The Many Faces of - Together Making Change · 2018-04-17 · • the diversity of issues &...
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Transcript of The Many Faces of - Together Making Change · 2018-04-17 · • the diversity of issues &...
The Many Faces of
Elder AbuseEngineering responses according to “agency”
By Karen Williams
Overview of Session
• ALRC Final Report • Brought to surface the variety of dimensions of elder abuse (EA)
• Case Studies highlighted:• the diversity of issues & “agency”• key factors for agency
• Leads to consideration of various pathways to respond effectively
• Enable focus on who is responsible for recommended implementation – no one response/agency fits all.
• This session aims to consolidate these factors in relation to EA involving:• Enduring Documents or Representative Agreements• Guardianship or Representative Appointments• Aged Care• Financial Abuse & Family Violence• Family Agreements
Diversity of ‘Agency’
Key factors for ‘Agency’
You/Me
Decision-Making Capacity
Control over your
Environment
Supportive
Network
Independent Doctor
Communication Skills
Challenges Ted faces
Ted
Decision-Making Capacity
Reliant on in-home carers
Homophobic carers
Control over your
Environment
Long term
partner decease
d
Communication Skills
Independent Doctor
Supportive Network
Legal Aid ACT p 15
Helpful resources for Ted
TedSkills
Doctor relationsh
ip with
Challenges Ben faces
Ben
Decision Making Capacity
Transferred title to
son/ EPOA in
exchange for care
Flawed Family
Agreement
Control over your
Environment
Deteriorating
relationships
Supportive Network
Communication Skills
Independent Doctor
Legal Aid ACT p 29
Helpful resources for Ben
Ben
Skills
Doctor relationsh
ip with
Challenges Beth faces
Beth
Unsupportive Professional
Guardian
Decision Making Capacity
Private Administr
ator Lives in Aged Care
Control over your
Environment
Guardian denying access to Lawyer
Supportive Network
Communication Skills
Independent Doctor
Law Council of Australia p 9&10
Helpful resources for Beth
BethSkills
Doctor relationsh
ip with
Challenges Margaret faces
Margaret
Severe effects from
years of Dialysis
Decision Making Capacity
Husband / Carer
Decades of DV and
now Financial
AbuseControl over your
Environment
Unable to access commun
ity without husband
Supportive NetworkUnable to
attend Doctor alone
Aboriginal
woman with low literacy
English Second Langua
geCommunica
tion Skills
Independent Doctor
Top End Women’s Legal Service p2
Helpful Resources for Margaret
Margaret
Skills
Doctor relationship
with
Challenges George faces
George
Decision-Making Capacity
Medication
affected
EPOA enacted Lost
control over
home
Deteriorating
relationships
Supportive Network
Son / EPOA white-anting
capacity / medicatio
n
Medication
affected
Communication Skills
Independent Doctor
Control over your Environment
SRV p 38
Helpful resources for George
GeorgeSkills
Doctor relationsh
ip with
Challenges Stephen faces
Stephen
Decision-Making Capacity
Advanced
Dementia
Reliant on carers for ADL
and mobility
Lives in Aged Care
Control over your
Environment
No family
or friends
NetworkACF GP controls
all healthc
are
No Communica
tion Advanced Dementia
Communication
Doctor relationship
with balance
Alzheimer’s Australia p18-23
Helpful resources for Stephen
Stephen
Skills
Doctor relationsh
ip with
EXTREMELY LIMITED AGENCY - No capacity, no ability to communicate, no supportive network, no advocate or supportive decision maker. Reliant upon assertive problem noticers scanning environment
Stephen Silent (Unfortunately, never anybody’s client)
Conclusion
