11.73 The DRIS has a number of elements that operate together to form a necessary component of a safeguarding framework. The Ageing and Disability Abuse Helpline, previously known as the Elder Abuse Helpline and Resource Unit (EAHRU), is part of the NSW Ageing and Disability Commission (ADC). 11.146 There is currently only limited data about reportable assaults. Abuse can be financial, physical, verbal, emotional or sexual. Further details may be requested within five days of the incident. The abuse of older people is often called 'elder abuse'. Michael Barnett and Robert Hayes, Not Seen and Not Heard: Protecting Elder Human Rights in Aged Care (2010) 14 University of Western Sydney Law Review 45, 57. That an incident is unlikely to result in a criminal investigation or prosecution ought not preclude it from being investigated and examined by the agency responsible for providing care to the alleged victim. Effective 1 July 2007, there will be mandatory reporting for all residential care facility staff for only incidents of serious physical assault and criminal sexual assault. PDF Identifying and responding to abuse of older people - Ministry of Health Canterbury Hospital
Prince of Wales Hospital
Medical staff need to focus on questions related to the injury so that appropriate medical intervention is provided. It is estimated unreported cases of abuse, neglect and exploitation in NSW per year is 20,000 cases. Braidwood Multi Purpose Service
NSW Ombudsman, Submission No 122 to Legislative Council General Purpose Standing Committee 2, Parliament of NSW, Inquiry into Elder Abuse in NSW (April 2016). Nyngan Multi-Purpose Service
Limited knowledge of risk factors can be expected to contribute to poor detection. While all six questions should be asked, a response of yes on one or more of questions 2-6 may establish concern. 11.114 The issue also arises in the disability service context. Do not alert or confront the alleged abuse (when and how this is done requires professional decision making between agencies on a case by case basis). Reporting elder abuse is the critical first step in taking action to address it and get victims the help they need. Instead, the Commissioner should have the power to make recommendations, as well as to publicly report on any of its operations, including in respect of particular incidents or providers. Dungog Community Hospital
This is discussed further below. 'Elder Abuse can be defined as 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. 11.134 However, it is foreseeable that circumstances may arise where a service provider, having information about a reportable incident in relation to a particular person, may develop a concern for the welfare and safety of a care recipient and, in order to protect that person, may need to share information that would otherwise be protected from disclosure. Lockhart & District Hospital
11.136 The NSW Ombudsman has been advocating for amendments to DRIS information sharing provisions that would enable the exchange of information between a range of agencies in circumstances where the exchange of personal information forms part of providing a reasonable response to any safety or significant welfare issue relating to, or arising out of, a reportable incident. Tocumwal Hospital
You will be taken to www.google.com.au Leading Age Services NSWACT, Answers to Supplementary Questions on Notice, Legislative Council General Purpose Standing Committee 2, Parliament of NSW, Inquiry into Elder Abuse in NSW (March 2016) 23. Reporting abuse. It requires that a higher threshold is met before an incident becomes notifiable. Tenterfield Community Hospital
11.148 A number of stakeholders, advocated for better data about abuse of older people. Please don't include personal or financial information here, To leave this site quickly, click the 'Quick Exit' button. There are quality standards that providers are required to maintain, but these focus more broadly on quality of care provided, rather than a providers response to a particular incident. [144], 11.120 The Australian Nursing and Midwifery Federation argued for the compulsory reporting requirements to be amended to incorporate approved providers of community-based aged care services. The Cootamundra Hospital
Culcairn Health Service
Guyra Multi Purpose Service
dementia. You can reach the Eldercare Locator by telephone at 1-800-677-1116. Part 3C is modelled on Part 3A of the Ombudsman Act 1974, which has provided for a reportable conduct scheme since 1999. 11.51 The Departments unequivocal position is that investigation of alleged assault is the responsibility of the police who will determine whether the incident is criminal in nature and what further action is required.[76]. Ageing and Disability Abuse Helpline - Family & Community Services Where there is alleged abuse of the care recipient by another person, such as a family member, it is not proposed to require mandated reporting of those incidents for the reasons noted by many stakeholders regarding autonomy and choice. There are currently no equivalent schemes in other jurisdictions, however Victoria and the ACT have reported they are developing them, and COAG has welcomed a proposal for nationally harmonised reportable conduct schemes to improve oversight of responses to allegations of child abuse and neglect [and has] agreed, in-principle, to harmonise reportable conduct schemes, similar to the current model in operation in NSW and announced in the ACT and Victoria: Department of Justice and Regulation (Vic), Overview of Child Safe Standards and Reportable Conduct Scheme ; Andrew Barr, MLA, New Reportable Conduct Scheme to Better Protect Children (Media Release, 9 June 2016); Council of Australian Governments Communiqu (1 April 2016). IMPLEMENTATION Roles and responsibilities of the NSW Ministry of Health: [121], 11.99 Some stakeholders, including National Seniors and the Old Colonists Association of Victoria, advocated for a broader scope of conduct to be compulsorily reported, specifically in respect of financial abuse.
It has been said that, a truly remedial institution may not be best served by teeth an order, grudgingly accepted and implemented can only change one result. Stay informed with all of the latest news from the ALRC. This serves an educative function for providers, while also enabling questions to be asked by the oversight body, if necessary, about organisational decisions related to the reporting of incidents, thus allowing a more considered and nuanced approach in respect of matters referred to the police. Download the NSW Elder Abuse Toolkit (PDF, 2.7 MB). At the same time, as noted above, we would see benefits in ensuring that the shift away from mediation is not seen as a rejection of individual complaints resolution as a legitimate dimension of the scheme. [112], 11.89 Under the DRIS, the Ombudsman conducts education and training with service providers and key agencies on responding to serious incidents in disability services settings. 11.82 Combining complaints and compulsory reporting would address a gap identified by some stakeholders, namely that reportable assaults are not necessarily treated as complaints, and responded to appropriately. at any time. Bankstown Lidcombe Hospital
In other jurisdictions it is mandatory to report only some of the abuse types (e.g. 11.59 The ALRC considers that such incidents ought to be responded to as complaints. Bateman's Bay District Hospital
11.53 The ALRC acknowledges the comments of some approved providers that responsible providers will take appropriate action in response to reportable assaults. However, the ALRCs preliminary view is that it would be more appropriate, and offer more certainty, to establish the scheme under existing Commonwealth legislation, where an existing policy position supporting compulsory reporting already exists specifically to safeguard those receiving care under the Act. in one service, allegations are made that the person committed fraud against a person with disability living in the accommodation service. Reporting abuse Recommendation 14-7 Adult safeguarding laws should provide that any person who, in good faith, reports abuse to an adult safeguarding agency should not, as a consequence of their report, be: (a) liable civilly, criminally or under an administrative process; (b) found to have departed from standards of professional conduct; NSW Ombudsman, Submission 160; Ombudsman Act 1974 (NSW) s 25P. [143] The University of NSW Law Society said that, [t]his effectively means that aged care providers in home based or flexible care settings are not subject to the mandatory reporting requirements. Blue Mountains District ANZAC Memorial Hospital
Allow extra time for responding and pace questions. Moruya District Hospital
Many of these reforms are critical to achieving positive outcomes for complainants and for systemic improvements in service delivery in aged care along with identifying and rectifying matters of serious concern. Armidale Rural Referral Hospital
An incident is Priority 1 if: National Seniors Australia, Submission 154; Office of the Public Advocate (Vic), Submission 95; Law Council of Australia, Submission 61. There had been at least one previous unreportable assault with a pillow by the same man, and preventative measures were supposed to be in place. 11.46 Reportable assaults are not automatically treated as complaints. Elder abuse can take various forms, including: financial, physical, psychological, emotional and sexual abuse, or neglect. [123] UnitingCare Australia commented that reports of reported assaults do not give a full picture[124] of abuse, because they do not extend to all forms of elder abuse. Former Chair of the Royal Canadian Mounted Police Commission, Shirley Heafey quoted in Sankar Sen, Enforcing Police Accountability through Civilian Oversight (SAGE Publications India, 2010) 77. Finley Hospital & Community Health Centre
National Older Persons Legal Services Network, Submission 180; Aged Care Crisis, Submission 165; United Voice, Submission 145; R Lewis, Submission 99; NSW Nurses and Midwives Association, Submission 29. Cessnock District Hospital
11.96 These different categories have the capacity to respond to a number of concerns raised by stakeholders. Milton Ulladulla Hospital
The ADC has been established to prevent and better protect older people and adults with disability from abuse, neglect and exploitation. It is proposed to require a notification to be made where the alleged perpetrator is a staff member of an approved provider. Download the NSW Elder Abuse Toolkit (PDF, 2.7 MB) Last updated: 04 Oct 2022 Mandatory Reporting Helps Prevent Elder Abuse - Family Resource Home Care As a ocial s worker, do I have an ethical obligation to report child . In circumstances where the head of the agency or Ombudsman has a reasonable belief that the person does not have capacity to understand the information or to nominate a person: Ibid s 25WA(2)(c). [85], 11.66 The NSW Ombudsman has said that it has received consistent feedback that providers subject to the DRIS welcome the introduction of the scheme, and have embraced the opportunity to receive feedback and guidance on best practice in preventing and responding to serious incidents. Tumbarumba Multi Purpose Service
Nimbin Multi-Purpose Service
NSW Ageing and Disability Abuse Helpline 1800 628 221 launch (Monday - Friday, 9am - 5pm) How can we help Answer a few simple questions to find relevant information or services to report concerns of abuse, neglect or exploitation of an older person or adult with disability. NSW Police or other emergency services should be contacted when required. Training designed to improve the detection and response to abuse, neglect and exploitation, Our response when abuse, neglect and exploitation is reported, Retirement Village Elder Abuse Strategies, Reports about abuse of older people and adults with disability on the rise, First disability abuse prevention Collaborative launches in NSW, Board expands to give greater voice to adults at risk of abuse, One year on for the Ageing and Disability Commission. Document injuries and treatment given and other intervention provided. Serious Incident Response Scheme - Aged Care Quality The phone line has been set up in collaboration with state and territory governments. It's mandatory to make a report if the child is 0 to 15 years and at risk of significant harm. The job of a mandated reporter is to stay alert and immediately report suspicions of elderly abuse. See ourAccessibility pagefor further information. Cooma Hospital & Health Service
[64], 11.38 An approved provider must report an allegation, or a suspicion on reasonable grounds, of a reportable assault on a care recipient to police and the Department of Health within 24 hours.[65]. Young District Hospital, Agency for Clinical Innovation 2023 |
[160], 11.143 The second is that staff members may decide not to report such abuse for fear of repercussions, meaning that much abuse remains hidden. Oftentimes, these forms of behaviour management involve the use of restrictive practices, such as limiting the residents access within or outside of the facility, or medicating the resident to make them more compliant. Baradine Multi-Purpose Service
Issues with the current mandatory reporting requirement for treating practitioners 5 Patient confidentiality 5 Focus on past conduct 6 Lack of national consistency 6 3. We acknowledge Aboriginal people as the First Nations Peoples of NSW and pay our respects to Elders past, present, and future. Hornsby Ku-ring-gai Hospital
The practical effect is that, while anyone may make a complaint under the complaints function, there is a requirement for service providers to notify certain serious incidents under the DRIS. Barraba Multi Purpose Service
The Older Womens Network NSW submitted, for example, that the inadequate protections meant that staff lacked confidence to report abuse, and therefore reported assaults are the tip of the iceberg.[161]. Barham Koondrook Soldiers Memorial Hospital
Deputy Ombudsman, Steve Kinmond, noted the significant increase in reports emanating from the DRIS when compared to those coming through the complaints mechanism that is also managed by the NSW Ombudsman: Comparing the data we have in relation to complaints of abuse and neglect, and of course that is one of the functions we perform as compared to the notification of abuse and neglect matters that we have received in relation to the reportable incidents scheme, there is an over 10 times increase in the number of abuse and neglect matters that we receive from this mandatory reporting system than what we receive under the complaints system. Warren Multi-Purpose Health Service
11.118 A number of stakeholders noted that older people are increasingly receiving flexible care or home care from approved providers, where no compulsory reporting requirements apply. physical abuse, sexual abuse, emotional abuse, neglect, and exposure to family violence). [79], 11.58 However as noted, reportable assaults are not required to be notified to the Complaints Commissioner. Dunedoo Health Service
Leeton District Hospital
In summary, their concerns are that: the scope of conduct covered by the scheme was too limited and failed to include other serious forms of abuse; the scope was limited to care recipients in residential care; the exemption in respect of residentonresident assaults, where the offender had a pre-diagnosed cognitive impairment, afforded too broad a discretion to approved providers not to report, and resulted in a lack of understanding of how such incidents were managed, potentially raising broader safety issues in respect of other care recipients, and concealed the number and nature of such incidents. PDF Elder Abuse of Clients What Support Can Solicitors Offer? Henty Hospital
For information or to report concerns of abuse, neglect and exploitation of older people and adults with disability living in their home and community, please contact us.
Tumut District Hospital
Referred to as intervention orders in some jurisdictions. Reporting to the Police is required regardless of victims view where: serious injuries such as broken bones have been inflicted; the perpetrator is threatening to cause physical injury to any person and have access to a gun; the perpetrator is using or carrying a weapon in a threatening manor; workers are threatened.