Strengthening the Structure of Justice for Victims of Abuse in Later Life: Your Brain on Aging

Waukee, IA US
June 6, 2019

Registration

There is no cost to attend. To register, contact Mary Peterson at 515/281-7688 or mary.peterson@ag.iowa.gov.
 

Purpose

A cross-sector approach to understanding cognition, capacity, and undue influence and the impact on victims of abuse in later life and our work on their behalf.

Topics

  • Physical changes in the brain and victim impact
  • Truths and misconceptions about aging and capacity
  • Trauma-informed care practices
  • Strategies for working with reluctant or non-cooperative victims
  • Multidisciplinary-based solutions to financial exploitation
  • Undue influence and its effect on victims
  • Morality v. autonomy—who decides “right” and “wrong

Target Audience

Law enforcement, social workers, advocates, prosecutors, attorneys, physicians, registered nurses, health care professionals, LTC facility staff, care providers, and financial institution staff.

Educational Need

There is a lack of information and strategy for identifying and addressing abuse in later life in all fields, including the healthcare field. Oftentimes, health care professionals are uniquely and perfectly positioned to see, hear, or observe signs of abuse or signs of risk for abuse but do not have the knowledge and ability to effectively address it. Too, we find a great divide between health care professionals and other professionals who are or may be involved in the lives of an older person at risk for or subject to abuse. Additionally, we hear reports from health care professionals (and others) of uncertainty as to the “right” thing to do in these situations given that the patient is an adult who is entitled to make decisions but may for a variety of reasons be experiencing challenges (cognitive, dynamics of abuse, and others) that affect their ability to make decisions. 

We hope to address the uncertainty involved in treating older persons who, by virtue of age alone, are susceptible to abuse; to provide information which allows practitioners to discern between challenges to decision-making abilities based on the dynamics of abuse or cognitive decline issues; to create, encourage, and foster a working relationship between providers and others who can assist an abuse in later life victim; and to introduce potentially new concepts for the treatment of victims or potential victims of abuse in later life that will more effectively address their needs and, hopefully, prevent any or further abuse.

Agenda

8:30 amWelcome and Opening Remarks
8:45 am

Decisional Capacity and the Aging Brain: Truth, Misconceptions, and Somewhere in Between

Harry Morgan, MD, The Center for Geriatric and Family Psychiatrics, Inc. in Glastonbury, CT 
Natalie Denburg, MA, PhD, Neuropsychologist and Associate Professor at the University of Iowa

  • State how physical changes in the brain may affect victim response.
  • Critique myths and misconceptions about aging and capacity so as to allow autonomy and dignity and support of all victims.
10 am Break
10:15 am

Trauma-Informed Care: Understanding and Assisting Victims of Abuse in Later Life 

Brittany Shinn, SART Coordinator and Certified Sexual Abuse Counselor at Crisis Intervention and Advocacy Center
Dan Brickner, Chief of Police for Perry, IA; Homicide and Violent Crime Specialist for Crisis Intervention & Advocacy Center in Adel, IA
Crystal Doig, Caregiver Specialist at Aging Resources 
Natalie Denburg, MA, PhD, Neuropsychologist and Associate Professor at the University of Iowa

This session will discuss the effects of trauma on the brain, and its prevalence and impact in abuse in later life cases, including the latest information on trauma and the brain, wellness, and resilience. Participants will learn about how to incorporate trauma-informed practices into their work, how trauma affects survivors and their ability to tell their story to professionals, and how to help establish resilience among victims of abuse in later life.

11 amBreak
11:15 am

Reluctant and Non-Cooperating Victims: So Now What? 

Chuck Sinnard, JD, County Attorney, Dallas County, IA
Peggy Whorton, Elder Rights Specialist, Aging Resources
Kacey Barrow-Miller, Training Director, Crisis Intervention and Advocacy Center

  • Discuss the challenges in assisting, treating, counseling, and obtaining justice for abuse in later life victims who are reluctant, unwilling, or unable to participate in treatment, legal proceedings, and other events arising as a result of abuse in later life.
  • Learn strategies for working with these victims to accomplish their objectives while supporting and respecting victim rights and autonomy.
12 pm

Lunch

12:30 pm

Ethical Dilemmas at Play: Balancing Safety and Autonomy

Lauris Kaldjian, M.Div., MD, PhD, Director of the Program in Bioethics and Humanities, University of Iowa College of Medicine

  • Empower all victim safety with the right to make their own decision.
  • Discuss the discomfort many experience in all cases as to judging whether a person has capacity and is making a “bad” decision or lacks capacity or is unduly influenced and cannot make a decision.
1:30 pmBreak
1:45 pm

All In: Addressing and Stopping Financial Exploitation with a Multi-Disciplinary Approach

Jodi Selby, Vice President of the Financial Intelligence Division of Bankers Trust
Lauren Templeman, LSW, Dependent Adult Abuse Unit of the Iowa Department of Human Services
Michael Burke, Robbery and Crisis Management Consultant for Shazam
Tina Salisbury, Analyst and Certified Fraud Examiner for the Department of Public Safety, Division of Intelligence and Fusion Center
Sgt. Chris Wing, Investigations Division of the Newton Police Department, IA 

A small group discussion focusing on a multi-disciplinary approach to financial exploitation cases. Financial exploitation is the most commonly detected and reported form of abuse in later life, but rarely, if ever, occurs in isolation. Taking advantage of early detection and reporting is key. In this session we’ll discuss the benefits and challenges of an MDT approach to these cases and how to realistically and effectively leverage all resources available to us.

2:30 pmBreak
2:45 pm

But She Says It is Okay with Her…: Understanding Undue Influence and its Impact on Victims

Harry Morgan, MD, The Center for Geriatric and Family Psychiatrics, Inc. in Glastonbury, CT
Joe Sample, MPH, Director of i4A, Association of Area Agencies on Aging
Chantelle Smith, Assistant Attorney General, Office of the Attorney General of Iowa 

In this small group discussion, we’ll talk about the often heard but not often understood concept of “undue influence.” What is it and how does it work? How do we work with and support victims subject to it? How do we explain it to others when seeking justice on behalf of victims of financial or sexual exploitation? In this session we’ll discuss how to identify when undue influence is at play and methods for addressing and overcoming it in our work.

3:30 pmBreak
3:45 pm

Next Steps and Closing Remarks

Chantelle Smith, Assistant Attorney General Office of the Attorney General of Iowa

4:30 pmAdjourn

Speaker Biographies

Kacey Barrow-Miller is the training director at CIAC. She has her bachelor’s degree in women’s literature and her Master’s degree in Women’s and Gender Studies. Kacey is an Iowa Multidisciplinary Certified Advocate through the Iowa Coalitions against domestic violence and sexual assault. She is a key CCR member and is also quite possibly one of the most resourceful people in Iowa.

Dan Brickner is the former chief of police for Perry and currently works as a homicide and violent crime specialist for Crisis Intervention & Advocacy Center in Adel, which is a mobile advocacy program supporting victims and survivors of sexual assault, domestic abuse, dating violence, stalking and homelessness in ten counties in central to southwest Iowa, including Dallas County all the way down to Ringgold County. CIAC is also the victim services and outreach provider under our ALL Grant. Dan is a strong advocate and regularly provides trainings in the ten-county area served by CIAC.

Michael Burke is a Robbery and Crisis Management Consultant for Shazam. He is a veteran law enforcement professional with experience in criminal justice instruction, homeland security and fraud investigation. For those of you wondering what an ATM machine has to do with elder abuse, it’s interesting to note that Shazam does much more than facilitate electronic transfers of funds. Shazam works with its member financial institutions to strengthen them, which includes strengthening their response to exploitation. Mike conducts a variety of trainings around the state, and is working to assist financial institutions in better responding to exploitation cases.

Natalie Denburg, MA, PhD is a Neuropsychologist and associate professor at the University of Iowa. Her research interests involve the neural basis of decision-making abilities in older adults, consumer, medical and financial decision making, neuroepidemiology, social and affective neuroscience, and cancer survivorship. Dr. Denburg is an active member of our CCR.

Crystal Doig is a caregiver specialist at Aging Resources which involves helping families and caregivers find and access resources for providing care and assistance to a loved one who is older. She works for elder rights and is also a strong advocate for older Iowans and those who are victims of elder abuse.

Lauris Kaldjian, M.Div., MD, PhD is the Director of the Program in Bioethics and Humanities at the University of Iowa Carver College of Medicine, where he is also a professor in the Department of Internal Medicine and holds the Richard M. Caplan Chair in Biomedical Ethics and Medical Humanities. He received his M.D. from the University of Michigan, an M.Div. and Ph.D. in Christian ethics from Yale University, and completed his residency and fellowship training at Yale in internal medicine and infectious diseases. He has been at the University of Iowa since 2000. His research interests have been directed toward end of life decision making, goals of care, disclosure of medical errors, the role of foundational beliefs and values in medical ethics, practical wisdom in healthcare, conscientious practice, and ethics education. Many of his interests are woven together in Practicing Medicine and Ethics: Integrating Wisdom, Conscience, and Goals of Care (Cambridge University Press, 2014). His publications can be found in a variety of journals.

Harry Morgan, MD developed and is the president of The Center for Geriatric and Family Psychiatrics, Inc. in Glastonbury, CT. As a Geriatric Psychiatrist, his teaching interests include education related to Alzheimer’s disease and other dementing illnesses of later life, the diagnosis and treatment of depressive illness as it affects adults in later life, and the study of personality development during aging. He has also works with the National Clearinghouse Against Abuse in Later Life (NCALL) and National Institute on the Prosecution of Elder Abuse, the technical adviser and training partner, respectively, for our ALL Grant. 

Tina Salisbury is an analyst (and is a Certified Fraud Examiner) for the Department of Public Safety, Division of Intelligence and Fusion Center. She is the person who receives and holds information and can get it out to those who need it. The Division of Intelligence provides support to all enforcement Divisions of DPS as well as to all other local, state, and federal law enforcement and homeland security partners in Iowa and also serves as a point of contact in Iowa for law enforcement agencies from other states. She reviews, along with a couple others around the state, the suspicious activity reports (SARs) filed by financial institutions and others reporters and regularly works with banks to stop or address exploitation and other forms of abuse. In addition to being a great person, she is a great person to know.

Joe Sample, MPH is the director of i4A, the association of Iowa’s area agencies on aging. He holds a Master's of Public Administration emphasizing health resource management and a Master's of Arts in bioethics and health policy. He is currently pursuing a doctorate degree in human development and family studies with specific interest in gerontology from Iowa State University.

Jodi Selby is the VP of the Financial Intelligence Division of Bankers Trust and has more than 25 years of banking experience. She also serves as volunteer conservator, assists her neighbors and just about anyone else in need, and is clearly the child of a former law enforcement officer. She has received an award for helping, along with a teller, to intervene in the exploitation of a bank customer. They likely saved his life given that the exploiter had just been released from prison for nearly beating this same victim to death.

Brittany Shinn is, amongst other things, the SART coordinator at CIAC and is a certified sexual abuse counselor. She holds an associate degree in nursing but opted to leave nursing to become an advocate for survivors of domestic violence and sexual assault. Victims are certainly fortunate as she is a very strong advocate and an invaluable member of our CCR.

Chuck Sinnard, JD is the newly elected county attorney for Dallas County, though he has been with the office since 2000. The Dallas County Attorney’s Office has been a strong supporter of our abuse in later life work and Chuck is highly respected in the law enforcement and advocate community.

Chantelle Smith is the Assistant Attorney General in the Office of the Attorney General of Iowa.

Lauren Templeman, LSW is a licensed social worker in the dependent adult abuse unit of the Iowa Department of Human Services. She is a strong advocate and a member of our CCR.

Peggy Whorton is an elder rights specialist at Aging Resources, the state’s area agency on aging which covers eight counties in central Iowa including Dallas, Polk, Jasper, Madison, Warren, Story, Boone, and Marion. She assists individuals with information requests, finding and securing benefits, and finding solutions to elder abuse. She has helped countless victims of elder abuse and is a true force of nature.

Sgt. Chris Wing is in the Investigations Division of the Newton Police Department. Sgt. Wing recently investigated, pursued, and obtained a conviction in a case in which a daughter exploited her mother. We appreciate his good work on behalf of older victims.

Disclosures

Relevant to the content of this educational activity, the following individual(s) do not have any financial relationship(s) with commercial interest companies to disclose.

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Relevant to the content of this educational activity, the following individual(s) have a financial relationship(s) with commercial interest companies to disclose.

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Course summary
Available credit: 
  • 6.00 AOA Category 2­A
  • 6.00 AMA PRA Category 1 Credits
  • 6.00 IBON
  • 6.00 CE Contact Hour(s)
Course opens: 
06/06/2019
Course expires: 
06/06/2019
Event starts: 
06/06/2019 - 8:30am
Event ends: 
06/06/2019 - 4:30pm
Cost:
$0.00
Rating: 
0
Waukee Lutheran Church of Hope
305 NE Dartmoor Drive
Waukee, IA 50263
United States
+1 (515) 264-2000

Continuing Education Credit

  • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 6.0 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
  • MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and the Iowa Healthcare Collaborative. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 6.0 continuing education contact hour(s). No partial credit awarded.
  • Other health professions: This live activity is designated for 6.0 AMA PRA Category 1 Credit(s)TM

EDUCATIONAL GRANTS

This project is supported by Grant No. 2015-EW-AX-K003 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication/program/exhibition are those of the authors and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.

DISCLAIMER

Everyone in a position to control the content of this educational activity will disclose to the CME provider and to attendees all relevant financial relationships with any commercial interest. They will also disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director. Firms providing financial support did not have input in these areas. The information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

Available Credit

  • 6.00 AOA Category 2­A
  • 6.00 AMA PRA Category 1 Credits
  • 6.00 IBON
  • 6.00 CE Contact Hour(s)

Accreditation Period

Course opens: 
06/06/2019
Course expires: 
06/06/2019

Price

Cost:
$0.00
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There is no cost to attend. To register, contact Mary Peterson at 515/281-7688 or mary.peterson@ag.iowa.gov