mediation with older adults judy mccann-beranger m.a., ccfe, cert.cfm, cert.em university of south...
TRANSCRIPT
Mediation with Older Adults
Judy McCann-BerangerM.A., CCFE, Cert.CFM, Cert.EM
University of South Australia
April 29, 2013
©Judy McCann-Beranger
Session Overview• What is elder mediation?• Principles & philosophy • When and with whom is it likely to be useful• Special knowledge and skills
©Judy McCann-Beranger
Historical Context
From infancy. . .
©Judy McCann-Beranger
What Is Elder Mediation ?
Prevention Intervention Follow-up
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Elder Mediation Defined
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Use of Language
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The Stories
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Underlying Principles• Reduces caregiver burden • Promotes dignity and respect• Mediation can often prevent
and/or reduce conflict• Increased involvement of family
members and others• Family learns new way of
communicating • Focus on family strengths• Changing the face of health care.• Older adults need to be heard • Requires knowledge of aging
©Judy McCann-Beranger
Benefits of Elder Mediation• Larger numbers involved and interested• promotes communication & cooperation• promotes self-determination• typically less costly than litigation• respectful and inclusive• more likely to offer more
supports & follow through• recognizes and promotes
capacity.
©Judy McCann-Beranger
Ageism
Attitudes that stereotype older adults
Reflects power relationships within groups
Inherent in our society
©Judy McCann-Beranger
• Everyone has strengths, gifts, and contributions to offer.
• Every person has hopes, dreams and desires.
• Each person, and those who love the person, are the primary authorities on his or her life.
• Every person has the ability to express preferences and to make choices.
• A person’s choices and preferences shall always be considered.
Person Centered
©Judy McCann-Beranger
• Natural supports can help improve the person’s quality of life by:– Maximizing independence– Creating community connections– Working toward achieving the person’s
dreams & goals
• Person-centered care is:– Listening– Trying things– Seeing how they work– Changing things as needed
Person Centered (2)
©Judy McCann-Beranger
When & with whom?
• Setting the stage• The participants• Respect & dignity• Emotional alliance
©Judy McCann-Beranger
Anticipatory Planning
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Mary & John
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Mediation & Older Adults• Housing• Safety• Environment• Managing care• Care for the
caregiver• Intergenerational
conflict• New relationships• Loss of
dignity/voice
• Holiday schedules
• Abuse & neglect• Religious issues• Family business• Financial issues• End of life
decisions• Estate planning• Guardianship• Others…
©Judy McCann-Beranger
Specialized Training• Dynamics of normal aging & life
cycle • Intergenerational relationships• Balance of power• Elder abuse• Ethical issues• Community support
services• Living arrangements• Guardianship - capacity
©Judy McCann-Beranger
Specialized Training• Ageism• Culture & aging• Dementia, progressive diseases
and chronic illness• Documenting the agreement• Family and elder law• Financial & Estate• Grief Issues• Others…
©Judy McCann-Beranger
Pat Mutch “A Courageous Story”
“It is tragic that so many of us go for so long without hearing about this
wonderful service of mediation. Why is that?”
©Judy McCann-Beranger
Staying Current!• New research• New medications/treatment• Limitations of screening tests• Information dissemination
to clients• Timely referrals
©Judy McCann-Beranger
“Hold On”
Sons of Maxwellwww.sonsofmaxwell.com
Among the Living , 2000