Download - Mandatory Elder Abuse Reporting for Lawyers · Mandatory Elder Abuse Reporting for Lawyersii MANDATORY ELDER ABUSE REPORTING FOR LAWYERS The materials and forms in this manual are

Thursday, September 7, 2017 Noon–1 p.m.

1 Elder Abuse Reporting credit

Mandatory Elder Abuse Reporting for Lawyers

iiMandatory Elder Abuse Reporting for Lawyers

MANDATORY ELDER ABUSE REPORTING FOR LAWYERS

The materials and forms in this manual are published by the Oregon State Bar exclusively for the use of attorneys. Neither the Oregon State Bar nor the contributors make either express or implied warranties in regard to the use of the materials and/or forms. Each attorney must depend on his or her own knowledge of the law and expertise in the use or modification of these materials.

Copyright © 2017

OREGON STATE BAR16037 SW Upper Boones Ferry Road

P.O. Box 231935Tigard, OR 97281-1935

iiiMandatory Elder Abuse Reporting for Lawyers

TABLE OF CONTENTS

Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v

Faculty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v

Questions and Answers About Mandatory Elder Abuse Reporting for Lawyers. . . . . . . . . . . . . 1Question 1: What Is Mandatory Elder Abuse Reporting? . . . . . . . . . . . . . . . . . . . . . . 1Question 2: What Are Lawyers Required to Do? . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Question 3: What Is “Reasonable Cause?” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Question 4: What Is “Comes in Contact?”. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Question 5: What Is Elder Abuse? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Question 6: Are There Any Exceptions to the Reporting Requirement? . . . . . . . . . . . . . . 6Question 7: What If Someone Expresses the Intent to Commit an Act of Elder Abuse? . . . . .10Question 8: Are Lawyers Obligated to Report Elder Abuse Occurring Outside of

Oregon? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11Question 9: What Type of Report Is Required and to Whom Must It Be Made? . . . . . . . . .11Question 10: Are Elder Abuse Reports Confidential? . . . . . . . . . . . . . . . . . . . . . . . .12Question 11: What If I Am Wrong, and There Really Was No Abuse? . . . . . . . . . . . . . . .13Question 12: Are Lawyers Liable for Not Reporting Elder Abuse? . . . . . . . . . . . . . . . . .13Question 13: What Does the Law Require the Oregon State Bar to Do in Connection

with Elder Abuse Reporting? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14Question 14: Are Lawyers Also Mandatory Reporters of Child Abuse? . . . . . . . . . . . . . .14Question 15: Are Lawyers Mandatory Reporters of Abuse in Other Contexts?. . . . . . . . . .14

Appendix A—Oregon Revised Statutes 2015—Reporting of Elder Abuse . . . . . . . . . . . . . . . .17

Appendix B—Oregon Revised Statutes 2015—Privileges . . . . . . . . . . . . . . . . . . . . . . . . . .25

Appendix C—Selected Oregon Rules of Professional Conduct. . . . . . . . . . . . . . . . . . . . . . .27

Presentation Slides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

ivMandatory Elder Abuse Reporting for Lawyers

vMandatory Elder Abuse Reporting for Lawyers

SCHEDULE

Presented by Daniel Atkinson, Client Assistance Office, Oregon State Bar, Tigard

11:45 Registration

Noon Elder Abuse Reporting

This presentation will satisfy the mandatory training requirements under ORS 9.114 relating to duties of Oregon attorneys to report elder abuse.

1:00 Adjourn

FACULTY

Daniel Atkinson, Client Assistance Office, Oregon State Bar, Tigard. Mr. Atkinson is an Assistant General Counsel in the Oregon State Bar’s Client Assistance Office. Prior to joining the bar, he spent ten years in private practice at two small general practice firms, first in Silverton and then in Portland.

viMandatory Elder Abuse Reporting for Lawyers

1Mandatory Elder Abuse Reporting for Lawyers


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Mandatory Elder Abuse Reporting for Oregon Lawyers

Daniel P. AtkinsonAssistant General Counsel

Oregon State Bar

Amber A. Hollister, General Counsel

Brooke Astor

Brooke Astor was a philanthropist, writer, and “queen” of New York Society

Upon her husband Vincent Astor’s death, she was named the sole trustee of the Astor Trust

In 2007, her estate was valued at nearly $200 million


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The Brooke Astor Story

Attorneys’ Abuse Reporting Duties

ELDERS

CHILDREN

MENTAL ILLNESS/DEVELOPMENTAL DISABILITY

LONG‐TERM CARE RESIDENT


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Oregon’s Changing Demographics

• Over 50,000 Oregonians turn 65 each year.

• Oregonians have 15 expected “healthy” years beyond age 65.

• About 600,000 people last year; about 900,000 in 2020.

• In 2030, an estimated 20 percent of Oregonians will be 65 or older.

Elder Abuse Reporters Physicians, Dentists, Optometrists, Chiropractors, and Nurses Audiologists and Speech Pathologists Police Officers and Firefighters Department of Human Services and Oregon Health Authority Workers

Owners and Employees of Adult Foster Care Facilities Clergy, Social Workers, Psychologists, Counselors, and Psychotherapists

Physical, Speech and Occupational Therapists Senior Center Workers and Information and Referral or Outreach Workers

Members of the Legislative Assembly Attorneys


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Legislative Purpose“The Legislative Assembly finds that for the purpose of preventing abuse, safeguarding and enhancing the welfare of elderly persons, it is necessary and in the public interest to require mandatory reports and investigations of allegedly abused elderly persons.”ORS 124.055

Reported Abuse in Oregon

2014Reports: Over 38,000Almost 33,000 adults Investigations: 18,185More than half living in the community

Over 4,000 in licensed settings

Findings of abuse: 4,544 (4,208 victims)0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

2011201220132014


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2012 Adult Protective ServicesComplaint Conclusions

2683 (26%)

7518 (74%)

Substantiated

Not Substantiated

Where does abuse occur?

66% at home 34% care facility


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Your Elder Abuse Reporting Duty

You must report elder abuse if you have Contact with an Elder or an Abuser

and Reasonable Cause to Believe that A person 65 or Older Has Been Abused,

UNLESS an exception applies.

This duty exists 24 hours a day, 7 days a week.

Contact


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What is Contact?

A touching or meeting; association or relationship Need not be to be linked to abuse BUT there must be physical or associational contact

Receiving information in a public meeting about someone is not sufficient (AG opinion)

Telephone or email contact? Can be before or after the abuse or the disclosure

The Brooke Astor Story: Contact

Surrounded by staff, nurses and family

Beloved donor and board member

Mrs. Astor Regrets chronicles her abuse based on her nurses’ diaries


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Reasonable Cause

What is Reasonable Cause?

Any reasonable suspicion of abuse should be reported.Reasonable suspicion is more than a hunch. It requires an ability to point to articulable facts based on the totality of the circumstances.

Your obligation to report does not depend upon whether abuse actually occurred


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The Brooke Astor Story: Reasonable Cause Phillip Marshall, Mrs. Astor’s grandson, sought a change in

guardianship

Phillip alleged that despite her great wealth Mrs. Astor was living in squalor and his father Anthony had reduced her necessary medication and doctor’s visits

On August 13, 2007 Mrs. Astor died at age 105.

Francis X. Morrissey Jr.John Marshall Mantel for the New York Times

What is Abuse?


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Financial Exploitation

Wrongfully taking* the property of an elderly person Alarming an elderly person by a threat to take property Misappropriatingmoney from any account (EVEN JOINT) Failing to use income or assets effectively for support and maintenance of person

*“including, but not limited to, deceit, trickery, subterfuge, coercion, harassment, duress, fraud, or undue influence” (OAR 411‐020‐0002(1)(e))

The Brooke Astor Story

Anthony earned $450,000/yr to take care of her portfolio

Mrs. Astor was diagnosed with Alzheimer's and anemia

Anthony “Tony” Marshall, her only son, was tasked with her care


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Abandonment or Neglect Desertion for any period of

time Failure to provide basic care or

services May be active or passive (OAR

411‐020‐0002(1)(b)(A)(i)

Religious exception, ORS 124.095

Verbal Abuse

Threat of significant harmDerogatory or inappropriate names, insults, verbal assaults, profanity, ridicule

Harassment, coercion, threats, intimidation, humiliation, mental cruelty, inappropriate sexual comments

Victim’s comprehension immaterial(OAR 411‐020‐0002(1)(d)(B)(i))


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Physical Abuse

Physical injury caused by other than accidental means, or apparently inconsistent with the explanation given for it.

Willful infliction of physical pain or injury Includes force‐feeding and all physical punishments (OAR 411‐020‐0002(1)(a)(B)(ii))

Presumed to injure the non‐responsive (OAR 411‐020‐0002(1)(a)(C))

Sexual Abuse

• Enumerated sex crimes• Sexual contact without consent• Sexual harassment• Sexual exploitation• Sexual contact with (non‐spouse) employee of a paid

facility or caregiver• BUT NOT with the paid caregiver themselves


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Seclusion & Restraint

Involuntary seclusion for convenience or discipline

Wrongful use of a physical or chemical restraint

Warning Signs

Unexplained injury or one that doesn't fit the explanation given for it

Elder not permitted to speak for themselves or without the presence of others.

Being extremely withdrawn and non‐communicative or non‐responsive.

Unpaid bills, overdue rent, utility shut‐off notices


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2014 Substantiated Abuse

Exceptions to Reporting


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Exceptions: Certain Client Confidences

Attorney‐Client Privileged under ORS 40.225 (OEC 503) OR Information communicated during representation that is detrimental to client if disclosed (reconciles RPC 1.6 duty)

Reporting Required or Allowed?

RPC 1.6(A) REQUIRES LAWYERS TO PRESERVE CONFIDENCES

RPC 1.6(A),(B) ALLOW LAWYERS TO REVEAL CONFIDENCES IF

Attorney‐client privileged information AND

Other information gained during course of representation IF

Client requests to keep secret; Embarrassing ifdisclosed; or Likely detrimental to client if disclosed.

Client consents;

Impliedly authorized to carry out the representation;

Client intends to commit future crime; or

To prevent reasonably certain death or substantial body harm.


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Elder Abuse Reporting Exceptions vs. RPC 1.6

MUST NOT REPORT if A/C

Privileged ORS 40.225

MUST NOT REPORT

if confidenti

al anddetriment

al RPC 1.6Ethical duty to keep information

relating to representation confidential, including information that is (1) a/c privileged, (2)secret,

(3) embarrassing, or (4) likely detrimental to client if disclosed

A/C Privileged

Secrets

Embarrassing

Likely Detri‐mental

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A/C Privileged

[Likely] Detri‐mental

Secrets Embar‐rassing

Reporting Never Required Reporting Always Required

A/C Privileged

[Likely] Detri‐mental

Reporting Never Required

May I Report? Yes, if:

Informed Consent Implied

Authorization Client Intends to

Commit Crime Prevent Death or

Injury


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To Report or Not to Report?

MUST REPORT MUST NOT REPORT MAY REPORT If you have reasonablecause to believe that elder abuse has occurred and you have had contact with elder or abuser

AND the information on which you would base your report is (1) not attorney‐client privileged and (2) if otherwise confidential under RPC 1.6, would not be detrimental to client if disclosed.

If you have reasonablecause to believe that elder abuse has occurred and you have had contact with elder or abuser

BUT the information on which you would base your report is either (1) attorney‐client privileged (ORS 40.225), or (2) is confidential under RPC 1.6 and would be detrimental to your client if disclosed.

If you have reasonablegrounds to believe that elder abuse has occurred, you report in good faith,

AND the information is confidential under RPC 1.6

BUT your client consents, or reporting is necessary to prevent reasonably certain death or substantial bodily harm or to prevent client’s future crime. RPC 1.6.

Exception: Spiritual Treatment

Voluntary Through prayerRecognized churchDuly accredited practitioner


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How to Report

Immediately = without delay To DHS or law enforcement Oral report required Give as much as information as possible Explain allegation of abuse

Reporting Hotline: 1‐855‐503‐SAFE

or call DHS Branch Offices


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Report Should Include …

Names and addresses Nature and extent of abuse Explanation given for the abuse Cause of abuse and identity of perpetrator.

Behind the Scenes

Screening Investigation and Evaluation (Substantiated, Unsubstantiated, Inconclusive)

Follow up with Reporter Possible Law Enforcement Involvement


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The Brooke Astor Story: Consequences

The jury convicted Anthony Marshall of one charge of grand larceny and Francis X. Morrissey Jr. of forgery.

Both were sentenced to 1‐3 years in prison.

On February 10, 2010 Francis X. Morrissey Jr. was disbarred

Community-Based Complaint Outcomes (2013) (~8000 complaints)

2013 Outcomes IncidenceRisk reduced 673Victim declined intervention 442Issue resolved 429Referred to District Attorney 369Accepted services 235Entered care setting 223Guardian / Conservator appointed 112Victim deceased 56Moved out of the area 42Services not available 35


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Immunity & Anonymity

Immunity

• Report made in good faith

• Reasonable grounds

Anonymity

• Anonymous reports accepted but not preferred

Consequences

Class A violation (fine) Failure to perform duties of office Tort liability Not generally an ethics violation


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Related Laws?

Family Abuse Prevention Act, ORS107.700 to 107.732

Elderly Persons and Persons with Disabilities Prevention Act, ORS124.000 to 124.040

Stalking Protective Orders, ORS 30.866

Your Elder Abuse Reporting Duty

If you have:

1. Reasonable Cause to Believe; 2. Elder* Abuse Has Occurred; and3. Contact with Elder or Abuser

*Person 65 or olderThen You MUST ReportUNLESS an Exception Applies.

ORS 124.060


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Hypothetical No. 1

You are representing Pat, a 69 year old woman, in a dissolution. You notice that there are large withdrawals from Pat’s savings account. Pat explains that her niece Jane has been taking care of her for the past year, and that she writes Jane regular checks to help pay for groceries. The checks total $30,000. You share this information with Pat and she is shocked that the number is so high. You know that Pat has been experiencing some mild dementia and is under the care of a doctor. Pat is adamant that she loves Jane and doesn’t want to do anything about it. Do you have a duty to report elder abuse?

Hypothetical No. 2

At a hot yoga class, your yoga buddy Sam mentions that she is worried about her 71‐year‐old mother, Sally. Sam explains that Sally is at home recovering from a knee replacement. Sam visited Sally yesterday and she had not bathed for two weeks and complained she had missed several doctor’s appointments. Sam’s sister, Amanda, is being paid about $750 a month by the state to take care of Sally, but Sam thinks Amanda may be using the money to improve her shoe collection. You remember meeting Sally at a yin yoga class a few months ago, prior to her surgery. Do you have a duty to report?


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Hypothetical No. 3

Your neighbor Jack approaches you while you are raking leaves on a beautiful fall day. Jack is concerned that his brothers are bilking his father John for free vacations and new cars. Jack explains that his father has been despondent after the death of his wife of 50 years, and seems to have lost all of his zest for life. Jack says he is upset because he feels like his family is taking advantage of his father when he is mired in grief. Do you have a duty to report elder abuse?

Daniel P. AtkinsonAssistant General Counsel

Oregon State Bar503.431.6336

1.800.452.8260 x [email protected]