Madrid Action Plan on Ageing

1
Madrid Action Plan on Ageing

• Older persons and development
• Advancing health and well-being into old age
• Ensuring enabling and supportive environments

2002
2
Madrid - 3 Priority Directions

• Older persons and development
• 8 Issues, 14 Objectives, 107 Actions
• Advancing health and well-being into old age
• 6 Issues, 13 Objectives, 81 Actions
• Ensuring enabling and supportive environments
• 4 Issues, 9 Objectives, 51 Actions

3
Ensuring enabling and supportive environments

• Neglect, abuse and violence
• Eliminate all forms of neglect, abuse and
  violence at older persons
• Creation of support services to address elder
  abuse

4
Primary Care

• Practical, scientifically sound and socially
  acceptable
• Train primary healthcare worker in gerontology
  and geriatrics

Article 70
Article 75
5
Specialist Needs

• Health care designed to need the specialist needs
  of older people must be made available, taking
  into account the introduction of geriatric
  medicine and gerontology into relevant university
  curricula and healthcare systems

Article 59
6
Economic vulnerability
Heterogeneity
Wisdom
Domestic violence
Ageism
Gerontolism
Child abuse
Disability
Changing care patterns
7
Research, research, research.
Less than 50 empirical studies in the
peer-reviewed literature NAS, 2002
8
Philosophy

• Care context
• Good practice
• Training
• Appropriate staffing

9
A single or repeated act or lack of appropriate
action occurring within any relationship where
there is an expectation of trust which causes
harm or distress to an older person or violates
their human and civil rights.
10
Types

• Psychological
• Financial
• Physical
• Neglect
• Sexual abuse

11
UK Prevalence Study

• Neglect 1.1
• Financial 0.7
• Psychological 0.4
• Physical 0.4
• Sexual 0.2
• 6 of those abused within previous year report 2
  types of mistreatment
• Underestimate - no nursing homes, none with
  significant dementia

12
Changes with age
13
Association

• Women
• Financial increases with age for men
• Advanced age, more men than women
• Poor health
• Rented Accomodation
• Loneliness

14
Perpetrator

• 51 partner/spouse
• 65 living in house
• Interpersonal
• 80 men
• Financial
• 56 men, overall younger

15
Inquiries/referrals
16
Alleged perpetrators
17
Main Abuse Allegations
18
Abuse in institutions

• Institutional abuse
• poor care standards, lack of a positive response
  to complex needs, rigid routines, inadequate
  staffing and an insufficient knowledge base
  within the service
• Individual abuse
• In particular, restraints

19
Future

• More joint working between domestic violence and
  elder abuse constituencies
• Skills and options complementary