Elder abuse - information for workers and professionals
Workers and professionals may often be the first to suspect or have concerns about an older person, their carer, relative or friend.
Even workers with few responsibilities to older people are encouraged to develop an awareness of the following:
- South Australian Charter of Rights and Freedoms of Older People (PDF 144KB)
- Elder abuse, signs and indicators (PDF 203KB)
- Elder abuse - risk factors (PDF 167KB)
- Elder abuse prevention
- Where can you report abuse? (PDF 131KB)
- Elder abuse - the responsibilities of workers and professionals
- Elder abuse - good practice for workers
- Elder abuse - working with people from diverse backgrounds
- Elder abuse - good practice guidelines for organisations
This will largely depend on the service role of the organisation in relation to older people. Not all workers will be responsible for responding to suspected, alleged or reported cases of elder abuse. However it is important for workers to be aware of information that can help determine the next steps that should be taken if there are concerns about safety and wellbeing.
- duty of care
- decision making capacity
- freedom of choice
- supporting a person to make decisions (PDF 72KB)
- mental capacity
- impaired decision making capacity, consent and undue influence
- where can you report elder abuse (PDF 131KB).
Workers have a responsibility to uphold the rights of a person and prevent carelessness, neglect or harm to another person, in a professional relationship between people where there exists a responsibility or obligation of care.
More information about Duty of Care (PDF 110KB).
Decision making capacity refers to a person’s ability to make day to day decisions about legal, medical, financial and personal matters.
Read more about:
- Decision making capacity (PDF 131KB)
- Supporting a person’s decision-making capacity (64KB) or
- Assessing impaired decision-making capacity (PDF 87KB).
Older people have the right to self-determination, autonomy and to have their decisions respected and implemented. Older people are presumed to have capacity to make decisions, unless determined otherwise. Their decisions must be respected and upheld. A person is still entitled, even with a diagnosis of mental incapacity, to have their wishes taken into consideration.
Consent is when someone accepts or agrees to something that somebody else proposes. For consent to be valid, the consenting person should:
- have decision making capacity specific to the decision being made
- be able to make decisions based on their wishes and choices
- understand the implications and effects of their actions
- not be coerced into making the decision.
The law requires that a person has decision making capacity (legal capacity) when making certain decisions in their life, in order for them to be considered valid.
Further information about when an assessment about a person’s decision-making capacity may be required read: What is Decision-Making Capacity (PDF 127KB).
Mental capacity assessments are usually conducted by trained health care professionals and some allied health professionals.
If you are unsure whether a person has decision-making capacity, contact the Office of the Public Advocate for confidential advice and support prior to making an application to the South Australian Civil and Administrative Tribunal (if required).
Application forms and tips for professionals who work with vulnerable adults can be accessed from the South Australian Civil and Administrative Tribunal (SACAT) website.
- What is Decision Making Capacity (PDF 331KB)
- SA Health Supported Decision-Making fact sheet (PDF 65KB)
- SA Health Assessing Impaired Decision-Making Factsheet (PDF 87KB)
- The Capacity Toolkit, Information for government and community workers, professionals, families and carers in New South Wales
Freedom of choice relates to decisions about life choices including accommodation, lifestyle, health care, and management of property and finances. It also extends to accepting or refusing help that is offered, and whether or not a person chooses to take action related to concerns of elder abuse.
Undue influence or coercion is when in situations of power imbalances, an individual who is stronger or more powerful manipulates the other individual to do something they would not have done otherwise. This may include isolation, creating dependency, or inducing fear and distrust of others.
Where there is concern of undue influence or coercion, impaired decision-making capacity is suspected, there may be a need for legal intervention such as through an application to the South Australian Civil and Administrative Tribunal (SACAT).
While workers are not responsible for assessing undue influence, decision-making capacity, or evidence of financial abuse, they may have a responsibility to seek advice if there is a need to determine whether the person’s decision-making capacity is impaired if there is suspected:
- coercion to sign a legal document
- transaction, or its consequences, that is not fully understood
- decisions which are not made freely due to deception or undue influence.
Elder abuse simulation manual
The University of Adelaide, supported by Office for Ageing Well and in collaboration with the Aged Rights Advocacy Service (ARAS) and older South Australians, has developed an Elder Abuse Simulation e-Guide to help increase awareness of elder abuse in the community.
A valuable resource for front-line staff, the e-Guide includes information on how to recognise the often subtle signs of elder abuse; how to approach this with sensitivity with someone who is potentially experiencing elder abuse; and how to respond.
- a video portraying an ideal style of interaction with the older person in an elder abuse scenario;
- a video for debriefing that describes how to recognise and respond to a person who may be experiencing elder abuse;
- interactive activities to engage participants; and
- evaluation tools to assess effectiveness of the simulation learning exercise.
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