Cultural and Ethical Considerations of Mistreatment in Older Adults (2 HR) Syllabus
I. Understanding Elder Abuse and Culture
- Define elder abuse and key types of mistreatment
- Define culture and its relevance to elder care and perceptions of abuse
- Identify reasons older adults may not report abuse
II. Key Statistics and Contextual Risk Factors
- Review prevalence and underreporting statistics of elder abuse
- Examine contextual factors such as dependency, shame, and lack of awareness
- Recognize emotional and psychological consequences for victims
III. Categories and Types of Abuse
- Physical, emotional, sexual abuse
- Neglect, abandonment, self-neglect
- Financial exploitation and institutional abuse
IV. Screening and Assessment Tools
- Introduce tools such as EASI, VASS, and EAI
- Identify red flags in behavior and appearance of older adults
- Assess elder mistreatment using observation and direct questions
V. Understanding Offender Types and Caregiver Burden
- Define types of offenders: overwhelmed, narcissistic, bullying, impaired, sadistic
- Explore the Overburdened Caregiver Model
- Differentiate between objective and subjective caregiver burden
VI. Ethical Issues in Elder Mistreatment
- Autonomy, informed consent, capacity, and confidentiality
- Cultural and personal values impacting clinical judgment
- Self-assessment of ageist attitudes and ethical biases
VII. Cultural Considerations and Help-Seeking Behavior
- Explore the role of language, accessibility, and stigma
- Understand differing definitions and perceptions of abuse across cultures
- Recognize mistrust of formal systems and legal authorities
VIII. Case Vignettes and Cultural Examples
- Analyze case examples involving culturally influenced elder mistreatment
- Explore scenarios such as intergenerational living stress, cultural hierarchies, and neglect
- Highlight how family norms and values shape elder care dynamics
IX. Culturally Sensitive Assessment and Practice
- Use behavioral rather than judgmental language in assessment
- Incorporate collectivist vs. individualist family frameworks
- Apply tools such as the Cultural Formulation Interview (CFI) and Culturagram
X. Ethical Practice and Promoting Self-Determination
- Encourage elder involvement in decision-making
- Balance independence, physical safety, and cultural values
- Respect the least restrictive alternatives and the elder’s voice in intervention planning
XI. Reporting and Professional Responsibilities
- Guidelines for referring to Adult Protective Services (APS)
- Address practitioner reluctance to report and safety concerns
- Recognize clinician responsibilities despite reporting challenges
XII. Resources and Continued Learning
- National Center on Elder Abuse (NCEA) and relevant organizations
- Screening tools, case study materials, and culturally informed resources
- Video links and client handouts for educational use