Can you spot the signs of elder mistreatment?

Mistreatment of the elderly is a growing problem that affects all segments of society, regardless of socioeconomic status, living environment, or phys ical or cognitive status. Its scope extends beyond the stereotype of a brui sed and battered older person to include elderly victims of psychological o r emotional harm, caregiver neglect or self-neglect, sexual abuse, exploita tion, and fraudulent diversion of property.(1,3,7) Awareness of characteris tic risk factors and physical findings can raise suspicion of mistreatment and prompt an in-depth, multidisciplinary assessment. Most states require n otification of Adult Protective Services or a corresponding state agency wh en mistreatment is suspected. Once mistreatment is identified and the patie nt's safety is ensured, prompt intervention to manage risk factors or to de crease caregiver stress often can have a positive impact on the situation.