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Making Connections Building Networks to Prevent Abuse of Older Adults

Symposium Report

November 30 – December 1, 2010 Yellowknife, NWT

Building Networks Symposium Report

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Acknowledgements

The NWT Seniors’ Society would like to thank the Making Connections Building

Networks to Prevent Abuse of Older Adults Project Steering Committee, funding

partners, and symposium participants for making the Making Connections ‐ Building

Networks to Prevent Elder Abuse Symposium a success.

Project Steering Committee Members

Canadian Mental Health Association/NWT Division, Sandra Beaton

Dene Nation, Ialeen Jones

Inuvialuit Regional Corporation

Government of the NWT, Health and Social Services, Rosa Wah‐Shee

North Slave Metis Alliance, Audrey Enge

Native Women’s Association of the NWT/YK Victims Services, Sharon Thomas

NWT Seniors’ Society, Angus Mackay

NWT Seniors’ Society, Bea Campbell

NWT Seniors’ Society, Tom Wilson

Public Health Agency of Canada, Susan Crichton

RCMP, Community Policing Section, Shawn King

YWCA Yellowknife, Lyda Fuller

Past Committee members: Belinda MacFadyen, GNWT and Robert Beach, RCMP.

Funding Partners

BHP Billiton

Human Resources and Skills Development Canada ‐New Horizons for Seniors

Program

Government of the NWT, Executive

Government of the NWT, Health and Social Services

In‐kind Support

First Air

Genesis Group Ltd.

SOS – Sailing on Sound New Media


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Photo Credits:

Kayley Allin, cover.

Sculpture, T‐Bo Originals, Yellowknife.

Bill Braden (billbradenphoto), pages 8, 13, 22, 24 and 25.

GNWT, Department of Health and Social Services, all other photos.


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Table of Contents Page

Acknowledgements (i)

Introduction 1

Symposium Objectives

Pre and Post‐Symposium Workshops 1

Elder Abuse in the 21st Century ‐ Keynote Address 2

Northern Views on Elder Abuse 5

Thoughts on Abuse of Older Adults in the NWT 6

Promising Approaches to Addressing Abuse of Older Adults 8

Main Messages from Concurrent Workshops 8

The Promise and Practice of Making and Maintaining

Connections 15

Making and Maintaining Connections in the NWT 17

Strategizing Ways to Work Together to Address Abuse of

Older Adults in the NWT 21

Recommendations 24

Appendices 28‐ 38


1

Introduction

This report summarizes the proceedings from the Making Connections ‐ Building

Networks to Prevent Abuse of Older Adults Symposium held in Yellowknife,

Northwest Territories, November 30 and December 1, 2010. This report was prepared

by Lutra Associates Ltd. of Yellowknife under the guidance of the NWT Seniors’ Society

and the Making Connections Building Networks to Prevent Abuse of Older Adults

Project Steering Committee.

Symposium Objectives 1. Share research on abuse of older adults.

2. Share information on promising

approaches for preventing abuse of older

adults.

3. Make connections to prevent abuse of

older adults.

4. Develop strategies to build networks to

prevent abuse of older adults.

5. Recommend next steps for building

networks and connections to prevent

abuse of older adults.

Pre and Post‐Symposium Workshops

Two pre‐symposium workshops presented tools developed by the National Initiative

for the Care of the Elderly (NICE) to detect, screen, intervene and prevent elder abuse.

A post‐symposium workshop was facilitated by the Durham Elder Abuse Network

from Ontario. Representatives of the Durham Elder Abuse Network presented

information and sought northern input into tools being developed to assist care givers

and service providers working with elders who are cognitively well but whose

language is limited or non‐existent, for example, due to a stroke. Pre and post‐

symposium workshops were open to symposium participants and other interested

elders/seniors and front‐line workers.

Cathy Jo Doyle and Barb Bromley


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November 30, 2010

Symposium Opening

Bea Campbell, President of the NWT

Seniors’ Society offered an opening prayer

and welcomed participants.

Esther Braden, a founding member of the

NWT Seniors’ Society, spoke of the

organization’s long history of work to stop abuse of older adults. The first forum on

abuse of older adults was held in 1993. Public service announcements began in 1995.

The A Plan For Action 2004: Respect Our Elders ‐ Stop The Abuse report issued in 2004

reported on workshops held in NWT communities to address abuse.

Commissioner George Tuccaro is a champion of efforts to prevent abuse of older

adults. He said that the potential for abuse is greater now that people are living longer.

In his life he has found that staying connected to and visiting elders/seniors daily

particularly when they are in an elders’/seniors’ home is very important. His father

taught him the importance of treating older adults with respect and he has passed this

on to his children and grandchildren.

The Honourable Sandy Lee, Minister Responsible Seniors for the Government of the

NWT, spoke of the Department of Health and Social Services’ work to prevent abuse of

older adults. Health and Social Services is launching “Together we can stop elder abuse,”

an awareness campaign to break the silence on abuse of older adults. The campaign

focuses on financial abuse.

Chief Superintendent Wade Blake, Commanding Officer of RCMP G Division, said that

the “making connections symposium” is timely with the growing seniors’ population.

Elders/seniors are too proud to disclose abuse. This challenges efforts to prevent it. The

RCMP wants to work on abuse of older adults. Local restorative justice committees are

a way to do this.

Symposium participants in plenary session


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Gord Van Tighem, Mayor of the City of Yellowknife, spoke of the City’s social plan

completed in 2009. The plan focuses on many of the issues that contribute to violence

and abuse. A coordinating committee has been struck and is chaired by Councillor

Amanda Mallon who will inform City Council members about the Making Connections

symposium.

Elder Abuse in the 21st Century ‐ Keynote Address

Alison Leaney, National Project Coordinator for the Elder Abuse Knowledge to Action

Project, gave the keynote address.1

Abuse of older adults is less hidden today than at anytime in the past. Financial abuse

involving elders/seniors is most commonly known or visible. Abuse of older adults is a

complex issue that requires everyone to respond. Responding to abuse is not just about

creating new laws but people working together.

Responses have to recognize that victims, for

any number of complex reasons, may wish to

maintain a relationship with the abuser.

Paternalism and ageism or a view that growing

older is about losing one’s capabilities, are

attitudes that are slowly being replaced by least

intrusive and rights‐based responses. Efforts to

prevent abuse of older adults and eliminate

ageism should focus on awareness and building

on community strengths. All communities have

strengths. As community members, we all have “gifts to contribute.” “One small step

can help even if we don’t know where it is going.”

1 See Appendix C for all the power point presentations

Alison Leaney and Jeanette Savoie


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Ms. Leaney commented on hopeful signs of communities and governments working to

prevent abuse of older adults, including:

the proclamation of World Elder Abuse Awareness Day, an important event for

“shining light on the issue.”

federal government support through the Federal Elder Abuse Initiative.

the NWT’s commitment to addressing abuse of older adults and long

involvement in the Canadian Network for the Prevention of Elder Abuse

(CNPEA) at the national level.

Symposium participants had questions or

comments about abuse of older adults in the

21st century. Chief Superintendent Wade

Blake responded to a question on addictions,

particularly regarding people stealing

prescription drugs. He said that there is little

reporting of this to the RCMP. Rita Plunkett,

a symposium participant from Hay River,

clarified that if narcotics are prescribed in

small communities they are kept on file and

locked in an office to prevent misuse.

Lillian Elias, a symposium participant from Inuvik, asked how to respond when abuse

is suspected. She said that “elders can’t say ‘no’ to their children.” Elders/seniors see

their role as caregivers and we can’t see our children/grandchildren going without. We

have to teach ourselves the other side of the culture. We have to meet halfway. Alison

Leaney said that it takes time and patience to intervene and prevent abuse of older

adults. Often responses can’t be rushed. It can be difficult trying to help someone who

is living with abuse.

John Norbert, symposium participant from Tsiigehtchic, said that elders/seniors in

small communities like his suffer abuse but there are no RCMP to respond. They have

health issues but there are no nurses to respond. Resources are needed for a healthy

Louise Beaulieu and Daryl Grundy


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community. “(I) have always asked for RCMP but it is a waste of time... it feels bad

and is frustrating to be a leader in a small community. It’s time somebody wakes up to

the needs of small communities.” Chief Superintendent Wade Blake said that the

RCMP doesn’t have its own funding but competes for government funding and relies

on funding from partners. The RCMP are service providers with a fixed budget. There

are no funds for detachments in every community but more calls for service helps build

the case for detachments.

Ann Kasook, a symposium

participant from Inuvik, said:

“People are not listening to

the people. Policies are often

contrary to the cultural values

of Aboriginal people.

Different cultures need to

work together.” Aboriginal

people have a sharing culture.

In the past, they never knew

homelessness now it is

everywhere.

Northern Views on Elder Abuse

Building Networks Project partners provided

their agency’s perspectives on the Making

Connections Building Networks to Prevent Abuse

of Older Adults Phase 1 Research Report.2

Presentations for the first three speakers can be

found in Appendix C. Presenters were:

Symposium participants on a health break

2 The findings from Making Connections Building Networks to Prevent Abuse of Older Adults Phase 1

Research Report are posted on www.nwtseniorssociety.ca

Laura Watt leading a mini‐workshop


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Bea Campbell and Barb Hood, NWT Seniors’ Society

Shawn King, RCMP

Rosa Wah‐Shee, GNWT Health and

Social Services

Debby Rybchinski, Alison McAteer House

Debby Rybchinski described the mandate of Alison McAteer House, which is

emergency shelter and supports for women and children in the NWT and Nunavut

fleeing violence and abuse. Alison McAteer House is also a main contact for requesting

an Emergency Protection Order. It does not provide services for men.

Thoughts on Abuse of Older Adults in the NWT

Symposium participants shared thoughts on abuse of older adults in the NWT. They

tended to agree that the NWT Seniors’ Society’s research represents their own

observations and hope for addressing abuse. Participants noted that:

at all levels including culturally and in terms of community and family

relationships, there is a big disconnect on the issue of abuse of older adults.

Everyone should be “on the same page” and connected through a network.

common elements of mainstream and culture‐based approaches to preventing

abuse can be blended to address abuse of older adults. Elders/seniors need to be

cherished, shown love, and receive positive responses.

education is needed for all groups to

prevent abuse of older adults. There is a

need to better understand what abuse is

so both victims and abusers can identify

abusive behaviours. “Abusers need to

know that they are abusers.”

technology contributes to family

disconnect. Empowering elders/seniors

through education can help reduce family

disconnect. The Grandmother’s Council

created from the Social Agenda is an example of empowering elders/seniors to

address power and control issues.

Alison Leaney leading a mini‐workshop


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moving abuse issues out of the shadows can help social change. The smoking

cessation “butt out” campaign is a good example of how public opinion can

change social norms. The whole community needs to know that abuse of older

adults exists now. It needs to be attacked by the whole community (e.g. it is more

than a police or health system problem). A public awareness campaign is urgent.

elders/seniors need to support each other to say ‘no’, ”no matter how much it

hurts to say ‘no’ to their children.”

families need to be handed or take on the responsibility of preventing and

responding to abuse of older adults.

in the old days (1950s), respect was a learned behaviour. In the next generation,

“youth were raised with a silver spoon.” Respect must be re‐established for the

elders/seniors. Fostering intergenerational (youth/elder) relations may involve

stepping back and rebuilding respect.

historically elders/seniors were healthy, strong, and good leaders. The whole

community needs to be involved in rebuilding these qualities. Communities

need to buy‐in, encourage, and support community responses to abuse of older

adults.

leadership needs to get involved in addressing community social problems.

a better referral system in communities would improve access to Emergency

Protection Orders (EPOs).

overcrowded housing is a factor. At what point do/should the RCMP intervene

when there is abuse in an overcrowded house?

the RCMP could consider changing the coding of crime statistics to identify those

over 55 years of age who are included in the statistics.

addictions and abuse are linked to

residential school and dysfunctional family

histories. Residential school survivors

didn’t know how to parent. Many have

had to learn these skills after gaining

sobriety. Intergenerational gatherings in

camp settings where everyone speaks their

own language can create awareness and

build positive relationships.

Bea Campbell, Carole Robinson, Brian Kolback


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Promising Approaches to Addressing Abuse of Older Adults

Three guest speakers presented information on promising practices:

Erica Jacquet, School of Social Work,

University of Victoria presented

information from a First Nation

perspective on response‐based practice

with people who have been harmed by

violence.

Susan Crichton, Public Health Agency of

Canada, shared information on various

promising responses to abuse of older

adults across the country.

Angus Mackay, NWT Seniors’ Society, shared suggestions from the Building

Networks research.

These presentations can be found in Appendix C.

Main Messages from Concurrent Workshops

Symposium participants had the opportunity to participate in two of five sessions co‐

facilitated by experts with national and territorial perspectives to share. Main messages

were shared from these workshops.

1. Elder Abuse, Family Violence and Law with Laura Watts, Canadian Centre for

Elder Law Studies, Margaret MacPherson, Centre for Research and Education on

Violence against Women and Children, and Rebecca Latour, GNWT Department of

Justice.

Esther Braden


9

This workshop focused on laws, policies, attitudes, expectations, and behaviours that

impact on the right to safety and the meaning of safety through gendered, age, and

cultural lenses. Comments made in the workshop included:

Who has the mandate for reporting and responding to abuse of older adults?

The reality is that there is no centralized reporting anywhere. Legislation is

needed to clarify reporting responsibilities.

Some elders/seniors choose to live with

their children, often in a communal

setting. What are the rights/remedies for

abuse? What does it take (when

everyone is living in the same space) to

preserve the right to safety?

Formal systems (e.g. hospital and

government) for responding to family

violence and abuse of older adults do

not necessarily work well in cultures

that function in collective ways.

Informal responses may work better and likely should be enhanced.

Elders/seniors are afraid of losing what they have. Financial decision making is

difficult and made more challenging as older adults age and become less capable

of living independently. When an elder/senior is deemed to be incapable, it may

be necessary for some form of supported decision making such as assigning

power of attorney or involving the Public Guardian. Decision making may

change from “independent choice to best interests.” In Canada, there is little in

the way of guardianship or power of attorney supervision. This adds to the

potential for abuse to be hidden or become systemic.

In terms of decision making, older adults should give consent for others to take

on responsibility on their behalf. Privacy laws may impact the ability of others to

act on behalf of an older adult. There may be a need for a protocol to share

information.

There is a need for plain language, culturally appropriate information (e.g. on

wills, power of attorney), education, and legislation around financial and health

care planning.

Symposium participants drum dancing during an

evening of networking and entertainment


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2. Making a Difference without Resources with April Struthers, BC Association of

Community Response Networks and Lyda Fuller, Yellowknife Family Violence

Protocol Committee.

This workshop examined ways to build on local assets, relationships, and other

resources to create awareness of, and prevent abuse of older adults. Protocols and

support groups are mechanisms that build community strengths to prevent abuse.

Some comments from this workshop are:

Every person and every community can

do something to address abuse of older

adults. Coming together is an effective

way to identify strengths and take action.

Developing relationships with people

within the community and with people

in other communities can help to

“champion the cause.”

Northern people and communities have

lots of assets. The “North is media rich”

so there are lots of opportunities to get the message out. People can use social

media such as Facebook or they can twitter or blog. Communities can hold

public meetings, have potluck dinners, and create opportunities for elders to tell

their stories. Communities can work with teachers and the school to

communicate with young people.

To bring abuse of older adults “out of the shadows,” relationships need to be

developed and the abuse named and given voice. Teams of people can work

together on a personal and professional/agency level to address abuse of older

adults. Teams need to always use approaches that put ‘safety first’ and be aware

and respectful of privacy issues. Professional teams or interagency groups

should at minimum include Community Health Representative (CHR),

Community Social Workers, and Homecare Workers who regularly

communicate and meet monthly. Teams of people working on abuse of older

adults can connect with the NWT Seniors’ Society for information and assistance

to create awareness and support local teams or networks.

Symposium closing sharing circle


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It is important to identify allies within and outside the community who can

support efforts to address abuse of older adults. A natural ally is the Coalition

Against Family Violence (CAFV). CAFV is a territorial interagency group that

brings individuals, non‐government and government agencies together to share

information and undertake projects to reduce the incidence and more effectively

respond to family violence in the NWT.

Other jurisdictions such as British Columbia

have good information and tools to share. A

good example is the BC Association of

Community Response Networks

(BCACRNS) that has a host of free

information, tools, and protocols for people

to try in their own communities.

The BCACRNS website is:

http://www.bccrns.ca/crn_foundation/support.php.

Ustream TV is a free web based knowledge exchange service. It is useful in

broadcasting productions, linking with hosts, and interacting with audiences.

BCACRNS has broadcasted web based conferences using Ustream.

3. Recognizing the Risk Factors When Helping Victims and Perpetrators with

Charmaine Spencer, Simon Fraser Gerontology Research Centre and Hayley

Maddeaux‐Young, GNWT Health and Social Services.

This workshop focused on tackling misconceptions about the risk factors associated

with victims and perpetrators of abuse. Some of the factors discussed in this workshop

included:

age doesn’t always mean vulnerability.

an elder/senior living with their family isn’t

always safe.

individuals who are abused don’t

necessarily become abusers.

both men and women can experience abuse

as older adults. Symposium participants in a mini‐workshop

Lois Little and Angus Mackay


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abuse can be a continuation of earlier spousal violence with new stressors and

new relationships.

there are many forms of isolation that impact the safety of older adults including

access to resources, ability to communicate and be understood, geographic

isolation, and abuser driven isolation.

mental health issues and/or alcohol and drug addictions may play a role in but

are not necessarily the underlying causes of violence and abuse.

violence is not a private family matter. Everyone has the right to live in safety.

To respond to abuse of older adults, it is important to build safe and trusting

relationships and to respect different points of view.

4. Changing Responses to Elder Abuse (Abuse of Older Adults) with Erica Jacquet,

University of Victoria and Susan Crichton, Public Health Agency of Canada.

This workshop examined new approaches, non‐judgemental language, an ethic of social

responsiveness, and the ways that changing responses to abuse of older adults in

Canada and in First Nation communities are helping to keep elders/seniors safe. The

workshop activity involved an analysis of a media release about an older woman

removed from her house to long‐term care. Participants identified mainly negative

responses to the older woman’s situation. To evolve positive social responses, there

needs to be:

more elder/senior and family involvement in decision‐making.

more information about rights.

more advocate involvement, when needed.

policies and procedures that are informed by elders/seniors (or by

elders’/seniors’ groups).

awareness of who can respond other than the police.

follow‐up.

greater legal accountability.

Workshop participants recommended:

an accountability structure for trustees and when documenting and responding

to abuse of older adults.

more awareness (e.g. on rights, who can respond, how to influence policy).


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more education for elders/seniors (e.g. budgeting workshops).

interventions (e.g. family mediation and conferencing involving Aboriginal

perspectives and taking a restorative justice approach).

5. Residential School Experiences and Intergenerational Perspectives and

Approaches with Alison Leaney, National Project Coordinator Elder Abuse Knowledge

to Action Project and former Executive Director of BC Association of Community

Response Networks and Rosa Wah‐Shee, GNWT Health and Social Services.

This workshop examined the impact of residential schools on family relationships and

respect for family members’ right to safety, security, and dignity. The workshop also

explored what families are doing to build and strengthen relationships. Some of these

efforts included:

individuals and families who are holding on to the language by teaching and

participating in cultural programs and activities especially those involving

youth.

intergenerational activities where

elders/seniors teach children traditional

values, laws, and practices such as trapping,

hunting, and living on the land.

people who have become alcohol and drug

free.

people who are dealing with anger (or

participating in anger management

programs).

people who show their commitment to

healing, self‐forgiveness and reflection, and

reaching out rather than keeping pain inside.

people who are resilient and manage pain

and tragedy to help and advocate for others.

people and communities that embrace

diversity.

Rosa Wah‐Shee


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being with family, valuing family connections, and showing appreciation for

family caring.

people who are healing by reclaiming spiritual relationships/practices.

people who practice forgiveness as a means of self exploration and rediscovery.

discovering laughter and joy.

learning about feelings and crying.

connecting spirit to body.

listening and being heard.

asking for help and accessing professional help.

being part of/forming support groups to dialogue and promote understanding of

what happened for self‐benefit and the education of others.

dealing with the legacy of settlement funding (residential school payments).

providing (emergency) shelter.

working with wellness workers, counsellors.

believing that no one is better than anyone else.

the practice of being non‐judgemental.

encouraging positive and productive choice (e.g. education, stay in school).

having stories acknowledged in history and personal responsibility to ensure

people (students) know colonial history and that it is not repeated by

participating in the Truth and Reconciliation Commission.

An Evening of Networking and Entertainment

Gail Cyr, Special Advisor to the Minister on

the Status of Women, hosted an evening of

networking over a wonderful banquet.

Entertainment for the evening included

speeches, stories, songs, dance, and a play on

elder abuse. Entertainment was provided by

very talented northern people ‐ the

Honourable Sandy Lee, Sisters of the Sacred

Circle, Aurora Fiddlers, Pat Braden, Della

Green, Paul Andrew, and the YKDFN

Drummers.

Della Green and Gail Cyr performing in a play about

elder abuse during the evening of entertainment


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December 1, 2010

The Promise and Practice of Making and Maintaining Connections

Through an informal conversation, Charmaine Spencer, Alison Leaney, and April

Struthers shared information on making and maintaining connections in ways that

prevent and respond to abuse of older adults. They said that they are like “cookbook

writers” in that the ingredients for addressing abuse of older adults are everywhere but

often they need to be brought together so that people can learn about and adopt or

adapt other’s experiences. For example, the Community Response Network is a whole

community network model developed in British Columbia that is now shared in five

places in Canada.

Over the years, they have found that:

people, particularly elders/seniors, have the wisdom to respond to issues.

issues can be viewed from many

different perspectives so it is

necessary to work across disciplines

and boundaries.

maintaining connections is important.

The Canadian Network for Prevention

of Elder Abuse (CNPEA) board meets

monthly by telephone. Two CNPEA

members are from the NWT.

“tiny steps lead to social change.”

They have learned that:

enshrining networks in legislation is a way to secure resources and support.

it is important to be curious and ask questions in order to see patterns of abuse

and responses that exist.

invitations to community groups and individuals, and connections with allies are

ways to initiate information sharing and action on abuse of older adults.

addressing abuse should be grounded in principles and values common to

community development approaches such as:

o solid and equal working relationships.

Symposium participants in a min‐workshop


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o inclusive and participatory processes.

o consensus decision making.

“everyone has something to offer.”

passion is important and once captured, it can encourage and mobilize others.

For example, the passion of one individual, Elizabeth Podnieks, infected others

and led to the formation of the Ontario Network for the Prevention of Elder

Abuse (ONPEA).

seniors involvement is critical. CNPEA has mainly seniors involved on its board.

Charmaine Spencer, Alison Leaney, and April Struthers spoke about the ideal

responses to abuse of older adults. Team or network approaches at all levels work best.

Response networks are documented in Outlook 2007.3 They may be interdisciplinary

teams, interagency approaches, coordinated community approaches, and whole

community approaches. Tools are available to assist community response networks

(CRN) for instance to assess community strengths and identify gaps, and to identify

what and how to take action. The challenges of developing and sustaining networks can

include:

ensuring sufficient flexibility for volunteers and others involved in team

work/networks.

making time/committing to connecting on a regular basis and allowing enough

time for discussion and decision‐making.

funding support. Legislation such as the Adult Guardianship Act in British

Columbia committed funding to pilot networks. By 2000, 70 BC communities had

responded to the Attorney General’s invitation to pilot a network. After

government funding ran out, the BC Association of Community Response

Networks was formed to fund raise and provide funding. Today, about 30 well

established networks have survived in the province.

ensuring that teams/networks share power and collaborate, and avoid becoming

government or service provider driven and disconnected from what community

realities.

shining the light on networks that work well with little resources and “tell the

story (of abuse of older adults).”

3 Outlook 2007: Promising Approaches in the Prevention of Abuse and Neglect of Older Adults in Community

Settings in Canada, www.cnpea.ca/Promising%20Approaches%20Final%20%202007.pdf


17

recognizing the need to constantly look at what is working well to address abuse

through monitoring and evaluation. While the CRN model has not been

evaluated, there may be resources available federally to undertake this much

needed assessment.

Making and Maintaining Connections in the NWT

Symposium participants were asked to explore how

making and maintaining connections, networks, and

relationships could work to address abuse of older

adults in the NWT. Participants reflected on and

gave examples of:

the way people work together now:

o the Coalition Against Family Violence

(CAFV) has developed a protocol to

help people work together to address

family violence.

o in some communities, when abuse of older adults is reported all groups

try to get together to respond.

o in Fort Resolution, afternoon activities are scheduled for elders/seniors

and a successful two day intergenerational exchange engaged a mix of

elders and youth. In Fort Good Hope, a weekly spa night is a way to

support elders/seniors. In Yellowknife, 80‐100 elders attend the weekly

Lunch with a Bunch at the Baker Centre. In other communities, various

activities and services target elders (e.g. exercise programs including Wii

games, Nordic walking, visiting, teas, sewing, shopping, outings, bingos,

spiritual gatherings, meals for those in need, daily and weekly luncheons,

peer support for transportation, coffee houses, family nights, on‐the‐land

activities).

o the Elder Day Program at the Inuvik Regional Hospital, sponsored by the

Beaufort Delta Health and Social Services Authority, has helped to build

connections and support for elders/seniors.

Mary Siemens and Arlene Hache


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o in Lutselk’e, the interagency committee, as in other communities, meets

monthly. In Fort Resolution, the 8‐10 member interagency committee

plans activities and asks elders/seniors what they want.

o community service providers

are innovative and often work

outside their mandates to serve

elders/seniors in recognition of

their need for support, safety

plans, and referrals.

o the potential exists in every

community to work together to

address violence and abuse. This

is demonstrated by the common

response to a tragedy in NWT

communities – everyone comes together to help and provide support as

needed.

o in one community, “a place for elders to meet made a difference” and

there was “no begging for a place to meet.”

o home visits are the key to building relationships and trust.

what makes it possible to work together:

o connecting with concerned people/organizations who have a common

interest, are passionate and caring. Connections are made possible today

by technology (e.g. internet, texting), word of mouth, information, and

help lines.

o NGOs with common interests, goals, and a commitment to working

together to make something happen.

o in some communities, strong relationships and informal networks are

working. Face‐to‐face forums provide opportunities for networking and

learning how other people approach issues. Workshops help to raise

public awareness and find solutions to problems.

o knowing others’ schedules (e.g. through a monthly calendar).

Grace Mabbit and Stan Jones


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o gaining elders’/seniors’ trust over time and engaging them in decision

making. Open lines of communication are really important to

elders/seniors and the best way to

get things done. In smaller

communities, small formal and

informal group discussions are

effective for acting on an identified

problem.

o community events such as

Addictions Awareness Week and

Senior Citizens’ Week bring people

together.

o advocates can help marginalized elders/seniors including those with

addictions to access services.

o community acceptance of the issue.

o agencies cooperating on specific issues such as through the Committee for

the Prevention of Youth Substance Abuse or the Catholic Women’s

League.

o an interagency group that has diverse membership (e.g. band, elders

committee) and regularly scheduled monthly meetings. For example, the

Inuvik Interagency Committee involves NGOs, elders/seniors, and

professionals who pool their resources towards a common goal.

challenges to working together:

o trust issues due to transient workers, everyone knowing everyone, and

few resources or resources that are a distance from the community.

o geographic isolation.

o community dependence on too few resources, limited volunteer support,

and volunteer burn out.

o lack of commitment to addressing abuse of older adults.

o lack effective communications to know what others are doing, resulting in

disjointed services and duplication of effort. A lot of organizations work

in isolation in Yellowknife and high NGO staff turnover limits

Julia Naedzo, Mabel Bohnet, and Rose Dryneck


20

opportunity for sustained communications and strong working

relationships on issues of abuse.

o communities losing the ability to function effectively to serve common

interests due to lack of political

leadership on local social

problems such as drug and

alcohol abuse. In these cases,

political will may be stymied by

for example, strong opposition

from bootleggers. Lack of

leadership support might be

exacerbated by friction and

power struggles among leaders,

lack of leadership training, and

lack of elder/senior and youth representation in community decision‐

making.

o groups that are not well balanced or are affected by power differentials.

o too much ‘red tape’ and inadequate resources due mainly to project‐

specific funding. Project funding is often inflexible, not community

driven, last minute, and divisive in that it causes agencies to compete for

limited resources.

o erosion of funding and resources for elder/senior focused services and

activities.

o language barriers that limit communications. Information for

elders/seniors is not always available in their first language and good

quality interpretation/ translation services may not be provided.

o lack of recognition that ‘made in the south policies’ don’t necessarily work

in the north.

o elders/seniors who are:

unwilling to talk about abuse for fear of implicating their children.

uncomfortable or intimidated by community services/agencies and

think that no one will listen.

left out of the picture/marginalized by an addiction, in denial, or

hard to serve.

Charmaine Spencer leading a mini‐workshop


21

trying to heal from residential school experiences and regain their

ability to talk about personal problems and work together.

trying to regain their status

and power within the

community.

victimized and excluded

due to (ageist) attitudes.

not passing on their

knowledge to youth.

o the lack of safe shelter in most

communities.

o staff turnover and the effects of

losing key players and leaders in a functioning coalition or interagency

group.

Strategizing Ways to Work Together to Address Abuse of Older Adults

in the NWT

Presentations by guest speakers and members of the Building Networks Project

Steering Committee encouraged symposium participants to consider strategies for

working together to address abuse of older adults in the NWT. Presentations focused

on:

1. Education and Awareness with April Struthers, BC Association of Community

Response Networks and Sandra Beaton, Canadian Mental Health Association/NWT

Division

This presentation examined inclusive and non‐intrusive tools and approaches that bring

communities together to understand and promote awareness of abuse of older adults.

The presentation and subsequent participant discussions considered:

Tools from outside the NWT include:

o Stop Abuse ‐ an approach to addressing abuse of older adults for First

Nation communities designed by First Nations and service providers

Rose Dryneck and Esther Braden


22

subsequent to residential school payouts. The approach is documented by

the BC Community Response Network on its network at www.bccrns.ca.

o Being Least Intrusive is an orientation to frontline practice to respond to

situations of abuse, neglect, and self‐neglect of vulnerable First Nation

adults. It is a hybrid approach to practice that draws on indigenous

knowledge, values, and worldview; key concepts from critical social work

theory; models of cross‐cultural practice; and first‐hand accounts of

response and prevention initiatives within First Nation communities

across Canada.

Tools from the NWT include:

o using theatre for raising awareness (such as the play written and

performed by Gail Cyr with Della Green at the banquet).

o using the many forms of media that are available in the NWT (e.g.

broadcasting Gail Cyr’s play in many different media).

o asking Order of Canada recipients in the NWT to champion efforts to


o working with the Canadian Mental Health Association/NWT Division and

other territorial organizations to increase awareness.

2. Prevention and Harm Reduction with Charmaine Spencer, Simon Fraser

Gerontology Research Centre.

This presentation took a harm reduction approach to strategizing ways of recognizing

and addressing factors in our communities. The presentation and subsequent

participant discussions considered harm reduction at three levels:

Level 1 ‐ Stop Potential of Abuse Before it Gets Started:

o What are the (intergenerational) approaches that address underlying

causes such as lack of respect?

o What are the prevention pieces in each community that are working well?

o Build awareness around rights and identifiable causes.

o Strengthen connections.

o Focus on good housing, reducing isolation, and strengthening well being

(e.g. health prevention approach).


23

Level 2 ‐ Early Intervention:

o Early detection of abuse to keep it

from becoming more severe.

o Educate service providers so that

they have the tools to respectfully

address abuse of older adults.

Level 3 – Response:

o Help people in need to a safe place.

o Help to restore the person’s safety

and dignity through counselling

and restorative justice.

3. Intervention with Margaret MacPherson, Centre for Violence Against Women and

Children

This presentation focused on teaching people the warning signs, what to do and how to

keep people safe. Margaret MacPherson’s Power Point Presentation can be found in

Appendix C.

4. Planning and Advocacy with Alison Leaney, National Project Coordinator Elder

Abuse Knowledge to Action Project, NICE and former Executive Director of BC

Association of Community Response Networks and Bea Campbell, NWT Seniors’

Society

This presentation focused on ways communities can plan and advocate to prevent

abuse of older adults on an individual and system wide basis. The presentation and

subsequent participant discussions considered different levels and types of advocacy

including:

acknowledging things that aren’t working well and doing something about it.

speaking up about things within the system that need to be changed.

working with individuals to help them navigate the system.

Sisters of the Sacred Circle performing at the

evening of entertainment


24

Recommendations

Symposium participants offered the following recommendations for building and

sustaining networks in the NWT.

Communications

1. Build a territorial, regional and

community media campaign and

communications plan to follow‐up on the

Making Connections Building Networks

Symposium in the short term and in the

long term, support and sustain awareness

initiatives (e.g. Abuse of Older Adults

Awareness Week in the NWT).

2. Use innovation and different media to implement the media campaign at the

territorial, regional and community levels (e.g. advertising at bingos, students

helping in the production of videos, Internet (Face book, YouTube), radio, and

television).

3. Follow‐up to the Making Connections Building Networks Symposium by

sharing responsibility to:

convey the messages that abuse of older adults is as serious a social issue

in the NWT as poverty and violence against women and that the NWT

Seniors’ Society continues to make prevention of abuse a priority.

communicate and distribute the Making Connections Building Networks

Symposium report and recommendations widely in particular:

o to local, regional, and territorial interagency groups;

o to elder committees and seniors’ societies;

o through editorials and columns in newspapers and newsletters

such as Coffee Break News;

o to CKLB and CBC North for inclusion in Aboriginal language

programs; and

o through informal conversations and meetings in communities.

Lois Little and Debby Rybchinski


25

develop videos in which elders/seniors can see themselves and learn

about abuse.

Education and Awareness

4. Advocate for education and

information sessions on topics of

interest (e.g. scams, fraud, family

conferencing, positive social

responses). Target audiences

might be service providers,

frontline responders, schools,

and elders/seniors.

5. Advocate for system‐wide

change to responses to abuse of

older adults by for example,

taking a team approach (e.g. elder and health worker) that considers broader

family issues.

6. Advocate for abuse of older adults prevention (programs) in NWT schools.

7. Proclaim Abuse of Older Adults Awareness Week in the NWT in conjunction

with World Elder Abuse Awareness Day and communicate widely in official

languages of the NWT.

Development of Networks

8. The NWT Seniors’ Society to take the lead role in advocating to the GNWT and

Coalition Against Family Violence for higher priority and a strategic plan for

addressing abuse of older adults (e.g. developing and sustaining networks to

create awareness and work on prevention and intervention activities).

9. Focus initially on developing regional networks followed by committees in each

community. Networks and committees should seek representation from youth,

elders/seniors, leaders, First Nations governments, and community councils.

Networks and committees should be sustained through monthly

teleconferencing and annual face to face conferences/workshops.

Symposium participants at the evening of entertainment


26

10. Develop an NWT Abuse of Older Adults Prevention Steering

Committee/Territorial Network with representation from the private sector,

NWT Seniors’ Society, and government with the mandate for sharing

information.

11. Develop an NWT‐wide interagency committee that can respond to policy and

response issues.

12. Encourage broader community

representation and membership

in NWT Seniors’ Society.

Funding

13. Advocate for funding for abuse of

older adults prevention

coordinators in each NWT region.

14. Seek funding and/or in‐kind

services to support committee/network operations (e.g. meeting space, phone,

facsimile, computers).

15. Advocate for more flexible government funding for elders’/seniors’ groups to

ensure that they have adequate resources to sustain activities and projects in

their communities.

16. Find opportunities to build on existing activities in communities to address

abuse of older adults.

In response to the recommendations the NWT Seniors’ Society committed to:

supporting the piloting of networks in communities and finding resources

($300,000 over the next 3‐4 years) to implement networks.

upgrading its website as a tool for sharing information and materials on abuse of

older adults.

seeking agreement from elders/seniors throughout the NWT to rename Senior

Citizens’ Week (June 12‐18) to World Abuse of Older Adults Prevention Week in

the NWT.

reinstating the NWT Prevention of Abuse of Older Adults Steering Committee

and inviting symposium participants to become members of the Committee.

Paul Andrew performing at the evening of entertainment


27

In Conclusion

The Symposium concluded with a sharing

circle, participants also completed written

evaluations. Comments shared verbally and in

written form were very positive. Symposium

participants were able to network with others

and learn about ways to prevent and better

respond to abuse of older adults. Participants

look forward to continuing the momentum

begun through the research and

symposium to bring attention to and


Symposium participants in plenary session

Elder Abuse Symposium Report

Appendix A

28

Making Connections Building Networks to Prevent Elder Abuse

November 30 – December 1, 2010

Katimavik B & C, Explorer Hotel, Yellowknife, NWT

Symposium Agenda

Monday, November 29, 2010

1:30‐4:30 pm Mini‐Workshop ‐ Detecting, Screening, Intervening and

Preventing Elder Abuse

5:30 ‐7:30 pm Registration

6:00‐9:00 pm Mini‐Workshop ‐ Detecting, Screening, Intervening and

Preventing Elder Abuse

Tuesday, November 30, 2010

7:30 ‐8:15 am Registration – Katimavik B & C, Explorer Hotel

8:30 am Call to Order

Opening Prayer and Welcome:

Bea Campbell, past‐President, NWT Seniors’ Society

Greetings:

Tom Wilson, President, NWT Seniors’ Society

8:45 am Introductory Remarks:

‐ George Tuccaro, Commissioner of the NWT

‐ Hon. Sandy Lee, GNWT Minister Responsible for Seniors

‐ Chief Superintendent Wade Blake, RCMP ‘G’ Division

‐ Mayor Gord Van Tighem, City of Yellowknife

Symposium Agenda and Housekeeping, Lois Little, Facilitator


Appendix A

29

9:20 am Keynote ‐ Elder Abuse in the 21st Century

Alison Leaney, Coordinator Elder Abuse: Awareness to Action

Project, National Initiative for the Care of the Elderly and former

Executive Director of the BC Association of Community Response

Networks.

9:45 am Brief Q &A

10:00 am Health Break

10:15 am Panel ‐ Northern Views on the Elder Abuse

Building Networks Project partners

11:15 am Round Table ‐ Participant Discussion ‐ Northern Views on Elder Abuse

11:45 am Plenary ‐ Thoughts on Elder Abuse in the NWT

12:00 pm Lunch (served on site)

1:00 pm Presentations ‐ Promising Approaches to Addressing Elder Abuse

‐ Erica Jacquet, School of Social Work, University of Victoria

‐ Susan Crichton, Public Health Agency of Canada

‐ Angus Mackay, NWT Seniors’ Society

1:45 pm Brief Q & A

2:00 pm Concurrent Workshops ‐ round one

1. Elder Abuse, Family Violence and the Law

2. Making a Difference without Resources

3. Recognizing Risk Factors When Helping Victims and

Perpetrators

4. Changing Responses to Elder Abuse


Appendix A

30

5. Residential School Experiences and Intergenerational

Perspectives and Approaches

3:00 pm Health Break

3:15 pm Concurrent Workshops ‐ round two

1. Elder Abuse, Family Violence and the Law

2. Making a Difference without Resources

3. Recognizing Risk Factors When Helping Victims and

Perpetrators

4. Changing Responses to Elder Abuse

5. Residential School Experiences and Intergenerational

Perspectives and Approaches

4:15 pm Closing

6:00 ‐9:00 pm Evening Networking, Banquet and Entertainment

Gail Cyr, Special Advisor to the Minister on the Status of Women,

MC with the Honourable Sandy Lee, Sisters of the Sacred Circle,

Aurora Fiddlers, Pat Braden, Della Green, Paul Andrew, and the YKDFN Drummers

Day 2: Wednesday, December 1, 2010

8: 30 am Call to Order

Housekeeping and Outlook for the Day

8:40 am Plenary ‐ Main Messages/Learnings from Concurrent Workshops

9:00 am Conversations ‐ The Promise and Practice of Making and Maintaining

Connections

‐ Alison Leaney, Coordinator Elder Abuse: Awareness to Action

Project, National Initiative for the Care of the Elderly and


Appendix A

31

former Executive Director of the BC Association of Community

Response Networks.

‐ Charmaine Spencer, Simon Fraser Gerontology Research Centre

‐ April Struthers, BC Community Response Network

9:45 am Q & A

10:15 am Health Break

10:30 am Round Table ‐ Participant Discussion ‐ Making and Maintaining

Connections in the NWT

11:30 am Plenary ‐ Making and Maintaining Connections in the NWT

12:00 pm Lunch (served on site)

1:00 pm Concurrent Strategy Workshops

1. Education and Awareness

2. Prevention

3. Intervention

4. Planning and Advocacy

2:15 pm Plenary ‐ Strategy Highlights

2:30 pm Round Table ‐ Recommendations

3:00 pm Health Break

3:15 pm Going Forward Panel ‐ Building Networks Steering Committee

3:30 pm Closing Circle

4:30 pm Closing Prayer

5:00 pm Post Symposium Mini‐Workshop ‐ Responding to Elder Abuse

Among Older Adults with Limited Verbal Skills


Appendix B

32

Symposium Participants

Last Name First Name Organization Community Region

Adlem Floyd Yellowknife Seniors' Society Yellowknife Yellowknife

Alanak Lily Beaufort Delta Health and Social Services Authority Inuvik Beaufort‐Delta

Anthony Amanda Yellowknife Health and Social Services Authority Yellowknife Yellowknife

Antoine Angelina Dehcho Health and Social Services Authority Fort Providence Dehcho

Archie Barbara Community Member Aklavik Beaufort‐Delta

Barriault Carole Stanton Territorial Health Authority Yellowknife Yellowknife

Beaton Sandra Canadian Mental Health Association, NWT Division Yellowknife Yellowknife

Beaulieu Louise Sutherland House Fort Smith South Slave

Beaverho Loreen Stanton Territorial Health Authority Yellowknife Yellowknife

Bisaro Wendy

Legislative Assembly, Government of the Northwest Territories Yellowknife Yellowknife

Blondin Besha Northern Ice Yellowknife Yellowknife

Bohnet Mable Tlicho Community Services Authority Behchoko Tlicho

Braden Esther Canadian Hard of Hearing Association Yellowknife Yellowknife

Brown Mabel Community Member Inuvik Beaufort‐Delta

Butt Minnie Community Member Hay River South Slave Campbell Beatrice NWT Seniors' Society Fort Smith South Slave Cockney Julia NWT Seniors' Society Tuktoyaktuk Beaufort‐Delta


Appendix B

33


Cyr Gail Department of the Executive, GNWT

Yellowknife Yellowknife

Dechief Samantha Status of Women Council of the NWT


Deleff Yvette Department of Health and Social Services, GNWT


Dillon Jimmy Community Member Deline Sahtu

Doctor Melissa Yellowknives Dene First Nation Ndilo Yellowknife

Doyle Cathy Jo Yellowknife Health and Social Services Authority


Drybones Betty‐Anne Tlicho Community Services Authority

Behchoko Tlicho

Dryneck Rose Rae Edzo Housing Association Behchoko Tlicho

Elias Albert Community Member Ulukhaktok Beaufort‐Delta

Elias Lillian NWT Seniors' Society Inuvik Beaufort‐Delta

Enge Audrey North Slave Metis Alliance Yellowknife Yellowknife

Francey Judy Community Member Inuvik Beaufort‐Delta

Fuller Lyda YWCA Yellowknife Yellowknife Yellowknife

Gordon Annie B. Community Member Aklavik Beaufort‐Delta

Grandjambe Angela Community Member Fort Good Hope Sahtu

Green Dean Northern Ice Yellowknife Yellowknife

Green Della Native Women's Association of the NWT


Green Rita Community Member Tuktoyaktuk Beaufort‐Delta


Appendix B

34


Grundy Daryl Fort Smith Seniors' Society Fort Smith South Slave

Hache Arlene Centre for Northern Families Yellowknife Yellowknife

Hagen Bessie Aimayunga Women and Emergency Foster Care Shelter

Tuktoyaktuk Beaufort‐Delta

Heron Cpl. Wes RCMP Yellowknife Yellowknife

Hood Barbara NWT Seniors' Society Yellowknife Yellowknife

Jerome Marie Dehcho Health and Social Services Authority

Fort Liard Dehcho

Joe Esther Beaufort Delta Health and Social Services Authority

Aklavik Beaufort‐Delta

Jones Stan NWT Seniors' Society

Hay River South Slave

Kanayok Margaret Hamlet of Ulukhaktok

Ulukhaktok Beaufort‐Delta

Kasook Ann Inuvik Transitional House Inuvik Beaufort‐Delta

Kenny Andrew John Community Member

Deline Sahtu

King Cpl. Shawn RCMP ‘G’ Division Yellowknife Yellowknife

Kolback Brian Department of Health and Social Services, GNWT


Kruger Reiss Town of Hay River


Lakusta Donna Hay River Health and Social Services Authority


Lafontaine Caroline Northern Ice Yellowknife Yellowknife

Latour Rebecca Department of Justice, GNWT Yellowknife Yellowknife

Lecorre Elly Yellowknife Association of Concerned Citizens for Seniors



Appendix B

35


Leighton Christel Yellowknife Health and Social Services Authority


Mabbit Grace Fort Smith Seniors' Society Fort Smith South Slave

MacDonald Cpl. Jarret RCMP Yellowknife Yellowknife

MacDonald Cst. Brent RCMP Yellowknife Yellowknife

Mackay Angus NWT Seniors' Society


Maddeaux‐Young Hayley

Department of Health and Social Services, GNWT


Mallon Amanda City of Yellowknife


Manuel Beverly Sahtu Health and Social Services Authority

Fort Good Hope Sahtu

Martin Jim Community Member Fort MacPherson Beaufort‐Delta

McArthur Barb Community Member

Fort Smith South Slave

McInnes Dawn Department of Justice, GNWT


McLean Rev. Ron Yellowknife Seniors' Society


McNeely Alphonsine Fort Good Hope Justice Committee

Fort Good Hope Sahtu

McQueen Vivienne Yellowknife Health and Social Services Authority


Morais Pierre Dehcho Health and Social Services Authority

Fort Simpson Dehcho

Naedzo Julia Tlicho Community Services Authority

Behchoko Tlicho


Appendix B

36


Nogasak Ella Jean Community Member Tuktoyaktuk Beaufort‐Delta

Norbert John Tsiigehtchic Charter Community / Gwichya Gwich'in Band

Tsiigehtchic Beaufort‐Delta

Norris Sgt. Wayne RCMP Yellowknife Yellowknife

Oake Lori Department of Health and Social Services, GNWT


Phaneuf Lorraine Status of Women Council of the NWT Yellowknife Yellowknife

Plunkett Rita Community Member Katlodeeche Dehcho

Ray‐Jones Michele Yellowknife Association of Concerned Citizens for Seniors Yellowknife Yellowknife

Rideout Terry Hay River Health and Social Services Authority Hay River South Slave

Ring Cindy Centre for Northern Families Yellowknife Yellowknife

Robinson Carole Community Member Yellowknife Yellowknife

Ross Susan Ingamo Hall Friendship Centre Inuvik Beaufort‐Delta

Rybchinski Debby Alison McAteer House/ YWCA Yellowknife Yellowknife Yellowknife

Saunders Emily Community Member Lutselk'e South Slave

Savoie Jeannette NWT Legal Services Board Yellowknife Yellowknife

Schmitz Michelle Family Support Centre / Safe Home Hay River South Slave

Siemens David Community Member Behchoko Tlicho

Siemens Mary Community Member Behchoko Tlicho


Appendix B

37

Simon Wilfred Community Member Fort Resolution South Slave


Snodgrass Ryan RCMP Yellowknife Yellowknife

Speakman Marie

Native Women's Association of the NWT/Yellowknife Victim Services Yellowknife Yellowknife

Spikerman Clarinda Department of Justice, Government of NWT Yellowknife Yellowknife

Theriault Christine Tlicho Community Services Authority Behchoko Tlicho

Thomas Sharon NWT Native Women's Association Yellowknife Yellowknife

Umoak Frank Community Member Tuktoyaktuk Beaufort‐Delta

Vallis Avis Department of Justice, GNWT Yellowknife Yellowknife

Villeneuve Terry NWT Seniors' Society Fort Resolution South Slave

Wah‐Shee Rosa Department of Health and Social Services, GNWT Yellowknife Yellowknife

Williams Merlyn NWT Seniors' Society Yellowknife Yellowknife

Yeo Craig Legislative Assembly of the NWT Yellowknife Yellowknife


Appendix C

38

Power Point Presentations

To view power point presentation please go to the NWT Seniors’ Society website:

www.nwtseniorssociety.ca.

Alison Leaney, National Project Coordinator for the Elder Abuse Knowledge to Action

Project Making Connections Keynote.pptx

Bea Campbell and Barb Hood, NWT Seniors’ Society Power Point Phase 1.pptx

Shawn King, RCMP Elder Abuse.ppt

Rosa Wah‐Shee, GNWT Health and Social Services Copy of Final Making Connections

Building Networks to Prevent Elder.pptx (3).pptx

Erica Jacquet, School of Social Work, University of Vitoria Main RBP

Presentation30nov.pptx

Susan Crichton, Public Health Agency of Canada NWT ‐ Promising Approaches.ppt

Angus Mackay, NWT Seniors’ Society Power Point Promising Approaches to

Addressing Elder Abuse Nov 30 2010.pptx

Margaret MacPherson, Centre for Violence Against Women and Children INR

Yellowknife 2.pptx

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