RESPECT OUR ELDERS
If you know someone who is being neglected, exploited or abused, report it to Adult Protective Services at 1-800-564-1612
For information about services or referrals, call the Senior HelpLine at 1-800-642-5119
The Special Needs of Elder Abuse Victims
By Trudy Gregorie

It is unlikely that many people in America envision that their senior years will include abuse, neglect, exploitation, or other types of victimization. However, with estimates that more than 2.5 million older people are victims of some form of reported or non-reported maltreatment each year, with 90% committed by a perpetrator known to the elderly victim, this seems to increasingly be the case.1 Their economic situations often make them easy prey for those determined to be predators for personal and economic gain. Abusers seek those who appear to be less capable of defending themselves and their property.

National Resources

Adminstration on Aging, U.S. Department of Health & Human Services.
(202) 619-7501
http://www.aoa.gov

American Bar Association Commission on Law and Aging
(202) 662-8690
http://www.abanet.org/elderly

National Center on Elder Abuse
(202) 898-2578
http://www.elderabusecenter.org

National Committee for the Prevention of Elder Abuse
(202) 789-0470
http://www.preventelderabuse.org

If seniors' position in society is closely examined, it becomes clear that they are easy targets for abuse and misuse. The National Center on Elder Abuse estimates the incidence of specific types of elder maltreatment (based on reports from 39 states) as follows: physical abuse, 15.7%; sexual abuse, 0.04%; emotional abuse, 7.3%; neglect, 58.5%; financial exploitation, 12.3%; all other types, 5.1%; and unknown, 0.06%.2

There are certain crimes for which the elderly are specifically targeted. An extensive undercover Federal Bureau of Investigation operation found that older consumers were specifically targeted by fraudulent telemarketers. The study showed that people who have already been victimized are at the greatest risk of being victimized again. Offenders reuse and sell victim information, targeting the same victims repeatedly until their assets are gone. Seniors are also targeted for get-rich schemes, home improvement and mortgage scams, investment fraud, and exploitation by fiduciaries and family members.

In many communities, victim advocates and justice professionals have forged important alliances with adult protective services, legal services, mental health professionals, federal/state/local agencies that address elder issues, and the private sector to develop a wide range of adult protection, legal responses, victim assistance, and crime prevention resources for elderly populations. In addition, public awareness initiatives have become a vital component of such collaborative efforts to educate communities about what, far too often, remains a hidden crime.

The Impact of Victimization on the Elderly

The elderly are more at risk than other age groups to suffer serious consequences of victimization. The effect of physical or sexual assault can result in more serious injuries to older people whose bones break and tissues tear more easily. The ability to recuperate or recover from injuries also diminishes with age. Financial crimes, whether perpetrated by strangers or family members, can be devastating to the elderly; unlike younger people who can work, invest, or save to make up for financial losses, the elderly are less likely to make up for their losses. If they have lost pensions or retirement savings that they had intended to use to supplement Social Security, the crime may pose a serious threat to their financial security.

The emotional impact of crime on elderly victims can also be extremely serious. The psychological trauma may be particularly profound for older victims since the ability to recover from trauma is influenced by pre-victimization coping patterns and support networks. For many elders, their sources or networks of support have diminished as they aged. The stresses associated with the criminal act itself or with court appearances can be exacerbated for elders with high blood pressure or other age related conditions. Elderly victims of financial crimes may also feel guilty or ashamed, particularly if the offender was a family member or someone else they trusted. They may lose confidence in their own judgment or become severely depressed, hopeless, or suicidal.

The fear of being victimized or re-victimized is more profound among the elderly than members of other age groups. Persons who are physically disabled or frail are likely to be extremely fearful about their personal safety. These fears prevent many older people from engaging in normal routine activities, often resulting in isolation and increased dependency.

Special Needs of Elderly Victims

Elderly victims have many of the same needs as their non-elderly counterparts. In addition, many older victims have special needs and face a variety of additional obstacles to accessing existing services as a result of common conditions related to aging or disability. These include:

Dependency on Caregivers.
Many older people have either the onset or advancing vision, memory, speech, hearing, or mobility impairments. Individuals with these age-related conditions often must rely on family members or paid caregivers to assist them with their daily activities. This dependency makes seniors particularly vulnerable and places unscrupulous helpers in a unique position to abuse, neglect, or exploit the older person by giving them access to the older person's property or assets. Caregivers often wield profound influence over those for whom they care. They may isolate the older person to increase their dependency. Emotional and physical dependency on abusive care-givers discourages many victims from taking action against their offenders.

Problems with Access to Services or Courts.
The same factors that contribute to older persons' vulnerability also impede their access to the criminal justice system. Frail, disabled, or impaired victims may not be able to get to court to testify.

Need for Supportive Services.
Services that older victims depend on may be disrupted as a result of the crime. If the offender provided care to the elder, the elder will be left without needed care if the suspect is arrested or ordered to stay away. Victims of financial abuse may be left without funds to pay for needed services. Moreover, personal care needs restrict some older victims from using traditional existing services like shelters.

Fear of Losing Independence.
Many older victims fear that disclosing their victimization will also expose the fact that they have deficits, which will have negative consequences. Many older people have an intense fear of having others take over control of their assets or personal affairs, or of being placed in nursing homes.

Lack of Information About Victim Services.
Few victim assistance programs target older victims for outreach. As a result, many older people are unfamiliar with services or programs that are available to them. Those who are disabled or homebound are particularly unlikely to learn about available services or resources.

Distrust of the Criminal Justice System.
Many older victims do not believe that the benefits of participating in the criminal justice system are equal to the costs. Many older victims fear that they will not be believed if they report crimes. In the case of financial abuse, pervasive beliefs that losses will never be recovered discourage many older victims from coming forward.

Fear of Retaliation.
The fear of retaliation or retribution may be particularly acute for older persons who are frail, dependent, or disabled. These individuals are less able to defend themselves, escape, or access protective services.

Supportive Services for Elderly Victims

Crisis intervention for elder abuse victims can include counseling about available options, emotional support, assistance in making arrangements, and the provision of information and referrals to supportive services in the community. Crisis intervention may be provided by special geriatric crisis teams, social workers, family violence programs, victim service professionals, or law enforcement personnel. Because it is usually easier for people in crisis to rely on old coping behaviors rather than to learn new ones, crisis intervention in elder abuse cases often involves encouraging victims to build on their strengths and past experiences to cope with the abuse situation(s). This may be accomplished by asking them to describe past crises and how they handled them. If the action or coping behavior worked in the past, it may be applied to the current situation.

Working with elderly clients in crisis often involves being more directive than in other situations. When an older person is overwhelmed by a situation, it may be helpful to break down what seems to be overwhelming obstacles into manageable parts. Addressing the simple, non-emotional, factual aspects of a situation first, and then proceeding into more sensitive areas of concern is often effective.

Support groups provide an encouraging environment for victims of elder abuse and other crimes to share their experiences in a safe and confidential environment. A number of communities have established such support groups through elder services programs. Elderly victims meet regularly with a trained facilitator to discuss and address their concerns, fears, and safety issues, and to work collaboratively toward solutions that promote safety, security, and a sense of hope.

In preventing and responding to elder abuse, collaboration is key to success, combining the skills and resources of law enforcement and justice professionals, state-level elder advocacy and adult protection agencies, legal services, victim service providers, and community-based and non-profit organizations.

Trudy Gregorie is a Director with Justice Solutions, a national non-profit in Washington, D.C. She has 24 years of experience in the victim services and criminal justice fields. She serves on the Board of the National Association of Triads (National Sheriffs' Association) and as an elected member of the Board of the National Center for the Prevention of Elder Abuse. She also serves on the faculty of the Elderly Services Officer Academy in Louisiana, Illinois, and Florida.

1 National Center on Elder Abuse, American Public Human Services Association. September 1998. The National Elder Abuse Incidence Study 1996: Final Report. Washington, DC: U.S. Department of Health and Human Services, Administration for Children and Families and the Administration on Aging.
2 Ibid.

This project was supported by Grant No. 98-VF-GX-K003 awarded by the Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice. Points of view in this document are those of the author and do not necessarily represent the official position or policies of the U.S. Department of Justice.