Elder or Dependent Adult Abuse

Whether it's physical, sexual, or emotional, elder abuse is a serious crime. A frail or disabled elderly person can also be abused through neglect and financial exploitation. Each year hundreds of thousands of elderly people who depend on others to meet their most basic needs are abused, neglected, or exploited.

Elder abuse can fall under several categories:

  • Physical abuse is the willful infliction of physical pain or injury, such as slapping, bruising, sexually molesting, or restraining.
  • Psychological abuse is the infliction of mental or emotional anguish, such as humiliating or threatening.
  • Financial or material exploitation is another form of abuse, in which the resources of an elderly person are used without his or her consent.
  • Neglect is the failure of a caretaker to provide goods or services necessary to avoid physical harm, mental anguish, or illness.

While it is hard to estimate how many older persons are abused each year, one study suggests that 500,000 Americans are abused, neglected and exploited by family members and others. The study also estimates, however, that only about 16 percent of abuse cases are reported. The Senate Special Commission on Aging estimates that there may be as many as 5 million victims of elder abuse a year.

Another study found that the one-year prevalence for abuse was the following: 

  • emotional abuse, 4.6 percent
  • physical abuse, 1.6 percent
  • sexual abuse, 0.6 percent
  • potential neglect, 5.1 percent
  • current financial abuse by a family member, 5.2 percent 
  • Overall, 10 percent of respondents report emotional, physical, or sexual mistreatment, or potential neglect in a given year.

In addition:

  • 551,011 people, age 60 and over, experience abuse, neglect, and/or self-neglect in a one-year period.
  • The perpetrator was a family member in 90 percent of cases. Two-thirds of the perpetrators were adult children or spouses.

Legislatures in all 50 states have passed some form of elder abuse prevention laws. Laws and definitions of terms vary considerably from one state to another, but all states have set up reporting systems. Generally, adult protective services (APS) agencies receive and investigate reports of suspected elder abuse.

Symptoms

Symptoms vary depending on the nature of the abuse. Symptoms may include:

  • Bruises and lacerations
  • Broken or fractured bones
  • Untreated injuries in various stages of healing
  • Sprains, dislocations and internal injuries
  • Laboratory findings of medication overdose or under-utilization of prescribed drugs
  • Elder's report of being hit, kicked, or mistreated
  • Elder's sudden change in behavior, including becoming depressed, agitated, withdrawn, or non-communicative
  • Dehydration, malnutrition, untreated bedsores, and poor hygiene
  • Unattended or untreated health problems
  • Unsafe or unclean living conditions
  • Elder's report of mistreatment
  • Caregiver's refusal to allow visitors to see an elder alone

Causes

Spouses and adult children are the most common elder abusers. Generally, a combination of psychological, social, and economic factors, along with the mental and physical conditions of the victim and/or the perpetrator, contribute to the occurrence of elder maltreatment. Although the factors listed below cannot explain all types of elder maltreatment because it is likely that different types (as well as each single incident) involve different casual factors, some of the causes researchers cite as important are:

Treatment

In most jurisdictions, the APS, the Area Agency on Aging, or the county Department of Social Services is the agency designated to receive and investigate allegations of elder abuse and neglect. If investigators find abuse or neglect, they make arrangements for services to help protect the victim. The Area Agency on Aging operates an information and referral line for a wide range of services; if an elder is in immediate danger, call 911.

Older adults can take the following precautions to help keep themselves safe from abuse:

  • Maintain a social life. Stay in touch with old friends and neighbors if you move in with a relative or change your address. Have a buddy outside the home check in with you at least once a week. Invite friends to stop by your house, even if they only stay for a brief period.
  • Stay open to opportunities. Make new friends. Continue participating in community activities.
  • Retain control over your telephone and mail. If your mail is being intercepted, discuss the problem with postal authorities.
  • Organize your belongings so you can keep track of everything. Make sure others are aware that you know where everything is kept.
  • Try to be in control of attending to your personal needs. Keep regular appointments with your doctor, dentist, barber, or hairdresser.
  • Maintain financial control. Arrange to have your Social Security or pension check deposited directly to a bank account in your name.
  • Maintain legal control. Obtain legal advice about possible future disability, including power-of-attorney, guardianship, or conservatorship. Be sure to keep records, accounts, and property available for examination by someone you trust, as well as by the person you or the court has designated to manage your affairs. Review your will periodically. Only give up control of your property or assets at a time when you decide you cannot manage them.
  • Be sure to ask for help when you need it. Discuss your plans with your attorney, physician or family members.

Other precautions:

  • Don't live with a person who has a background of violent behavior or alcohol or drug abuse.
  • Don't leave your home unattended, or if you do, don't leave signs that you are not home, such as a note on the door. If you must be away for a long period, notify the police.
  • Don't leave cash, jewelry, or other valuables.
  • Don't accept personal care in return for the transfer or assignments of your property or assets, unless a lawyer, advocate or another trusted person acts as a witness to the transaction.
  • Don't sign a document unless someone you trust has reviewed it, and don't allow anyone to keep details of your finances or property management from you.

References

  • National Elder Abuse Incidence Study
  • Adult Protective Services
  • Elder Abuse Center
  • U.S. Administration on Aging
  • National Center on Elder Abuse
  • Acierno, R., Hernandez, M. A., Amstadter, A. B., Resnick, H. S., Steve, K., Muzzy, W., & Kilpatrick, D. G. (2010). Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. American journal of public health, 100(2), 292-297.
  • Elder Mistreatment: Abuse, Neglect and Exploitation in an Aging America. 2003. Washington, DC: National Research Council Panel to Review Risk and Prevalence of Elder Abuse and Neglect.  
  • Wasik, John F. 2000. “The Fleecing of America’s Elderly,” Consumers Digest, March/April

Last reviewed 04/02/2019