Abuse Info


Elder abuse is relatively well-documented. The Internet provides a large amount of information on the subject, and there are many brochures that help raise awareness within the population. In fact, a number of these documents have been put online and can be found in the section Tools – Links – Resources. Nonetheless, the more information that is shared, the more this reality will be unmasked and be transformed for the better. The following is a summary portrait of the situation in Quebec.




Abuse: a definition


Mistreatment, abuse, violence, negligence… There are many words to describe the different levels of abuse, and just as many definitions. While the definitions provided on our home page set the tone, it is the definition of elder abuse provided by the World Health Organization (WHO) that is often used by stakeholders and referred to in documents on the subject.


« 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. »


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Revealing statistics and facts


In Quebec, the numbers speak for themselves :


Between 10% to 15% of seniors have been victims of abuse. This amounts to close to 150 000 people. Of these, 80% were never reported or detected1


  • 20% of women compared to 13% of men are victims of abuse by one of their children 2
  • 75% of abused seniors know their abuser, and for a third of these it is a family member 3
  • 70% of older victims are assaulted in a private setting 4
  • 60% of abuses reported by the elderly are financial 5
  • 80% of frauds committed by telephone target people aged 60 and up 6
  • Close to half of elderly people who commit suicide are older than 65 years of age 7


1Source: Réseau québécois pour contrer les abus envers les aînés 2006

2Source: Statistics Canada 2001

3Source : Portrait de la violence et de la criminalité envers les personnes âgées au Québec 2003

4Source : Statistiques Canada 2001

5Source : Réseau québécois pour contrer les abus envers les aînés 2006

6Source : Réseau québécois pour contrer les abus envers les aînés 2006

7Source : Statistiques Canada 2001



Different types, different indicators


Abuse takes many forms and is often very subtle :


Physical abuse


This refers to the use of physical force causing bodily harm or injuries caused intentionally. The abuse can be physical or sexual, in the form of violent behaviour, or the withholding of basic elements to physical well-being.


Examples


  • Slapping
  • Hitting
  • Inappropriate or unjustified medical interventions
  • Shaking
  • Burning
  • Pushing

Psychological abuse


This refers to attacks against a person’s value as an individual. The abuse is found in attitudes and behaviours.


Examples


  • Rejection
  • Devaluation of elderly person’s ideas, values, or feelings
  • Creation of a feeling of uselessness
  • Inappropriate behaviour affecting the person’s identity, dignity, and confidence
  • Mimicking or treating like a child
  • Creating a feeling of terror or extreme fear in an elderly person
  • Intimidation, threats
  • Isolating the person, limiting their vital space and social circle

Financial abuse


This refers to the misuse of an older person’s financial and material resources.


Examples


  • Theft of money, pension cheques, or other property
    [The elderly person is asked to withdraw money from the bank to pay their debts, but the debts aren’t paid.]]
  • Sale of a house or other goods without permission
    [The older person’s car is sold on the opinion that it’s no longer needed.]]
  • Fraudulent use of a power of attorney
    [Money is withdrawn from an elderly person’s bank account to buy personal goods: television, trip, furniture, etc.]]
  • Not paying back money that is loaned
    [“I already paid you back; you just don’t remember…you must have Alzheimer’s!”]]
  • Excessive compensation for goods or services rendered
    [“I decided to take some money to pay for my license renewal. With everything I do for you, it’s just normal!”]]
  • Sharing an elderly person’s home without assuming a fair share of the expenses
    [“I don’t need to pay to live here because I take care of you!”]]
  • Making the elderly person sign blank cheques for personal gain
    [“I’ve got errands to run and I don’t know how much it will cost. Sign me a blank cheque and I’ll fill in the amount at the store.” Part of the money is then kept for personal use.]]
  • Refusing to provide the elderly person with his/her financial information
    [“You don’t need to worry about managing your accounts. I’m taking care of everything; just trust me!”]]

Verbal abuse


This refers to anything that affects another person through words and the like.


Examples


  • Blackmail
  • Hurtful words
  • Degrading comments
  • Insults
  • Treating like a child
  • Inappropriately raising one’s voice

Neglect


Neglect consists of the intentional or unintentional failure to provide for the needs of an older adult by a caregiver, whether volunteer or otherwise.


Examples


  • Soiled, missing, or inappropriate clothing for the season
  • General neglected appearance
  • Dangerous environment (cluttered setting, unsafe stairs, malfunctioning heating, fire hazard, poor maintenance)
  • Denial of necessary daily items
  • Poor sanitary living conditions
  • Malnutrition, dehydration, weight loss
  • Questionable personal hygiene
  • Lack of appropriate medical or dental care
  • Inadequate aids (dentures, hearing aids, glasses)
  • Incorrect or missing administration of prescription medication
  • Inadequate supervision
  • Lack of help or friends
  • Lack of transportation means
  • Decrease in physical and mental activity

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General prevention advice


  • Be well organized and keep your personal possessions in order. Let your circle of friends and family know that you are keeping an eye on your things.
  • Keep your money in the bank and not at home.
  • Use direct deposit – have all of your income deposited directly into your bank account.
  • Have a notary draw up a power of attorney in case you become incapacitated. This will ensure that your papers are in order and safe.
  • Get into the habit of asserting yourself in a positive way and express your rights.
  • When lending money, use cheques instead of cash so the money can be traced. Write out a reimbursement schedule.
  • Make all decisions that concern you.
  • Don’t make hasty decisions or be influenced or pressured by someone even if they seem nice. In case of doubt, take the time to consult with a competent individual that you trust. Don’t hesitate to ask for help.
  • Carefully read and make sure you understand any document before you sign it.
  • Trust your instincts. Listen for any internal alarm bells. That little voice of yours is rarely wrong.

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Steps to take for a preliminary intervention


  • Offer to listen to the person so he or she can understand the abusive situation.
  • Help the person consider the possible solutions.
  • Provide information on available resources.
  • Help define the steps the person is willing to take.
  • Refer the person to the different resources required.

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« Am I at risk? » evaluation chart


Are there certain situations in your daily life that lead you to believe you are a victim of abuse? Use the “Am I at risk?” evaluation chart to help you see clearly.


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