How to Better Tackle Elder Abuse in Belgium?
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KCE REPORT 331 HOW TO BETTER TACKLE ELDER ABUSE IN BELGIUM? 2020 www.kce.fgov.be KCE REPORT 331 HEALTH SERVICES RESEARCH HOW TO BETTER TACKLE ELDER ABUSE IN BELGIUM? CÉLINE RICOUR, ANJA DESOMER, CÉLINE POUPPEZ, CELIA PRIMUS, IMGARD VINCK 2020 www.kce.fgov.be COLOPHON Title: How to better tackle Elder Abuse in Belgium? Authors: Céline Ricour (KCE), Anja Desomer (KCE), Céline Pouppez (KCE), Célia Primus (KCE), Imgard Vinck (KCE) Project facilitator: Els Van Bruystegem (KCE) Senior supervisor: Sabine Stordeur (KCE) Reviewers: Marie Dauvrin (KCE), Mélanie Lefèvre (KCE) External experts and stakeholders: Jean-François Absil (Parquet général de Liège), Myriam Bodard (Ecoute Senior), Borja Arrue (Age Platform Europe), Nicolas Berg (CHR Liège, Respect Seniors), Karolien Boonen (Vlaamse Overheid, DWVG – Departement Welzijn, Volksgezondheid en Gezin, Afdeling Justitiehuizen), Marc Bouteiller (Maison de repos - Anne Sylvie Mouzon), Valentine Charlot (Spécialiste), Pierre-Thomas Collignon (Police de Bruxelles), Isabelle De Brauwer (Cliniques universitaires Saint-Luc), Lily De Clercq (VLOCO – Vlaams Ondersteuningscentrum Ouderenmis(be)handeling, CAW Oost-Vlaanderen), Liesbeth De Donder (VUB – Vrije Universiteit Brussel, Agogische Wetenschappen), Céline de Hepcee (Clinique La Ramée), Marie-Pierre Delcour (Infor-Homes), Ivan De Nayer (Brussels Meldpunt Ouderenmis(be)handeling), Mariam Ennahou (Maison de repos et soins Villa 34), Elisabeth Goethals (Family Justice Center), Sophie Goffinet (Ecoute Senior), Ludwig Guening (Référent démence), Sophie Guisen (LUSS – Ligue des usagers des services de santé), Damien Hombrouck (Clinique Saint- Jean), Amandine Kodeck (Infor-Homes), Marc Koninckx (AUVB – NVKVV Werkgroep ouderenzorg – Beroepsorganisatie voor Verpleegkundigen), Dominique Langhendries (Respect Seniors), Door Lauwaert (Vlaams Vereniging Verpleegkundigen Spoedgevallenzorg), Martine Lemasson (Ecoutante - Ecoute senior), Joke Lemiengre (Hogeschool UCLL – University College Leuven-Limburg), Quentin Mary (SSMG – Société Scientifique de Médecine Générale), Gert Merckx (Domus Medica), Thierry Monin (LUSS), Marc Nicaise (SPF Justice – FOD Justitie), Tim Opgenhaffen (KULeuven), Anne-Sophie Parent (Age Platform), Anne Peeters (GHDC – Grand Hôpital de Charleroi), Murielle Radoux (SPF Justice – FOD Justitie), Margot Taeymans (FOD Justitie – SPF Justice), Véronique Tellier (Santé publique-Province de Namur), Sabine Temmerman (VLOCO – Vlaams Ondersteuningscentrum Ouderenmis(be)handeling, CAW Oost-Vlaanderen), Linde Tilley (Domus Medica), Clémence Van der Bruggen (Cliniques universitaires Saint-Luc), Diana Van Hoogenbemt (CAW Boom-Mechelen- Lier), Paul Van Royen (Universiteit Antwerpen), Nils Vandenweghe (Vlaamse ouderenraad), Wim Vandevoorde (Hulplijn 1712), Evi Verdonck (Hogeschool UCLL), Jurn Verschraegen (Expertise Centrum Dementie Vlaanderen), Sophie Wellens (LUSS) External validators: Marie Beaulieu (Université de Sherbrooke, Québec, Canada), Sophie Blanchard (Haute Autorité de Santé, France), Dominique Verté (VUB) Acknowledgements: We thank the stakeholders, experts, professionals and informal caregivers who shared their knowledge, opinions and experiences through questionnaires and interviews. We would like to thank the police zone of Liège, Val de l’Escaut and Brussels-North for their support for this project. We thank Sabine Drieskens (Sciensano) for her help in interpreting the health interview survey data. We thank Elke Hooyberghs (Contact person VLOCO in CAW East Flanders), Hans De Beule (Coordinator SEL Waasland) and Hanne Neyts (in charge of the 'home life and care' theme at the Flemish Council for the Elderly) for the sharing of their knowledge. We would like to thank the authors of the elder abuse detection tools who provided additional information on their tool and authorized its distribution via our website. We thank the employees of ministerial offices and federal and regional administrations for their responsiveness to our questions and in particular, Bernadette Van Den Heuvel (Ex-Cabinet Vandeurzen, Flemish region and community), Niki Dheedene (Deputy Head of the Office of Justice and Enforcement at the Flemish Minister of Justice and Enforcement, Environment, Energy and Tourism), Noor Verbeeck (Counselor Justice and Enforcement at the Minister of Justice and Enforcement, Environment, Energy and Tourism), Lore Poncin (nursing homes’ referent in the former cabinet of Alda Greoli-Walloon government), Khadija Boudiba (Attached to the Common Community Commission-COCOM), Daniela Grün (Senior Advisor, Ministry of the German-speaking Community) and Martine Bauwens (Former attached to the COCOF- french-speaking public service in Brussels). We thank the organizations specialized in the fight against elder abuse for their advice and guidance throughout this project: VLOCO, Respect Senior, Ecoute Senior and Brussels Meldpunt Ouderenmis(be)handeling. We thank Laurence Kohn, Els Van Bruystegem and Jef Adriaenssens from the qualitative research unit of KCE for their support in the choice of research methods for the qualitative part of this project as well as for their involvement during the meeting of experts and stakeholders. We thank the KCE communication unit for advice in the use of French and Dutch when developing questionnaires and final documents. Reported interests: ‘All experts and stakeholders consulted within this report were selected because of their involvement in the topic of Elder abuse. Therefore, by definition, each of them might have a certain degree of conflict of interest to the main topic of this report’ Membership of a stakeholder group on which the results of this report could have an impact: Nicolas Berg (Senior Respect Practices), Liesbeth De Donder (Member of the VUB), Céline De Hepcée (Group practice in mental health - Epsylon: more particularly at the Clinique la Ramée, particularly in a psychogeriatrics department), Mariam Emmahou (Rest and care home sector), Linde Tilley (Domus Medica, scientific association, general practitioners association), Nils Vandeweghe (Flemish Elderly Council), Evi Verdonck (Lectures etc. are given on the basis of a research assignment, but payment is made towards UCLL) Holder of intellectual property (patent, product developer, copyrights, trademarks, etc.): Lily Declercq (Temmerman, S. (2019). Ouderen(mis)behandeling, Praat erover! Tools om OMB te herkennen en ermee aan de slag te gaan (1e ed.) Brussel, Politeia), Liesbeth De Donder (Developer of REAMI (RITI) measuring instrument), Tim Opgenhaffen (Author of various legal publications on professional secrecy and liberty restrictions in healthcare), Jurn Verschraegen (Elaboration of training material). Fees or other compensation for writing a publication or participating in its development: Isabelle De Brauwer (Compensation for participation via invoice of the Employer ATIN), Céline De Hepcée (Organization of a conference on psychogeriatric in May 2019 with financial support from the Pharma company), Tim Opgenhaffen (As a member of KU Leuven and as author of various legal publications), Linde Tilley (For an article on domestic violence intended for general practitioners) Participation in scientific or experimental research as an initiator, principal investigator or researcher: Marie Beaulieu (As a researcher in the field of elder abuse for 30 years, I have led and been co-researcher in a lot of research. I am a member of the editorial board of the Journal of Elder Abuse and Neglect), Nicolas Berg (Participation in Respect Seniors work), Liesbeth De Donder (Professor at the VUB), Joke Lemiengre (At the college UC Leuven-Limburg, is conducting research on the subject of elder abuse), Tim Opgenhaffen (PhD researcher, research assistant (2014-now), researcher at EFOI, on professional secrecy, cooperation and social responsibility of the contact points ‘Welfare, Public Health and Family’), Evi Verdonck (UCLL conducts research on the topic of elder abuse) A grant, fees or funds for a member of staff or another form of compensation for the execution of research described above: Liesbeth De Donder (FWO, SBO, Innoviris…) Consultancy or employment for a company, an association or an organisation that may gain or lose financially due to the results of this report: Céline De Hepcée (I work in a hospital), Mariam Emmahou (Director of a nursing home), Damien Hombrouck (Hospital Saint-Jean, Valida), Nils Vandeweghe (Flemish elderly council), Clemence Van Der Bruggen (Some decisions may influence our work in the hospital) Payments to speak, training remuneration, subsidised travel or payment for participation at a conference: Liesbeth De Donder (Lectures about elder abuse to a wide audience as guest speaker...), Marc Koninckx (Book vouchers (max. value of € 500) for giving lectures related to elder abuse. Lectures for SELs, general practitioner society, training center. Compensation for 4 hours of training (€ 150) in the geriatric nursing training KDG-Antwerp), Joke Lemiengre (Lectures etc. are given on the basis of a research assignment, but payment is made to the UCLL college of applied sciences), Tim Opgenhaffen (Employer (Institute for Social Law) receives allowances for lectures on professional secrets and freedom restrictions in healthcare), Linde Tilley (Domus Medica trade fair), Evi Verdonck (Lectures etc. are given on the basis of a research assignment, but payment is made towards UCLL), Jurn Verschraegen (Training courses on dementia) Presidency or accountable function within an institution, association, department or other entity on which