1. Voice and the Vulnerable Older Person Presentation by Sandra Jacobson for the Sixth World Summit on Mediation with Aged Related Issues. April 29-May1, 2013.

2. MEDIATING WITH AGE RELATED ISSUES

3. SANDRA JACOBSON Educational Counsellor Child Advocate Carer Masters in Mediation and Conflict Resolution Student

4. THE NEUTRAL TRAINED MEDIATOR

5. 1. The Older Voice age related issues & self- determination complexities of advance directives impact upon the vulnerable older person’s ability to use their voice.

6. 2. Working with Ageing Families family/care conference voice of the vulnerable older person considering ‘couples’ harsh realities & limited resources partnerships for the future.

7. 3. Respecting capacity assisting the substitute decision makers to ensure the older person’s capacity to determine matters that affect them is respected for the whole of their life.

8. 4. Managing the Risk of Exclusion When physical appearance belies mental capacity risk of exclusion from participation in decisions

9. 5. Understanding Secondary Behaviours secondary behaviours emerge from frustration, fear, despair.

10. 6. Interpreting Secondary Behaviours can lead to a further loss of dignity and voice

11. OUTCOMES FOR OLDER PEOPLE IN CARE If …then …

12. SUMMARY AND CONCLUSION neutral mediator trained in age related issues and facilitated decision making transitions and rights voice of the older person.

13. ACKNOWLEDGEMENTS

14. REFERENCES Charter of Rights and Responsibilities for Community Care. (The Charter). 1 October, 2009.