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Elder abuse and abuse

Mistreatment and abuse can happen to anyone, regardless of the person's age, sex, race, religion, or ethnic or cultural origin. Each year, hundreds of thousands of people over the age of 60 are abused, abandoned or economically exploited.

This is called elder abuse. Elder abuse can occur in many places, including the home of the elderly person, a relative's home, an assisted living setting, or a nursing home. Elder abuse can occur from family members, strangers, healthcare providers, caregivers, or friends.

Types of Mistreatment and Abuse

There are many ways to abuse or take advantage of older people:

  • Physical abuse occurs when someone causes bodily harm to the older person by hitting, pushing or slapping them. It can also occur when held against your will, such as being locked in a room or tied to furniture.
  • Emotional abuse, Sometimes called psychological abuse, it can occur when the person caring for an older person repeatedly says hurtful or humiliating words, yells at, threatens or ignores them. Another form of emotional abuse is when that person is prevented from seeing close friends and family.
  • Negligence It occurs when the person who cares for an older person does not respond to their needs, be they physical, emotional or social. Or, if you do not give him his food, medicine or prevent his access to medical care.
  • Abandonment It occurs when an older person in need of care is left alone, without arranging for someone to attend to their needs.
  • Sexual abuse occurs when an older person's caregiver forces them to witness or be a part of sexual acts.
  • Financial abuse It occurs when someone steals an older person's money or belongings. This may include forging checks, collecting your pension or Social Security benefits, or using someone else's credit cards and bank accounts without their permission. This also includes changing the name on a will, bank account, life insurance policy, or home title without proper permission.

Who are victims of mistreatment and abuse?

Most victims are women, but this also happens to some men. Older adults who are most likely to be victims of abuse and mistreatment are those who do not have relatives or friends nearby and those who have physical disabilities or memory problems or dementia.

Although it can happen to any older person, those who depend on others for help with daily activities, including bathing, dressing, and taking medication , are often the most affected. The most vulnerable are frequently abused because they appear to be easy targets.

Financial affairs

Financial abuse is a widespread problem that is difficult to detect. Even people you've never met can steal your financial information over the phone, internet, or email. Be careful when sharing any financial information over the phone or online, as you don't know who will use it.

In addition to stealing an older person's money or belongings, financial abuse also includes:

Financial neglect occurs when an older adult's financial responsibilities are ignored, such as paying rent or mortgage, medical expenses or insurance, utility bills or property taxes, and personal bills.

Financial exploitation is the misuse, mismanagement, or exploitation of an older person's property, belongings, or assets. This includes using their assets without their consent, through deception, intimidation, or manipulation.

Healthcare fraud , which can be perpetrated by doctors, hospital staff, or other healthcare workers, includes overcharging, double billing for the same service, falsifying Medicaid or Medicare claims, or billing for care that was not provided. Older adults and caregivers should be aware of this type of fraud.

How to determine if someone is being mistreated or abused

You may see signs of mistreatment, abuse, or neglect when visiting an older person at home or in a facility that provides care for the elderly. You may notice that the person:

  • stop participating in activities you enjoy;
  • looks unkempt, with unwashed hair or dirty clothes;
  • has difficulty for sleep;
  • You have lost weight for no reason.
  • is withdrawn or acts agitated or violent;
  • shows signs of trauma, such as rocking back and forth;
  • have unexplained bruises, burns, cuts, or scars;
  • has broken glasses or eyeglass frames, or physical signs of being punished or tied up;
  • have pressure sores or other preventable conditions;
  • lacks the medical devices you need (glasses, walker, dentures, hearing aids, medications);
  • you have an eviction notice for not paying rent, a late mortgage or eviction notice
  • live in dangerous, unsafe, or dirty conditions;
  • shows signs of insufficient care or unpaid bills despite having sufficient financial resources.

If you see signs of abuse, try talking to the older person to find out what's happening. For example, the perpetrator might be another resident and not someone who works at the nursing home or assisted living facility . The most important thing is to get help or report what you see to adult protective services. You don't need to prove that abuse is occurring. Professionals will investigate the case.

Who can help?

Elder abuse will not stop happening on its own. You need someone to confront you and provide help. Many older people are too embarrassed to report the abuse. Or, they are afraid that if they do, the abuser will find out and the abuse will get worse.

If you think someone you know is being abused or abused, either physically, emotionally, or financially, talk to that person when the two of you are alone. You could tell him that you think something is wrong and you are worried. Offer to take her somewhere where she can get help; for example, to a local adult protective services agency.

Many local, state, and national social service agencies can help with emotional, legal, and financial abuse issues.

The Administration for Community Living has a center called the National Center on Elder Abuse where you can find out how to report mistreatment or abuse, get help, and learn about state laws dealing with abuse, mistreatment, and neglect. For more information, visit https://ncea.acl.gov (in English with some posts in Spanish). Or, call the Eldercare Locator Monday through Friday at 800-677-1116.

Most states require doctors and lawyers to report elder abuse. Family and friends can report it too. Don't wait, help is available!

If you think someone is in immediate danger, call 911 or your local police for immediate help.

Who can help?

Most physical injuries heal over time, but elder abuse can lead to premature death, damage physical and psychological health, destroy social and family ties, and cause devastating financial loss, among other things.

Any type of mistreatment or abuse can leave the person receiving it feeling fearful and depressed. Sometimes the victim thinks the abuse is their fault. Adult protective services agencies can suggest support groups and counseling that can help heal the emotional wounds that result from abuse.

For further information

Eldercare Locator
(Locator of Services for the Elderly)
800-677-1116 (toll free)
eldercarelocator@n4a.org
https://eldercare.acl.gov (In English)

Consumer Financial Protection Bureau
(Office for Consumer Financial Protection)
Office for Older Americans
(Office for Older Americans)
855-411-2372 (toll free)
855-729-2372 (TTY / toll free)
olderamericans@cfpb.gov
www.consumerfinance.gov/practitioner-resources/resources-for-older-adults/ (In English)
www.consumerfinance.gov/en (in Spanish)

National Adult Protective Services Association
(National Association for Adult Protective Services)
202-370-6292
www.napsa-now.org/ (In English)

National Center on Elder Abuse
(National Center on Elder Abuse)
855-500-3537 (toll free)
ncea-info@aoa.hhs.gov
https://ncea.acl.gov (In English)

National Domestic Violence Hotline
(National Hotline against Domestic Violence)
800-799-7233 (toll free, 24/7)
800-787-3224 (TTY / toll free)
www.thehotline.org/get-help  (In English)
http://espanol.thehotline.org (in Spanish)

National Elder Fraud Hotline
(National Hotline against Elder Fraud)
833-372-8311 or 833-FRAUD-11 (toll free)
https://stopelderfraud.ovc.ojp.gov (In English)

US Department of Justice
(United States Department of Justice)
202-514-2000
800-877-8339 (TTY / toll free)
elder.justice@usdoj.gov
www.justice.gov/elderjustice (In English)
www.justice.gov/elderjustice/roadmap (in English)
www.justice.gov/elderjustice-espanol (in Spanish)
www.justice.gov/elderjustice-espanol/abuso-financial (in Spanish)

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