This article explores the role of abuser substance abuse in 552 cases
of substantiated elder abuse in Illinois. When the abuser was identifi
ed as having a substance abuse (SA) problem, the type of elder abuse s
ubstantiated was more likely to involve either physical or emotional a
buse than neglect or financial exploitation. Abusers with SA problems
were more frequently men and children of their victims, and less likel
y to be caregivers, Abuser SA was associated with victim SA. Cases inv
olving abusers with SA problems were more likely to be evaluated by ca
se workers as having a high potential risk for future abuse. Elder abu
ser case workers should be trained to identify both victim and abuser
SA and appropriate intervention strategies.