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<p align="center"><b><font face="Verdana" size="5" color="#0000FF">
Domestic Violence in Later Life</font></b></p>
<p align="center"></p>
<p align="center"></p>
<p align="center"></p>
<p align="center"><!--mstheme--></font></td>
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<p align="center"><a href="BOHDomesticViolence.htm">Domestic Violence</a><!--mstheme--></font></td>
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<o:p>
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
There is no age limit to becoming a victim of domestic violence. Domestic
violence affects victims of all ages, socioeconomic backgrounds,
religions, cultures, geographic areas, sexual orientations,
abilities/disabilities, genders and professions. Domestic violence in
later life can be committed against someone healthy, ailing, or with a
disability. A partner, spouse or companion may perpetrate the abuse.
Often, the abusive partner is also the primary caregiver, thereby making
the victim even more dependent on the abuser and isolated from others.
</span></p>
<p style="margin: 1 5"> </p>
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
Abuse can take many forms, including: </span></p>
<p style="margin: 1 5"> </p>
<!--mstheme--></font><!--msthemelist--><table type="disc" style="margin-bottom: 0in" border="0" cellpadding="0" cellspacing="0" width="100%">
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">neglect</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">emotional abuse,
such as humiliation and degradation</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">verbal abuse, such
as cursing and name-calling </span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">threats to hurt
the victim, their loved ones or pets </span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">physical violence</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">forced sexual
activity</span><font face="Verdana" size="2"> </font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">controlling
behaviors, such as</span><!--mstheme--></font><!--msthemelist--><table type="disc" style="margin-bottom: 0in" border="0" cellpadding="0" cellspacing="0" width="100%">
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul2a.gif" width="12" height="12" hspace="15" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">denial of food
or medication</span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul2a.gif" width="12" height="12" hspace="15" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">denial of
assistance with bathing or cleaning</span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul2a.gif" width="12" height="12" hspace="15" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">denial of access
to communication or visitation with loved ones</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5"> <!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
While domestic violence can happen to anyone at any point in their lives,
there are some circumstances that are more specific to older victims.
These life circumstances may make it difficult for older victims to seek
assistance or support from family members, community services, law
enforcement, or state agencies. The fears of disclosing the abuse are very
real and often well founded.</span></p>
<p style="margin: 1 5"> </p>
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
Unique Barriers to Disclosing for Older Victims of Domestic Violence:</span></p>
<p style="margin: 1 5"> </p>
<!--mstheme--></font><!--msthemelist--><table type="disc" style="margin-bottom: 0in" border="0" cellpadding="0" cellspacing="0" width="100%">
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">May be physically
frail or have disabilities</span><font face="Verdana" size="2"> </font>
<!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">May fear being
institutionalized or displaced from their home</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">May fear loss of
independence</span><font face="Verdana" size="2"> </font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">May fear losing
benefits and health insurance</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">May have limited
economic options and resources</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">May hold strong
religious and cultural beliefs regarding marriage and family loyalty</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">May have caregiver
dilemmas</span><font face="Verdana" size="2"> </font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">May believe that
battering is an acceptable part of a relationship</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">May feel a stigma
attached to asking for help and be unaware of available resources</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5"> </p>
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
For many older victims of domestic violence the abuse may have been going
on for years, while for others, the violence may have begun later in life.
Lifestyle changes of the victim and/or abuser may be factors that can
aggravate domestic violence later in life. Some of these changes include
retirement, aging, limited mobility, and illness. The impact of abuse on
victims at any age is profound. </span></p>
<p style="margin: 1 5"> </p>
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
The victim may feel:</span></p>
<!--mstheme--></font><!--msthemelist--><table type="disc" style="margin-bottom: 0in" border="0" cellpadding="0" cellspacing="0" width="100%">
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">Fear</span><font face="Verdana" size="2">
</font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<!--mstheme--></font><!--msthemelist--><table type="disc" style="margin-bottom: 0in" border="0" cellpadding="0" cellspacing="0" width="100%">
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">Dependency on the
abuser</span><font face="Verdana" size="2"> </font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">Love for the
abuser</span><font face="Verdana" size="2"> </font><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5"> </p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
Elder Abuse Statistics</span></strong></p>
<!--mstheme--></font><!--msthemelist--><table border="0" cellpadding="0" cellspacing="0" width="100%">
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
Research in the last 1980s and 1990s debunked the myth that most elder
abuse was caused by caregiver stress. Instead the research showed that
the elder abuse was occurring within a spousal relationship with a long
history of domestic violence. </span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
As the general population grows older, estimates of domestic violence
among the elderly are expected to increase dramatically - putting
additional pressure on service providers. </span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
Transgenerational family violence plays a crucial role in the
proliferation of abuse towards older people. </span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
The American College of Obstetricians and Gynecologists estimates that 4
out of 5 cases of elder abuse go unreported. </span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
According to American College of Obstetricians and Gynecologists,
elderly survivors of sexual abuse named the husband as the offender in
29% of the cases. </span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--><tr><td valign="baseline" width="42"><img src="../_themes/copy-of-blends/blebul1a.gif" width="15" height="15" hspace="13" alt="bullet"></td><td valign="top" width="100%"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
58% of elder abuse perpetrators were spouses, while only 24% are adult
children, despite the fact that reported cased more often name the
children as perpetrators. </span><!--mstheme--></font><!--msthemelist--></td></tr>
<!--msthemelist--></table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext"> </span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
For confidential domestic violence counseling or ways to live more safely,
contact: </span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext"> </span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
In an emergency, call 911</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext"> </span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
REACH</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
24- hour Hotline 800-899-4000</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
For information, education and emergency shelter call 781-891-0724</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
Norfolk County DA�s Office</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
Advocacy and support through the legal process call 781-830-4800</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
Needham Police Department</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
Domestic Violence Officer available call 781-455-7570</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
Beth Israel Deaconess Hospital Needham</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
24 hour emergency services call 781-453-5400</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
Needham Council of Aging</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
781-455-7555</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
Needham Health Department</span></strong></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext; font-weight: normal">
781-455-7523</span></strong></p>
<p style="margin: 1 5"><font face="Verdana" size="2"><b>
<span style="color:windowtext"> </span></b></font></p>
<p style="margin: 1 5"><strong>
<span style="font-size: 10.0pt; font-family: Verdana; color: windowtext">
To report suspected abuse of people 60 and over, contact:</span></strong></p>
<p style="margin: 1 5"> </p>
<p style="margin: 1 5">
<span style="font-size: 10.0pt; font-family: Verdana">Elder Abuse Hotline<br>
24 hour/V/TTY<br>
(800) 922-2275</span></p>
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