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Casino Gambling/Elder Abuse Issues

The following is our brief draft paper on elder abuse issues related to casino gambling.Your comments and suggestions will be greatly appreciated. Thanks again for suggestions which went into the beginning draft.
Grant Parker
DRAFT

Citizens for Better Care
Elder Abuse Prevention Education
Elder Abuse Issues Associated with Casino Gambling

Elder Abuse Relevancy.
Each state may have different legal definitions of elder abuse. In Michigan, adult abuse is basically harm or threatened harm to the health or welfare of a vulnerable adult . Vulnerability applies to mentally or physically impairment or suffering from the frailties of old age. We are generally speaking of adults 60 years of age or older who are mentally or physically impaired. The basic purpose is to protect the rights of these seniors including the right to self determination and decision making. The adult protective services law, and adult protective services within the Family Independence agency are this states basic protection tools. The law defines several types of abuse i.e. physical, mental, neglect, self neglect, and exploitation- the latter being the misuse of one*s property, assets, or personal dignity. Financial exploitation seems at first glance to be the most relevant in the context of casino gambling, but because gambling may result in loss of means for meeting basic human needs, self neglect could be another basis for protection of a vulnerable elder person.

Expert Opinion.
Experts in elder abuse, such as Rosalie Wolf, University of Massachusetts, indicate that there is no significant literature on casino gambling as an elder abuse issue. However, some experts see casino gambling as akin to sweepstakes and telemarketing which targets seniors who are willing or anxious to take gambles on scams. Currently there is a growing national focus on the sweepstake problem, with lead being taken by Senator Collins in the United States Senate. It appears that casino gambling has not been seen by most experts as an elder abuse issue. However, statistical inquiry has been lacking, and adult protective services does not pick up gambling in its data base. Gambling as an addiction is increasingly recognized but not specifically as an elder abuse phenomenon.

Casino Gambling per se.
In and of itself, casino gambling is recognized as a form of recreation which is legal and socially accepted among many groups of seniors. Citizens for Better Care*s (CBC) concern addresses forms of exploitation or abuse associated with gambling. Where other forms of exploitation reach seniors individually or in their homes, casino gambling problems.often occurs with groups of seniors. It is common for senior centers throughout the state to bus seniors to a casino. These trip expenses are subsidized and seen as an important part of recreational programming by local senior officials. Often the casinos actually pay seniors to get them started. The casinos maintain strong security on the premises but probably for the main purpose of protecting casino assets. Often seniors are bussed into casinos in groups, making it easier for more vulnerable seniors to have access. Casinos depend heavily on their senior clientele. Unlike the lottery, the casino experience can also meet senior needs for socialization . The congregation of seniors gives perpetrators an opportunity to prey on potential victims in various ways on or just off the premises.

Examples of Elder Abuse and Exploitation
(1) A senior gambles to the extent that basic necessities of food , shelter, and medicine can no longer be provided. If this senior is vulnerable according to the law, this could be a case of self neglect. Prevention steps would include conspicuous postings of gambling dangers within senior centers, postings within casinos, training of senior and casino staff in indicators of abuse gambling, training of protective services staffs to include gambling in their case assessments, inclusion of gambling factors incidence in programming reporting, and training in the resources available to deal with this particular type of problem.

(2) Gamblers in the household of a senior exploit the senior financially to support their gambling habits. Such exploitation can take the form of stealing, extortion, physical or mental abuse. General prevention and reporting techniques apply here, including training in gambling and financial institutions to recognize signs of such exploitation.

(3) Mentally impaired seniors may be cajoled, pressured, or coerced into gambling by facility or others who hope to profit from their winnings. This is financial exploitation possibly augmented by other forms of abuse. General prevention and reporting techniques apply here, including training in gambling and financial institutions to recognize signs of such exploitation and surveilance by law enforcement and regulatory agencies.

(4) Impaired seniors may be potted and marked in the gambling casino for future exploitation or abuse outside the casino. General prevention and reporting techniques apply here, including training in gambling and financial institutions to recognize signs of such exploitation and surveilance by law enforcement and regulatory agencies.

(5) The vulnerable senior may be, or become, an addict. While this is not considered senior abuse, it is an illness warranting treatment. Further, the addiction may be accompanied by other problems to justify a report as self-abuse so that a comprehensive case assessment and treatment plan can be made.

Elder Abuse Research and Program Evaluation. Program or demographic information, evaluation and research on senior abuse and exploitation in gambling environments is needed to assess the extent of the problem in this context.

Conclusions.
Potentially, as gambling opportunities grow with the proliferation of gaming establishments, serious abuse and exploitation problems loom ahead for vulnerable and impaired seniors. We do not now have adequate information to assess the extent of the existing problem and we lack the means currently to better assess the problem. However, in attacking these problems, the basic right of seniors to self determination and enjoyment of a legal form of entertainment needs to be respected.


Recommendations-
--Update adult abuse program and research information bases to include key gaming data.

--Update Adult Protective Services (APS) manuals to include the possibility of abuse and exploitation, and train APS staffs in assessing for its relevance in adult abuse cases and in recognizing and using appropriate resources.

--Consider elder abuse and exploitation prevention policy in senior centers and casinos to build in safeguards and alerts at senior centers and casinos.

--Develop public information tools to address the problem, such as warning and reporting posters prominently displayed in casinos and senior centers and update exploitation brochures to identify the potential problems.

--Train casino security and senior center personnel in indicators which may suggest gambling induced elder abuse and exploitation and give rise to reporting to adult protective services.


Grant Parker
Elder Abuse Prevention Education Specialist
Citizens for Better Care
4-23-99


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Last modified May 5, 1999