• Signs: report of abuse by victim; unexplained bruising, bleeding, infection, or scarring of the genitals or anus; torn or stained underwear; extreme or unusual fear, aggression, or sexual behavior

Emotional, Verbal, or Psychological Abuse

• Examples: insults, threats, harassment, intimidation, isolation from community and loved ones, treating an adult like an infant or object
• Signs: report of abuse by victim, withdrawn, depressed, or suicidal behavior, attention-seeking behavior, unexplained weight loss, weight gain, loss of sleep

Exploitation

• Examples: forging checks or signatures on legal documents, stealing checks or money, coercing or tricking someone into giving money or access to accounts, taking the victim's medication or food for their own use
• Signs: report of exploitation by victim, social isolation, unexpected withdrawals or checks written from bank accounts, unauthorized use of credit or debit card, sudden transfers or gifts of money or valuable assets, unpaid bills despite having enough money to pay them

Neglect

• Examples: intentional failure or refusal to provide adequate food, water, clothing, shelter, medication, medical care, personal hygiene support, or other needs for daily living
• Signs: report of neglect by victim, dehydration, malnutrition, poor hygiene, soiled clothing or linens, signs of bug or rodent activity in the residence including insect bites, bed sores, improper or no use of prescribed medication, lack of necessary medical care or therapeutic services

Self-Neglect

• Examples: failure to take care of one's own needs of daily living, often due to declining physical or mental health
• Signs: dehydration, malnutrition, poor living conditions, lack of or inappropriate treatment of medical conditions, poor hygiene, hoarding

Signs of Abuse or Neglect Specific to Residential or Long-Term Care Facilities

The facility:

• oUnanswered call bells or signal lights from the residents
• oInfrequent or irregular toileting assistance including use of diapers when not necessary
• oInappropriate or excessive use of physical or chemical restraints
• oStrong urine or body odor smells
• oResidents with bed sores, poor hygiene, missing eyeglasses or dentures
• oCases of malnutrition or dehydration