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Thursday, September 8, 2016 Noon–1 p.m. 1 Elder Abuse Reporting credit Mandatory Elder Abuse Reporting for Lawyers

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Thursday, September 8, 2016 Noon–1 p.m.

1 Elder Abuse Reporting credit

Mandatory Elder Abuse Reporting for Lawyers

Mandatory Elder Abuse Reporting for Lawyers ii

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 © 2016

OREGON STATE BAR16037 SW Upper Boones Ferry Road

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

Mandatory Elder Abuse Reporting for Lawyers iii

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

Appendix D—NCALL Fact Sheet: Changes Due to Normal Aging and Potential for Abuse/Neglect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

Mandatory Elder Abuse Reporting for Lawyers iv

Mandatory Elder Abuse Reporting for Lawyers v

SCHEDULE

Presented by Mark Johnson Roberts, Deputy General Counsel, Oregon State Bar, Tigard

11:45 Registration

Noon Mandatory Elder Abuse Reporting for Lawyers

F Oregon’s changing demographics

F Types and prevalence of elder abuse

F When and how to report abuse

1:00 Adjourn

FACULTY

Mark Johnson Roberts, Deputy General Counsel, Oregon State Bar, Tigard. Mr. Johnson Roberts is Deputy General Counsel to the Oregon State Bar. He provides prospective ethics advice to Oregon lawyers and provides counsel to the bar on regulatory, employment, and business matters. He practiced family law in Portland for 26 years before joining the bar’s staff in 2016. Mr. Johnson Roberts is chair of the American Bar Association Commission on Sexual Orientation and Gender Identity, past president of the Oregon State Bar, past president of the National LGBT Bar Association, and past chair of the Oregon State Professional Responsibility Board. He is the 2014 recipient of the Multnomah Bar Association Professionalism Award in recognition of his many years of service to the bench and bar. Mr. Johnson Roberts holds an LL.M. in International Law from the Willamette University College of Law.

Mandatory Elder Abuse Reporting for Lawyers vi

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Nat

iona

l Cle

arin

ghou

se o

n A

buse

in L

ater

Life

(NC

ALL

) A

Pro

ject

of W

iscon

sin C

oalit

ion

Aga

inst

Dom

estic

Vio

lenc

e 30

7 S.

Pa

ters

on S

t., S

uite

1, M

adiso

n, W

iscon

sin 5

3703

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one:

608

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608

-255

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0 •

ww

w.n

call.

us •

ww

w.w

cad

v.or

g

Cha

nges

Due

to N

orm

al A

ging

and

Pot

entia

l for

Abu

se/N

egle

ct

Agi

ng P

roce

ss C

hang

es

Nor

mal

Agi

ng O

utco

mes

Im

plic

atio

ns F

or P

oten

tial A

buse

Sk

in:

Loss

of s

kin

thic

knes

s A

troph

y of

swea

t gla

nds a

nd d

ecre

ased

bl

ood

flow

In

crea

sed

wrin

kles

and

laxi

ty o

f ski

n

Skin

bec

omes

pap

er th

in

Dec

reas

ed sw

eatin

g, lo

ss o

f ski

n w

ater

, dry

skin

Im

mob

iliza

tion

and

negl

ect m

ay c

ause

bed

sore

s, sk

in in

fect

ion,

bru

ises

, ski

n la

cera

tion

(pot

entia

l for

ph

ysic

al a

buse

)

Lun

g:

Dec

reas

ed lu

ng ti

ssue

ela

stic

ity

Dec

reas

ed re

spira

tory

mus

cle

stre

ngth

R

educ

ed o

vera

ll ef

ficie

ncy

of g

ases

exc

hang

ed

Red

uced

abi

lity

to h

andl

e se

cret

ions

and

fore

ign

parti

cles

Imm

obili

zatio

n an

d ne

glec

t may

cau

se lu

ng

infe

ctio

n

Dec

reas

ed st

amin

a m

ay re

sult

in d

epen

denc

e an

d is

olat

ion

Hea

rt c

hang

es:

Hea

rt va

lves

thic

ken

Incr

ease

d fa

tty d

epos

its in

arte

ry w

all

Incr

ease

d ha

rden

ing,

stiff

enin

g of

blo

od

vess

els

Dec

reas

ed se

nsiti

vity

to c

hang

e in

blo

od

pres

sure

Dec

reas

ed b

lood

flow

D

ecre

ased

resp

onsi

vene

ss to

stre

ss, c

onfu

sion

, and

di

sorie

ntat

ion

Pron

e to

loss

of b

alan

ce

Pote

ntia

l for

falls

/inju

ries,

phys

ical

and

ps

ycho

logi

cal a

buse

Gas

tric

and

inte

stin

al:

Atro

phy

and

decr

ease

d nu

mbe

r of t

aste

bu

ds D

ecre

ased

gas

tric

secr

etio

n

Dec

reas

ed g

astri

c m

uscl

e to

ne

Alte

red

abili

ty to

tast

e sw

eet,

sour

, sal

t and

bitt

er

Poss

ible

del

ay in

vita

min

and

dru

g ab

sorp

tion

Alte

red

mot

ility

D

ecre

ased

per

ista

lsis

D

ecre

ased

hun

ger s

ensa

tions

and

em

ptyi

ng ti

me

Mal

/und

er n

utrit

ion

Feca

l im

pact

ion

(pot

entia

l phy

sica

l abu

se)

Cha

nge

in h

ow m

edic

atio

ns a

re a

bsor

bed,

resu

lting

in

pos

sibl

e ov

er-m

edic

atin

g, re

sulti

ng in

falls

, co

nfus

ion,

etc

.

Mandatory Elder Abuse Reporting for Lawyers 30

BW

JP/N

CA

LL

Han

dout

1:

Nor

mal

Agi

ng a

nd P

oten

tial f

or A

buse

Pa

ge 2

Agi

ng P

roce

ss C

hang

es

Nor

mal

Agi

ng O

utco

mes

Im

plic

atio

ns F

or P

oten

tial A

buse

B

ladd

er:

Dec

reas

ed b

ladd

er m

uscl

e to

ne a

nd b

ladd

er

capa

city

In

crea

sed

resi

dual

urin

e Se

nsat

ion

of u

rge

to u

rinat

e m

ay n

ot o

ccur

unt

il bl

adde

r is f

ull

Incr

ease

d ris

k of

infe

ctio

n, st

ress

inco

ntin

ence

U

rinat

ion

at n

ight

may

incr

ease

En

larg

ed p

rost

ate

glan

d in

mal

e

Inco

ntin

ence

alo

ng w

ith im

mob

iliza

tion

and

negl

ect

may

cau

se sk

in b

reak

dow

n an

d/or

bed

sore

s Po

tent

ial f

or fa

lls a

nd in

jurie

s whe

n ha

ving

to g

et

up m

ore

at n

ight

In

cont

inen

ce is

the

sing

le m

ost p

redi

ctiv

e fa

ctor

for

abus

e M

uscl

es, j

oint

, and

bon

e:

Dec

reas

ed m

uscl

e m

ass

Det

erio

ratio

n of

join

t car

tilag

e D

ecre

ased

bon

e m

ass

Dec

reas

ed p

roce

ssin

g sp

eed

and

vibr

atio

n se

nse

Dec

reas

ed n

erve

fibe

rs

Dec

reas

ed m

uscl

e st

reng

th a

nd in

crea

sed

mus

cle

clam

ping

G

reat

er ri

sk o

f fra

ctur

es; l

imita

tion

of m

ovem

ent;

Po

tent

ial f

or p

ain

Imm

obili

zatio

n an

d ne

glec

t may

cau

se c

ontra

ctur

e de

form

ities

(pot

entia

l for

phy

sica

l and

ps

ycho

logi

cal a

buse

) In

crea

sed

pote

ntia

l for

falls

M

ore

likel

y to

frac

ture

und

er le

ss im

pact

than

a

bone

of a

you

nger

per

son

Less

stre

ngth

resu

lting

in in

crea

sed

isol

atio

n an

d de

pend

ence

on

care

give

r Se

nsor

y:

Cha

nges

in sl

eep-

wak

e cy

cle

Slow

er st

imul

us id

entif

icat

ion

and

regi

stra

tion

D

ecre

ased

vis

ual a

cuity

Sl

ower

ligh

t and

dar

k ad

apta

tion

D

iffic

ulty

in a

dapt

ing

to li

ghtin

g ch

ange

s D

isto

rted

dept

h pe

rcep

tion

Impa

ired

colo

r vis

ion

Cha

nges

in le

ns

Dim

inis

hed

tear

secr

etio

n D

ecre

ased

tone

dis

crim

inat

ion

D

ecre

ased

sens

itivi

ty to

odo

rs

Red

uced

tact

ile se

nsat

ion

Incr

ease

d or

dec

reas

ed ti

me

spen

t sle

epin

g In

crea

sed

nigh

ttim

e aw

aken

ings

D

elay

ed re

actio

n tim

e Pr

one

to fa

lls

Incr

ease

d po

ssib

ility

of d

isorie

ntat

ion

G

lare

may

pos

e an

env

ironm

enta

l haz

ard

Inco

rrec

t ass

essm

ent o

f hei

ght o

f cur

bs a

nd st

eps

Pres

byop

ia (d

imin

ishe

d ab

ility

to fo

cus o

n ne

ar

obje

cts)

Pr

esby

cusi

s (hi

gh fr

eque

ncy

soun

ds lo

st)

Less

abl

e to

diff

eren

tiate

low

er c

olor

tone

s e.g

. bl

ues,

gree

ns

Dul

lnes

s and

dry

ness

of t

he e

yes

Dec

reas

ed a

bilit

y to

sens

e pr

essu

re, p

ain,

te

mpe

ratu

re

Neg

lect

and

soci

al is

olat

ion

(pot

entia

l for

fina

ncia

l ab

use)

Fa

lls, f

ract

ures

, and

inju

ries (

pote

ntia

l for

phy

sica

l an

d ps

ycho

logi

cal a

buse

)

Imm

une

syst

em:

Dec

line

in se

cret

ion

of h

orm

ones

Im

paire

d te

mpe

ratu

re re

gula

tion

Impa

ired

imm

une

reac

tivity

D

ecre

ased

bas

al m

etab

olic

rate

Dec

reas

ed re

sist

ance

to c

erta

in st

ress

es (b

urns

, su

rger

y, e

tc.)

Incr

ease

d su

scep

tibili

ty a

nd in

cide

nce

of in

fect

ion

Incr

ease

d in

cide

nce

of o

besi

ty

Bed

sore

s In

fect

ions

Fr

actu

res

Isol

atio

n D

epen

denc

e

Mandatory Elder Abuse Reporting for Lawyers 31

BW

JP/N

CA

LL

Han

dout

1:

Nor

mal

Agi

ng a

nd P

oten

tial f

or A

buse

Pa

ge 3

Agi

ng P

roce

ss C

hang

es

Nor

mal

Agi

ng O

utco

mes

Im

plic

atio

ns F

or P

oten

tial A

buse

M

enta

l and

cog

nitiv

e:

Som

e co

gniti

ve a

nd m

enta

l fun

ctio

ns

decl

ine

Som

e co

gniti

ve sk

ills i

nclu

ding

judg

men

t, cr

eativ

ity, c

omm

on se

nse,

and

bre

adth

of

know

ledg

e an

d ex

perie

nce,

are

mai

ntai

ned

or im

prov

ed.

Som

e co

gniti

ve sk

ills,

incl

udin

g ab

stra

ctio

n, c

alcu

latio

n, w

ord

freq

uenc

y,

verb

al c

ompr

ehen

sion

, and

indu

ctiv

e re

ason

ing,

show

slig

ht o

r gra

dual

dec

line.

Shor

t-ter

m m

emor

y de

clin

es b

ut lo

ng-te

rm re

call

is

usua

lly m

aint

aine

d

Diff

icul

ty u

nder

stan

ding

abs

tract

con

tent

. Le

arni

ng a

bilit

ies c

hang

e—ol

der a

dults

are

mor

e ca

utio

us in

thei

r res

pons

es; a

re c

apab

le o

f lea

rnin

g ne

w th

ings

but

thei

r spe

ed o

f pro

cess

ing

info

rmat

ion

is sl

ower

.

Pote

ntia

l for

fina

ncia

l abu

se a

nd e

xplo

itatio

n

Incr

ease

d ris

k fo

r sel

f-ne

glec

t

Sour

ce: C

alifo

rnia

Sta

te U

nive

rsity

, Los

Ang

eles

, Sch

ool o

f Soc

ial (

2003

). A

dult

Prot

ectiv

e Se

rvic

es W

orke

r Tra

inin

g fo

r the

Cal

iforn

ia S

tate

U

nive

rsity

Dep

artm

ent o

f Soc

ial S

ervi

ces

Mandatory Elder Abuse Reporting for Lawyers 32