- Silver Alert is a public notification system for finding lost seniors, especially those with dementia to protect them from injuries
- The most common criteria for using Silver Alerts are: Being elderly or having a diagnosed cognitive impairment or disability
- There are other state implemented programs and color-coded alert programs similar to Silver Alerts
- Some have expressed concerns regarding the oversaturation, high costs and civil right violations of Silver Alerts
- Wandering is a common cause of disappearances, therefore it is important to prevent or at least limit elderly wandering
Most people are familiar with amber alerts, intended to assist in finding missing children, though many are unfamiliar with Silver Alerts, often geared toward finding the missing elderly person. The purpose of this article is to outline the function, history, and efficacy of Silver Alerts and similar programs.
Silver Alerts inform law enforcement agencies (LEA), media outlets, and the public about missing adults, usually seniors with cognitive disabilities or impairments.
The goal of these alerts is to protect the elderly from injuries and potential death that may easily occur when they are lost or go missing. The alerts provide local, state authorities, and the general public information they may prove critical in facilitating the safe return of the errant elderly person.
The information that is distributed is that which that law enforcement agencies believe to be useful in locating the lost individual: photographs, description of their vehicle if they were driving, last known location, their home location, and medical condition. All this relevant information is what is often transmitted locally or throughout the state to assist in the safe return of the senior person.
The investigating law enforcement agencies tend to be responsible for deciding to activate a silver alert once they determine a case warrants such a response. Law enforcement agencies, or public safety organizations, distribute information regarding the lost individual to the pertinent agencies and select media outlets that then broadcast the information to the public using dynamic message signs on roadways, radio stations, mobile phones, the internet, and television. The alert comes to an end once the lost inidividual is located.
This necessary criteria can differ from state to state, but there are some features that are consistent between states that have silver alerts or similar programs. Being elderly or having a diagnosed cognitive impairment or disability are two of the most common criteria that are used. Age and cognitive impairment naturally present grave risks to the the health, well-being, and safety of those who go missing. It is estimated that about half of those suffering from dementia who go missing for more than 24 hours will either be severely hurt or die, and over eighty percent will die after being missing for 72 hours.
- Age: one of the more common factors of consideration for silver alerts. Missing adults, commonly age 60 and above, are the ones who often trigger silver alerts
- Mental disorder: missing people who have cognitive disorders or impairments tend to qualify for SA. This covers conditions such as mental retardation, dementia, and permanent impairments caused by illness or trauma
- Physical disability: missing individuals who are physically disabled are also eligible for the use of SA.
Over the last decade, states have implemented programs that are similar to Amber Alerts. They aid in the location and retrieval of missing elderly, cognitively impaired, and/or disabled adults. Many attribute the public’s support of these measures to the significant media coverage given to tragic cases involving impaired elderly persons who were injured or died after they went missing. The following tragic events are believed to be, at least in part, responsible for the creation of Silver Alerts and similar programs:
- Georgia: Mattie Moore wandered some distance from where she lived. She was 68 years old old and suffered from Alzheimer’s disease. Some months later, her remains were located barely a few hundred yards from where she lived. This led to the enactment of Mattie’s call in 2006, a statewide program to assist in the safe retrieval of elderly or disabled missing people.
- Oklahoma: Oklahoma state representative Fred Perry stated his desire to propose an Amber Alert for seniors, which he called the Silver Alert. He drafted a resolution that was duly enacted in 2009.
- Florida: At 86, a Floridian by the name of Mary Zelter, left the facility where she lived in her car and subsequently disappeared. Her figure was located a few days later, prompting politicians to develop a Silver Alert pilot program. It was this program that sparked widespread adoption of similar measures.
The following twenty-seven states have locating and retrieval systems, known as “Silver Alerts”, for lost folks:
- New Jersey
- New Mexico
- North Carolina
- Rhode Island
- South Carolina
- West Virginia
Nine states have systems to find and retrieve lost seniors that are not formally referred to as “Silver Alert” but include requirements similar to other programs:
- Alabama, where it is called “Missing Senior Alert”
- Colorado, where it is called “Missing Senior Citizen Alert”
- Georgia, where it is referred to as “Mattie’s Call”
- Kentucky where it is known as “Golden Alert”
- Michigan, where it is named “Mozelle Vulnerable Senior Medical Alert Act”
- New Hampshire, where it is labeled the same as Colorado
- New York, where it is known the same as Michigan
- Ohio and Virginia, where it is named “Missing Senior Alert”
Of the remaining 14 states, 8 have lost-person alert systems that include wide-ranging missing-individual requirements, while the balance of six states do not as yet have alert systems
What should I do if a loved one with Alzheimer’s disease is driving and doesn’t return home when expected?
Silver alerts are not the only color-coded alert program. The Amber Alert system is the model upon which both Silver and Blue Alerts are based. All of these programs use the media to provide the public with information regarding missing people and suspects at large in an effort to locate these individuals.
America’s Missing, Broadcast Emergency Response Alert, and Amber Alerts: these are issued for a minor, i.e. a person under 18, who is abducted or missing and is considered to be at increased risk of injury or worst.
The first AMBER Alert was implemented in 1996 in Texas after the death of Amber Hagerman. The program adopted the victim’s first name. This program spread with widespread recognition throughout the nation. Information regarding the abductee, depiction of the alleged perpetrator, and their vehicle was transmitted to the public using a number of media venues. The criteria for activation such alerts are as follows:
- A child has been abducted by someone or has gone missing
- The victim is a minor with a documented mental or physical disability
- It is believed that the minor is in danger of becoming injured or dying
- Information is distributed to the public
Blue alerts are issued following the injury or murder of an on-duty police officer. They are principally concerned with finding and apprehending the perpetrator. The National Blue Alert Act of 2015 was enacted on May 19, 2015. It is designed to protect police officers across thenation.
These are the activation criteria for Blue Alerts:
- An officer has been murdered, injured, or assaulted with a deadly weapon, and the suspect has fled the scene
- The investigating LEA has found that the suspect represents a threat to both the public and to other officers
- The depiction and portrayal of the suspect and their vehicle is broadcast
- Available info is publicized to assist in the arrest of the suspect and protect the public
Yellow alerts consist of a California alert issued after a hit-and-run that results in the death or injury of an individual. Requirements for activation are as follows:
- A person has died or been injured in a hit-and-run
- There is evidence that the suspect fled the crime scene
- Information regarding the suspect or their vehicle is attained
- Providing the info to the public to assist in finding the suspect
It is difficult to determine the efficacy of many of these programs, due mostly to the lack of standardization between states. Further research is required to enable organizations to make more informed decisions and modify their approach as needed. Some states with alert systems do not record in-depth information regarding outcomes, thus impeding precise statistics about outcomes. Gathering this information may require increased assets and infrastructure, which many states are unwilling or unable to put in place. Despite these many obstacles, available data suggests that the following are, at least to some degree, beneficial:
- North Carolina: 128 SA were made in 2008, and 118 people were safely retrieved
- Texas: 52 SA was formally adopted in 2007, with 48 of the lost seniors found and returned safely, and 13 of these could be directly linked to Silver Alerts
- Florida: 377 SA in 2008 and 2011, leading to 367 safe retrievals; 51 could be directly linked to the SA
- Wisconsin: Wisconsin has had a good record (15 out of 18 lost individuals) for locating and retrieving errant individuals.
- Georgia: Like Wisconsin, Georgia enjoys an almost perfect record (70 out of 71 lost people located) of finding and returning lost individuals to their families.
We know that there were many more, though these were not adequately documented
While these programs are undoubtedly useful to some extent, they are not without criticisms. Here is some of what has been said:
Some have expressed reservations regarding color-coded alerts in general, believing them to potentially do more harm than good. They maintain that these sorts of notifications will lead people to disregard them out of hand, due to their excessive frequency, making it more difficult for authorities to recover children who may go missing. Owing to the poor quality of data collection regarding this topic, there is however very little evidence in support of this proposition. Those in support of SA believe that it is best to err on on the side of caution and do more to protect this vulnerable population.
Another source of concern lies in the financial aspect of SAs. Some critics estimate that a national silver alert act would cost fifty-nine million dollars over a five year stretch. Others argue in favor of NSAA, saying that the costs would be nominal, given that it would simply be a matter of utilizing already extant resources. Given the expanding senior populace, yet others argue that the country is in dire need of a national silver alert system regardless of costs. They argue in favor of the NSAS, pointing out that the costs would be nominal, because the system would simply utilize already existing infrastructure.
Violating Civil Rights
Lastly, the potential for violations of civil liberties is a source of a great deal of concern. There is often sensitive medical information publicized in these alerts, and the presumption of incompetence on behalf of the elderly in these cases, may run afoul of an individual’s right to privacy and autonomy respectively. There are safeguards in place to mitigate these abuses, such as limiting the info made available to the public, deleting medical information at the end of the case, gathering evidence of mental impairment prior to making alert, etc..Also, it should be remembered that civil rights are not absolute and can be abrogated in the pursuit of what may be considered a substantial government interest, which would be attempting to save the lives of cognitively impaired or disabled individuals.
Shoud caregivers watch out for wandering behaviors after dementia patients’ recentchange in living arrangements?
A number of states have adopted programs similar to the silver alert system, either in name or effect, though they are not standardized. There have been attempts made to coordinate the SAs throughout the nation with the National Silver Alert Act. Although the NSAA has never been enacted, there is hope that, as a result of public support for these measures, we will soon see an end to this nine-year trend, though no new NSAA has been put forth on the federal level as of yet.
- H.R. 5898 was introduced In May of 2008 by Representative Lloyd Doggett. It is the National Silver Alert Act (NSAA), a bill designed to motivate, improve, and consolidate similar programs across the nation.
- H.R. 6064 was enacted in 2008, although the congress that initiated the proceedings were not able to pursue it until fruition.
- H.R. 632: The National Silver Alert Act was put forward again in the 111th Congress as H.R. 632. It was passed by the House of Representatives on February 11, 2009 on a voice vote. Companion legislation (S.557) was introduced in the Senate by Senator Mel Martinez (R-FL) and Senator Herb Kohl (D-WI).
- S.1814, the National Silver Alert Act is currently pending in the 113th Congress. It was reintroduced by Senator Joe Manchin (D-WV) on December 12, 2013.
- H.R. 5631 was introduced on July 31, 2014 by Florida representative, Patrick Murphy
There are a number of reasons why an individual may go missing, but in the demographics towards which Silver Alerts are aimed, wandering is a common cause of disappearances. People with Alzheimer’s disease and other dementias are prone to wandering, due to the decline in their cognitive faculties.Six out of ten of those with Alzheimer’s disease will at some point exhibit this symptom. As their disease progresses, disorientation and confusion will happen more regularly, which can lead to an uptick in this wandering behavior. In order to prevent or at least limit elderly wandering, a number of options are available:
- Vigilance: Careivers must do their best to not leave people prone to wandering unattended. When feasible, it is advisable to have a group of trusted people who would be willing to pick up the slack when the main caregiver needs time off.
- Document: Take note of the location, duration, rate of incidents, and events preceding the wandering.
- Medicine: Ask your loved one’s doctor if medication would be able to reduce this behavior.
- Entertainment: Giving prospective wanderers pastimes, such as exercise, movies, and day trips, to alleviate their weariness and frustration.
- Establish a routine: A consistent routine may ensure that their basic needs are met and reduce stress on both the patient and caregiver.
- Keep a calm home: it is not uncommon for people to leave noisy or busy places; the same is true of people with dementia
- Identification: keep numerous forms of ID on their person
- Tracking devices: Using tracking devices will allow you to recover your oved one when they wander
- Photographs: keep current records of their appearance to make it easier to find them
- Secure doors and windows: Turning the home into a safe zone may help prevent your loved one from wandering, or so may trigger an alarm to go off if they attempt to leave.
- Labels: Clearly mark or label rooms and objects to reduce instances of disorientation.
- Identify bathrooms and other rooms with colorful signs to orient individuals.
- Hide vital objects: Some elderly people will not leave if they cannot find particular items.
As the population grows in age and size, so does the number of individuals afflicted with cognitive disabilities and impairments. It is important to do all that we can to protect this vulnerable group, yet we must be careful to maintain their individuality and privacy. The fundamental goal of Silver Alerts programs is to quickly find missing people who are at increased risk of injury or death. However, with the lack of federal resources for developing standard Silver Alert programs, the qualifications may be overly broad and dependent on each state. To avoid such potential conflicts, it would behoove the Federal government to improve coordination between the various states, and to enhance our ability to gather data. A National Silver Alert Act would be incredibly useful.