Long-Term Care and Beyond: Responding to Elder Abuse by ProQuest


More Info
									© 2009 Springer Publishing Company

Long-Term Care and                                                                     The Hebrew Home is
                                                                                   distinguished not only by its
Beyond: Responding                                                                 personal attention to care for
to Elder Abuse                                                                     each individual resident but
                                                                                    also for its special ancillary
Charlotte Dell, LMSW                                                              programs that enhance residen-
Rebecca Fialk, RN, JD                                                                tial and community life.
Ann Marie Levine, MS, RN, CS, MBA
Daniel Reingold, MSW, JD
Joy Solomon, JD                                                                being an effective training source, this new team had the capability,
                                                                               through the pre-existing comprehensive long-term care delivery
                                                                               system joined with legal expertise, to provide direct intervention
                                                                               in cases of abuse and neglect. Moreover, previous achievements in

         he Hebrew Home at Riverdale has a long history of meeting
                                                                               building strong collaborative relationships with other specialized
         the needs of the elderly, dating to its establishment in 1917
                                                                               nonprofit agencies and governmental colleagues had established a
         in the Harlem area of Manhattan as a shelter for homeless
                                                                               strong foundation on which to build a comprehensive elder abuse
and neglected Jewish elderly. Today the Hebrew Home sits on a
                                                                               program. In turn, the Hebrew Home embarked upon a mission
19-acre expanse overlooking the Hudson River in New York City
                                                                               to develop a multidisciplinary intervention for elder abuse that
and includes an 870-bed facility that provides a full continuum of
                                                                               included creating a “virtual” shelter within a long-term geriatric
residential health care, adult day and night care, home care, and
                                                                               care facility, that is, The Harry & Jeanette Weinberg Center for
housing options on a nonprofit, nonsectarian basis. Together with
                                                                               Elder Abuse Prevention, and Intervention Research (the Weinberg
its Elder Serve community services division, the Hebrew Home
cares for more than 3,000 older men and women throughout Man-
hattan, the Bronx, and Westchester County.
    The Hebrew Home is distinguished not only by its personal atten-
                                                                                        WEINBERG SHELTER: RESPONDING
tion to care for each individual resident but also for its special ancillary
                                                                                               TO ELDER ABUSE
programs that enhance residential and community life. The Hebrew
Home houses a 4,500-piece art collection accessible to residents and           Victims of elder abuse reside throughout our communities. Every
the public at large. It is a full-time high school for 68 students and         year an estimated 2.1 million older Americans are victims of physi-
two full-time Board of Education teachers, as well as the home to the          cal, psychological, or other forms of abuse and neglect.1 By 2011 it
nation’s first comprehensive shelter for victims of elder abuse.                is projected that 1 in 5 Americans will be 65 years of age or older.2
    As early as 1996, the Hebrew Home recognized the need to                   The segment of our population over 85 is the fastest-growing seg-
focus multidisciplinary professional and governmental attention on             ment of the population, increasing from 4 million in 2000 to an
elder abuse and assembled a panel of professionals to discuss this             estimated 19 million by 2050.3 As a result of this demographic shift
rapidly growing public health problem. In the following years the              in the country’s aging population, experts anticipate that reports of
Hebrew Home partnered with the Westchester County and Bronx                    elder abuse will escalate.
District Attorneys’ offices to collaborate on educational seminars                  Reported cases are only the tip of the iceberg. For every reported
to help law enforcement identify and respond effectively to elder              case, an estimated five more go unreported.4 Family members are
abuse. Thereafter, the Hebrew Home developed other collaborative               more often abusers than are any other group.5 The 2004 survey of
partnerships and continued to participate in trainings on all aspects          state adult protective service agencies found when abuse reports were
of elder abuse, including financial abuse.                                      substantiated that the most common relationship of perpetrator to
    In 2004, through an initial partnership with the Pace Women’s              victim was adu
To top