Elder abuse and neglect

What is elder abuse and neglect?

Elder abuse and neglect includes psychological, financial, physical, sexual abuse and neglect. The agreed official definition of elder abuse is that of the Toronto Declaration on the Global Prevention of Elder Abuse (WHO, 2002).

“Elder Abuse and Neglect is a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person. It can be of various forms: physical, psychological/emotional, sexual, or financial/material abuse, and/or intentional or unintentional neglect.”

Summary of definitions of psychological, financial, physical, sexual abuse and neglect.

Psychological abuse

• Behaviour causing mental anguish, stress or fear. For example:
  • Ridicule or threats.
  • Harassment or humiliation.
  • Preventing choice or decision making.
  • Withholding affection.

Financial abuse

• Illegal or improper use of money, property or other resources. For example:
  • Unauthorised taking of money or possessions.
  • Misuse of power of attorney.
  • Failing to repay loans.
  • Use of home and/or utilities without contributing to costs.

Physical abuse

• Infliction of pain, injury or use of force. For example:
  • Hitting, pushing, rough handling.
  • Over-medication.
  • Inappropriate use of restraints or confinement.

Neglect

• Not providing for physical, emotional or social needs. For example:
  • Inadequate food, fluids, clothing, shelter.
  • Lack of social contact, support, human contact.
  • Health needs not attended to, such as not changing position in bed.

Sexual abuse

• Non-consensual sexual acts or exploitive behaviour. For example:
  • Inappropriate touching.
  • Sexual acts with someone unable to give consent.

The Ministry of Health (2007) ‘Family Violence Intervention Guidelines, Elder Abuse and Neglect’ can be found here.