Big Cities and Elder Abuse Concerns
Nationwide, and specifically in cities like New York City, and nursing and adult care abuse remains common. Often it's in the form of emotional mistreatment, physical harm, or financial scams. But civil advocates called elder abuse attorneys fight for aging people. In particular, they can file elder absue cases in civil court (learn more). There are also City Attorneys and Prosecutors who prosecute the worst abuses. But the need far outweighs the public resources available to fight it.
What are Some Facts About the Abuse?
After Hurricane Sandy, it only took a short time, before Jeanne Zieff, a Staten Island, the social worker began seeing the fallout. Before Thanksgiving, Zieff counseled an 88-year old woman, who had recently received an $8,000 FEMA check for storm damage.
Sadly, her live in adult daughter and adult grandchildren made her give them the FEMA check. In another example, Zieff says that an elderly grandmother loaned her granddaughter a room in her house. Important here is that the young woman's basement apartment had flooded. So she needed a favor. But she refused to leave the home and caused a lot of mischief.
What is the New York Elder Abuse Program?
Five non-profit agencies run city-funded elder abuse programs. Zieff is the elder abuse program coordinator for the Community Agency for Senior Citizens. Zieff said she discussed the situation with the 88-year-old woman and explained she has the right to say “no.” She did a lot of role-playing with the woman so she would remain strong in asserting herself.
And she told the abused woman, if anyone asks her for any more money, to call her first. The Staten Island social worker then visited the elderly woman's home, where she said the interlopers were not happy to see her. Also, she told the woman’s daughter that the FEMA check was made out to her mother, not her. And she also told the younger woman that her mother use the money however she wants.
Over Working The Civil Servant
But according to Zeiff, whether there is stormy weather or not, her and several coworkers work on at least 30 cases of elder abuse every month. She said that their program is the only program on Staten Island that is dedicated to assisting abused senior citizens. The social workers run into cases of physical neglect, financial exploitation, sexual abuse, domestic violence, along with verbal and emotional mistreatment.
Even with the groups and agencies uniting to raise awareness of the increasing elder abuse problem and developing strategies to battle it, they are at risk. The funding for these programs was recently subject to cuts, even though they were once assumed to be included in the city budget. They are now faced with yearly campaigns to renew their contracts.
One agency director said this means operating for months at a time, without the help of city money. We have all heard the stories of attorneys being forced to hire their court reporters, and the shortened work weeks of the public employees of Los Angeles County, and the State of California. It is no different in the State of NY either, says nursing abuse lawyer, Michael P. Ehline, Esq.
Under Funding of Senior Centers
The director of public policy for the Council of Senior Centers and Services, Bobbie Sackman, said that the programs now receive a total of $800,000 a year in discretionary City Council funding, for approximately 300 senior centers in five boroughs. They are severely under-resourced when looking at the size of the area that must be covered and the intensity of the cases, Sackman said.
The Under-Reported Crisis
Social workers are operating with small staffs and modest funding while facing rising caseloads. The social workers are conducting intensive casework. And in some instances, it means listening for hours in counseling sessions. Also, they are making daily home visits, accompanying clients to court hearings, to the bank and staying in touch with other agencies.
One of the agencies includes the Adult Protective Services or NYPD. They also hold outreach sessions for senior centers, first responders, police precincts, religious organizations, hospitals, bank tellers and others to provide education in the signs of elder abuse and how to get help or make referrals.
Elderly Abuse a Public Epidemic?
The professionally trained workforce remains eyes and ears for the city’s elder abuse problem. So they can work with the emotional and practical side skillfully. Plus, they can help provide support and other needed help.
The director of elder abuse and police relations unit at the Carter Burden Center for the Aging on Manhattan’s Upper East Side, Ken Onaitis, said one coworker and he covers half of Manhattan. He said they manage between 40 and 50 ongoing cases. Plus he said they take on approximately 15 new cases every month. Those who work with senior citizens claim that Elder abuse is a hidden public health crisis. They say there is no class or ethnic group that is immune to this type of abuse.
Zieff says that this is one of the most under-reported crimes. He asserted that approximately ninety percent of the time it is the senior’s children who commit the crime. She said when it is your child committing the crime; it involves many issues. She said the first is denial and then the older adult does not want to tell their child is stealing from them. There is the feeling of embarrassment, and the urge to protect them.
In New York state in 2010, there was a study conducted on the prevalence of elder abuse carried out in part by the city’s Department for the Aging. They determined that for every elder abuse case known to the elder abuse service system, there are as many as 24 cases that go unreported.
In New York City, approximately nine percent of the residents are age 60 or older, which equals about 120,000 seniors, who experience some form of elder abuse, within a year. The study found that older seniors suffered a higher rate of elder abuse at approximately 14%.
Likely To Increase
The number of abuse incidents is likely to rise, with the aging population living longer and the baby boomers joining the ranks of seniors. In the city, there are almost a million New Yorkers, which is approximately 12% of the population, who are 65 or older, with nearly 900,000 that will join that age bracket, within the next decade, from the 2010 census data.
Seniors - Children as Perpetrators?
According to experts the most common form of mistreatment is financial exploitation. And theft like this has only increased with lack of civility, a less mighty dollar, and greed. Philanthropist Brooke Astor was in the headlines in 2009. This happened when her son was convicted of financial elder abuse. It was alleged that her some stole her $200 million fortune. So in that case, there was theft. But he also failed to provide her with adequate medical or general care.
Elder abuse workers claim they often see seniors whose children are taking their monthly social security checks or are making extra money while using the parent’s ATM card. Evelyn Laureano, executive director of the Neighborhood Self-Help by Older Persons Project (SHOPP), in the Bronx, a city-funded elder abuse program, said seniors that often come forward to seek help.
But many are not doing it not because of the abuse, but rather due to a symptom of it. For example, let's take a utility shut off notice or an impending eviction. Caseworkers are trained to look for certain markers. For example, why can't a senior receiving $1,200 a month pay their $500 monthly rental payment?
The elder program employees see a range of elder abuse cases and say it is as complicated as “any family and as diverse as New York, itself.” They stated that “typical” examples could vary by the borough, as well. Historically, people have been attracted to Manhattan, from all over the country, Onatis says.
And many have settled independently as adults. Many were single all their lives, with few friends or family outside of the area. These seniors will often find a roommate to help cut expenses. And when the situation turns bad, the roommate will not leave, he said.
Beware the “New Best Friend”
Another situation is the “new best friend,” which is a person who will initially offer care, but then either absconds with money or becomes abusive. This remains a common dynamic with gullible seniors.
An example is where the senior believes the abuser is the only thing keeping them from going to a nursing home or is dependent on the abuser for some care, according to case managers.
Educating Victims to Refuse to go along with Mistreatment
Laureano said that often the alleged abusers are the adult children of the senior, who have a dependent relationship on their elderly parents. Scenarios include things like a recently divorced son, or a relative with a substance abuse problem. Few elder, single income mom's, dad's or close family members will refuse shelter for an unemployed, homeless relative in need.
Other examples of mental illness exist. For example, an adult child that completes a short-term stay in a psychiatric hospital. But they are later discharged to their mother's care. However, the mother is 89 years old. Laureano said that in such cases, fragile seniors often seek protection from the child’s violent temper.
The Various Examples are Sad
Domestic violence is another issue, which involves a partner, and takes all forms. One example is Bronx resident Carolyn Vonwhervin, who had been married to her husband for 41 years. As she described it, his behavior changed, for the worse two years ago.
Her husband for all these years was “very kind,” she said. But as he aged, he began shouting accusations, and using profanity. The tirades worsened. Vonwhervin said it would come out of the blue and she had no idea why. One day her husband became frustrated. So in that case, he punched her in her stomach after he could not find something he was looking for.
Carolyn Vonwhervin said she felt like a lost person, and that nothing like this had ever happened to her before. Vonwhervin found SHOPP’s elder abuse Violence Intervention and Prevention program. He does so through referrals where the social worker and program director Nereida Muñiz, assisted her in developing a safety plan.
The plan was a borrowed strategy from domestic violence programs. And this also included having an idea of where to go if her husband became violent and called 911. Muñiz accompanied Vonwhervin to family court to obtain an order of protection and discussed finding safe housing.
And later, Vonwhervin’s husband received a diagnosis of Alzheimer’s disease, prostate cancer, and dementia. Once medicated, his demeanor calmed down. So she was able to return home to care for him. But she needed the help of a home health aide, until his death.
Eslyn Rawlings, age 71, is another person that Muñiz recently began working with, who called 911. Rawlings said she had a bad day with her husband and is now receiving help for verbal and emotional abuse that she says went on for over 30 years.
Her husband has not commented on the violence. And this was the first time Rawlings has mentioned her marriage problems. But she was delighted to get help. She said that the “Lord” provided someone to listen to her. Now she no longer feels alone.
Elder Isolation and Why it Hurts So Bad?
According to Zieff, the words of these women, the abuse is very isolating. Social workers in these programs use supportive counseling and listen, but place a priority on physical safety; they say they work from what they refer to as “strengths perspective.”
Onaitis said clients are asked to talk about the good things in their lives. Also, they are interrogated as to any problems they have experienced. How would they handle the situation now, as opposed to how they handled these cases in the past is the test.
They work on self-esteem building, not just calling the police removing the abuser. So then they can come right back in the door, he said. A large part of what these agencies provide is practical assistance.
Social worker Muñiz stated in the Bronx; she has been able to have senior’s bank accounts restored by the bank when they have reviewed the ATM camera footage. Often they have seen it was not the account holder, who is an old customer making the withdrawals.
Public and Private Helpers?
There is a citywide push to combat and the prevention of elder abuse. Several non-profit and government organizations in 2009, formed the New York City Elder Abuse Center. This is a network that responds and works in partnership in complex elder abuse cases, with expertise.
The Manhattan District Attorney’s office, in 2010 restructured its elder abuse unit, which now says it prosecutes approximately 700 elder abuse cases every year. The district attorney’s offices in both Brooklyn and the Bronx also have elder abuse task forces.
The City Council members for the first time were able to choose elder abuse as a topic to make educational pamphlets that they distribute to constituents. The information in the brochures provided an informative tone on what elder abuse is, where they could call for help and included the five city-funded agencies in the brochure.
Council Member Jessica Lappin said they want people to realize that elder abuse is more common than they think. She needs for them to have the strength to report it when it happens to them or someone they may know. Lappin has chaired the Council’s Aging Committee, since 2010.
Agency and Community Commitment
According to Sackman, the formation of a “community watch,” which observes, identifies and reports potential cases of elder abuse, and more public awareness is essential in battling elder abuse in the city. She, along with others have requested that the City Council make funding elder abuse programs automatic, rather than being subject to annual contracts.
Sackman said, is it fair to question the commitment and the money should be in place already. Lappin said that there is no real opposition to the base-lining of funding. Also, she would like to see the Council restore the base-lined status funding.
She said that everyone realizes the importance of these programs. But conflicting priorities remain. For example, we need to balance budgets. Basically, fiscal reality remains. She said, since 2009, the city’s Department for the Aging has seen significant budget cuts. And the cuts fell on senior citizen centers, and other programs like Meals on Wheels.
Lappin admitted that it took the hurricane to highlight the importance of these services. And he said that Meals on Wheels volunteers carried food up many flights of stairs to seniors. These are those who were not generally on their routes. But last year, baseline funding was restored to senior centers.
But she believes it is too early to determine what will happen with this year’s budget. She said especially with the hurricane, which will have a significant impact on the overall budget.
Zieff continues her work, currently and stated that they were hard-hit by Hurricane Sandy. She says they believe they are going to see more exploitation of the elderly and people will be moving in with each other; she said she shudders to think what will occur with that happening.
Los Angeles has a history of taxing and spending with a lot of waste and corruption. We have seen businesses leaving our state in droves. Social service expenses have even forced a reduction in public court services. So filing fees have risen, and court reporters are no longer automatically provided to record official proceedings. One can see there are many parallels to what is happening in New York.