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>> Welcome everyone, thanks for joining our webinar. My name is -- I am the program official. Are additional presenters will be Jennifer White. This is the pilot Institute and will be the first time we are hosting a training of this kind to focus on building unity collaborations to explore financial exploitation. 
>> On your screen, you should see our first pole of the day. Have you and your team are to submit an application? You can select yes, no or not sure. We have about half we hope through this webinar, you can get more information about the topic we are trying to introduce as well as information about our pilot Institute in January as well. Hopefully that will assuage some fears or concerns you may have and encourage you to submit an application with your team. Is a talk about the process, this may be material.
>> [ Indiscernible - audio issues ] 
>> Before we start talking about we can do for older adults, I want to hear a little from you. Let's do this first. We have our second poll. By clicking yes or no, indicate whether you have handled financial expedition of older adults. That is in whatever capacity, professional capacity your and. If your advocate, have you advocated? If your judge, have you presided over these cases? Whatever your professional capacity is. 
>>[ Group is being polled. ] 
>> It looks like we have a little less than 60% saying yes about 40% saying no. Thank you for participating. Why are we talking about this? We will spend a good amount of time talking about solutions. Where we talking about older adults and financial exploitation. Many may know the number of elders in the country, over the age of 60 is what we have here but it can be defined differently. The number of older adults are increasing rapidly in the United States. Thanks to the baby boomer generation who began turning 55 and 2011, the population of older Americans is expanding to the point by 2030, one in five Americans will be a senior citizen. That's nearly double the 12% in 2000. You may have heard with -- within the media, the expression, the silver tsunami. Sometimes they called the gray way for the lightwave. That's a metaphor that people often use within media it's to describe the aging of the population as many boomer begin to reach senior years. The term is pejorative because it gives you the feeling of overwhelm. Of negativity that there will be, because society is indisputably aging. Just the way we talk about the aging of the United States and needs of older adults, it can come across as negative and it's reflective of the way our justice system often approaches older adults and the ageism that permeates society. 
>> This is an image from the U.S. Census Bureau which shows for the first time, older adults are expected to outnumber children. For the first time in U.S. history. As an older adult population grows, so will the needs to address the problem of abuse and financial exploitation in an intentional, victim centered way that will prioritize the needs of victims and enhance safety and restoration. That's part of our goal both on this call and at our upcoming pilot program in January. 
>> Financial exploitation in particular, ground breaking study in New York that was done by lifespan with other folks in Rochester estimated about one and 13 older adults in New York has been victims of at least one form of elder abuse in the preceding year. And found that financial exultation was self-reported at a rate of 41 per 1000 people survey. Report a financial exultation were higher than those of other types of abuse that can occur against older adults. 
>> This from the national adult protective services Association has more data showing one in nine seniors report being abused, night -- neglected or exploited and the rate of financial exploitation is extremely high. Financial exploitation can include a wide range of acts against older adults. They are often done through coercion, fraud, undue influence, some kind of manipulation. The national Institute of Justice did a study and found the most common types involve direct stealing or spending of an older person's money, selling or taking their property, you may hear on the news every morning about different services you can pay for to make sure someone doesn't steal the deeds your house. You hear about scams that involve people and titles to their homes. Also forging of signatures. 
>> Those of the most common found. The majority of abusers have some kind of relationship with the older adult. We are talking about family members, friends, adult children, adult grandchildren. Also, fiduciary. People with whom these older adults have an expectation of trust. Similar to other crimes we know about like domestic violence as an example, this helps frame the scope of the issue around why so much of the crime is underreported. It's difficult to report somebody you trust, someone you love. If it's her child, your grandchild, in some cases, it has to do with the fact the older adults may be dependent in some way upon the person who is stealing from them but that's not always the case. They often they are dependent upon the older adult, particularly for financial means. There's issue of the relationship, the bond that make it very difficult to come forward, not to mention, the shame that comes with that. 
>> Anecdotally, I do a lot of work with courts and judges, other justices and I often hear that they seem -- they see more cases of financial exploitation in the justice system or that some of the data may show the reporting may bear out financial exploitation keys -- cases are coming forward at a higher pace than other types of abuse. It's important to know and recognize different types of abuse can cooccur. When we Inc. about elder abuse, we also think about addition to exploitation, we think about physical, psychological, sexual abuse, also neglect and abandonment. When you speak directly to an older victim of abuse or exploitation, initially, you may hear things such as the person who abuse them never was physically abusive or maybe they will just say, they weren't abusive period. It was just taking the money or using the money in a way they were not supposed to use the money. If you delve deeper, if you ask a question, I always like to ask, what was the most hurtful thing that has happened. What hurt you the most? When you asked those questions, you offer -- often find out psychological abuse was at play. There are other tactics that were also used such as other types of manipulation or withholding of things or shaming, embarrassing, isolating behavior in addition to physical abuse. 
>> That brings us to our next poll. If you could answer in cases you have seen, if you have seen financial exploitation, the presenting issue you normally see, take a moment to choose, what is the presenting issue? 
>> [ Group is being polled. ] 
>> It seems like exploitation is a big one for folks that you have seen those pieces and I also see psychological abuses as a large form of abuse that comes up. Thank you for answering that. This next one I would love for you to use the chat which should be in the pod to the right of our slides. If you would mind sharing, what do you see as the biggest challenges facing the court and community handling cases of financial exploitation and abuse against older adults, what are the challenges that you bump up against. Limited community resources. Lack of resources for investigation. I'm seeing lack of trust for the people to assist. Sherry is saying police and the court saying it's a civil issue.'s even when there's crimes involved with financial matters, often you will hear go to civil court. Collecting of evidence. It has to be really bad and obvious to want to take action. Access to the system, knowing where to go, what to do. The stigma reporting is a huge issue. Fear as well can really play out. If you want to say more about that, I'm thinking you mean for the justice system to deal with it? There's not that sort of drive to address it. Sometimes, you will hear within the folks that I work with, people will say, it's much sexier to talk about other, different things going on like cyber violence, it's not the hot topic when you say, let's prevent cyber violence, let's event dating violence, people seem to jump to do that but when you talk about abusive older adult adult's -- of older adults, you get a less passionate response. Lack of resources and communication. Financial dependence on the abuser. That can definitely be an issue. Being able to move forward. Lack of finances. Access to forensic accounting. Be able to prove it. Transportation. Practical, logistical channels. Collaboration is a problem. Older adults who don't want to move forward in the system. The stigma balancing the autonomy of elders with their protection. Statute of limitations issues. Lack of support or resources. Lack of bilingual services. Community connections for non-English-speaking adults. We need more training. Kimberly was responding asking for more verification. The justice system things sometimes this is not worth their time. 
>> The need for more training. Not knowing where to go to get help. May be a situation for so long they don't see that's abuse. It might just be, at this point, so that makes parents for so many years. People who have been married for 40 or 50 years and this is always been the way and the tactics of abuse may be changing. The actual power and control in a relationship or dynamics have not necessarily changed. 
>> At this point, before I turn it back over to Eesha,  I want to give you a chance to ask questions right now. If you have questions now before we move on to talking more about the Institute coming up and then talking more about court and community collaborations and the justice system, go ahead and write any questions you may have. Will have three or four more opportunities throughout the total of the webinar task questions. 
>> I don't see any typing. It's probably safe, what are things to address these issues based off of these questions from the last questions you asked. 
>> We will talk about solutions here. With particular respect to getting coordination we also spent time talking about our upcoming event which will be working hands-on, people from the committee with the court system to think about enhancing training, enhancing response, increasing prevention and leadership within the community. Hopefully will get some of these answer today and more to come. 
>> I will tell you about our stages and that stands for strategies and training to advance greater elder safety. If at any point, you have questions, feel free to include them in the chat pod. We'll have a few more opportunities to answer them. Just a quick overview of stages Institute pilot training. It's a two day Institute we are offering it's offering on January 9 and 10 of 2019 in Charlottesville Virginia. The application is November 9. Like figure out what to look like for your jurisdiction or community organization. There is no cost to attend this particular training all participant travel there any teams that have been approved, all of their travel will be covered by futures without violence. That will include air air, lodging, per diem and local transportation to and from airports or train stations as needed. On the second column, I have our review timeline and again this is subject to change since Institute is still pending final department of justice approval. We hope all team applications are in by November 9. They will conduct any follow-up calls needed to teams or team leads. Ideally by November 19, just before the Thanksgiving holiday and we hope to have the very final selection of teams by December 1. Again, this is subject to change but just so you all can get an idea of our review timeline, I have that up there. 
>> I will note the PDF copy is available in the materials section, the materials section is just below the chat box to the right of the PowerPoint screen. You can download that and take a look at the application questions as you consider the best team to build and see if this is the correct fit for your organization. 
>> When it comes to building the team, we received lots of questions about this particular piece. I'm happy to talk about it more in detail. We are looking for ideally 3-5 team members, really anchored in a judge. It starts as a judge level and we will talk about leadership later on. We are also encouraging court Streeters or advocates or prosecutors to be a part of the team community service providers and there are number of providers attending this webinar right now. Thinking about protective services, potential law enforcement officials, court-appointed guardians and this is not an exhaustive list. If there any other court or allied professionals who are currently addressing financial exploitation and other forms of abuse of older adults, there also welcome to apply or be a part of your team. It's one team made up of 3-5 people, at least one of those should be a judge. The rest is up to you and what makes sense for how your community handles cases that come in or other requests that come in related to this topic. I hope this has more clarity around what we are looking for because this is a pilot Institute, we generally left it open because we recognize not every location or community working on this will have the same types of people working on these issues. If you have any specific questions around team requirements, please include them in the chat box and we will get to them towards the end of this presentation. 
>> For all of you who wonder exactly what will be covered, were hoping participants that attend will be able to recognize signs of exploitation as well as other forms of abuse and ways age can affect vulnerability to these crimes. We hope to have participants gained tools to work together within the community to enhance practices and protocols to provide fair, efficient and accessible services. We hope to give definitions for legal, medical and financial definitions that may arise in cases involved in financial exploitation and abuse of elders so building that capacity and knowledge around these specific topics and looking for opportunities for improvement within court practices and policies. Really offering space since you're able to bring this group of people together offering space to improve within your court and start planning to meet the needs of older adults in the future. 
>> On this next slide you will see a list of training topics that will be covered within the two days. Allots is looking at a broader scope of what Jen talked about previously and other forms of abuse when it comes to consider working with older adults, looking at those dynamics and the unique considerations that there are when we work with older populations, looking at evidentiary issues and evaluation, thinking from a courts perspective what is important to move these cases forward in seeing how we can engage with the justice system or encourage the justice system to take on more of these cases since we are seeing they are prevalent. Looking at leadership to eliminate financial expectation and abuse, thinking more proactively about what we can do around this issue and as mentioned, offering time for action findings. Sitting with your group or team members, learning from your peers and faculty and facilitators I coming up with a concrete plan or set of steps you can take with you when you go back to your jurisdiction or community and work through improving that response. 
>> I'm happy to answer any questions we have here. I will give it a second and if you have questions specific to the Institute team requirements, the application process, I'm happy to take those questions now. 
>> I'm seeing this question that you are all interested in attending you're not sure if you be able to put two teams together to attend both trainings. That's a great question and perhaps this is an opportunity for you can think more broadly about who can be incorporated into your teams. In addition, if there are other people that might benefit from attending or being a part of your community response, this could be a great opportunity for that as well. 
>> I see Lee asking, can judges attend if we have overlapping response buildings? Beckett yes. We would like at least one judge within the team but if there's more than one, we are happy to have both. I hope that helps. 
>> Sherry is asking since the law may differ from state to state, how will some of this be addressed. If I could ask you to take that question, Jen, I think you might be able to provide more insight there. 
>> I was just going to unmute myself. 
>> I was going to jump in and let you know. Typically, we do a lot of these trainings that are national trainings. We have another around elder abuse but that is just for judges. The way we handle this, we will use some standard legal information. We will either choose a model code or a stat you -- statute is reflective and operate in that agreed-upon world of what the law is for the purposes of training. It's a skill-based training, it's not a training where you learn your own state law necessarily. We are focusing on is how to enhance and increase certain skills to work with whatever the law is. In addition, a lot of this training is more focused on collaboration and partnership building. There's not going to be a ton of direct work were you will need to do much legal analysis because not everybody presents has a basis in law. There'll be other people and professionals that their job is not to know the specific statutes or to apply the law. Hopefully that is held all. If not, I'm happy to talk to you more about it at the end or we can talk on the phone as well. 
>> The last question I'm seeing, if we don't get enough responses, are willing to extend the deadline? I don't think were ready to make a decision on that right now. I would encourage all of you if you have a team you're thinking about or looking to apply, apply sooner rather than later so we can make sure we can include you within that training opportunity. 
>> April is asking how may teams will you accept? We are training at 45 participants. We are looking at nine teams total with a little flexibility depending on how large the teams are. I would say between nine and 12 total. 
>> At this point, we will switch gears and move from logistics of talking about pilot Institute to talking about best practices when it comes to building courts and community collaborations and hopefully this will start giving you additional insight to what we will cover within our two day curriculum and maybe give ideas when trying to think of different formations but this Institute, that might work the best. 
>> Thank you. The next section is will we have found very useful. The best practices, the building of a court community collaboration with emphasis on community. Various states and communities, we took a look at this to say what will best meet the need of having something that works in New York or Chicago does not necessarily be applicable to a rural community in Tennessee or New York State. We worked with Judge Deborah Kaplan, the office of Court administration. She was able to get the committee going which is a real cross-section of professional, many different professionals from many different areas to give input on this topic. How can the courts or agencies that see victims, how can we work together to try to make the system cooperate better? We are all looking at crimes as well as the courts and others. Traditionally we can all agree the somewhat overused term of silos still very much is in existence. People say that's not in my job description. Ultimately, take a step back and one of our best practices, we sit how can we make it easier, hack we make Everett's job easier by collaborating, cooperating and if appropriate, moving it forward through the court system where judges will be able to make better determinations and they are aware these cases, but sometimes they don't connect the dots in terms of this is an elder abuse case or expectation case. They may look at its per their job or the course they say is just a larceny. Not digging in the unique features of many of our older victims. With the cost of financial expectation to the states, to service providers, to taxpayers. They came up with a number when they boil it down to 1.5 billion dollars a year. That caught a lot of state lawmakers and policymakers attention. Is this a practical thing, what can we do to save money to make systems work more efficiently and effectively and break down silos by building collaborations, trying to see what works best in our communities? What we did was as many of you know, MDT's are not new. The fast teams in California or other teams have been existence for many years but sometimes there focusing on some issues that were not necessarily financial exploitation. It may have been the fiduciary specialist team but it could be domestic violence in later life, an outgrowth of with younger domestic violence coalition. There have been around for a while and with their focus is has been different based on community, based on me. It can be a consultant group. Where cases are brought forward anonymously and discussed in the relevant people sitting in the room can take away recommendations. It was more segmented. It was each focused on a subtopic maybe did not provide different layers of addressing the needs. Of victims. Ultimately professionals involved we pick up our paycheck at the end of the day to help our older victims. To stop the bleeding and try to find some level of justice. The enhanced multidisciplinary teams are the same as MDT made up of a variety of different professionals depending on who the community can bring to the table. Also, what is the particular need. The specialized difference, we brought in a forensic accountant and we brought in a geriatric psychiatrist and I'll get to that in a minute because I can hear some of you saying, we can't afford, where will we find funding? We look at cooccurrence. Even though focused on enhanced domain, our original was financial expectation -- expectation we learned neglect may be linked with financial exploitation. There is also physical abuse because there is a family member who had a methamphetamine or drug addiction and became violent in order to get money. We lays on those teams we need to bring in specialized professionals what laws existed in our state in our community what might be able to be pursued. To loop it back, the courts, the great in a fit of having a forensic accountant, we have found time and time again, report they come up with after being part and getting bank records, and receipts is the report. District attorneys may or may not have a forensic accountant assigned to their office. Many rural communities do not, they only have a D a and part time DA. Report in plain English shows patterns, shows debits and credits, shows potential larceny that may go on over a period of time that law enforcement, police, district attorneys and judges on the end of the spectrum can look at the report and say, I get it. Very clear to them. How do we find the geriatric accountant. The original way we found it was, I had done some outreach to a local state college, I had done a presentation to the accounting department and they approached me and said, we cannot go to court, we can't know the specifics but as practice for Masters level accounting people we would like to work with you. We were able to provide redacted for name in particular identification, some cases for interested students and they were able to come back and give us a lead of, here's what we are seeing, here are questions that come up, why are there five gas and electric bills out of this one older adults account? Pages and pages of financial our boiled down to something we could understand and be could take further down the line. You may want to look at approaching a college or local CPA firm that may do this type of work that may want to get involved. We are able to present the amount of taxpayer money being saved and it connected the dots. The psychiatrists, geriatric psychiatrist are rare. Looking in your community or local hospital, local community home health page and see if you can't find a geriatric psychiatrist I can sit on like we were and have a contract with them, a psych nurse will often do. We are looking at capacity issues. A big hurdle is do they have the capacity, with a competent enough to make these decisions with financial exploitation or in some communities, some state depending on licensure, perhaps a geriatric social worker might be able to give some sort of capacity evaluation or determination. 
>> Many different ways, it's all about the members that participate and how can they make it work easier. The benefits, we try to broaden it more to stop the bleeding, provide relief to the victim. If most of the money is gone, how do we stop the rest from going out the door. In some communities, how can we take what funds are left to help the victim get the most appropriate care they need, often they are neglected, they are isolated, big risk factor, how can we get benefits and services in their to try to meet the need, socialization and medical needs, using resources, time effective and cost-effective. We hammered that point home with E MDT. Time effective because we run in our county, two meetings a month. Another County might be once a month or once a quarter. We are able to bring all the players into the same room at the same time, law enforcement, district attorneys, attorney generals office depending on communities. Ever discusses that particular case and we get to a conclusion faster. Not only do we review the case that we also assign what are the next tasks that each individual agency will take. In terms of gathering bank data. Bank statements. Be able to turn them over to law enforcement or just law enforcement get a subpoena that turns it over to the DA saying in order to do grand larceny in York state, we need this and this in place. Again, it's time effective and cost-effective so we are not sending emails back and forth, leaving voicemail messages or text and we get back to someone a week later. As we know, time equals money. They are very efficient uses of limited resources. The forensic accountant which is key to produce those reports, the police gets, DAs get and judges get. It's a wonderful best practice to have. A task force, a collaborative, call it what you will in the various states listed up there and more. They basically all have the same thing. They are focusing on working groups, what is the issue? Is the issue financial exploitation and how do you approach it? Each state of the bear has unique demographics in terms of urban, rural, farming, etc. More important, as we have found in New York State, resources we have many small communities in New York State. What are the resources that realistically we can tap into. How can we, through a hub system collaborates with the least resource small counties to help them bring cases and resolution and one way is being able to have the forensic accountant be able to be consulted on cases that maybe are in the other part of the state. So they don't have to have a meeting, they can start the process by contacting forensic accountant and doing a consultation over the phone or over emails and the computer to start the ball rolling. 
>> Based on state to state, community to Quincy and resources available, many things currently exist. They are happening all over the country because financial exploitation when it's coupled and was brought up earlier, the aging of the population, if it's a serious issue now with the baby boomers aging out, it will be even more serious as we move forward. 
>> The example of our upstate system here at lifespan, how do we overcome sharing and confidentiality issues. Always a big thing. Was -- we talk with state APS and what MO you or regulations currently exist? In terms of information sharing. In New York, APS can share information with service providers. Please note who I put on some of those MDT, service providers. We also use MO you and confidentiality agreement so if we cannot mention John Jones name in that, we can use JJ or an abbreviation because the whole point is whoever rings it to the MDT, the whole point is what is our next process and what are the next steps? We use confidentiality agreements. CPS is already,  child protective has Road gone down this road  with a collaborative agreement and I suggest you look at your particular community, why reinvent the wheel? Initial and ongoing funding, we started this with administration for community living grant. Pilot grant, five years ago. We propose the state office on aging, the concept of this E MDT, state office on aging, Greg Olsen agreed we helped them right the grants and apply for. We are able to model this in the upstate New York finger Lakes area. It's rural and urban communities, collaborating with New York City, elder abuse center and, upstate, downstate, very urban rural mix. What are the outcomes . How many prosecutions and it was based, we went to the office of victim services and made the case that older crime victims are being underserved in New York State and the office of victims services that absolutely, as an underserved population which is one of the target areas, they are able to provide funding where we will not replicate around the state. Existing silos,, how it will help, how will it make your job in your community easier? How will help and not add to the workload but takes some workload off? Finding ways, someone to sit on this that has had from your caseload or someone you worked with who knows about the financial exploitation case who connects the dots. In essence you have to sell it, you have to sell it to try to get it in your community. How will it benefit the older adults, how would benefit the people sitting and how will it benefit your state and community down the road? At this point, I would like to open it up for any questions before turning it over to the judge. 
>> If you have questions, you may type it in the chat pod. You may have answered this, how do you suggest finding out about the electronic banking and resources? 
>> What we have found useful, on a number of teams, we have the security managers, the corporate compliance or security from credit unions or Community Banks and we are dealing with the case now where they were able to bring somewhat redacted but we have the victim's permission on the electronic track of that in their computers and their able to print that out and show electronic transfers from the older victims bank account into online gaming. Have access to it they would know how to do that. That's not something I as a social worker would know and I didn't know until the bank security people got on board. I hope that answers your question. 
>> I see a question from Susan. Has across civil and criminal court when families are involved define both remedies, has that been tried? I'm thinking is that similar to an integrated the mystic violence were all of the matters related to the individual litigants have been in the same court whether it's criminal or civil. To my knowledge, there hasn't been that but maybe you know if there's one in the country. For elder abuse. 
>> I don't know about the court. There are some communities and states like Florida who have elder justice courts that have been established. It's being discussed a number of other communities but I don't know the court per se that does that. 
>> we are pursuing both civil and criminal at the same time. They can take that one case to Small Claims Court for what it's worth. They can also pursue the criminal because it's a magistrate. It's not a judge judge, it's a local, more rural community where they have magistrates and its community justice with local magistrates versus a judge that has that position full time. 
>> I know many of them were started with the intention of making services for older adults more streamlined and more accessible. I am not sure if the model is the same as one judge, one family model I would imagine it varies from location to location. It may be the judge may know more. 
>> Any other questions for now? Before we talk about engaging judges? 
>> This is a Justice Karen Howze. This has been a very interesting  conversation. One thing I have to say is Susan, I think you pretty much asked about bringing onto judges to the Institute, the court is at the center of how we can create accordingly response to elder abuse both physical, emotional as well as mental exploitation. Susan, you mentioned indeed, these cases of expectation occur across the court system. They can be in Family Court, it can show up in abuse and neglect cases where an elder may be caring for a child. It may be in juvenile court but clearly, we have probate and criminal and an answer to the question, I think you are right that a lot of the models are really designed to make it more accessible to elderly folks. The time of day for hearings, those sorts of things. In order for us to widen this effort to protect the safety finances or have an opportunity to protect the lives of elderly folks. The court system is central and essential to the coordinated community response. I think it gets to the point that Susan was making. If you have something in probate which is that is where your forensic folks will be but you all find there has been exploitation of a person and you have no coronation with the DAs office or cannot coordinate well with the DAs office because it considered civil and the walls are up. 
>> In order for us to truly move forward in our effort to eliminate the opportunities for abuse of elders, the court system will be essential part of it. 
>> This requires, this is what we say in all our trainings, it requires there be some strong judicial leadership on this front. Part of that leadership with the help of the community is to identify what barriers exist within the court system that limit the ability to jump on these cases right away and get them resolved. That flows downhill as well as uphill. The leadership is critical in creating a community-based as art talked about in his portion of this discussion because each community will be different. Whether it's rural, urban, maybe there's only one court covering a huge physical location and how can that work with another court. It's complicated but as soon as we begin having the conversations and bring the people to the table who need to be at the table, we begin looking at what are the gaps, what services are needed, what services are out there that we may not know about. One of the things we speak about, judges need to begin to know what is in the community. The faith community, the medical community. The best thing is for the judge to call the meeting because everyone will show up. Some folks question whether their ethical constraints, judges have ethical constraints regarding engagement and the nature of engagement outside of what they do on the bench. One thing we have is the model code of judicial conduct has a strong push for judicial engagement and extrajudicial activity. We are talking about things like the MDT concept. We have done it, the courts are used to doing it. They have done it for the development of coordinated community responses, integrated court, some of that came out of response, that has been going on for decades. We have also had court needed responses in issues related to child welfare. Juvenile justice, drug court is a perfect example of this kind of judicial engagement and leadership. We have done research on in terms of ethics is throughout the country as states revise their model code of judicial conduct, what we find is as long as all parts of the system are involved. You can't have the prosecutor without defense participation. You cannot appear biased. In these efforts, bias is not the issue. Bias is part of the duty to ensure we are engaged in activities that promote demonstration of justice, the legal system and the law. There are no true barriers for judges to be involved. I am going to ask art if he can toss an example of an anecdote from upstate New York in your efforts. 
>> Shore. Through that judicial elder justice, we had reached out to our district and met with him to try to get his support for training of judges, law clerks were critical to this and the magistrates in the towns. I was pleasantly surprised because 10 minutes into my presentation, he stopped me and said, this is a no-brainer. My judges see these cases all the time but just as the judge just said but MA different forms we may see it in different courts. We need to connect the dots to make it more efficient and effective and learn about community resource, where can the court go when they identify a particular case and need the victims assisted. Judge Dorn was extremely supportive and said, now that you have explained it, of course we see it but we see it using different acronyms and perspectives, lets everyone get on the same page and call it for what it is. I think in your communities across the country you will see the exact same thing if you bring it to the judge or the law clerk or someone. 
>> That is a great example of this kind of effort. We cannot move forward to begin developing systems of protection for the lives and resources of elders without everyone coming to the table. And it being a thoughtful process, hopefully led by judges but also court administrators. Self-help centers that may be available in the courthouse to help people with their filings. Elders are also litigants. All of these topics including but not limited to the need for forensic work, the need for medical assistance, psychiatric and physical part or all of those parties need to talk and map out what is missing in the community for this population and how can we begin to do it? I still believe the top person is the judge because they will come and they will follow. I think that is the last. Those who are not judges may just need to know this information, all we are really concerned about, there's no appearance of bias. Participants have to be across the board including defense bar on prosecution. The issue of ethical considerations, the judge has to make that determination. The pitch is the most important thing because for the most part, are there any questions 
>> Said looking at as yes I can do it, no I can't, we shall encourage judges to look at, is there something that needs to be changed in the set up or is this something that can be fixed so the judge can participate. Are the walls I can be put up and away and makes the judge more comfortable rather than looking at it as a yes or no question. 
>> That's correct. Many of the opinions that came out over the years, they have encourage judges to don't just automatically say I cannot. Maybe you are on a subcommittee if there are discussions about case specific in the general group. You could be on the subcommittee dealing with procedures and how to get better access for elders or whatever the population is. It's a thought process. It has to be thought out carefully and that's for everyone on the webinar and the folks participating, that's what the conversation has to be to get this off the ground. 
>> Now we have a little bit of time left. If there are questions about anything we talked about today, please go ahead and use the chat box. 
>> There are some great examples of the work they have been able to tear around looking at cases and certainly, for purposes of the judges on the call, we would not suggest you be in that type of collaboration where you would work on a specific case and look at evidence or anything like that. More of the system, system item permits. Sometimes there are subcommittees that do different things and it can be done up in that way. There lots of different ways these collaborations can look so they can meet the needs of not just geographic reasons, are talking about rural, urban and Karen Mitchell areas with is not a court for many miles. It's important you look at your individual communities and see what you need and how you can set it up to accommodate those needs. 
>> I'm not seeing any questions coming up. Other any other comments you want to share or make? 
>> I want to add, when I went to the judge and said, it's a no-brainer, we were able to pull together a training for law clerks, judges, magistrates, etc. and also have a variety of professionals like from the Andy -- MDT. Providers who said we are seeing domestic violence in later life cases also. Those victims have some unique needs. We used a half-day meeting conference to get as many people on board. And then asked the participants to take it back to their agencies, to their courts and the resources we handed out. Within the systems itself, the words bread geometrically after we had done a half-day conference. I was suggesting some of these communities, if you are able to, whether it's department of social services, the courts building, maybe have a couple hour training or event as a way to kick this off and someone needs to take the lead and be the advocate for it because it's not going to happen on its own. I think that event we had when the judge said I would I think it's a great idea to attend, all of a sudden, the attendance sheet went way up. To have the multi group presenting on what we can do, how we can help and they took that back to agencies, courts and communities and has Boston's. And the District of Columbia, they had a huge Institute that was created out of collaborative efforts they are working within the community with the assistance of the court I know there are not that many on the call but this is a time to have discussion of this topic and training on the topic at one of your required judicial trainings. To get to the cross silo approach to people who are in need of justice around these issues. Small steps can start. Again, the leadership is important and everyone is at the table and you can always add more people as the landscape changes. This is a time we need to be as creative as we can be within the bounds of our professional status. You saw the numbers on the start of the presentation. How many will there be in 2030? More elders than children. And their lives are more complicated. For lots of reasons. 
>> 

>>> One of the things I was thinking, how important the information sharing piece is and in the helping us think outside the box in terms of services and what we can do and who we can start new partnerships with in communities maybe they're not doing this work but maybe they can begin to do it. I had the privilege of sitting in and they did a presentation on supportive decision-making which is something that goes on a lot in the disability community and they're talking about how supportive is making might be utilized in cases with elder abuse. It was such a great opportunity for lots of different professionals could do this work and care about this were to sit around and hear ideas and think about pros and cons hedges know what's out there. Sometimes, we work in our own silos and we don't really know where connections can be made. It's a great opportunity to be able to begin to build those connections and create more with less because you're all being called upon to create more and do more with less. Can you explain the cross silo approach. 
>> Of the cross silo approach? What was the question? 
>> Which approach? 
>> Which you recently explain cross silo approach, maybe she is referring to interdisciplinary approach. 
>> Yes. Finding a common issue. Is it the mystic violence? How do we go to say, if you deal with were there women who were beaten 30 to 50 years ago. Of course there were. Where is common ground. Taking a step back and also looking at cases we may have had with local law enforcement with the provider they got a call from a 72-year-old battered woman who is still being beaten by her husband, where's that case. To really bring it home. The last thing I want to add, the money we got from the state of New York to replicate these around the entire state was based on an elder abuse case we had that I was a manager with the crime victims advocate of an older gentleman whose relative, he was in a nursing home and paralyzed, went into his house and sold his burial suit. Pond it to go gambling and other things. Brought that home to the director that, it's horrible that connected the dots, broke through the silo of prime victims to lifespan to APS, to law-enforcement's, the common case, and once of this is abysmal but really at home and put a face on it and found the common ground to break through. I hope that answers your question. 
>> Can I toss another example from the other side? When these cases finally come to court, if you have a cross silo approach, and that's saying it's integrated or anything like that. Just to know a case can come into probate, do we have a way to keep that when there is some sense there is abuse so if that same person is before the Family Court, they know that person is engaged in an area where there will be some exploitation across the court silo what is happening with that individual. Most courts are divided at ways it's impossible to figure out where you go first that's what the cross silo will offer the opportunity on the legal side to lessen chances of cases falling to the craps -- to the cracks with community response and case reviews Pers -- some of it's very practical and requires creativity looking at each part of the system and what it's not working to benefit the elder person. 
>> Absolutely, Judge. Addressing through MO use or meetings, just awareness and education so people have that moment to the various courts of, we were looking at it through this lens but it also could be on this lens. That's spot on. 
>> This has been really informative. There are a couple of last items. 
>> Yes. As you see here, we have included application to the pilot and stew two. If you questions afterwards, please contact with myself or Jen and if you would mind completing a quick evaluation of this webinar, we are always looking to get feedback and incorporate and improve our webinars in the future. That would be the survey monkey link. That's all I have for you. I will turn it over to Alicia case she needs to close anything out and thank you again for joining us today and have a wonderful day. 
>> We will close out now, you will be directed to the evaluation. Thank you. 
>>[ Event Concluded ]