Evidence of meeting #6 for Status of Women in the 41st Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was financial.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

Krista James  National Director, Canadian Centre for Elder Law
Jean-Guy Soulière  Chair, National Seniors Council
Elizabeth Siegel  Coordinator, Newfoundland and Labrador Network for the Prevention of Elder Abuse
Valerie White  Chief Executive Officer, Nova Scotia Department of Seniors
Teri Kay  Executive Director, Ontario Network for the Prevention of Elder Abuse

5:05 p.m.

Executive Director, Ontario Network for the Prevention of Elder Abuse

Teri Kay

Thank you very much for inviting me. It's a great pleasure to appear before you.

I come out of 25 years of working in the violence against women sector. Latterly in my retirement, I have started to work on issues relating to seniors because I am one, so part of this is out of self-interest as well.

In 2002, the Ontario government, as a result of advice from the private and public sectors through the Round Table on Elder Abuse, launched the first strategy to combat elder abuse in Canada. ONPEA was given the responsibility of implementing the strategy. Its key elements include education for front-line staff, strengthening community resources, and coordination of public awareness to raise awareness with respect to elder abuse.

Seven regional consultants are our key resources. Of the seven, two are francophone consultants and one is a multicultural consultant.

They support local elder abuse committees and networks. They strengthen partnerships among them. They facilitate and undertake education and training initiatives for professionals, volunteers, and seniors. They promote information sharing. They also are helpful in developing model protocols and assisting in grant writing.

Ontario’s regional abuse consultants are organized by region, namely: northwest, northeast, west, central west, central east, east, and the Greater Toronto Area.

In addition to implementing the strategy, ONPEA supports a growing number of vital projects and research. In your packet, there should be a very long list of many of our initiatives. More can be found on our website at www.onpea.org. I would like to briefly highlight three.

One is that we support 55 regional networks in Ontario. This is a collaborative approach. I'm sure you are hearing a lot about regional networks. They are local. They are comprised of health services, social services, police, seniors, and justice, and they are really, if you like, the front window of services to the elderly. I'll talk a little more later about this, but most of these networks are unfunded and operate through the good graces of a lot of community support.

The second thing I want to talk about is the Senior Safety Line, which was launched in 2009 through an Ontario Trillium grant. This line operates 24 hours a day, 7 days a week, in over 150 languages, and is answered by professionals. It is a partnership that we have with the Assaulted Women’s Helpline.

It’s the only line of its kind in Ontario and it's running at capacity. This is due to the fact that we have only one dedicated line. In the three years we've been in operation, we've received over 10,000 calls, and we can't grow any more without adding capacity. The safety line funding runs out in a few months and needs support now, not only to fund a second line, but just to keep the current one going.

Calls are primarily from seniors--very often, women. We had anticipated that calls might be from referral sources, but they're not. They're from women themselves.

We have a huge database that can connect these seniors with resources all over the province.

The last thing I want to highlight is something called “Free From Harm”, which is a best practices guide for women who have experienced abuse, which we released in 2007.

Its undertaking was compelled by social and cultural impacts of an aging population, the demonstrable need for improved public awareness of elder abuse generally, and the unique characteristics and needs associated with older women and the services provided to them.

The goal was to produce a guide. It was a collaborative effort among ourselves, the Ontario Seniors' Secretariat, and the Sheridan Elder Research Centre.

The initial years of the undertaking were spent examining the literature. We held consultation sessions all across Ontario with older women, most of whom were survivors of abuse. We held regional consultation sessions across Ontario with more than 100 representatives of community agencies that work with older women, had discussions with several key informants, and got input from a 21-member steering committee.

The proposals were grounded in two fundamental principles. The first was that issues having to do with abuse of older women are rooted in matters of interpersonal power and control. The second was that community coordination was an essential component of an effective approach to the abuse of older women. Older women should be able to access services and support programs at many different entry points, including services in both the violence against women sector and the seniors sector.

Ontario, like every other province, is facing a growing elderly population. By 2026 in Canada, one in five will have reached that age. We do not have any specific definition, but we do use the World Health Organization's definition of elder abuse, which basically defines abuse of older adults as “a single or repeated act, or lack of appropriate action, occurring in any relationship where there was an expectation of trust that causes harm or distress to an older person”.

It's plain that abuse can take many forms other than physical; it can be sexual, psychological, emotional, or financial, or neglect or a violation of human and civil rights. It can take place in the home, in a residential setting, and in the community.

Financial abuse is by far the most common. According to Statistics Canada, it's estimated at between 4% and 10%. You've heard that statistic. We know that it's under-reported. We know it's higher. Two-thirds of those who reported physical abuse indicated that they were abused by a family member. The incidence for women is higher than it is for men. When family members were reported as the abuser, it was most often carried out by adult children.

We use the age of 65 in our study. That's our point of departure, although we recognize that we may have to look at that in the future. We did that because, by reason of their age and isolation, women are more likely to be susceptible to the conditions of abuse. By reason of their numbers alone, older women are statistically more likely to be subjected to abuse. Women represent the majority of seniors living alone, a status that frequently results in social isolation and the potential for neglect or harm.

The literature identifies many factors that prevent women from coming forward. We've already spoken about some of them, but if it is abuse grown old, it's often normalized in the mind of the woman. She doesn't see it or define it as abuse.

Another major barrier is the lack of access to accurate information and to the support services that are available. This is particularly true in immigrant communities. Many older victims do not seek services from agencies, such as police or health care professionals, and when they do seek help, they are sometimes faced with having no service available in their community or with service providers and systems that are not prepared to meet their needs. Hence, they do not continue to seek service.

Older women face economic barriers. While abused women of all ages can face financial barriers, older women may have already been living below the poverty line.

For those living in rural communities, transportation can be a major factor in seeking services, attending community programs, or even seeing their doctors.

Recently we have become aware that many seniors lack the resources to have land lines. If they live with children, those children take the cellphone when they leave for work, leaving the senior even more at risk.

Again, it is important to recognize the diversity of older women in looking at their unique needs. In each community, there will be additional obstacles that older women face. For francophone women and French-speaking immigrants, the availability of French language services may pose difficult challenges that further isolate them.

However, the good news is that despite the numerous obstacles and barriers they face, the strength and resilience of older survivors is important to recognize. Many older people are independent and active, make changes in their lives, and are making contributions to their community and to the economy of this country. The current perspective on aging is one of liability, and this negative view needs to be altered to a much more realistic view.

What's needed? We've grouped them into five: research, raising public awareness, professional training, community coordination, and enhanced support.

What are the most important? We believe that education must take place across the lifespan, starting in primary school. We believe that professional programs in colleges and universities in nursing, medicine, social work, law, and law enforcement should include education and training on the abuse of older women, and appropriate responses.

We believe that long-term funding must be made available to establish and maintain programs to support older women on an ongoing basis--as opposed to grants, which are great, but they do run out—such as our provincial safety line.

Lastly, we call for an aging strategy for Canada that highlights the challenges for older women. However, the strategy must be comprehensive and cut across the silos to include other levels of government and the private sector. We want to create communities that capitalize on the strengths of our changing age structure and provide supports for those requiring assistance.

Thank you.

5:15 p.m.

NDP

The Chair NDP Niki Ashton

Thank you very much, Ms. Kay.

We'll go to the first person to ask questions.

From the Conservative side, we have Ms. Ambler.

5:15 p.m.

Conservative

Stella Ambler Conservative Mississauga South, ON

Thank you, Madam Chair.

My first question is for Ms. White, please.

Under your recommendations you mentioned that having enough financial benefits so women can live independently is important. You may know that this government has increased the guaranteed income supplement. Would you say that such initiatives help to prevent abuse by increasing the income of our most vulnerable seniors?

5:15 p.m.

Chief Executive Officer, Nova Scotia Department of Seniors

Valerie White

Yes, I would say it does. So many times people feel trapped when they don't have enough income to make the kinds of decisions or choices they would like to make, so that was very significant.

5:15 p.m.

Conservative

Stella Ambler Conservative Mississauga South, ON

Thank you.

My next question is for Ms. Kay.

I note that you have served on an advisory group for a project by the Law Commission of Ontario that has been developing a framework for the law as it affects older adults. One of our witnesses in the first hour of this meeting stated that the age of the victim is rarely a factor in the length of the sentence. Do you believe that it should be when sentencing those who are found guilty of abusing seniors?

5:20 p.m.

Executive Director, Ontario Network for the Prevention of Elder Abuse

Teri Kay

I think the whole sentencing structure absolutely needs to be looked at. Unfortunately, when it comes to abuse of seniors, particularly women who are seniors, it's not only under-reported, it's under-prosecuted, so that the numbers are really quite deceiving in terms of prosecuting.

Part of being on that commission is trying to create an environment in the court system that is age-friendly, if you like, so that more of these situations can come before the court.

We strongly believe that sentencing needs to be examined, yes.

5:20 p.m.

Conservative

Stella Ambler Conservative Mississauga South, ON

Thank you.

What methods would you use, perhaps based on your experience on this advisory group? Could we use the legal system to make women less afraid of the legal system? I'm sorry--not just women, but those who are abused as elders.

5:20 p.m.

Executive Director, Ontario Network for the Prevention of Elder Abuse

Teri Kay

There is a whole range of things that need to be done in the court system, all the way from the times that you need to appear.... Seniors aren't necessarily able to appear in court at 10 o'clock in the morning. Also, you can't have them sitting there for the better part of the day, as often happens. As well, they need to be able to give testimony not necessarily in person--much like we do with children, if you like.

While some of the courts in Ontario are extremely current with what would make a senior feel more comfortable, many others aren't.

Along with just the structural changes that are needed, the education is really, really important. We are training crown prosecutors at this point. We are appearing at police colleges and training police. Our next barrier is going to be the judges, the judicial system--

5:20 p.m.

Voices

Oh, oh!

5:20 p.m.

A voice

What would you train them on?

5:20 p.m.

Executive Director, Ontario Network for the Prevention of Elder Abuse

Teri Kay

Well, we can't train.... But maybe we can provide them with some information, if you like, yes.

5:20 p.m.

Conservative

Stella Ambler Conservative Mississauga South, ON

In fact, that was another thing that came up in the previous hour: the need to train police officers, who in many cases are often on the front lines, obviously, of this problem.

Along the same line, I'd like to ask Ms. Siegel a question.

In your strategic plan, one of the recommendations, one of the planks in the strategic plan, as you mentioned, was legislation. Does the strategic plan that you undertook recommend legislative changes? If so, what are they?

5:20 p.m.

Coordinator, Newfoundland and Labrador Network for the Prevention of Elder Abuse

Elizabeth Siegel

Actually, I'm really pleased to say that we have new legislation.

5:20 p.m.

A voice

That's excellent.

5:20 p.m.

Coordinator, Newfoundland and Labrador Network for the Prevention of Elder Abuse

Elizabeth Siegel

We had a Neglected Adults Welfare Act, which did have mandatory reporting if a senior was mentally incompetent, but it had very small penalties, it wasn't being used, there were no teeth to it, and social workers couldn't get into homes to check on seniors who were being abused.

There is now a new act. I believe it's called the vulnerable adults act. It has had its second reading and hasn't been proclaimed yet, but we were actually consulted on it. We were really pleased that they came to the community and asked for input. Again, it's only for adults who are vulnerable, mentally or physically, but it does have mandatory reporting in it, and much more teeth. It hasn't been rolled out yet, but we're really excited with the direction it's taking.

5:20 p.m.

Conservative

Stella Ambler Conservative Mississauga South, ON

That's great.

If I might ask you the same question, do you believe that the age of the victim should be taken into account in sentencing?

5:20 p.m.

Coordinator, Newfoundland and Labrador Network for the Prevention of Elder Abuse

Elizabeth Siegel

Personally, I do, if the adult is incapacitated mentally or physically. Otherwise, I don't. I have to say that in our experience we see so few that go to the courts. Often it's the victims who don't want to bring them forward, so it's really about getting people in to help, as opposed to the sentencing, I think.

5:20 p.m.

Conservative

Stella Ambler Conservative Mississauga South, ON

Thank you.

My question to you also is that, in your studies, did you find that men were as likely, more likely, or less likely to be victims of financial abuse than women?

5:25 p.m.

Coordinator, Newfoundland and Labrador Network for the Prevention of Elder Abuse

Elizabeth Siegel

We haven't really had any information come forward with it. I think we have found that eventually women are more apt to report it. Men are a little more.... In regard to the stories they tell, they're embarrassed, yes, to come forward with it, but I actually don't have anything to tell you about the rates on whether they're taken advantage of more often.

5:25 p.m.

Conservative

Stella Ambler Conservative Mississauga South, ON

Thank you.

Ms. Kay, it sounds like you have found the same thing.

5:25 p.m.

NDP

The Chair NDP Niki Ashton

Actually, that ends our time right there. That will be the seven minutes.

We have seven minutes with the NDP.

October 25th, 2011 / 5:25 p.m.

NDP

Irene Mathyssen NDP London—Fanshawe, ON

Thank you, Madam Chair.

I want to thank all of you for being here.

I'm the NDP critic for seniors issues, and the briefs that you provided are going to add tremendously to my research.

I've been doing a lot of research. Quite clearly, there are a number of things that we should do, and that we can do, in terms of addressing the needs of seniors.

Ms. Kay, I want to start with you. We've heard that there is a need for some national standards in terms of long-term care. I know that in the province of Ontario there are some profound concerns. The number of hours of care continues to decline and there are fewer and fewer staff members in a facility. As a result, seniors are not getting the care they need.

Perhaps there's a level of frustration among staff that could be problematic, but there's also the reality of one patient attacking another. They've begun to mix patients suffering from Alzheimer's and dementia into general wards, so there is that kind of abuse.

Could you comment on that?

We--the federal government and the provinces--are going to be looking at the Canada Health Act in the next few years, by 2014. Do we need some national standards? How does long-term care fit into the Canada Health Act? Should the Government of Canada be very clear about the need to include long-term care, to provide the support, so that we have a standard across the country and fewer examples of abuse of seniors in facilities?

5:25 p.m.

Executive Director, Ontario Network for the Prevention of Elder Abuse

Teri Kay

That's a really difficult question.

In Ontario, mandatory reporting exists in long-term care facilities and, more recently, in retirement homes as well. Many situations that occur in long-term care facilities are reported and acted upon.

Do we need more? Of course. Would it make sense to establish standards across the country? Probably.

That's all part of our desire to have some sort of an aging strategy, rather than looking at just one particular situation or one particular sector. It really needs to cut across. Elder abuse—and I'm sure you've heard this quite a bit—is very complex. It really is. It is not like child abuse or abuse of women, because there are so many different layers involved that you don't necessarily have in the other forms of abuse. The choices that older women have are far fewer than younger women have. We know that. If you want to go across the country, then go across the country and look at everything. Don't just look at one sector.

It's the same with legislation. I've been asked that question: does Ontario need stronger legislation? Well, if you're not going to put in the resources, what's the good of the legislation, frankly?

Yes, I personally believe that older people deserve greater protection than they currently have. Some who are deemed capable are deemed capable at ten o'clock in the morning, but by three in the afternoon they're not so capable. Some are capable of writing a cheque and others aren't. It's not an all-or-nothing situation.

But there are no resources, and I'm sure you're hearing this. I think that's what we're bringing to this table. You know, enough with the public awareness. It's great, but.... Okay?

5:25 p.m.

NDP

Irene Mathyssen NDP London—Fanshawe, ON

Okay. I have--

5:25 p.m.

Executive Director, Ontario Network for the Prevention of Elder Abuse

Teri Kay

I'm sorry. You gave me--