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Ask Joan: Here’s some signs of neglect, abuse
February 3, 2025
Joan Hatem-Roy, Chief Executive Officer

Q. I often wonder about some of the older adults in my neighborhood and whether they are being neglected by family or caregivers. What are some of the things I should look out for?

A. Elder abuse is a serious issue that can affect vulnerable adults, often in their own homes or in care facilities. Last year alone, AgeSpan responded to over 5,246 reports of alleged abuse. It’s important to be able to recognize the signs of elder abuse and take action to protect those at risk. Elder abuse can take many forms, including physical, emotional, sexual, financial abuse, and neglect, including self-neglect. Here are some key signs to look for:

Physical Signs: Unexplained bruises, cuts, burns, or fractures can be a sign of physical abuse. Additionally, frequent hospital visits or poor hygiene may indicate neglect.

Behavioral Changes: Sudden withdrawal, fear, anxiety, or depression in an elderly person may suggest emotional abuse or neglect. If they show signs of confusion or anxiety when a caregiver is around, it may signal mistreatment.

Financial Exploitation: Missing money, unexplained withdrawals from accounts, or sudden changes in financial patterns are common signs of financial abuse.

Neglect: Malnutrition, dehydration, unsanitary living conditions, and a lack of necessary medical care can indicate neglect.

If you suspect elder abuse in Massachusetts, it’s crucial to take action promptly. The Massachusetts Elder Abuse Hotline is available at 1-800-922-2275 and operates 24 hours a day, 7 days a week. The report is then channeled to the investigating agency where the elder resides. You can report abuse confidentially, and trained professionals will assess the situation. You may also contact the Massachusetts Executive Office of Aging and Independence for additional resource at https://www.mass.gov/orgs/executive-office-of-aging-independence

It is important to remember that if an older adult is considered competent, they have the legal and ethical right to make choices about how to live their life, including decisions regarding their healthcare, living arrangements, and personal affairs, as long as those choices do not pose a significant risk to themselves or others.

Older adults deserve to live in a safe, respectful environment. We encourage neighbors, friends and relatives to watch for signs of elder abuse, neglect or exploitation of elders living in the community and make a report. Recognizing the signs early and taking steps to report abuse can help protect them from harm and ensure they receive the care and support they deserve. Don’t hesitate to reach out to authorities if you have concerns. Your intervention could make all the difference.

Are you caring for an older adult or need help finding healthy aging resources? Our experienced staff is available to help. Visit us online at www.agespan.org. You can also call 800-892-0890 or email info@agespan.org.

Joan Hatem-Roy is the chief executive officer of AgeSpan, which serves the following cities and towns: Amesbury, Andover, Billerica, Boxford, Chelmsford, Danvers, Dracut, Dunstable, Georgetown, Groveland, Haverhill, Lawrence, Lowell, Marblehead, Merrimac, Methuen, Middleton, Newbury, Newburyport, North Andover, Peabody, Rowley, Salisbury, Salem, Tewksbury, Tyngsboro, Westford, and West Newbury.

First published in the Eagle-Tribune.

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