The Adult Protection Act requires people to report an adult in need of assistance or protection, where they owe a duty of care to the adult due to their professional employment or occupation. Other members of the public may also report abuse. Reports should be made to local offices of the Adult Protection Program.
The legal definitions of needing assistance or protection include circumstances involving abuse or neglect where the adult is unable to care for or protect themselves due to infirmity, disability, or other incapacity. They also include situations where someone who is responsible for them refuses to consent to services, or interferes with the services.
Under the Victims of Family Violence Act, the court can grant an emergency protection order or victim assistance order if a person is experiencing family violence. Family includes all family relationships even where the people do not live together. Family violence includes acts, threats, and omissions, including:
The Employment Standards Act allows an older employee to take domestic violence leave, intimate partner violence leave, or sexual violence leave. An employee can take up to ten days job-protected leave (3 days of which are paid leave).
PEI has specific adult protection legislation, the Adult Protection Act. [13] This Act provides the framework for responding to adult abuse and neglect. Key features of this legislation include:
The Adult Protection Act sets out the five guiding principles for interpreting and administering the adult protection regime. These principles prioritize:
The Adult Protection Act defines abuse and neglect in a broad manner. Abuse is defined to mean “offensive mistreatment” that causes or is likely to cause severe physical, psychological, or financial harm. It can cover physical, psychological, sexual, emotional, and financial abuse. The types of abuse are not further defined in the Act.
Neglect is defined to mean a lack of necessary care or attention which causes or is likely to cause severe physical, psychological, or financial harm.
Self-neglect is excluded from these definitions.
The Adult Protection Act also defines what it means to need assistance or protection, as the purpose of the law is to assist and protect vulnerable adults. These definitions encompass older adults with reduced capacity who are being abused or neglected. Self-neglect is captured by these definitions. [16]
In PEI, there is no public duty to report elder abuse or neglect. The Adult Protection Act states that if a person believes an adult is in need of assistance or protection, they can report this to the Minister of Health and Wellness.
There are certain professions which do have a duty to report an adult in need of assistance or protection to the Minister. Any person whose profession has a duty of care to vulnerable adults must make a report. These professions include:
A person who reports abuse or neglect or helps with the investigation is protected from having a civil action launched against them for this. [20]
If the Minister receives a report of abuse or neglect, they have the power to investigate whether the adult needs assistance or protection. [21]
The Minister has been given powers to investigate, including the power to:
If the Minister has determined that the adult needs assistance or protection, they must develop a case plan for addressing the situation. This could include:
The adult, and any person with supervisory responsibility for the adult, must be involved in the development of a case plan to the greatest extent possible. [25]
The Minister can provide assistance to the adult if:
This assistance can include:
If the Minister finds the older adult needs protection, they can apply to court for a protective intervention order. A court will grant the order if it considers the intervention to be in the best interests of the adult.
A protective intervention order can allow for several interventions to occur, depending on the needs and best interests of the adult. Possible terms of the order include to:
If the Minister believes the adult does not have decision-making capacity as to their personal welfare or estate, and needs assistance or protection, they can apply to the court to have a guardian or committee appointed.
If there is a considerable risk of serious and imminent harm to the adult or the adult’s estate, the Minister can apply to the court to be appointed a temporary guardian. Temporary guardianship can be in effect for up to 180 days and can be renewed once. [29]
If the Minister believes there is a considerable risk of immediate, serious harm to an adult who may need protection, the Minister can:
Within 5 days of the adult being removed from danger, the Minister must apply to the court for a protective intervention order. [30]
Two laws regulate the practice of health professionals:
Each college is responsible for regulating health professionals within their jurisdiction, including making sure members are fit for practice and are not committing any infractions. This process is limited to reviewing the regulated health professional’s actions. If a member has been found to be engaging in abuse, the college’s remedies are limited to restricting a regulated health professional’s practice. The college can remove a person’s practice credentials if they are danger to the public. However, a complaint usually will not result in any remedies for the person who has been abused. The specifics of what actions a college can take in regulating a health professional’s actions will depend on the specifics of the Acts governing the practice area.
Any person can make a complaint to the registrar that a member has engaged in professional misconduct or incompetence. [33] A member of the college has a duty to report to the college if they believe that another member:
Upon receipt of a report, the registrar will decide whether they will start a complaint. [34]
The law sets out additional requirements when there is a report of sexual abuse. Before a member reports sexual abuse of another member, they must inform the patient or client of the obligation to report and encourage them to initiate their own complaint. The member must not identify the client or patient in this report unless the client or patient has consented to their identity being disclosed. [35]
Upon receipt of a complaint, the registrar will investigate, and if the complaint has merit, the registrar will refer the matter to the investigation committee. [36] The investigation committee must investigate the complaint. After the investigation, the committee must either:
The hearing committee determines whether the health professional has engaged in professional misconduct or incompetence. [38]
If the hearing committee determines that the member engaged in misconduct or incompetence, the hearing committee can take certain actions, including:
If a member’s conduct may pose a risk of serious and imminent harm to another person, the college can make an interim order to impose conditions on the member’s practice or suspend a member’s registration. [40]
At the time of publication, there are no health professions designated under the regulations of the Registered Health Professions Act. The provisions in this Act are substantially the same as those in the Regulated Health Professions Act, and so will not be detailed here. If you are a member of a profession which becomes designated under the Registered Health Professions Act, consult the Act for details regarding your reporting duties.
Regulated health professionals may also have some duties to report abuse or misconduct arising from their professional codes of conduct. If you are a regulated health professional, examine your professional codes of conduct or practice standards to see if you have any responsibilities under these rules, or contact your college for advice.
Confidentiality ensures vital information is kept private for professions which require a client to disclose private information, such as counsellors, doctors, and nurses. A lawyer must respect solicitor-client privilege. Requirements of confidentiality and privilege can be found:
Generally, professionals, staff, and volunteers must get consent from the older adult before disclosing personal or health information. However, exceptions to confidentiality and privilege have been created by various laws.
The Adult Protection Act contains a provision relevant to confidentiality. The identity of a person who reports abuse or neglect must be kept confidential.
The Adult Protection Act gives the Minister powers to obtain information about the adult as part of an investigation into potential abuse or neglect of that adult, including health care and financial information. The Minister has a right to this information, and people who have custody of this information must disclose it. This power overrides any confidentiality laws or requirements, with the exception of solicitor-client privilege. [42]
In PEI, there are two pieces of legislation that outline privacy rights:
The federal Personal Information Protection and Electronic Documents Act also applies in PEI. See the federal laws section for confidentiality exceptions under this Act, which applies to private organizations conducting commercial activities and to federally regulated organizations, such as banks.
These laws govern the manner in which personal information may be collected, used, and disclosed. Under these laws, personal information must be kept confidential, and generally disclosure is permitted only if a person consents to the disclosure or if the disclosure is for the purpose for which the information was collected. Only in prescribed circumstances can information be disclosed without consent. [46]
Under the Freedom of Information and Protection of Privacy Act, public bodies can disclose personal information without consent for prescribed reasons, including:
Under the Health Information Act, personal health information can be disclosed without consent for prescribed reasons, including:
Confidentiality and legal privilege are two similar, but legally distinct concepts. Both are based on the principle that a lawyer owes a duty of loyalty to the client.
Solicitor-client privilege is a legal principle that applies to all communications between a client and a lawyer where the communication was for the purposes of obtaining legal advice and was intended to be confidential. [56] It operates to protect such information from having to be disclosed in legal proceedings.
However, solicitor-client privilege will not apply:
Other types of privilege include litigation privilege, which protects communications created for the dominant purpose of preparing for litigation.
A lawyer’s duty of confidentiality is an ethical duty. Unlike privilege, this duty covers any communications made during the professional relationship – there is no requirement that the communications be made for the purposes of obtaining legal advice.
The Law Society of Prince Edward Island has set out the duty of confidentiality and applicable exceptions in its Code of Professional Conduct. [59]
The Code also permits disclosure of limited confidential information when there is imminent risk of death or serious bodily harm, and disclosure is necessary to prevent this.
While criminal law is primarily under the federal jurisdiction, PEI’s Guide Book of Policies and Procedures for the Conduct of Criminal Prosecutions in Prince Edward Island [62] provides guidance to prosecutors. There are no policies directly covering elder abuse, but a few chapters touch on aspects of elder abuse.
The Decision to Prosecute chapter notes that prosecutions should be in the public interest. Factors to determine if prosecution would be in the public interest include “the age, intelligence, physical or mental health, or infirmity of the accused.” [63]
The Direct Indictments chapter discusses when a direct indictment would be in the public interest, and lists factors which would indicate direct indictment. Factors relevant to elder abuse include:
The Victims of Crime chapter describes policies for supporting victims during the criminal justice process. These include:
The Spousal Violence chapter is not directly aimed at elder abuse but can apply when the person abusing the older adult is their spouse. The policy notes that in many small communities in PEI, the options available to victims may be limited because:
The policy deals with matters such as:
The Victims of Family Violence Act [68] outlines how a person who is experiencing family violence can obtain an emergency protection order or victim assistance order.
People experiencing family violence can obtain legal protection in the form of an emergency protection order or victim assistance order. The Victims of Family Violence Act defines family violence as violence against someone who is or was in a family relationship with the perpetrator. “Violence” is in turn defined to cover:
The law also defines who a victim is and who is encompassed within a family relationship. “Family relationship” is defined to mean a relationship between members of the same family, or two people who were or are in a marriage, spousal, or sexual relationship while cohabitating.
The court can grant an emergency protection order when a person has experienced family violence, and the circumstances are serious or urgent. In deciding whether to grant the order, the justice of the peace must consider:
The following people can apply for an emergency protection order:
Possible terms of the emergency protection order are:
The order can be in effect for up to 90 days. [75] All emergency protection orders must be reviewed by a judge, who has the power to order a rehearing or to confirm or vary an order. [76]
A victim can apply to the court for a victim assistance order. The court can grant a victim assistance order if family violence has occurred. The order can have any of the terms applicable to an emergency protection order, discussed above, and can also provide for access to children. The court can include any other conditions that it considers appropriate. [77]
A victim of family violence can request that their address remain confidential. The victim can request a publication ban on the hearing and any orders that are issued, which the court will grant if publication would be against their best interests or would lead to adverse effects to the victim or their child. The court can make the hearings private if having a public hearing could lead to harm or adverse effects to the victim or their child. [78]
This section outlines the protections and remedies available when an older adult is experiencing financial abuse by a substitute decision-maker. These protections and remedies are contained in adult protection legislation, substitute decision-maker legislation, and health care legislation.
In PEI, a substitute decision-maker could be:
An adult can appoint a person to be their attorney under a POA. A POA can continue to be valid after the adult loses capacity, as long as there is a statement to that effect in the POA. An attorney can make any decisions that an adult could make, including financial and legal decisions. [81]
A power of attorney can end in several ways:
If the adult becomes legally incapable and the power of attorney is still in effect, certain persons can apply to the court to have the attorney account for any transactions they have made during the adult’s incapacity. An application can be made by:
If the adult becomes legally incapable and the power of attorney is still in effect, a person can apply to the court to have a different attorney appointed. An application can be brought by:
If a person believes that an older adult does not have the decision-making capacity to manage their financial affairs, they can make an application to the court. The court can order the person to undergo a capacity assessment by a physician. If the court is satisfied the older adult is not capable of managing their affairs and that having a committee would be in the adult’s best interest, the court can appoint a committee. [85]
A committee takes custody of all of the adult’s property and finances. Generally, a committee has the power to:
In addition, the court may order the committee take any action as is necessary to:
A committee is required to file an inventory of the adult’s estate within three months of becoming committee and annually provide an accounting of actions taken and the adult’s financial affairs. [87]
The committee can be replaced by a substitute committee if the committee resigns or does not provide accounts for the adult’s property. To substitute a committee, a person must bring an application to court. [88]
A committeeship ends when the adult dies or the court determines that the adult has regained decision-making capacity. Either the adult or the committee may bring an application to the court terminating the committee on the basis that the adult has regained capacity. If the committeeship is terminated, the property will be returned to the older adult. [89]
Committeeships must be registered in the Committee Register. This includes:
A physician may issue a certificate of incompetence if the physician has examined the adult and determined that the adult is incapable of handling their financial affairs, and that it would benefit the adult to appoint a committee. If a certificate of incompetence has been issued and the older adult does not have an existing court-appointed committee or attorney under a POA, the Public Trustee becomes committee of the estate. The Public Trustee is committee as soon as they receive the certificate or have been notified that the certificate has been issued. [91]
The Public Trustee ceases to be committee of the estate when the certificate of incompetence is cancelled by the adult’s physician. [92]
As committee of the estate, the Public Trustee can make any decision about the older adult’s estate that the older adult could make. [93] The Public Trustee must account for any actions they have taken as committee. [94]
Under the Mental Health Act, any interested person can apply to the court to have a guardian appointed. For the court to appoint a guardian:
An application for guardianship must be accompanied by two certificates of incapacity, each issued by a physician. [95]
Subject to any directions or limitations that might be set out in the guardianship order, a guardian can make any personal decisions the adult can make, including regarding where to live, health care, education, social contacts, and legal matters. [96]
A person can apply to the court to have the guardianship reviewed. If a guardian dies, resigns, or fails to comply with any directions that apply to the guardianship, the court can replace the guardian. [97]
One of the Public Trustee’s functions is to protect the estates of an adult who is not capable of making decisions. The Adult Protection Act states the Minister can inform the Public Trustee if an older adult is at considerable risk of immediate, serious harm to their estate. [98] As discussed above, the Public Trustee can become a committee upon receiving certificates of incompetence. A Public Trustee may also apply to the court to have a committee appointed. The Public Trustee, as a last resort, can be appointed as an attorney under a POA, a committee of the estate, or as guardian. [99]
Adults who are experiencing abuse may have access to an employment leave. The domestic violence leave, intimate partner violence leave, or sexual violence leave allows an employee to take time off to obtain services they need, including:
The definition of domestic violence includes any person that is related to the employee by blood, marriage, or adoption regardless of whether they live in the same residence. The definition of sexual violence does not limit it to a particular person. The definition of violence includes:
An employee can have up to 3 days of paid leave and a further 7 days of unpaid leave each calendar year. Employees must notify the employer that they will be taking this leave. The leave days can be taken consecutively or throughout the year. [102] This leave protects an employee from being fired or suspended. [103]
An employer can ask for written evidence of why the employee needs this leave. This evidence can include information from a:
The employer must keep any information regarding the circumstances of the leave confidential, and only disclose it to prescribed persons. This includes disclosure requirements under the Adult Protection Act and disclosure to other employees who need the information to take over the employee’s duties. [105]
For people who are fleeing family violence and need to apply for social assistance, PEI’s social assistance policies set out procedures to protect the applicant. If an applicant discloses that they are a victim of family violence, the program staff must determine on a priority basis if the applicant is approved for emergency assistance. A case worker can authorize funding for transportation if the applicant needs to leave their residence. Staff members must consider the safety of the applicant when phoning or meeting with the applicant. The applicant must be informed about resources, such as family housing. The staff must encourage the applicant to have a support person with them. Staff may also arrange translation services if these are needed. [106]
Contact Adult Protection through a local Home Care office if you believe a vulnerable adult is being abused or neglected.
Souris Hospital
17 Knights Avenue
PO Box 640
Souris, PE C0A 2B0
6 Harmony Lane
PO Box 490
Montague, PE C0A 1R0
165 John Yeo Drive
Charlottetown, PE C1E 3J3
Wedgewood Manor
310 Brophy Avenue
Summerside, PE C1N 5N4
Community Hospital
14 MacKinnon Drive
PO Box 160
O’Leary, PE C0B 1V0
The PEI Seniors’ Secretariat provides policy and program advice to government and other organizations to improve the quality of life for seniors. It also develops and supports public education efforts about issues of importance to seniors and gathers information and research on related issues.
The Seniors Safe @ Home Program provides financial assistance to older adults who need to make changes to their home in order to improve its accessibility.
161 St. Peters Road, P.O. Box 2000
Charlottetown, PE C1A 7N8
The Island Helpline is a confidential, supportive telephone service for anyone who is in a crisis, feeling depressed, or thinking about suicide. It is available 24 hours a day, 7 days a week. Staff provide emotional support, problem solving, and crisis intervention services.
Victim Services assists victims of crime throughout their involvement in the criminal justice system. Contact Victim Services in your area:
1 Harbourside Access Road
PO Box 2000
Charlottetown, PE C1A 7N8
263 Heather Moyse Drive
Suite 19, 2nd Floor
Summerside, PE C1N 5P1
The P.E.I. Senior Citizens’ Federation is a nonprofit charitable organization consisting of over 50 seniors’ clubs, groups, and organizations. Its aim is to act as a voice for Island seniors and advocate for a better quality of life on their behalf. The federation administers a range of programs for older adults.
40 Enman Crescent, Suite 214
Charlottetown, PE C1E 1E6
Community Legal Information is a registered charity that helps residents of Prince Edward Island understand the law and navigate the justice system in the province. It provides free legal information on various topics.
53 Grafton Street,. Suite 202
Charlottetown, PE C1A 1K8
[1] RSPEI 1988, c A-5.
[2] RSPEI 1988, c R-10.1.
[3] RSPEI 1988, c R-8.01.
[4] RSPEI 1988, c V-3.2.
[5] PEI Reg EC558/96.
[6] RSPEI 1988, c P-16.
[7] RSPEI 1988, c P-32.2.
[8] RSPEI 1988, c M-6.1.
[9] RSPEI 1988, c F-15.01.
[10] RSPEI 1988, c H-1.41.
[11] RSPEI 1988, c E-6.2.