Protecting the rights, independence, and safety of older people by exploring barriers, sharing information and ideas, and providing a voice from the field to policy makers
Who We Are
CEJC is a multidisciplinary membership organization providing a voice from the field in elder justice policy and practice. We promote the rights of older adults, including protection against age-based discrimination and elder abuse, and equitable access to resources, health care, and the legal system by those in greatest need. Our programs include:
Nat'l Elder Justice Advocates Academy
The Academy provides advocates with information, updates, promising practices, webinars, toolkits, and opportunities to join in the national dialogue on elder justice.
Senior Medicare Patrol
CEJC partners with the California Senior Medicare Patrol to inform professionals, advocates, and the public about how Medicare fraud harms seniors, caregivers, and the public, and what they can do.
CEJC advocates for policy reform, raises awareness about elder justice developments, creates opportunities for exchange among advocates and policy makers, and provides consultation, training, and technical assistance. Our work reflects our Principles of Elder Justice handout and video.
Our current work focuses on:
Our educational materials focus on leading edge issues in elder justice with the aim of fostering new ideas and innovations. They include:
Register Now for CEJC's Next Webinar: Advancing Trauma Informed Responses to Elder Abuse taking place on October 1. Visit Webinars and Events for more information and to register.
News & Updates
To view the full July/August 2020 News & Updates and to subscribe to News & Updates emails, click here:
Democrats Move Forward EJA Reauthorization
House and Senate Democrats are introducing stand-alone legislation to reauthorize the Elder Justice Act (EJA). H.R.8079, introduced by Reps. Neal and Bonamici, would “reauthorize funding for programs to prevent, investigate, and prosecute elder abuse, neglect, and exploitation, and for other purposes.” Sen. Ron Wyden and others are introducing the Senate version which would authorize $2.22 billion for EJA programs and activities through fiscal year FY 2024, including:
House Budget for Elder Rights Activities
The Departments of Labor, Health and Human Services, and Education, and Related Agencies are calling for $17,874,000 for Elder Rights Support Activities, which provide information, training, and technical assistance to legal and aging services organizations to prevent and detect elder abuse and neglect. The request is $2 million above the fiscal year 2020 level. The increase in funds will be used to improve states’ guardianship systems. In particular, the Committee encourages the Administration for Community Living to support state efforts implement programs like WINGS (Working Interdisciplinary Networks of Guardianship Stakeholders). CEJC worked with Representative Ted Lieu of Los Angeles on the request. See House Appropriations (page 198).
SB 214: Promoting Community Care in the COVID-19 Era
Reducing nursing home placements during the COVID-19 pandemic was the goal of the Newsom Administration’s “Long-Term Care at Home” (LTCH) Medi-Cal Waiver proposal, which was introduced during the Legislature’s budget negotiations in May. LTCH was proposed with little detail, but was widely viewed as a way to replace the Community Based Adult Services (CBAS) adult day program and the Multipurpose Senior Services Program (MSSP), both of which were slated for elimination in the Governor’s 2020-2021 May Revise budget. Advocates decried the proposed elimination of the two highly-effective community-based programs, particularly since a similar effort to eliminate adult day healthcare (ADHC) programs in 2011 resulted in a court ruling preserving the program on the basis that eliminating this alternative to institutional care would violate the terms of the Supreme Court’s Olmstead Decision. Following months of stakeholder input, the Administration announced in August that LTCH would be dropped.
In response to the LTCH concept, the Master Plan for Aging Stakeholder Advisory Committee (SAC) developed an Immediate Crisis Care Response (ICCR) to divert patients away from skilled nursing. The ICCR would expand eligibility and access to existing community-based programs and work with hospitals and nursing home to discharge eligible patients and coordinate their care at home. The first step toward implementing the ICCR is contained in SB 214 (Dodd), which implements adjustments and enhances the Community Care Transitions program. SB 214 has been approved by the Legislature and is now awaiting Governor Newsom’s signature. See SB 214.
Wrapping Up the MPA
Despite a pandemic and wildfires that have overwhelmed California’s aging services system, the Master Plan for Aging (MPA) workgroups have forged ahead to complete the first phase of their work. On September 15, the Stakeholder Advisory Committee met for the last time to present the final MPA recommendations for a comprehensive and progressive agenda, which can be found at EngageCA.org. Of special interest to elder justice advocates are Goal 4: Economic Security, Safety & Emergency Preparedness, which contains Elder Justice & Abuse Recommendations (see page 25.
State News (Other States)
Washington Adopts Supported Decision-Making Provisions
In April, 2020, Washington’s governor signed (SB 6287), making it the most recent state to adopt supported decision-making (SDM) agreements as a less restrictive alternative to guardianship for adults with disabilities. The new law takes effect on January 1, 2022, To learn more about SDM and how it is being used in other states, go to the National Resource Center for Supported Decision-Making.
Maine Launches Elder Justice Coordinating Partnership
In October of 2019 Maine Governor Janet Mills signed an Executive Order establishing the Elder Justice Coordinating Partnership. The mission of the EJCP, a public/private partnership whose members represent a diverse range of backgrounds and experience, is to create an elder justice roadmap for the State of Maine. The first meeting is scheduled in September, 2020.
NNSEJC was formed in 2018 to build capacity at the state and national levels by sharing information, resources, and expertise. For more information and updates, see NNSEJC.
The next NNSEJC Membership meeting is on September 17, 2020. It will feature Lori Smetanka, Executive Director of the National Consumer Voice forQuality Long-Term Care, who will describe how the Covid-19 crisis has disproportionately affected long term care residents, and what Consumer Voice has done to respond. The Coalition in Focus is the North Carolina Partnership to Address Adult Abuse, whose leaders will describe how Covid is affecting the functioning of the Partnership. For more information, contact NNSEJC@gmail.com.
Adapting Your MDT to a Virtual Environment
This webinar by the Elder Justice Initiative of the U.S. Department of Justice describes measures that multidisciplinary teams can take during the pandemic as they convert to online meetings. It includes tips for promoting engagement by members (e.g. online “icebreakers”) and ensuring privacy and confidentiality. See Adapting Your MDT to a Virtual Environment. The Initiative has also developed companion handouts. See companion handouts.
Reframing Aging: A Primer for Health Care Professionals
This webinar, presented by the Reframing Aging Initiative covers four ideas to keep in mind when talking about older people and health equity in health care settings during the pandemic. See Reframing Aging.
National Elder Abuse MDT Peer Support Community
The California District Attorneys Association (CDAA) and the Elder Justice Initiative (EJI) of the Department of Justice have created a peer support community to help multidisciplinary teams (MDTs) communicate. It includes a discussion board and documents library for sharing resources. To join, see MDT Peer Support.
New Training on Decision-Making
The National Center for State Courts and the American Bar Association Commission on Law and Aging have released Finding the Right Fit: Decision-Making Supports and Guardianship, a training to help advocates and service providers assist individuals with diminished mental capacity. It focuses topics ranging from supporting people in making their own choices about health, money, and lifestyle; to deciding whether to become a guardian or conservator; to supporting self-determination.
Research & Reports
Low Staffing Levels Linked to COVID in CA Nursing Homes
According to a new UCSF study, nursing homes with lower Medicare five-star ratings on nursing staffing levels, other staffing levels, and higher total health deficiencies were more like to have residents with COVID. The researchers suggest that California nursing homes that met the minimum staffing standards may have prevented or delayed infections and that establishing minimum staffing standards at the federal and state levels could lower infection rates in the future. See Low Staffing Levels Linked to COVID.
Helping Those Who Help Others: Key Findings
This report from the National Resource Center for Reaching Victims (NRC) describes the findings of a comprehensive needs assessment of the crime victims field that was conducted to better understand why some victims are not receiving services and what resources and tools the field needs to reach more people. The research was conducted between July 2017 through March 2018. The top five crime types that respondents identified as underserved by their programs were human trafficking, domestic violence, adult sexual assault, elder abuse, and children who witness violence. See the report here.
Solving the Economic Security Gap for CA’s Older Adults
This policy report produced by the California Commission on Aging and based on testimony presented at the Commission’s 2019 Elder Economic Forum examines trends in population growth, diversity and the economic inequity experienced by many older adults. It recognizes the cumulative, long-term impact of systemic racism and discrimination impacting the vulnerability of older adults, particularly those who are women, LGBT, and people of color. It further describes innovative programs featured at the forum and offers policy and program recommendations to address many inequities. See Security Gap for California’s Older Adults.