2023_ElderAdultSymposium_program_final

ELDER & DEPENDENT ADULT ABUSE SYMPOSIUM 2023

RIVERSIDE COUNTY DEPARTMENT OF PUBLIC SOCIAL SERVICES ADULT SERVICES DIVISION THURSDAY JUNE 1, 2023

Riverside Convention Center Riverside, CA

02 2023 Elder and Dependent Adult Abuse Symposium

INTRODUCTION

World Elder Abuse Awareness Day (WEAAD), commemorated on June 15 every year, is an opportunity for people and organizations around the world to promote a better understanding of abuse and neglect of older persons by raising awareness of the cultural, social, economic and demographic processes affecting elder abuse and neglect. WEAAD was launched on June 15, 2006, by the International Network for the Prevention of Elder Abuse and the World Health Organization at the United Nations.

WEAAD is in support of the United Nations International Plan of Action acknowledging the significance of elder abuse as a public health and human rights issue. In a society that values the just treatment of all people, WEAAD reminds us that elder abuse has implications for all of us, and so it’s important to find the right solutions to it. WEAAD is a call- to-action for society’s individuals, organizations, and communities to educate each other on how to identify, address and prevent abuse so we can all do our part to support everyone as we age.

03 2023 Elder and Dependent Adult Abuse Symposium

EVENT SPONSORS

Alzheimer’s Association California Southland Chapter California Governor’s Office of Emergency Services (CalOES) Embodied Labs Inland Empire Health Program (IEHP)

Riverside County Foundation on Aging Riverside County Office on Aging Riverside University Health System Behavioral Health Riverside University Health System Medical Center Service Employees International Union (SEIU) University of California Riverside School of Medicine

InnovAge California PACE JUMP Technology Services

Long-Term Care Ombudsman Program Council on Aging – Southern California Molina Healthcare Riverside County Department of Public Social Services (DPSS)

Inland Regional Center Independence at home A SCAN Community Service

04 2023 Elder and Dependent Adult Abuse Symposium

EVENT SCHEDULE

7:30 AM – 8:15 AM MAIN HALL 8:15 AM – 8:25 AM MAIN HALL

Check-In - Continental Breakfast Main Hall

Master of Ceremonies Gene Kennedy, Senior Public Information Specialist Riverside County Department of Public Social Services (DPSS) Welcome Todd Bellanca, Assistant Director Riverside County Department of Public Social Services (DPSS) Charity Douglas, Director Riverside County Department of Public Social Services (DPSS) Opening General Session Nick Buettner, Vice President Blue Zones Susan DeMarois, Director California Department of Aging Dr. Geoffrey Leung, County Health Officer Riverside County Dr. Jennifer Pabustan-Claar, Integrated Health &Human Services Director Riverside County Jeff Van Wagenen, County Executive Officer Riverside County Upstream Strategies to Prevent Abuse This conversation will highlight the importance of changing our outlook and how we view the aging population. It will encourage a reframe which will allow us to move away from the idea that aging must come with increased vulnerability. By identifying and addressing gaps, while providing opportunities for empowerment, we can take action to implement strategies which create an environment where the risks of abuse are reduced, and where seniors can lead productive, purposeful lives. Master of Ceremonies Gene Kennedy, Senior Public Information Specialist Riverside County Department of Public Social Services (DPSS)

8:25 AM – 8:35 AM MAIN HALL

8:35 AM – 9:30 AM Main Hall

9:30 AM – 9:35 AM Main Hall

9:35AM - 9:45AM Main Hall

Break (Transition to Breakout Session 1)

05 2023 Elder and Dependent Adult Abuse Symposium

9:45 AM – 10:35 AM

Breakout Session 1

Embodied Labs: A Virtual Reality Experience *Pre-Registration required to attend

Lottery and Romance Schemes Plaguing the Elderly

Neglect 101: Documentation, Working With Other Agencies, and When is it a Crime?

Administering the MoCA: What Does it Mean and Why is it Important

Conservatorship and the Guardianship Process

Room: Raincross A/D Room: MR 7/8/9/10

Room: Raincross C/F Room: MR 4/5 (Lower Level) Room: Raincross B/E

10:35 AM – 10:45 AM 10:45 AM – 11:35 AM

Break (Transition to Breakout Session 2)

Breakout Session 2

Embodied Labs: A Virtual Reality Experience *Pre-Registration required to attend

Managing Someone’s Life After Death: Wills & Trusts, Elder abuse, and Public Administrator Functions

Elder Abuse MDTs: Best Practice and Current Trends

Older Adult Financial Exploitation

Elder Abuse: Intervention and Investigative Strategies forOlder Adultswith Cognitive Impairments

Room: Raincross A/D Room: MR 7/8/9/10

Room: Raincross C/F Room: MR 4/5 (Lower Level) Room: Raincross B/E

11:35 AM – 12:45 PM 12:45 PM – 12:50 PM 12:50 PM – 1:00 PM 1:00 PM – 1:50 PM

Main Hall Lunch / Vendor Resource Tables

Afternoon Welcome - David Franklin, Psy.D., M.H.A.

Break (Transition to Breakout Session 3)

Breakout Session 3

Embodied Labs: A Virtual Reality Experience *Pre-Registration required to attend

EBT and Credit Card Skimming and Theft

Sexual Abuse in the Elderly/Dependent Adult Population

Grief, Loss, and Healing

Harm Reduction and Safety Planning

Room: Raincross A/D Room: MR 7/8/9/10

Room: Raincross C/F Room: MR 4/5 (Lower Level) Room: Raincross B/E

1:50 PM – 2:00 PM 2:00 PM – 2:50 PM

Break (Transition to Breakout Session 4)

Breakout Session 4

Embodied Labs: A Virtual Reality Experience *Pre-Registration required to attend

Forensic Accounting Update 2023: Recent Case Studies in Elder Financial Exploitation

Conservatorship and the Guardianship Process

Pharmacotherapy in Older Adults: Is It Making Grandma Loopy?

Navigating the VA Healthcare System 101

Room: Raincross A/D Room: MR 7/8/9/10

Room: Raincross C/F Room: MR 4/5 (Lower Level) Room: Raincross B/E

2:50 PM - 3:00 PM 3:00 PM - 3:15 PM 3:15 PM - 3:20 PM

Transition to Main Hall

Afternoon Check-In / Dessert and Refreshments Master of Ceremonies Gene Kennedy, Senior Public Information Specialist Riverside County Department of Public Social Services (DPSS)

3:20 PM – 3:30 PM 3:30 PM – 4:20 PM

Break (Transition to Breakout Session 5)

Breakout Session 5

Embodied Labs: A Virtual Reality Experience *Pre-Registration required to attend

Gender Identity and Sexual Orientation Implicit Bias of Elder and Dependent Adults

Learning New Skills in Older Adulthood: The Benefits and Barriers

Healthy Grieving: How to Help Others Cope After Loss

Managing Money: A Caregiver’s Guide to Finances

Room: Raincross A/D Room: MR 7/8/9/10

Room: Raincross C/F Room: MR 4/5 (Lower Level) Room: Raincross B/E

4:20 PM – 4:30 PM

Conference Conclusion / Evaluation Submission

06 2023 Elder and Dependent Adult Abuse Symposium

MASTER OF CEREMONIES

Gene Kennedy is the Senior Public Information Specialist at Riverside County’s Department of Public Social Services (DPSS), where he has provided information and communications to the public and staff for four years. After earning his Bachelor of Journalism degree at University of Missouri, Columbia, Kennedy began a career in television news in March 2000 in Iowa and Illinois. His career as a news reporter earned him various awards and unique assignments, ranging from breaking news and political coverage to human interest stories. After news reporting stints in the Midwest, Nevada, and Utah, he became the 5, 6 & 10 pm anchor at an NBC affiliate in Quincy, Illinois, where he moderated a statewide gubernatorial debate. After almost 20 years in broadcasting, Kennedy felt it was time to return home to Riverside, CA to be closer to family. Kennedy uses his journalism skills to manage media relations on behalf of DPSS and help the department communicate to the public how it’s improving the health, safety, and well-being of Riverside County residents. Kennedy lives with his wife and 11-year-old son in the city of Riverside.

Gene Kennedy Sr. Public Information Specialist Riverside County Department of Public Social Services

KEYNOTE SPEAKERS / DIGNITARIES

Charity Douglas is the Director of the Department of Public Social Services in Riverside County, overseeing Children’s Services and Adult Services and Self Sufficiency Services. Charity has over 20 years of experience driving supportive and innovative programming within multifaceted social service systems. She believes in the power of community partnerships and is passionate about strengthening prevention and early intervention pathways to address poverty and abuse in themost vulnerable populations.

Charity Douglas Director Riverside County Department of Public Social Services

07 2023 Elder and Dependent Adult Abuse Symposium

Dr. David Franklin is a Full Associate Clinical Professor at the University of California, Riverside in the School of Medicine. He has been with the University of California (UCR) system for the past 28 years and also serves as Director of the Elder Abuse Forensic Center (EAFC) for the County of Riverside. Within this center, Dr. Franklin leads a team of approximately 20 core members from many different backgrounds and specialties to address concerns of elder and dependent adult abuse. This center is partially funded by the Victims of Crime and Abuse (VOCA) grant, which is federally funded for the protection of the elderly. Dr. Franklin leads as the Principal Investigator for this grant. Dr. Franklin has been working in the field of neurodegenerative diseases as both a clinician and researcher for 24 years and is a principal investigator onmultiple studies investigating neurodegenerative diseases. Dr. Franklin’s practice within UCR School of Medicine focuses on neurodegenerative disorders as he works directly with neurologists and psychiatrists in the community for the care of these patients. Todd Bellanca has been serving as the as the Riverside County Assistant Director for the Adult Services Division since May 7, 2020. In this position, he oversees the Adult Protective Services (APS), In-Home Supportive Services (IHSS), and Public Authority (PA) programs. Todd Bellanca has been with Riverside County for thirty years, starting as a Professional Student Intern. His previous roles included serving as Deputy Director, Regional Manager, and Social Worker in both the Children’s Services and Self-Sufficiency divisions of the Department of Public Social Services. Todd received his Bachelor of Arts in Administration from California State University, San Bernardino in 1993, and his certificate in case management from Loma Linda University School of Social Work in 2002. He appreciates the honor of having a career serving the most vulnerable children and adults in our community. Todd Bellanca is most passionate about improving outcomes for vulnerable residents through multi-disciplinary teams (MDT’s), and working with his staff to focus on purpose, people, and process. “Together, progress is possible.”

Todd Bellanca Assistant Director Riverside County Department of Public Social Services

Dr. David Franklin Psy.D.,M.H.A. Neuropsychologist

Director of Medical Student Education for Psychiatry, UCR School of Medicine Director of the UCR Comprehensive Sports Concussion Program Director of the Elder Abuse Forensic Center for the County of Riverside Professor of Psychiatry and Neuroscience, UC Riverside School of Medicine Department of Psychiatry and Neuroscience

08 2023 Elder and Dependent Adult Abuse Symposium

Dr. Geoffrey Leung serves as the Public Health Officer for Riverside County. At Riverside University Health System, he previously served as the Ambulatory Medical Director, Family Medicine Department Chair, and Medical Staff President. Dr. Leung is a Health Sciences Clinical Professor of Family Medicine at the University of California Riverside School of Medicine. He is currently involved in community wellness, integration of health services, and whole person strategies for promoting health. Dr. Leung is passionate about Community Health, Health Equity, Social Determinants of Health, and Population Health. He believes that the experience of the pandemic has reminded us that we are all connected and that we must move upstream to effectively protect and promote health. Dr. Leung completed his medical degree at Baylor College of Medicine, his Family Medicine training at Kaiser Orange County, and his Master of Education at Harvard. On a personal note, Dr. Leung is married and has two children (ages 10 and 13) who help ground and inspire him daily. Dr. Pabustan-Claar is currently the Managing Director for Riverside County’s Office of Integrated Services. She is responsible for coordinating the work of a multi-disciplinary leadership team to plan, implement and evaluate the countywide Integrated Services Delivery initiative for health and human services. Previously, she was the Managing Director for the Department of Public Social Services (DPSS) for three years, where she oversaw operations and planning for human services in the nation’s tenth largest county. Dr. Pabustan-Claar also headed Riverside County’s Adult Services, which included Homeless, Adult Protection and In-Home Supportive Services programs. Dr. Pabustan-Claar received her bachelor’s degree from the University of California, Riverside and obtained her master’s and Ph.D. degrees in Social Welfare from the University of California, Los Angeles. After beginning his career working in the District Attorney’s (DA’s) Office as a prosecutor, Van Wagenen opened a criminal defense law firm in 2000. As a specialist in criminal law, certified by the State Bar of California, Van Wagenen handled many of the County’s most serious and high-profile cases. During this time, he was often asked to serve as a Judge Pro Tem in the Superior Court, handling felony and misdemeanor matters. In 2011, Van Wagenen returned to the DA’s Office to serve as an Assistant District Attorney and was assigned the countywide administration of the office. To these relatively unique experiences (as the administrator of a large law office, a prosecutor, a defense attorney, and a judge pro tem), he added the Managing Director of Riverside County’s Economic Development Agency (EDA) in late 2014. Among other things, EDA works to enhance the economic position of the county’s residents and businesses. Van Wagenen lives with his wife and two children in the city of Riverside. Jeff Van Wagenen is the County Executive Officer for Riverside County. He has served the residents of Riverside County, in one capacity or another, for 25 years, including the last three years as Assistant CEO.

Jeff Van Wagenen County Executive Officer Riverside County

Dr. Geoffrey Leung, MD Public Health Officer Riverside County

Dr.JenniferPabustan-Claar Ph.D. IntegratedHealth&HumanServicesDirector Riverside County

09 2023 Elder and Dependent Adult Abuse Symposium

Nick Buettner is the Vice President of Blue Zones. He is responsible for leading the development and implementation of the Blue Zones Project in all Blue Zones Communities and corporate sites across the US. In 2004, Blue Zones teamed up with National Geographic and the world’s best longevity researchers to identify pockets worldwide where people live measurably longer and better. In these “Blue Zones” they found that people reach age 100 at rates 10 times greater than in the United States. After identifying five of the world’s Blue Zones, the Blue Zones team and National Geographic took teams of scientists to each location to identify lifestyle characteristics that might explain longevity. They found that the lifestyles of all Blue Zones residents shared nine specific characteristics. They call these characteristics the Power 9®. His work with the Blue Zones expedition team provided him a first-hand, in-person glimpse of these Blue Zones — places that have the greatest life expectancy and where more people reach age 100 than anywhere else in the world. Susan DeMarois was appointed by Governor Gavin Newsom to serve as Director of the California Department of Aging (CDA) effective November 1, 2021. As Director, DeMarois is committed to stakeholder engagement; equity and inclusion; and system transformation to prepare our state for the year 2030 when one in four Californians will be aged 60 or older. Prior to joining CDA, DeMarois led public policy and advocacy for the national Alzheimer’s Association in California, serving as the nonprofit organization’s registered lobbyist in Sacramento where she advocated for legislative, budget, and regulatory changes at the state capitol. The organization led the effort to enact the first dementia early detection initiative in the nation focused on the Medicaid population: SB 48 (Limón) signed into law by Governor Newsom. DeMarois served as an appointee to Governor Newsom’s Alzheimer’s Prevention and Preparedness Task Force, chaired by former First Lady Maria Shriver, in addition to theMaster Plan for Aging Stakeholder Advisory Committee, a workgroup established by Executive Order. In addition, she represented the Alzheimer’s Association on the CalHHS Agency Secretary’s Alzheimer’s Disease and Related Disorders Advisory Committee. Before working for the Alzheimer’s Association, DeMarois led government and community relations for the UC Davis Health System where she gained deep health policy and clinical workforce experience. Early in her career, she worked for LeadingAge California, the professional trade association representing not-for- profit housing, residential care, and skilled nursing providers. A graduate of California State University, Chico, DeMarois started her career working for the U.S. Congress and California State Assembly. She is a proud mom to two adult daughters and draws inspiration for her work from her own mom’s experience with dementia.

Susan DeMarois Director California Department of Aging

Nick Buettner Vice President Blue Zones

10 2023 Elder and Dependent Adult Abuse Symposium

BREAKOUT SESSION DESCRIPTIONS

PRESENTERS

The Embodied Labs experience is an immersive learning system which allows participants to view the world through the perspective of older adults and caregivers. Virtual reality allows you the opportunity step into someone else’s shoes–to deeply understand the lived experience of another person. Knowing what to expect, how to relate, and how to respond allows you to communicate more clearly, support more confidently, and serve with greater purpose. Because real understanding isn’t just about knowing. It’s about feeling. There are several labs available and at the 2023 Elder and Dependent Adult Abuse Symposium. Participants will be able to experience the following labs: 1) Alfred, a 74-year-old African American man with macular degeneration and high frequency hearing loss as he spends time with family, visits the doctor, and receives a diagnosis. As Alfred goes about his daily life, the learner will understand how deficits in hearing and vision affect communication and impact emotional well-being. 2) Frank, a 72-year-old Caucasian man, beginning a few months after his wife’s passing. As Frank attempts to navigate his newway of life, the learner will experience destructive impacts of social isolation and understand how it can overlap with loneliness, negative or absent family relationships, poor health, lack of access to transportation, and inability to access community services. Warning This content of this session may be emotionally challenging as it covers a variety of sensitive topics including end of life experiences which may elicit a physical and/or emotional reaction. Embodied Labs / Virtual Reality Experience Breakout Session 1: 9:45 AM – 10:35 AM Breakout Session 2: 10:45 AM – 11:35 AM Breakout Session 3: 1:00 PM – 1:50 PM Breakout Session 4: 2:00 PM – 2:50 PM Breakout Session 5: 3:30 PM - 4:20 PM

Ryan Uhlenkott Deputy Director Riverside County Department of Public Social Services, Adult Services Division

Chante Brooks, MSW Staff Development Officer Riverside County Department of Public Social Services Staff Development

Carrie Cusker, MS, RN Director of Clinical Innovations & Strategy Embodied Labs

Alexander Preston Head of Growth & Advocacy Embodied Labs

The Embodied Labs experience will empower participants to provide more effective services to disabled older adults.

11 2023 Elder and Dependent Adult Abuse Symposium

PRESENTER

Neglect 101: Documentation, Working with Other Agencies, and when is it a crime?

Breakout Session 1: 9:45 AM – 10:35 AM

Neglect cases are some of the most challenging cases we encounter in the world of elder and dependent adult abuse. Through the use of case discussion and examples, see how proper documentation and follow up can make a difference on these cases. Learn about interagency cooperation, reporting and what factors make neglect a crime.

Maureen DuMouchel, JD Deputy District Attorney IV Special Prosecutions Region, Major Elder Abuse Riverside County District Attorney’s Office

PRESENTER

This session will cover the court’s process of establishing conservatorship and guardianship cases. It will provide information regarding the investigation the court conducts, the process of appointing of the conservator (or guardian) and the annual and biennial review requirements. Conservatorship and the Guardianship Process Breakout Session 1: 9:45 AM – 10:35 AM

Sheri Gulino Probate Director Superior Court of California, Riverside County

PRESENTER

This training is specifically designed for non-medical personnel. It will cover how to administer the Montreal Cognitive Assessment (MoCA) in the field as well as how to score the MoCA with an explanation of what cognitive ability is being evaluated in each section of theMoCA. This workshopwill cover the common types of dementia as well as reversible causes of dementia. Some tips and strategies will be provided in building rapport, assessing cognitive abilities when someone refuses to participate in the MoCA, and putting it all together to paint the whole picture to ensure you know what next steps are needed based on findings. Administering the MoCA: What Does it Mean and Why is it Important? Breakout Session 1: 9:45 AM – 10:35 AM

Barbara McEwen, BSN, RN, PHN Geriatric Care Team RN, Riverside University Health Systems

12 2023 Elder and Dependent Adult Abuse Symposium

PRESENTERS

Offering insight into how these lottery schemes work to engage elderly victims andhowsuspectsmanipulate victims into isolation to further their control. Victims become entangled in romance schemes with the same suspects and become co-conspirators in an international network of money mules. This session will also explain the U.S. Postal Inspection Services’ involvement in combating elder abuse. Lottery and Romance Schemes plaguing the Elderly Breakout Session 1: 9:45 AM – 10:35 AM

Marjon Barrigan U.S. Postal Inspector U.S. Postal Service Inspection

Lisa Cummings U.S. Postal Inspector U.S. Postal Service Inspection

PRESENTER

Riverside Co. Sheriff Coroner/ Public Administrator Bureau Explains Managing Someone’s Life After Death (Wills & Trusts,

elder abuse, and PA functions) Breakout Session 2: 10:45 AM – 11:35 AM

This presentation will explain the functions and duties of a Public Administrator as well as the types of referrals they can investigate related to a deceased person and/or their estate. Topics of elder abuse, restitution, and full probate case management will also be discussed. Additionally, testamentary documents such as a Will or Trust will be explained.

Natasha L. Rangel, MPA Assistant Public Administrator Riverside County Sherriff-Coroner/Public Administrator

PRESENTER

While elder abuse MDTs have been around since the 1980s, the development of our practices has often lagged decades behind domestic violence and child abuse. What can we learn from our sister fields and how do we advance the field by improving our practices? Through case examples, we will explore guiding principles such as equity, person-centered and trauma informed practices. We will discuss current gaps in the field and how The Elder Justice Initiative is helping to meet those challenges at the local level. National collaboration trends and opportunities will be highlighted throughout the presentation. Elder Abuse MDTs: Best Practices and Current Trends Breakout Session 2: 10:45 AM – 11:35 AM

Talitha Guinn-Shaver, MDT Technical Advisor Elder Justice Initiative, U.S. Department of Justice

13 2023 Elder and Dependent Adult Abuse Symposium

PRESENTER

Pharmacotherapy in Older Adults: Is It Making Grandma Loopy?

Breakout Session 2: 10:45 AM – 11:35 AM

Attendees of this session will know and understand: key issues in geriatric pharmacology, principles of prescribing for older patients, prevalence of inappropriate medication use in the elderly, list of potentially inappropriate medication classes in the elderly, risk factors for adverse drug events for older patients and ways to mitigate them.

Dr. Wael Hamade, MD, FAAFP, AGSF Geriatric Medicine Division Chair, Associate Professor UCR SOM Associate Director Riverside County EAFC RUHS, Medical Center

PRESENTER

This session will cover the court’s process of establishing conservatorship and guardianship cases. It will provide information regarding the investigation the court conducts, the process of appointing of the conservator (or guardian) and the annual and biennial review requirements. Conservatorship and the Guardianship Process Breakout Session 2: 10:45 AM – 11:35 AM

Sheri Gulino Probate Director Superior Court of California, Riverside County

PRESENTERS

EBT Credit Card Skimming and theft is at an all-time high. Almost $7 million per month is lost to this type of theft. This class provides some basic information on what it is, how thieves are stealing your information and funds, and what our County is doing about the problem. Seniors who rely on food stamps or CalWORKs benefits need to know about this problem and learn what steps they can take to avoid being victimized. EBT and Credit Card Skimming and Theft Breakout Session 3: 1:00 PM – 1:50 PM

Raquel Teano Supervising Fraud Investigator, POST Certified Instructor, Riverside County Department of Public Social Services

Shawn Ferris Chief of Investigations, POST Certified Instructor, Riverside County Department of Public Social Services

14 2023 Elder and Dependent Adult Abuse Symposium

PRESENTER

Grief, Loss, and Healing Breakout Session 3: 1:00 PM – 1:50 PM

This workshop will discuss the many types of losses elders may experience throughout their life from loss of friends to loss of independence. There will be a review of the symptoms of grief and what it may look like in both the short-and-long-term and the stages of grief including a discussion how working through the stages is not necessarily a linear event. We will look at common areas where people may get stuck in grieving and how to overcome those obstacles.

W. Edward Brown, MSW, LCSW Clinical Therapist RUHS Behavioral Health

PRESENTER

APS Professionals are dedicated to the safety and well-being of older and dependent adults. This may include engaging the client in addressing harmful behaviors that the clients may be engaging. Whether it be drug use, alcoholism, or having a poor diet; many times, social workers are unraveling years of behaviors that are damaging. What happens when a social worker cannot convince a client to completely stop these behaviors? Harm reduction is a myriad of policies and practices with intent primarily to reduce the adverse health, social and economic consequences of drug consumption. These strategies can also be used with other types of self-destructive behaviors. In this presentation, Jessica will introduce the concepts of harm reduction, the societal implications and perceived biases around harm reduction, harm reduction successes and challenges, and finally, discuss implementing harm reduction strategies within your jurisdictional organization and/or social worker practice specifically related to safety planning. Harm Reduction and Safety Planning Breakout Session 3: 1:00 PM – 1:50 PM

Jessica E. Burke, MPA Staff Development Officer Riverside County DPSS Adult Services

15 2023 Elder and Dependent Adult Abuse Symposium

PRESENTER

Warning This session may be emotionally challenging and elicit a physical and/or emotional reaction due to its content. Discussion of issues that arise with elders and dependent adults when it comes to sex and sexual assault. This presentation will cover sexual abuse case studies, unique challenges to investigating sexual abuse, risk factors to look for and identify, how to approach investigations with victims lacking in capacity, and how to prevent abuse. Sexual Abuse in the Elderly/Dependent Adult Population Breakout Session 3: 1:00 PM – 1:50 PM Elder Financial Exploitation is on the rise. Many seniors fall victim to trusted associates and sometimes even well-trusted family members and caregivers. Seniors are often targeted in real estate and mortgage fraud schemes, leaving them homeless and wondering how it all happened. We will look at recent case studies where vulnerable seniors have been victims of fraudulent transfers of personal property and other assets. This presentation will address how forensic accountants can help educate senior protectors and advocates on identifying red flags of elder financial exploitation and how forensic accountants use financial documents and information to examine real estate transactions and purchases. Forensic Accounting Update 2023: Recent Case Studies in Elder Financial Exploitation Breakout Session 4: 2:00 PM – 2:50 PM

Maureen DuMouchel, JD Deputy District Attorney IV Special Prosecutions Region, Major Elder Abuse Riverside County District Attorney’s Office

PRESENTERS

David Wall JD, CPA, CFE Forensic Account Riverside County District Attorney’s Office

Diane Zimmerman CFE Forensic Account Riverside County District Attorney’s Office

PRESENTER

Older Adult Financial Exploitation Breakout Session 4: 2:00 PM – 2:50 PM

Overview of FBI Victim Services Program. Attendees will learn how to identify a victim, the responsibilities of Special Agents and Victim Specialists, how to identify the Victim Specialist role during an investigation, how to identify common types of crimes targeting older adults, how to recognize why older adults are vulnerable to becoming a victim, how to review types of scams, and how to identify the importance of reporting the crime and tips on protecting older adults.

Laura Lopez, MA FBI Victim Specialist Federal Bureau of Investigation

16 2023 Elder and Dependent Adult Abuse Symposium

PRESENTERS

Elder Abuse: Intervention and Investigative Strategies for Older Adults

with Cognitive Impairments Breakout Session 4: 2:00 PM – 2:50 PM

The Department of Veteran’s Affairs is a huge federal institution designated to provide a wide gamut of services to eligible veterans who served honorably in any branch of the US Military. This workshop will provide citizens an overview of how the Department of Veteran’s Affairs carries out its mandate of serving those who served. The presenter will discuss the relationships among the three branches of the Department of Veterans Affairs - Veterans Health Administration, Veterans Benefits Administration, and the National Cemetery - to provide a comprehensive picture of its inner workings. Navigating the VA Healthcare System 101 Breakout Session 4: 2:00 PM – 2:50 PM An introduction to the issues of mental capacity and neuro- psychological evaluations. In this presentation, we will discuss the meaning of capacity, and its relationship to decisional capacity: explore the range of expressions of capacity, and the range of challenges or obstacles surrounding capacity and assessments and distinguish purposes for capacity assessment to help determine needed client/victim interventions and assistance with investigations. This workshop will also include resources available when obstacles exist to provide intervention, client services, and needed multi-agency collaboration to implement thorough investigations. Also, what steps can be taken to best prepare for resource utilization and overcome investigative barriers that exist to provide needed interventions to clients/victims with cognitive impairments. This workshop will discuss how older adults can engage in cognitively stimulating activities, particularly in learning new skills, to increase cognitive abilities and functional independence. Additionally, it will cover research on cognitive health disparities among low-income minority older adults, the barriers they might face to participating in learning, and how policy and learning program directors can help mitigate such barriers. Learning New Skills in Older Adulthood: The Benefits and Barriers Breakout Session 5: 3:30 PM – 4:20 PM

Dr. David Franklin Psy.D., M.H.A. Neuropsychologist Director of the Riverside County EAFC Director of the Comprehensive Sports Concussion Program

Angela Rosato, MAM Coordinator Riverside County Elder Abuse Forensic Center

PRESENTER

Teresa Graney, LCSW Doctor of Social Work Loma Linda VA Healthcare System

PRESENTER

Tania Rodriguez Graduate Student in PhD program University of California, Riverside

17 2023 Elder and Dependent Adult Abuse Symposium

PRESENTERS

Presenter will review a PowerPoint presentation with the group on the topic of grief and loss and share recommendations on how to help others cope with multiple types of losses (i.e., loss of a loved one, loss of independence, job loss, loses due to COVID-19, etc.). Participants will learn how grief and loss impact a person’s mood, physical health and relationships and will be taught strategies to cope with these challenges. The presenter will be available for questions and group discussion following presentation. The presenter will also share information about no cost mental health services available to people ages 55+ and their caregivers in the following counties: Riverside, San Bernardino, Los Angeles, and Orange (individuals residing in other counties within California are served on a case-by-case basis depending on need and access). Healthy Grieving: How to Help Others Cope After Loss Breakout Session 5: 3:30 PM – 4:20 PM

Rachel Holben Insights Supervisor Independence at Home a SCAN Community Service

Mila Lilien Community Health Worker Independence at Home a SCAN Community Service

PRESENTER

Managing Money: A Caregiver’s Guide to Finances

Breakout Session 5: 3:30 PM – 4:20 PM

Our evidence-based education program will feature tips for managing someone else’s finances, how to prepare for future care costs and the benefits of early planning.

Sarah Kattus, RN Community Educator Alzheimer’s Association

This workshop will describe implicit bias and understand how our unconscious bias impacts the treatment of others based on gender identity and sexual orientation. It will summarize strategies on how to identify and minimize gender identity and sexual orientation implicit bias. Attendees will learn to recognize the impact of gender bias and sexual orientation prejudice. Gender Identity and Sexual Orientation Implicit Bias of Elder and Dependent Adults Breakout Session 5: 3:30 PM – 4:20 PM

PRESENTER

Chante Brooks, MSW Staff Development Officer Riverside County DPSS – Staff Development

SPEAKER BIOGRAPHIES

19 2023 Elder and Dependent Adult Abuse Symposium

Chante Brooks, MSW Staff Development Officer Department of Public Social Services Staff Development

Chante Brooks, MSW , began her social service career as a social worker with Riverside County Department of Public Social Services, Adult Services Division in 2011. As a social worker, she worked in the In-Home Supportive Services (IHSS) and Adult Protective Services (APS) programs assisting elderly and disabled adults through completing biopsychosocial assessments, investigating abuse and/or neglect, and providing resources to ensure client safety. Chante Brooks promoted to Social Service Supervisor with Adult Services in 2014; she was responsible for managing social work professionals providing essential services to elderly and disabled clients. Chante Brooks became a Staff Development Officer in 2018, where she provides training and instruction to social service professionals. As a Staff Development Officer, she develops training curriculum, mentors professionals, and provides trainings to community partners, caregivers, and more. Chante Brooks passionately trains, mentors and develops professionals to ensure effective service delivery to elderly and disabled adults.

W. Edward Brown, MSW, LCSW Clinical Therapist RUHS Behavioral Health

W. Edward Brown received bachelor’s degrees in history and philosophy from Boston College. He received his MSW from Loyola University Chicago in 2012. Since receiving his MSW, he has worked with schools, Adult Protective Services, forensic mental health in jails, and the Riverside New Life clinic. He has been with the County of Riverside since 2014. In the outpatient clinic, he created a process group on grief and loss to help consumers heal. He also created and facilitates groups on anxiety, DBT, narrative therapy, anger management, and conflict resolution. The Riverside New Life Clinic is part of RUHS Behavioral Health and Forensic Mental Health. It is an outpatient clinic servicing adult consumers who are on probation and parole. One of the goals of the New Life program is to help consumers heal from their past and reintegrate into society.

Jessica E. Burke, MPA Staff Development Officer Riverside County DPSS Adult Services

Jessica Burke, MPA , has been in the field of social work for almost 20 years; serving older and dependent adults. In 2005, Jessica Burke began her career in Riverside County, as a social worker for Adult Protective Services (APS). As a social worker, Jessica Burke investigated elder abuse and neglect and assisted the most vulnerable elderly and disabled adults. Jessica Burke was also part of the Elder Abuse Forensic Center, the Death Review Team, and a lead in investigating high profile cases. In 2016, she was promoted to a Staff Development Officer. She is now responsible for providing specific APS trainings to new and existing social workers. She is a subject matter expert in all areas of APS practice, which includes developing curriculum, training, and instructing social workers, clerical staff, and community partners. She is also the Assistant Director of Workforce Development at Sacramento State University CCE; in which she created a new social worker induction program for 28 of California’s Northern counties; and she is a curriculum developer and trainer for The National Adult Protective Services Association (NAPSA), and an APS subject matter expert and consultant for Adult Protective Services Technical Assistance Resource Center (APS TARC). With Jessica Burke’s extensive knowledge and dedication to supporting elder abuse organizations across the United States, Jessica Burke opened the first APS Training and Consulting firm. APS Training Consultants, or APSTC specializes in a full scope of organizational development practices and services to create and develop state specific elder abuse training programs. Additionally, she is a professional speaker and has presented at events and conferences across the nation. Within the current aging climate, she believes that ongoing education and trainings are essential to excellent social worker skills and practice. By accomplishing this, states can ensure that their APS organization and staff will receive the needed support to keep the older adult and disabled population safe, and free from abuse, neglect, and exploitation.

Carrie Cusker, MS, RN Director of Clinical Innovations & Strategy Embodied Labs

Carrie Cusker is an innovator in the aging space and a fervent advocate for older adults and their care partners. Carrie Cusker draws on her 26 years of nursing experience to create meaningful, immersive content that encompasses both the clinical and human aspects of healthcare. With Embodied Labs, Carrie Cusker continues to challenge the social construction of aging through unique learning design. She has lent her voice to multiple conferences and webinar panels in efforts to inform, inspire, and celebrate innovation in aging services.

21 2023 Elder and Dependent Adult Abuse Symposium

Maureen DuMouchel, JD Deputy District Attorney IV Special Prosecutions Region, Major Elder Abuse Riverside County District Attorney’s Office

Maureen DuMouchel has been a Riverside County Deputy District Attorney since 2006. She is the Countywide Trial Team Leader for the Major Elder Abuse Unit of the Special Prosecutions Region, where she prosecutes elder/dependent adult physical, sexual, neglect, and financial abuse cases. She is a core member of the Riverside County Elder Abuse Forensic Center, has taught law enforcement about Elder and Dependent Adult Abuse, and gives presentations to seniors regarding scams and fraud. DuMouchel has a Juris Doctorate degree from Mc George School of Law and an undergraduate degree from Loyola Marymount University.

Shawn Ferris Chief of Investigations POST Certified Instructor Riverside County DPSS Adult Services

Shawn Ferris is the Chief of the Special Investigations Unit (SIU for Riverside County DPSS). He has over 32 years of experience as a sworn peace officer, 30 years of experience specifically investigating fraud in both the insurance and welfare arena, and over 20 years of management and leadership experience. He has been the Chief of the SIU team since 2016. Dr. David Franklin, Psy.D., M.H.A. Neuropsychologist Director of Medical Student Education for Psychiatry, UCR School of Medicine Director of the UCR Comprehensive Sports Concussion Program Director of the Elder Abuse Forensic Center for the County of Riverside Professor of Psychiatry and Neuroscience, UC Riverside School of Medicine Department of Psychiatry and Neuroscience Dr. David Franklin is a Full Associate Clinical Professor at the University of California, Riverside (UCR) in the School of Medicine. He has been with the University of California system for the past 28 years and directs the Elder Abuse Forensic Center (EAFC) for the County of Riverside. Within this center, Dr. Franklin directs a team of approximately 20 core members from many different backgrounds and specialties to address concerns of elder and dependent adult abuse. This center is partially funded by the Victims of Crime and Abuse (VOCA) grant, which is federally funded for the protection of the elderly. Dr. Franklin leads as the Principal Investigator for this grant. Dr. Franklin has been working in the field of neurodegenerative diseases as both a clinician and researcher for 24 years and is a principal investigator on multiple studies investigating neurodegenerative diseases. Dr. Franklin’s practice within UCR School of Medicine focuses on neurodegenerative disorders as he works directly with neurologists and psychiatrists in the community for the care of these patients.

Dr. Teresa Graney DSW, LCSW PACT Social Worker for Palm Desert VA Clinic Loma Linda VA Healthcare System

Teresa Graney has worked for the VA for almost 15 years. The last 5 years is with the Palm Desert VA clinic. She held different social worker positions with five different VA Healthcare systems in the country. She worked in the emergency room, specialty clinics, dialysis clinic, oncology, mental health and primary care. Teresa Graney obtained her Master of Social Worker degree from the University of Illinois in Urbana, Illinois in 2000. She received her Doctor of Social Work degree from the University of Tennessee in Knoxville, Tennessee in 2015 and is a licensed clinical social worker in California and Florida.

Talitha Guinn-Shaver MDT Technical Advisor Elder Justice Initiative, U.S. Department of Justice

Talitha Guinn-Shaver serves as the elder abuse Multidisciplinary Team (MDT) Technical Advisor for the Elder Justice Initiative (EJI) at the U.S. Department of Justice. Her experience with MDTs includes her prior role as the Director of the Elder Abuse Prevention program at the Institute on Aging, where she served as the Director of the San Francisco Elder Abuse Forensic center and chair of the San Francisco Elder Abuse MDT. She has also participated in other MDTmodels such as serving on the San Francisco Elder Death Review Teamand The Hoarding and Cluttering Taskforce. She has also proudly served the National Center on Elder Abuse (NCEA) working on elder abuse special projects. Supporting existing elder abuse case review MDTs and facilitating the expansion of the model is the primary objective of the EJI MDT TAC.

Sheri Gulino Probate Director Superior Court of California, Riverside County

Sheri Gulino has 39 years of experience in probate, trust and estate planning working for private attorneys, the Public Administrator’s Office, as well as the courts in San Bernardino County, Orange County and Riverside County. Gulino has experience in conservatorship and guardianship law and has been relied upon to review complicated court accountings. Working in the probate area of law in the court system for 17 years providing a wide range of court experience, she is a subject matter expert. Gulino received her bachelor ‘s degree in business from Azusa Pacific University and has many years of supervision and leadership experience. She has served as faculty for the Center for Judicial Education and Research (CJER) probate, court Investigator trainings, conservatorship, and guardianship courses for many years, and currently is a member of the board on the Judicial Council Probate and Mental Health Advisory Committee.

23 2023 Elder and Dependent Adult Abuse Symposium

Dr. Wael Hamade, MD, FAAFP, AGSF Geriatric Medicine Division Chair Associate Professor UCR School of Medicine Associate Director of the Elder Abuse Forensic Center for the County of Riverside Riverside University Health System, Medical Center

Dr. Wael Hamade is a board-certified Geriatric Medicine physician and serves as Chair of the Division of Geriatric Medicine at RUHS, Medical Center. In addition, he is the Director of the Geriatric/Dementia Clinic and is the lead consultant for the Geriatric Trauma Service at RUHS. He also serves as the Associate Director of the Riverside County Elder Abuse Forensic Center. In addition to the above responsibilities, Dr. Hamade specializes in providing comprehensive care to seniors and treats many health concerns related to aging, including Alzheimer’s disease, frailty, falls and medication management. As a faculty physician and resident advisor, he enjoys mentoring medical students and residents at the RUHS Medical Center. Dr. Hamade is a fellow of the American Academy of Family Medicine and American Geriatrics Society. As an expert in his field, Dr. Hamade will discuss how the health of our aging population poses both challenges and opportunities for our community to promote healthy aging. Dr. Hamade will present practical early intervention strategies which aim to prevent abuse among the elderly and dependent adults in our community. Dr. Hamade will highlight the link between early intervention and an elder’s quality of life. Dr. Hamade’s call to action demonstrates the importance of how an aging-friendly approach and perspective promote healthy aging and minimize abuse.

Rachel Holben Insights Supervisor Independence at Home

Rachel Holben is a Licensed Clinical Social Worker with many years of experience providing mental health treatment to adults, older adults and families. For the past eight years, Rachel has worked with Independence at Home, a SCAN Community Service as a clinical therapist and supervisor of the Insights program.

Sarah Kattus, RN Community Educator Alzheimer’s Association

Sarah Kattus a retired RN. Her main specialty in her career was in the cardiovascular laboratory (angiograms, angioplasty, and stents in the heart arteries), non-invasive cardiac testing, and interventional radiology. I grew up in Los Angeles in a family with 7 children. Her father was a cardiologist and her mother was a Registered Nurse. Her father died of Alzheimer’s disease in 1996 after an eight-year decline to the point that he did not recognize his wife and children and was unable to speak. Her mother was a devoted caregiver and a volunteer advocate for the Alzheimer’s Association. Her parents are her inspiration for volunteering for the Alzheimer’s Association as a community educator, support group facilitator, and advocate. She participates in fundraisers to raise money and awareness for Alzheimer’s and all dementias. (Walk to end Alzheimer’s and The Longest Day). She has a particular interest in advocating for the family caregivers who have a tremendous challenge. She is married and lives in Redlands. She has a daughter and two grandchildren who live in San Marcos.