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Elder Abuse and Its Prevention: Workshop Summary (2014)

Chapter: Appendix A: Workshop Agenda

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Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×

Appendix A


Workshop Agenda

ELDER ABUSE AND ITS PREVENTION: A WORKSHOP
APRIL 17-18, 2013
AGENDA

Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder abuse every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults ages 65 and older continues to grow, the implications of elder abuse for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem.

This workshop will illuminate the burden of elder abuse around the world and the evidence base for its detection and prevention. Occurrences and co-occurrences of different types of abuse—including physical, sexual, and emotional violence; neglect; and financial exploitation—will be addressed. Promising innovative approaches to intervention and prevention will be explored, as well as opportunities for scalability and cross-sectoral collaboration.

Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×

DAY 1: WEDNESDAY, APRIL 17, 2013

8:00 AM Continental breakfast will be served
   
8:15 AM Welcome
  JACQUELYN CAMPBELL, Johns Hopkins School of Nursing, Planning Committee Co-Chair
  XINQI DONG, Rush Institute for Healthy Aging, Planning Committee Co-Chair
   
8:30 AM Opening Remarks
  JUDITH SALERNO, Institute of Medicine
   
8:45 AM Keynote
  KATHY GREENLEE, Administration for Community Living/Administration on Aging
  CAROLE JOHNSON, White House Domestic Policy Council
   
9:15 AM Panel I: Overview of Elder Abuse Globally

This panel will address the global perspectives of elder abuse and the growing international recognition of its impacts on individuals, families, communities, and societies. Panelists will illuminate different types of maltreatment and their common co-occurrences, including abuse, neglect, and financial exploitation.

 

Moderator: ALEXANDRE KALACHE, International Longevity Centre–Brazil, Planning Committee

•   GILL LIVINGSTON, University College of London

•   RONALD ACIERNO, Medical University of South Carolina

•   ELSIE YAN, University of Hong Kong

   
10:00 AM Q&A
   
10:30 AM BREAK
   
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
10:45 AM Conceptual Framework

This session will aim to describe the diverse conceptual frameworks proposed to examine the issues of elder abuse. Based on the literature and work of the National Academy of Sciences (NAS), Pamela Teaster will summarize key conceptual frameworks with relevance to elder abuse: ecological framework, cycle of violence framework, NAS sociocultural context framework, and lifecourse framework.

 

PAMELA TEASTER, University of Kentucky

   
11:05 AM Q&A
   
11:15 AM Panel II: Risk and Protective Factors and Adverse Health Outcomes

The objectives of this session are to describe the status of evidence regarding (1) factors influencing the likelihood of elder abuse (risk factors, protective factors, correlates/comorbid conditions, etc., for victimization and perpetration, according to elder abuse type, setting, and ecological level); (2) adverse outcomes stemming from experiences that are abusive, neglectful, or exploitative; and (3) scope and factors associated with elder abuse in assisted living and long-term care settings.

 

Moderator: JEFFREY HALL, Centers for Disease Control and Prevention, Planning Committee

•   ROBERT WALLACE, University of Iowa College of Public Health

•   XINQI DONG, Rush Institute for Healthy Aging, Planning Committee Co-Chair

•   MARK LACHS, Weill Cornell Medical College

   
12:00 PM Q&A
   
12:15 PM LUNCH
   
1:15 PM Keynote
  MARIE BERNARD, National Institute on Aging
   
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
1:45 PM Panel III: Neglect and Self-Neglect

The goals of the session are to (1) review what we know about caregiver neglect and self-neglect as a subset of elder abuse; (2) examine how caregiver neglect is distinctly different from self-neglect; (3) explore what research is crucial for future progress; and (4) determine possible ways to prepare the workforce to detect, treat, and prevent caregiver neglect and self-neglect.

 

Moderator and Discussant: JAMES O’BRIEN, University of Louisville

•   TERRY FULMER, Northeastern University, Planning Committee

•   CARMEL DYER, The University of Texas Health Sciences Center at Houston

•   KATHLEEN QUINN, National Adult Protective Services Association

   
2:30 PM Q&A
   
2:45 PM BREAK
   
3:00 PM Panel IV: Ethical Considerations in Research and Practice

What are the challenges and ethical issues in measuring and conducting research on elder abuse and implementing interventions? Panelists will discuss issues of informed consent and human subject protection, certificate of confidentiality, decisional capacity issues, lack of reporting, stigma and discrimination, and how to approach victims who refuse needed services. Consideration will be given to challenges within the United States and globally.

 

Moderator: BRIGID MCCAW, Kaiser Permanente

•   SIDNEY STAHL, National Institute on Aging (retired)

•   SUSAN LYNCH, Department of Justice

•   JASON KARLAWISH, University of Pennsylvania

   
4:00 PM Q&A
   
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
4:15 PM Wrap-Up and Discussion of Day 1
  Moderator: XINQI DONG, Rush Institute for Healthy Aging, Planning Committee Co-Chair
  • AGNES TIWARI, University of Hong Kong
  • GILL LIVINGSTON, University College of London
  • ELIZABETH PODNIEKS, Ryerson University
   
5:15 PM ADJOURN DAY 1

DAY 2: THURSDAY, APRIL 18, 2013

8:00 AM Continental breakfast will be served
   
8:15 AM Welcome and Recap of Day 1
   
8:30 AM Keynote
  GREG SHAW, International Federation on Ageing
   
8:50 AM Panel V: Cultural Diversity and Role of Community

The goals of this session are to (1) understand the scope of elder abuse in diverse communities; (2) explore in depth the sociocultural context (measurement, detection, treatment, and help seeking) for elder abuse in diverse communities; (3) examine the role of grassroots community organization in prevention of elder abuse; and (4) explore the role of Community Based Participatory Research (CBPR) methodology in advancing the field of elder abuse and its prevention.

 

Moderator: XINQI DONG, Rush Institute for Healthy Aging, Planning Committee Co-Chair

•   CHARLES MOUTON, Meharry Medical College

•   LORI JERVIS, University of Oklahoma

•   E-SHIEN CHANG, Rush Institute for Healthy Aging

•   JAVIER VASQUEZ, Pan American Health Organization

   
9:50 AM Q&A
   
10:10 AM BREAK
   
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
10:25 AM Panel VI: Screening and Detection

This panel will discuss the measurement development, screening, and prevention of elder abuse across varied settings and providers. This panel will open up with a discussion about elder maltreatment measurement work with the Centers for Medicare & Medicaid Services. Other panel discussions will explore what screening and prevention are and how to improve these processes, led by researchers in the field of elder abuse.

 

TARA MCMULLEN, Centers for Medicare & Medicaid Services, Planning Committee
KIMBERLY SCHWARTZ, Centers for Medicare & Medicaid Services
Respondents:

•   MARK YAFFE, McGill University

•   SCOTT BEACH, University of Pittsburgh

   
11:05 AM Q&A
   
11:20 AM Panel VII: Interventions

Panelists will present intervention models and strategies that target different forms of elder abuse and their evidence of effectiveness and success. A moderated panel discussion will focus on opportunities for cross-sector collaboration, and adaptation and scalability of promising approaches.

 

Moderator: JACQUELYN CAMPBELL, Johns Hopkins School of Nursing, Planning Committee Co-Chair

•   DANIEL REINGOLD, The Hebrew Home at Riverdale

•   RONALD LONG, Wells Fargo Advisors

•   LORI STIEGEL, American Bar Association

   
12:15 PM Q&A
   
12:30 PM LUNCH (Pick up lunch and head to breakout groups)
   
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
12:45 PM BREAKOUT SESSIONS

The purpose of the breakout sessions is to explore primary, secondary, and tertiary prevention strategies in different settings, as well as challenges and barriers to implementing such strategies. Specific focus will be given to opportunities for cross-sector collaboration and issues of potential scalability and transferability.

 

•   Health Care System Breakout Leaders:

MARK YAFFE, McGill University

ELSIE YAN, University of Hong Kong

   
 

•   Legal System Breakout Leaders:

CHARLES SABATINO, American Bar Association

ALEXANDRE KALACHE, International Longevity Centre–Brazil, Planning Committee

   
 

•   Community-Based Breakout Leaders:

JOY SOLOMON, The Hebrew Home at Riverdale

JEFFREY HALL, Centers for Disease Control and Prevention, Planning Committee

   
 

•   Financial Sector Breakout Leaders:

PAUL SMOCER, Financial Services Round Table/BITS

EDWIN WALKER, Administration on Aging, Planning Committee

   
2:00 PM BREAK
   
2:15 PM Reports from the Breakout Groups
  Moderator: KATRINA BAUM, National Institute of Justice
   
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
2:45 PM Panel VIII: Health Policy and Promoting Awareness

Often compared to the campaigns against domestic violence and child abuse, relative to incidence data and estimates, efforts to combat elder abuse are far behind the curve when it comes to development and implementation of efficient and effective responses. In the United States, passage of the Elder Justice Act as part of the Patient Protection and Affordable Care Act was a first step in solidifying federal activities dedicated to the eradication of elder abuse. This panel will address opportunities, both in the United States and globally, for policy makers and a wide range of stakeholders to identify the variety of ways that elder abuse cuts across sectors and how to promote awareness and prevention.

  Moderator: EDWIN WALKER, Administration on Aging, Planning Committee
 

•   SUSAN SOMERS, International Network for the Prevention of Elder Abuse

•   MARIE-THERESE CONNOLLY, Woodrow Wilson International Center for Scholars

•   ROBERT BLANCATO, Elder Justice Coalition

   
3:30 PM Q&A
   
3:45 PM Way Forward
  KATHY GREENLEE, Administration for Community Living/Administration on Aging
  TERRY FULMER, Northeastern University, Planning Committee
  GREG SHAW, International Federation on Ageing
   
4:30 PM ADJOURN DAY 2
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
Page 125
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
Page 126
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
Page 127
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
Page 128
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
Page 129
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
Page 130
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
Page 131
Suggested Citation:"Appendix A: Workshop Agenda." Institute of Medicine and National Research Council. 2014. Elder Abuse and Its Prevention: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18518.
×
Page 132
Next: Appendix B: Speaker Biographical Sketches »
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Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings.

Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community.

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