About 1 in 6 older Australians experiences elder abuse. Here are the reasons they don’t get help

Each year, many older Australians experience abuse, neglect or financial exploitation, usually at the hands of their adult children or other close relatives.

A recent national prevalence study revealed one in six older Australians living at home experiences elder abuse. This may encompass various forms of abuse, such as emotional, financial, social, physical and sexual abuse, or neglect.

Despite elder abuse being such a common problem, older people often don’t get the help they need. With the right responses, we can make it easier for those working with older people, and the wider community, to support them.



Our new research reveals the key reasons older people experiencing harm do not receive the support they so desperately need.

Our study included a survey of nearly 700 service providers throughout Western Australia. Respondents worked in diverse fields including healthcare, law, aged care, financial services and law enforcement. We found four key obstacles to people getting help with elder abuse.

1. Older people are too scared to report abuse.

Older people are often afraid to report abuse because they fear repercussions both for themselves and for the perpetrator, usually an adult child or other close relative.

These concerns can mean an older person endures abuse for a long time. They may only seek help when the situation escalates to an extreme level or when someone else notices the ongoing mistreatment.

Equally important, they may fear other negative outcomes of reporting abuse. They may fear having to leave their home and enter residential care. They may fear increased isolation and loneliness, or that the abuse will get worse.

All these fears combined create a formidable barrier to older people promptly reporting abuse and getting the help they need.





2. Older people don’t know where to turn for help

Elder abuse cases are often complex, involving long family histories and complicated relationships. Older people trying to improve their situation may need support from multiple service providers. The challenge of accessing the right services and acting on their advice can be daunting.

Addressing complicated matters may require intensive support and advocacy for an extended time. In the words of one experienced advocate,

People don’t need to know the next ten steps. They need to know one step, maybe two, and then see where they are at.
Helping older people feel empowered to seek help requires simple, accessible channels of assistance, promoted through multiple formats and outreach efforts.

3. Government-funded responses to family violence are more focused on intimate partner violence and child protection, leaving elder abuse out of the picture

Most programs targeting family violence prioritise intimate partner violence and child protection, inadvertently sidelining elder abuse. Services such as shelters and perpetrator programs are not always compatible with the distinct characteristics of elder abuse.

Additionally, the gendered nature of family violence responses fails to address the diverse demographics of elder abuse, which includes older men. As a result, older people, regardless of gender, may struggle to access supports suited to their needs.

A refuge manager explained:

When a bed becomes available we have this awful job of deciding who’s more high-risk and who gets the bed. If an older person needs the bed, as opposed to a single mum with a newborn, unfortunately we would go with the mum. That really presents a barrier where there isn’t refuge accommodation specifically for older people.

There is a pressing need for a shift in focus to better recognise elder abuse as a significant issue and tailor responses to meet the specific needs of older people. This includes creating safe and accessible refuge options and providing specialised support services to address the multifaceted nature of elder abuse.



4. There’s low public awareness about what elder abuse looks like or how to respond

Awareness of elder abuse remains surprisingly low, hindering effective responses. Changing this requires clear public information campaigns and community-wide conversations about abuse. This includes greater awareness of the challenge for well-meaning adult children who might limit the choices of their older relatives, thinking they know best. This can result in unintended social isolation or even neglect.

A society that speaks openly about elder abuse, without stigma, is better equipped to support victims and intervene. By building public knowledge and promoting a culture where such issues can be freely discussed, we lay the groundwork for reducing its incidence.

We are living longer lives than ever before, meaning we can expect to spend more years in older age than previous generations. This is good news, but also means we need to do more work to support people to age well. Positive steps we can all take include tackling ageism when we see it and normalising conversations about abuse so older people can feel confident to seek help when it’s needed.

This article was first published on The Conversation, and was written by, Eileen O'Brien, Professor of Law, Discipline of Law, Justice and Society, University of South Australia, Catriona Stevens, Forrest Prospect Fellow in Sociology and Anthropology, Edith Cowan University, Loretta Virginia Baldassar, Vice Chancellor Professorial Research Fellow, School of Arts and Humanities, Edith Cowan University

 
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Each year, many older Australians experience abuse, neglect or financial exploitation, usually at the hands of their adult children or other close relatives.

A recent national prevalence study revealed one in six older Australians living at home experiences elder abuse. This may encompass various forms of abuse, such as emotional, financial, social, physical and sexual abuse, or neglect.

Despite elder abuse being such a common problem, older people often don’t get the help they need. With the right responses, we can make it easier for those working with older people, and the wider community, to support them.



Our new research reveals the key reasons older people experiencing harm do not receive the support they so desperately need.

Our study included a survey of nearly 700 service providers throughout Western Australia. Respondents worked in diverse fields including healthcare, law, aged care, financial services and law enforcement. We found four key obstacles to people getting help with elder abuse.

1. Older people are too scared to report abuse.

Older people are often afraid to report abuse because they fear repercussions both for themselves and for the perpetrator, usually an adult child or other close relative.

These concerns can mean an older person endures abuse for a long time. They may only seek help when the situation escalates to an extreme level or when someone else notices the ongoing mistreatment.

Equally important, they may fear other negative outcomes of reporting abuse. They may fear having to leave their home and enter residential care. They may fear increased isolation and loneliness, or that the abuse will get worse.

All these fears combined create a formidable barrier to older people promptly reporting abuse and getting the help they need.





2. Older people don’t know where to turn for help

Elder abuse cases are often complex, involving long family histories and complicated relationships. Older people trying to improve their situation may need support from multiple service providers. The challenge of accessing the right services and acting on their advice can be daunting.

Addressing complicated matters may require intensive support and advocacy for an extended time. In the words of one experienced advocate,


Helping older people feel empowered to seek help requires simple, accessible channels of assistance, promoted through multiple formats and outreach efforts.

3. Government-funded responses to family violence are more focused on intimate partner violence and child protection, leaving elder abuse out of the picture

Most programs targeting family violence prioritise intimate partner violence and child protection, inadvertently sidelining elder abuse. Services such as shelters and perpetrator programs are not always compatible with the distinct characteristics of elder abuse.

Additionally, the gendered nature of family violence responses fails to address the diverse demographics of elder abuse, which includes older men. As a result, older people, regardless of gender, may struggle to access supports suited to their needs.

A refuge manager explained:



There is a pressing need for a shift in focus to better recognise elder abuse as a significant issue and tailor responses to meet the specific needs of older people. This includes creating safe and accessible refuge options and providing specialised support services to address the multifaceted nature of elder abuse.



4. There’s low public awareness about what elder abuse looks like or how to respond

Awareness of elder abuse remains surprisingly low, hindering effective responses. Changing this requires clear public information campaigns and community-wide conversations about abuse. This includes greater awareness of the challenge for well-meaning adult children who might limit the choices of their older relatives, thinking they know best. This can result in unintended social isolation or even neglect.

A society that speaks openly about elder abuse, without stigma, is better equipped to support victims and intervene. By building public knowledge and promoting a culture where such issues can be freely discussed, we lay the groundwork for reducing its incidence.

We are living longer lives than ever before, meaning we can expect to spend more years in older age than previous generations. This is good news, but also means we need to do more work to support people to age well. Positive steps we can all take include tackling ageism when we see it and normalising conversations about abuse so older people can feel confident to seek help when it’s needed.

This article was first published on The Conversation, and was written by, Eileen O'Brien, Professor of Law, Discipline of Law, Justice and Society, University of South Australia, Catriona Stevens, Forrest Prospect Fellow in Sociology and Anthropology, Edith Cowan University, Loretta Virginia Baldassar, Vice Chancellor Professorial Research Fellow, School of Arts and Humanities, Edith Cowan University


If the Older Person is getting Home Care, and the Carer suspects abuse to their Client, then they can report it back to Head Office. But then that also depends on the Provider. The Provider I worked for, educated us in Elder Abuse in Staff Meetings,(it was also covered in the course for both Cert 3 and 4) and Self Help on line information. As unfortunately there are so many Providers out there that have just popped up, don`t have trained Staff and talking to one person who worked in Age Care, in the Community, had never attended a Staff Meeting, as she didn`t think they had them. Didn`t know any other Person on the `Team`. The Provider I worked for started off in the area that I was living, about 20 years ago. We started with 4 AIN`s, and 1 who later studied to get her Certificate. We all got to know each other, and supported each other. I retired from the Company, but in the 3 years since there is now 12 AIN`s working in the area. Which covers a good 130 klm area.
 
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I know when my mum was in her last few months with us, dementia had her believing all sorts of scary stuff. Her in home carer was my sister who paid all the bills, did the grocery shopping and kept mum warm and cosy.
We lived next door. Mum used to toddle over for what she called her little outing every day. When she came here, occasionally she would talk about having no money all the time. She did think that my sis was diddling the funds, so to speak. I felt it my duty to mum to check into it because we both had the ability to deal with mum's financials and I did her tax for her as well. There was nothing untoward, but if it had been anyone but my sister, who is straight and honest as can be, it could well have happened. It does pay for more than one person to be involved with the responsibility for the well being of the aged or ill person.
The kind folk to cared for mum and now those that come in the help me with my hubby are very tuned in to their clients and how they behave.
I think it pays to communicate with the provider to make sure everything is going OK.
 
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If the Older Person is getting Home Care, and the Carer suspects abuse to their Client, then they can report it back to Head Office. But then that also depends on the Provider. The Provider I worked for, educated us in Elder Abuse in Staff Meetings,(it was also covered in the course for both Cert 3 and 4) and Self Help on line information. As unfortunately there are so many Providers out there that have just popped up, don`t have trained Staff and talking to one person who worked in Age Care, in the Community, had never attended a Staff Meeting, as she didn`t think they had them. Didn`t know any other Person on the `Team`. The Provider I worked for started off in the area that I was living, about 20 years ago. We started with 4 AIN`s, and 1 who later studied to get her Certificate. We all got to know each other, and supported each other. I retired from the Company, but in the 3 years since there is now 12 AIN`s working in the area. Which covers a good 130 klm area.
I know a case of an elderly lady being financially, emotionally and psychologically abused by her partner who is also supposed to be her carer. Nice as pie towards her in the company of other people, but absolute moron nasty man towards her behind closed doors and has been for the last few years as she has got more frail. A couple of us are helping her getting the right resources in for her to safely get out of this situation and trust me, in the rural area I live ( and I'm a retired nurse who worked as Community health Nurse), it is not easy and resources simply not available..
 

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