Editor’s Note:
AAR Annual Report, 2002-2003

Last summer when Loree told a good friend in the elder abuse field that she was leaving the National Center on Elder Abuse and starting her own organization to provide services to the field, the friend was appalled. “Who will you be accountable to?” she asked, pointing out that other national organizations in this field had members to whom they were accountable.

It was Loree’s turn to be surprised. Loree went down a litany of questionable happenings in our field. For each, she asked, “Did the membership of X organization complain when that organization did Y?” In each case, the colleague had to admit that no, no one had complained, and that in many of the cases, the membership never even knew about the decisions that had been made in their name. (Indeed, as we were writing this paragraph, we received an email request for donations from one of our field’s organizations. The request said they’d had donations up to $4,000 per member, but needed more. They didn’t mention that WordBridges had offered, months before, a $5,000 in-kind donation (minus $500 expenses) in the form of website design and database construction. The organization had acknowledged receiving the offer (after we specifically asked some time later), but didn’t bother accepting…or rejecting it, for that matter. Did the members who were being asked to give again know a record-high donation had been spurned, we wondered?)

Despite their shared recognition that if “accountability” were required, our current system didn’t provide it, Loree and her colleague ended the call without an alternative way of achieving it. But an alternative process is necessary; our field itself strives to hold caregivers and family members accountable for their actions and responsibilities; how can we not demand the same of ourselves?

And so we come to this first Adult Abuse Review annual report. We think of it as analogous to the annual accounting some courts require guardians to file; such reports don’t preclude bad decision-making, but they do provide an opportunity – for those who care to look – to see what has been happening and draw their own conclusions.

Our first year is up because we date AAR’s conception to June and July of 2002. Because of some directions the Administration on Aging (AoA) was giving the National Center on Elder Abuse (NCEA) for its fifth year, we saw an opportunity that summer to implement some ideas we’d been nurturing for some time about how to improve the ability of NCEA’s newsletter and website to provide needed information on demand. Our proposal was not accepted. Faced with our strong belief that the elder abuse field could and should be served better, and now disappointed that certain opportunities were going to go by the wayside because of an allegiance to the status quo, we finally decided that we would sever our ties with NCEA – Loree had been one its primary staff members for over a decade; Michael had consulted on several projects, including the National Policy Summit on Elder Abuse – and develop our own, self-funded “demonstration project.” That project was to consist of a monthly web-based newsletter -- more in-depth than previous newsletters had been -- that was integrated into an online Clearinghouse in a way that would create an ever-growing database of free, easily-accessible reference materials. We imagined keeping a list of conferences that automatically updated itself, semi-weekly updates to the homepage with breaking news, a comprehensive list of website links, and a deep archive of materials from earlier publications.

When we went “live” in late September, the website had some of these features, but not all; it was important to us to get the newsletter going; we’d come back and fill in the gaps later. Our first issue of AAR came out the first week in October, debuting (complete with flowers!) at the National Association of Adult Protective Services Administrators’ annual conference. The positive response was gratifying; people seemed to appreciate the level of coverage our initial edition provided.

Unfortunately, our carefully planned schedule for producing AAR, getting archived material online, and expanding the website took a hit the very week after AAR debuted. At that point, occasional strange happenings around our homes began steeply escalating in both severity and frequency, and we began getting distracted by fear and a mostly fruitless search for answers and help. Over time, as the campaign of terror against us went on, we were able to begin to right ourselves even as the terror (and lack of help) continued, but we’ve never caught up. Hence this “June/July” AAR is being published in late August, the promised archived material is still not available, and some of our hopes for the website have yet to be implemented. We also have yet to go back and update our many links, a task made particularly pressing after the revision of the National Center on Elder Abuse website in May resulted in moving (without a forwarding address) many of the pages to which we had links.

On the other hand, we undertook a project this first year that we hadn’t planned on: the creation of a database of media stories on vulnerable adult and elder abuse. This database required us to master many more web-design skills and requires at least twice-daily Internet searches. Here, too, our reach has somewhat exceeded our grasp, as the database is only up-to-date through the first of July; literally hundreds of additional articles are in various stages of the process of getting them into the database and putting that online. But we are pleased with the new effort; one APS supervisor wrote us that he’s using that database to motivate his workers, who have become dispirited over the hurdles they must overcome in their efforts to find justice for their clients.

The new web-design skills also enabled us to undertake an overhaul of the WordBridges website, to make it (to us, at least; let us know what you think) easier and more pleasant to navigate. In this process we were also finally able to do the cross-referencing of AAR articles that was an integral part of our original vision. We added more accountability features, including a 2-question web-based feedback form on every page to encourage people to identify what information they want but can’t find, and more sophisticated counters and other mechanisms to track the site’s strengths and weaknesses so we can better tailor it to our users’ needs.

Overall, we are very pleased with what we’ve accomplished in this year. We have received dozens and dozens of compliments on our work (a sampling of which can be found in the accompanying article, “AAR Compliments”). Although we have done very little “advertising,” word-of-mouth and Internet searches have proven our theory: there are many, many professionals and other interested individuals who are craving more in-depth information about elder abuse. In addition to the 1,000 people who routinely receive an email announcement of a new AAR through the national elder abuse listserve, more than 300 others have subscribed to the announcement service. The scope of professions and geographies these subscribers represent far exceeds our wildest dreams for our first year. Although we could only determine geographic location and/or profession for about 2/3 of our subscribers (subscribers are not required to give this data when they sign up), those 200 by themselves represent 43 states, the District of Columbia, and a couple foreign countries. The range of professions is impressive and includes 24 county APS agencies; 21 state and area agencies on aging; 36 state and local Department of Human Services or Department of Social Services; 13 attorney generals or district attorneys; 18 librarians, publishers, and reporters; 19 researchers, professors, and/or students; 10 state and local long-term ombudsmen programs; 3 state long-term care licensure/certification agencies; and many, many more (see “AAR Subscribers’ Analysis” for full listing). Clearly, the interest in elder and vulnerable adult abuse and the desire for in-depth, quality prevention and intervention information and resources is high.

Perhaps more telling, we have begun to receive unsolicited articles and materials to review. In the past two months, we’ve received at least 6 unsolicited articles; one of these -- plus an article we solicited after one of our readers contacted us with concerns -- is published in this edition. These unsolicited pieces to us represent the sense that people feel AAR is a quality vehicle for getting out the word on resources and issues important to those who serve abused and at-risk elders and vulnerable adults. We are honored to receive these “endorsements.”

On the complaint side, we received several comments early on that our publication color didn’t print well on some machines. We adjusted this; have we gotten it right? We still can’t provide what many people want: pictures that tell the stories of abuse, neglect, and self-neglect; we’ve placed that item on our “to-do” list. What else haven’t we done as well as you’d like?

What’s next?

For better or worse, the first year of AAR coincided with an ongoing campaign of terror and stalking aimed at our family by white supremacists. Not only has this affected our ability to achieve our goals, but it has changed our goals. Originally we were focused on proving just how much information about elder and vulnerable adult abuse is available but was not being passed on to the field, or compiled in a useable manner. As our own victimization continued, however, we began to fully understand -- in a way that perhaps only victims can -- the incredible impact service system workers’ skills, sensitivity, values, and commitment have on victims’ lives. We’ve experienced what happens when professionals aren’t well-trained, aren’t supported, and aren’t held accountable. We also know how literally life-saving just one respectful, caring person can be.

These experiences have clarified our goals and strengthened our commitment. We now describe our work as trying to reach those respectful, caring people in the systems that touch at-risk and abused elders and vulnerable adults and support them with high-quality information and the sense that we believe what they’re doing is important, noticed, and respected by others.

Unfortunately, we are nearing the end of the retirement money we had to invest in this project. Although the original intent was to find partners that would allow us to continue the newsletter and website under a reconstituted National Center on Elder Abuse, this scenario did not play out. It turned out that many, many aging and elder abuse organizations -- both national and local -- are satisfied with what the field offered prior to the establishment of AAR, and did not wish to develop an alternative to propose to AoA. So we ended up having to dream far more expansively, and design a whole NCEA from scratch. That proposal has now been completed and submitted to AoA. If it is funded, some version of AAR will continue as a service of a much expanded and more responsive federally-funded NCEA. If it is not funded, we will have to seek funding elsewhere, and will be back to you then for ideas and assistance.

We are so glad you have elected to join us in this endeavor; we hope you’ll continue to support us and your colleagues in helping to grow this very important field.

Sincerely,

Loree Cook-Daniels, Publisher
Michael munson, webmaster and graphic designer

 



   

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