SUBJECT:

PURPOSE:

The physical and emotional abuse, financial exploitation and neglect of seniors is unacceptable. In New York State, an estimated 30,000 seniors are victims of some sort of abuse or exploitation. This number however is commonly understood to be low due to factors that make elder abuse and exploitation a hidden and underreported crime. Substance abuse, financial stress, emotional stress, lack of social and other community supports, inadequate training for caregivers, increased medical and emotional needs of the elder person and a family history of violence all increase the risks of senior victimization. Statewide demographic changes, a higher reliance on home and community based care and an increase in longevity leading to more medically complex and frail elders may also increase the incidence abuse and exploitation of seniors. New York State as a whole is not prepared to safeguard seniors from harm or to address the multifaceted needs that arise from the elderly victimization.

The Oneida County Elder Abuse Coalition reports that one out of fourteen persons over the age of 60 may experience some sort of abuse. Neglect is by far the most common form of abuse with financial exploitation occurring almost as often. Family members are the source of elder abuse in approximately half of the cases reported. This abuse is often not reported by the victim due to guilt and shame and the perceived belief that the victim is dependent upon the perpetrator who will institutionalize the elder if abuse is reported. Many times the victim experiences a high rate of social and physical isolation limiting their ability to communicate with anyone other than their caregivers. Presently, many communities are not aware of the signs of abuse, neglect and financial exploitation; furthermore, little information is available to community members who identify abuse as to what actions would be helpful to the senior victim.

While Protective Services for Adults, commonly known as Adult Protective Services, (APS), responds to reports of suspected physical abuse, emotional abuse, neglect, self-neglect and financial exploitation, not all seniors are eligible for these services. Likewise, APS does not always have appropriate resources to investigate and potentially intervene in all of the potential cases and the growing complexity of the cases. In New York City, between 2002 and 2006, the number of cases accepted by APS increased by 5,647 - almost doubling the number of cases. Despite this increase no additional staff was hired during this time period leaving many seniors unprotected. This service is clearly not equipped to respond to the current and future needs of seniors at risk of victimization unless modifications and/or additions in training and resources are made across the state.

The purpose of this hearing is to gather information about the growing incidence of elder abuse and the efficacy of the state's response to that abuse. The Committee is interested in gaining a comprehensive and multifaceted portrayal of the community needs regarding the prevention, investigation, intervention and resolution of elderly abuse, neglect and financial exploitation by friends, family and formal and informal caregivers.

Please see the reverse side for a list of subjects to which witnesses may direct their testimony.

Persons wishing to present pertinent testimony to the Committee at the above hearing should complete and return the enclosed reply form as soon as possible. It is important that the reply form be fully completed and returned so that persons may be notified in the event of emergency postponement or cancellation.

Oral testimony will be limited to 5 minutes' duration. In preparing the order of witnesses, the Committee will attempt to accommodate individual requests to speak at particular times in view of special circumstances. These requests should be made on the attached reply form or communicated to Committee staff as early as possible. In the absence of a request, witnesses will be scheduled in the order in which reply forms are postmarked.

Ten copies of any prepared testimony should be submitted at the hearing registration desk. The Committee would appreciate advance receipt of prepared statements.

In order to further publicize these hearings, please inform interested parties and organizations of the Committee's interest in hearing testimony from all sources.

In order to meet the needs of those who may have a disability, the Assembly, in accordance with its policy of non-discrimination on the basis of disability, as well as the 1990 Americans with Disabilities Act (ADA), has made its facilities and services available to all individuals with disabilities. For individuals with disabilities, accommodations will be provided, upon reasonable request, to afford such individuals access and admission to Assembly facilities and activities.

SELECTED ISSUES TO WHICH WITNESSES MAY DIRECT THEIR TESTIMONY:

1. What risks factors increase the potential for abuse, neglect and financial exploitation by friends, family and formal and informal caregivers? What can be done to decrease these risk factors? How will the changes in demographics and increased number of seniors aging in their own homes affect these risk factors?

2. What community based prevention models have proven to be effective to prevent and respond to elder abuse, neglect and financial exploitation by friends, family and formal and informal caregivers?

3. How can communities and the public gain information to identify and appropriately respond to suspected abuse, neglect and financial exploitation by friends, family and formal and informal caregivers?

4. What existing community resources can be used to respond to abuse, neglect and financial exploitation by friends, family and formal and informal caregivers? What resources may need to be developed to respond to abuse, neglect and financial exploitation by friends, family and formal and informal caregivers?

5. What statewide policy recommendations can be initiated to ensure that seniors are protected from abuse, neglect and financial exploitation by family, friends and formal and informal caregivers?

6. What role should health professionals play in the identification and response to abuse, neglect and financial exploitation by friends, family and formal and informal caregivers? Are health professionals adequately trained to play this role?

7. What role should law enforcement officials play in the identification and response to abuse, neglect and financial exploitation by friends, family and formal and informal caregivers? Are law enforcement officials adequately trained to play this role?

8. What role should the staff of financial institutions play in the identification and response to financial exploitation? Are these professionals adequately trained to play this role?

9. Are there adequate legal resources available to seniors who may have been abused, neglected, and/or financially exploited by friends, family and formal and informal caregivers? How could the court system be modified to be more responsive and sensitive to the needs of seniors?

10. How can we enhance existing legal and non-legal structures such as: power of attorney, guardianship, crime victims board, neighborhood watch groups, etc to prevent and respond to abuse, neglect and financial exploitation by friends, family and formal and informal caregivers?

11. How can existing resources in the long term care system be used to prevent abuse, neglect and financial exploitation, to protect seniors and to assist victims? Can structures be put in place to provide outreach, training, screening, shelters or respite?

12. What community collaborations are taking place in local areas that could be replicated in other areas?

13. What projects are currently underway to enhance the understanding of the prevalence of abuse, neglect and financial exploitation by friends, family and formal and informal caregivers and to bridge gaps in services to seniors?

14. Are professional reporting requirements needed regarding the abuse, neglect and financial exploitation of seniors by friends, family and formal and informal caregivers? Who should be responsible for reporting such abuse? What entity should be responsible for screening, accepting and responding to the report? What should be reported? What is the appropriate response to each type of abuse? Should sanctions be imposed for lack of reporting?

15. Is New York State adequately funding the Adult Protective Services Program? What statutory changes are needed to ensure that APS can fulfill their requirements? Are APS staff adequately trained?

PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on January 18th are requested to complete this reply form by Tuesday, January 15th and mail it to:

Persons wishing to present testimony at the public hearing on February 7th are requested to complete this reply form by Tuesday, February 5th and mail it to:

Jennifer Best
Legislative Analyst
Assembly Committee on Aging
Room 522 - Capitol
Albany, New York 12248
Email: Bestj@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693

I will address my remarks to the following subjects:

I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required: