselink with community resources; police, social, health servicescontinue education and sharing of best practices with colleaguesdocuments (working knowledge of legislation)

Page 19: Elder Abuse Response Team - Canadian Bar Association

Drafting Documents

estate planning/POA – care and propertylimit circulation of document activation clause – conditions and restrictionscollaboration with medical/health professionalsvalidity of the document supported by identifying practice information (i.e., name; date of execution; witnesses)

Page 20: Elder Abuse Response Team - Canadian Bar Association
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Elder Abuse Response Team

Waterloo Regional Police Service