2013 Show Me Summit on Aging & Health

August 21-23, 2013

Capitol Plaza Hotel

Jefferson City, MO

ELDER ABUSE AND EXPLOITATION TRAINING

MARK YOUR CALENDAR

On August 21-23, 2013 the Missouri Association of Area Agencies on Aging (MA4) is presenting special training on elder abuse and exploitation as part of its aging summit at the Capitol Plaza Hotel in Jefferson City. This is a unique opportunity to obtain the training you need in this vital area. This session features national experts and is multi-disciplinary, designed to meet the needs of case workers, health care professionals, providers, law enforcement, attorneys,adult protective services workers, senior caregivers and financial institution personnel. CLEs and POST certification is being sought for these sessions.

SESSIONS:

WEDNESDAY, AUGUST 21, 2013

2:45 p.m. – 4:00 p.m.

Developing a Multi‐Disciplinary Medical/Forensic Team to Care for Victims of Elder Abuse

Speaker: Connie Brogan, RN CEN SANE-A, System Clinical Director, Forensic Care program, St. Luke’s Hospital

The medical forensic aspects of elder abuse and neglect are largely unexplored and undocumented. Those who work in the field of elder abuse and neglect believe that the state of medical knowledge and forensic science regarding elder abuse and neglect is approximately equivalent to that of child abuse and neglect three decades ago and domestic violence 10 to 15 years ago (Elder Justice Roundtable Report, 2000). Within the relevant victimized populations there are similarities and differences among the factors contributing to their vulnerability and victimization. Similarities include feared retaliation, perceived stigmatization at having been victimized, desire not to leave home, desire to protect the assailant. Multi-disciplinary teams consisting of medical, forensic, law enforcement, advocacy and criminal justice are needed to care for these victims, complete the evidentiary exams and assist the criminal justice system in prosecuting the offenders.

Connie Brogan has been a nurse since 1990. She is currently the System Clinical Director for 9 Saint Luke’s Hospital Forensic Care Programs. From 2005-2009, as the Clinical Coordinator for an Office For Victims Against Crime grant, worked to develop a Missouri Protocol for the Care of the Adult an Adolescent Sexual Assault Patient, regional Missouri SARRT teams, and increased Missouri’s hospital-based Sexual Assault Nurse Examiner programs from 8 to 87. She is board certified in Emergency and Forensic Nursing. She has lectured nationally on the care of the emergency department sexual assault, child, domestic violence and elder patients presenting as a victim of inflicted violence.

THURSDAY, AUGUST 22, 2013

8:30 a.m. - 10:00 a.m.

Plenary Session - Misconceptions as Barriers to Elder Abuse Investigation

Featuring DDA Paul Greenwood, San Diego California

Deputy District Attorney Paul Greenwood will draw upon his 17 years’ experience of prosecuting felony elder abuse crimes as he identifies various barriers that often prevent referrals of elder exploitation from being investigated and ultimately prosecuted. He will provide examples of how such barriers can be broken down so that the perpetrator can be held accountable.

Paul Greenwood received his Bachelor of Laws from Leeds University, Leeds, Yorkshire, England and completed his England Law Society Finals at the College of Law, Guildford, Surrey, England. Mr. Greenwood was admitted to the California Bar in 1991 and serves as the Deputy District Attorney in San Diego California. He has been in the practice of law for 33 years. Mr. Greenwood has served as prosecutor since March, 1993 and has testified before the U.S. Senate Special Committee on Aging. He has been involved in the prosecution of over 500 felony cases of elder and dependent adult abuse, both physical and financial. Mr. Greenwood serves as the Co -Chair of California’s DA Elder Abuse Committee.

10:30 a.m. ‐ 11:45 a.m.

Elder Abuse: Dissecting the Elder Financial Exploitation Case

Speaker: DDA Paul Greenwood

In this workshop, DDA Paul Greenwood will identify three scenarios that will provide suggestions for overcoming the usual defense of "it was a loan or a gift". He will offer tips on how to gather evidence where undue influence was exerted, and will illustrate his presentation with actual cases that he has successfully prosecuted.

12:00 Noon Lunch and Program

Legislative Update: Federal Level – Amy E. Gotwals,Senior Director, Public Policy and Advocacy at the National Association of Area Agencies on Aging (n4a)

This luncheon update will focus on the budget process at the federal level. Ms. Gotwals will update attendees on the latest in the process and what they can expect in terms of sequestration, impacts on Medicare and the future of Social Security. Ms. Gotwals will discuss the effects of Washington not acting to finalize a budget deal on seniors.

Amy E. Gotwals is Senior Director, Public Policy and Advocacy at the National Association of Area Agencies on Aging (n4a), which she joined in 2005. Amy leads n4a’s public policy and advocacy efforts to ensure that needed resources and support services are available to older Americans and their caregivers. To this end, Amy represents local aging agencies on Capitol Hill and develops n4a’s public policy agenda, which focuses on Older Americans Act programs and services, Medicare, Medicaid, livable communities, transportation and other supportive services for older adults. Amy has 18+ years of public policy, lobbying and grassroots organizing experience. She has represented diverse groups including the Older Women’s League, the Center for Science in the Public Interest, the Alliance of Nonprofit Mailers, and the National Network for Youth. Amy earned a Bachelor’s degree in American Studies from Mount Holyoke College and holds a Master of Legislative Affairs degree from the George Washington University.

1:30 pm ‐ 2:45 pm

Senior Issues in Need of Conflict Resolution ‐ The Use of Mediation

Speaker: Stephen J. Stark, JD, Law Office of Turnbull & Stark, PC

As the wave of baby boomers moves toward the shores of advanced age, more and more conflicts will surface. The largest transfer of wealth to the next generation will be occurring. The health care system will be stressed. Family members will dispute issues and caregivers’ responsibilities, long-term care placement and finances. Many more issues arise as a person ages. This session will discuss alternative dispute resolution mechanisms with a particular emphasis on the use of mediation. The attendee will learn when intervention by a mediator may be an appropriate recommendation to address the issues presented by the senior clientele. A goal of this session is to gain an appreciation that conflict does not have to be destructive but an opportunity for constructive problem-solving.

Stephen J. Stark, JD, received his Bachelor’s degree in social work (St. Louis University) and Juris Doctor Degree with masters of law degree (LL.M.) in alternative dispute resolution (University of Missouri-Columbia). He is a lawyer with a focus on elder law, probate and the mediation of various types of disputes.

3:15 pm ‐ 4:30 pm

Financial Exploitation: Missouri's Response to an Escalating Crisis

Speaker: Susan Lutton, Executive Director, Mid-Missouri Legal Services

The National Center on Elder Abuse has issued a sobering estimate that between 700,000 and 3.5 million elderly people are abused, exploited or neglected each year. This presentation will provide an overview of the dynamics of financial exploitation and the civil remedies and criminal penalties that are available in Missouri to address this crisis.

Susan Lutton is the Executive Director of Mid-Missouri Legal Services (MMLS), a not-for-profit legal aid program funded by the Legal Services Corporation. MMLS has offices in Columbia and Jefferson City and provides free legal representation to low-income people, including many elderly people, in central Missouri. Before joining MMLS in 2007, Susan served as a staff attorney and litigation director at Maine Legal Services for the Elderly for ten years, where she litigated many financial exploitation cases and served on the Elder Abuse Institute of Maine.

FRIDAY, AUGUST 23, 2013

10:15 ‐ 11:30 am

Reforming Missouri’s Guardianship Law

Featuring David English, JD, MU School of Law

This session will provide an overview of the activities of the Missouri Working Interdisciplinary Network of Guardianship Stakeholders (MO-WINGS). This group is working to review and make comprehensive recommendations for statutory changes to update Missouri's adult guardianship law, with a draft to be introduced in the 2015 Missouri legislative session.

Professor English joined the MU law faculty in 1999, following a career as an estate planning and tax partner with the Chicago law firm ofD'AnconaPflaum and teaching at the Universities of South Dakota and Santa Clara. Professor English, who was the Reporter for the Uniform Trust Code, the Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act, and the Uniform Health-Care Decisions Act, is a Uniform Law Commissioner, Chair of the American Bar Association's Commission on Law and Aging, and a member of the Executive Committee of the ABA Section of Real Property, Probate and Trust Law. From 2004 until 2012, he served as a member of the Advisory Council to the Special Trustee for American Indians for the US Department of the Interior. Professor English is co-author of a three-volume treatise, Tax, Estate & Financial Planning for the Elderly, and co-author of the books Fiduciary Accounting and Trust Administration Guide, Wills, Trusts and Estates, and Principles of Wills, Trust and Estates. He teaches Estates and Trusts, Estate Planning and Taxation, Elder Law and Fiduciary Administration.

MA4 Show Me SummitRegistration Fees

Elder Abuse and Exploitation Training Track:

$35 per workshop

Thursday (entire day) $155

Includes all breaks and lunch with program on Thursday

Complete Elder Abuse track (all three days) $175

Includes all breaks, lunch with program on Thursday

and breakfast Thursday and Friday

Show Me Summit Conference/Full Registration (includes elder abuse track)$195

Includes all breaks, banquet Wednesday evening,

lunch with program on Thursday and breakfast Thursday and Friday