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Elder Abuse

 

 

 

Introduction

What You Need to Know

Where to Go For Help

The Role of the Elder Law Attorney

 

 

With the aging of the American population, problems of the elderly have become more widespread. One unfortunate outgrowth of this development has been the increased frequency of abuse, neglect and exploitation of vulnerable adults.

Abuse, neglect and exploitation are usually defined by state legislation, and the definitions may vary significantly. Typically, however, the terms may be defined as follows:

"Abuse" typically refers to physical or sexual abuse.

"Neglect" means failure to provide necessities. In most states, it is necessary to show that the wrong doer has a duty to provide for the victim.

"Exploitation" is usually defined as taking financial advantage of a disabled or elderly victim.

Because state law is much more important in preventing abuse, neglect and exploitation than federal law, rules and protections will vary tremendously from state to state. A few generalizations can be made about the issue, but concerned individuals should consult local authorities or an attorney familiar with elder law issues for more detailed information.

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What You Need To Know

Abuse, neglect and exploitation are a growing phenomena. In many cases, the abuser is a family member or trusted, long-time friend. Problems even arise in controlled settings such as nursing homes, adult care facilities and congregate living arrangements.

It is frequently very difficult to detect abuse. Typically, abusive behavior occurs in private and victims may be unable to describe the attacks. When reports are made, they are frequently not believed.

A growing number of unscrupulous people prey consistently on vulnerable and incapacitated adults. Those familiar with the field report that the same individuals often appear as exploiters of multiple victims.

Experts note that there are some signs of abuse, neglect or exploitation which might alert family members, concerned friends or professionals to the possibility of problems. Among the signs to watch for:

  • Unexplained bruises or injuries (but remember that confused patients may also wander, and may be unsteady on their feet + unexplained bruises are also common place among those who are not abused).

  • Withdrawal, particularly when the possible victim suddenly expresses a desire not to visit or receive visits with longtime friends or family.

  • Fearfulness or anxiety on the part of the potential victim.

  • Sudden, unexplained changes in living arrangements (such as a younger person moving in to "care for" an elderly person shortly after they have met).

Most states require professionals who observe signs of abuse, neglect or exploitation to report their suspicions to the appropriate authorities. Depending on state laws, it may be a criminal violation to fail to make such reports. Those required to report their suspicions may include: nurses (and aides), social workers, psychologists, accountants, lawyers, bankers and others.

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Where To Go For Help

In most states, an agency has been established to deal with problems of abuse. The responsible agency may be called the Adult Protective Services, or the Department of Social Services, or another similar name.

There are also agencies in every region, called Area Agencies on Aging, that provide assistance with locating resources for elders at risk. Your Area Agency on Aging will have more information on the structure of state protective agencies and other relevant programs.

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The Role Of The Elder Law Attorney

An attorney experienced in dealing with the problems of the elderly will be familiar with the problems of abuse, neglect and exploitation. In addition to taking steps to protect the victim from further abuse, an attorney may be able to secure the return of assets taken by the exploiter, or to recover damages for the injuries caused by abuse or neglect. In some states, special court proceedings and/or damages may be available to the victim of abuse, neglect or exploitation.

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If you or a loved one is a victim of abuse, neglect, or exploitation contact your local department of social services.

 

 

What is Elder Abuse?
Physical Abuse

Using physical force that results in physical pain or injury.

Sexual Abuse

Nonconsensual sexual contact with an older person.

Emotional Abuse

Verbal assaults, humiliation, threats, harassment, intimidation, or other abusive behavior.


What is Neglect?
Neglect

Failure to make provisions for personal care (food, shelter, medical care, social contact), or forceful confinement or restraint of the older adult (either intentionally or unintentionally).

 
The Victim
The typical victim of elder abuse is a widowed, white female in her mid-70s or older, and living on a limited income. The older person usually lives with the perpetrator, who is often a spouse or adult child. Elder victims often do not report being abused. Fearing retaliation by the abuser, being ashamed of the situation, or worrying about having to leave one's home are some of the reasons older adults do not report abuse.
 
The Abuser
The typical abuser is most often the adult child or spouse of the victim, although older family members and nonrelatives may be perpetrators. The abuser may depend on the older person for housing, financial assistance, or emotional support. Research indicates that caregiver stress, alcohol or substance abuse, and emotional and/or financial problems are factors in many instances of abuse.
 
Symptoms of an Abused Person
Unusual or unexplained injuries (cuts, bruises, burns)

Unkempt appearance

Pressure or bed sores

Confinement against will (tied to furniture or locked in room)

Dehydration or malnutrition without a medical cause

Fear

Withdrawal

Depression

Anxiety

Visits to many doctors or hospitals

Strange and inconsistent explanations for injuries

Helplessness

Hesitation to talk openly

 
Symptoms of the Abuser
Verbally assaulting, threatening or insulting the older person

Concerned only with the older person's financial situation and not his or her health or well-being

Problems with alcohol or drug abuse

Not allowing the older person to speak for him- or herself

Blaming the older person

Attitudes of indifference or anger toward the older person

Socially isolating the older person from others.