How dangerous are psychiatric medications when they’re prescribed for dementia patients in nursing homes? According to a recent article in Modern Healthcare, the benefits of the long-term use of psych meds when they’re prescribed for the disorders for which they’re designed—would “need to be colossal to counter known harms associated with their use.” And while the off-label use of antipsychotics to treat dementia symptoms appears to have declined, it remains a significant problem in Southern California and throughout the country.

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Stopping Use of Psychotropic Drugs

Researchers across the globe are speaking out about the dangers of antipsychotic drugs. To be sure, a debate about their efficacy and long-term effects recently sprung up on the website for the journal of the British Medical Association. According to Dr. Peter Gøtzsche, who serves as the director of the Nordic Cochrane Center, the lack of benefit from these medications, particularly when they’re used in an off-label manner, means that “we could stop almost all psychotropic drugs without causing harm.” For even when they’re used to provide short-term relief, he emphasized, they pose serious long-term harms.

Given the sheer number of nursing home abuse complaints that have created a backlog in Southern California, it sounds like good news that state officials are hoping to change nursing home inspection and oversight duties. Indeed, according to a recent article in the Los Angeles Times, officials in Los Angeles County are changing the way they handle nursing home neglect complaints “as part of a drive to better manage a backlog of investigations.”

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However, the reorganization may not be sufficient to yield a significant change. To be sure, “some patient advocates say the proposed changes aren’t likely to significantly improve conditions, and could make matters worse.”

Investigation Practices in Los Angeles County

When you learn that an elderly loved one has died while in the care of a nursing home or assisted-living facility, you may suspect that she didn’t receive the proper treatment. In some cases, however, it’s difficult to discern whether an older adult suffered injuries as a result of medical negligence or because of elder abuse.6811278733_eca62c5091

In California, nursing home abuse and neglect is a serious problem throughout the state. At the same time, medical malpractice can occur in a variety of healthcare settings, including nursing homes. According to a recent article in the National Law Journal, differentiating medical negligence and elder abuse cases can be complicated in California.

Characterizing a Healthcare Provider’s Actions

In California, elder abuse isn’t limited to nursing homes. To be sure, residential care facilities for the elderly (RCFEs), which are also known as assisted-living facilities, retirement homes, and board and care homes, have been cited for numerous instances of elder abuse and neglect. And given that RCFEs only provide incidental medical services, these facilities aren’t subject to the same regulations as nursing homes. Which ones are safest for your elderly loved one? And which facilities haven’t been implicated in recent nursing home abuse allegations? Proposed legislation seeks to help Californians with these important questions.

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New Bill Aims to Provide Access to Elder Abuse Information

Many RCFEs exist throughout the state of California. According to the California Department of Social Services, they offer services ranging from personal supervision and assistance with activities of daily living to medical services that are incidental to personal care. How can consumers know which of these facilities will provide the best care to their elderly loved ones?

Did you search for a nursing home or assisted-living facility in California through an elder care referral agency? In some cases, unfortunately, older adults end up in facilities that have financial arrangements with these referral agencies, and those elderly residents become the victims of nursing home abuse or neglect. Now, according to a recent article in California Newswire, Senate Bill 648 aims to provide greater protection to seniors who seek referrals through these agencies.

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Proposed Legislation to Protect Seniors from Bad Business Practices

How will Senate Bill 648 help elderly Californians and their families when it comes time to select a nursing home or assisted-living facility? In short, if the proposed legislation passes, it will strengthen the licensing and financial disclosure requirements for elder care referral agencies. The bill, according to the article, is on its way to the Senate Judiciary Committee.

Given that reports concerning nursing home abuse and neglect have made clear that such crimes simply don’t discriminate based on the cost of a facility, should Californians be concerned about the link between the rising costs of long-term care and the risks of elder abuse?

In short, it’s possible that, due to the rising costs of this type of care, facilities could try to cut back on budgets in certain areas in order to attract elderly residents and their families. But could this type of attention to pricing lead to inadequate staffing, for instance?

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Need for Vigilance at Long-Term Care Facilities

Over the past year, elderly California residents and their family members have been made all too aware that, if they file elder abuse complaints, the Department of Public Health isn’t likely to respond in a timely manner. However, according to a recent article in California Healthline, testimony given in a joint legislative hearing emphasized that “progress has been made in clearing a huge backlog of nursing home complaints, and steps have been taken to ensure it won’t happen again.”

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Department of Public Health Discusses Progress

Last October, a report from a state auditor revealed that the California Department of Public Health had a backlog of about 11,000 complaints concerning elder abuse in nursing homes and related facilities. According to Elaine Howle, the California state auditor, “many of them were urgent and serious complaints, and others were designated as high priority.” Of those complaints, Howle indicated that around 40 percent of those in the backlog fell into the category of “immediate or non-immediate jeopardy designations.”

How, exactly, do elder abuse investigations work? After national news that Harper Lee, the famous author of To Kill A Mockingbird, might have been the victim of elder abuse, an article in Slate provided an in-depth look into investigations concerning reports of elder abuse and neglect. While each state has its own methods for looking into reports of nursing home abuse and other violations, it’s important for Californians with elderly parents and loved ones to understand the basics of an elder abuse inquiry.

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The Allegedly “Murky Field” of Elder Abuse and Competence

What does elder abuse look like, and how can we be certain when we see it? According to Rosalie Kane, a professor of health policy and management at the University of Minnesota, “the concept of elder abuse is a murky field.” Kane explained that “sometimes there’s too much branding of older people as incompetent,” and that can complicate conceptions of elder abuse. In other words, Kane believes that investigations into elder abuse allegations often aren’t taken seriously because of suspicions about the victim’s mental capacity.

When older adults become victims of elder abuse in their own homes, do they have any options to escape the violence? According to a recent article in the Orange County Register, more elderly adults are reporting that they’ve been the victims of physical abuse in Southern California, and the Orange County Elder and Dependent Adult Abuse Registry received more than 9,000 such reports last year alone.16570337968_57d62c7708

Elder Abuse on the Rise in Orange County

Over the last 10 years, the Orange County Elder and Dependent Adult Abuse Registry has received a 74 percent increase in reports of abuse. Between 2013 and 2014 alone, the reported cases of abuse rose by nearly 14 percent. Of those calls, more than 75 percent involved seniors aged 65 and older. Yet experts suspect that the number is actually much higher. In other words, numerous cases simply go unreported.

Back in 2013, a number of elderly residents in a Castro Valley facility were abandoned, “left without proper staffing or care for two days,” according to a recent article in the San Jose Mercury News. Now, the owner and administrator from the facility, Valley Springs Manor, “have been charged with felony elder abuse and could face up to 17 years in prison if convicted.”

Indictment for Felony Elder Abuse

Who can be held liable for the serious allegations concerning nursing home abuse in Castro Valley? Based on an announcement from California Attorney General Kamala Harris, both the owner of Valley Springs Manor, Herminigilda Manuel, as well as a top administrator, Edgar Babael, have been indicted on 14 felony counts of elder abuse. Manuel was arrested by agents from the Department of Homeland Security at San Francisco International Airport, and a warrant has been issued for the arrest of Babel.

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