Elder Abuse

Under Ohio law, elder abuse is defined as the infliction of injury, unreasonable confinement, intimidation, or cruel punishment upon an adult age 60 or older. It involves any knowing, intentional, or negligent act by a caregiver or other person that causes harm or creates a serious risk of harm.

Read on to learn the signs—information adapted from the U.S. Department of Justice Elder Justice Initiative. Learn more at Elder Justice Initiative – Red Flags of Elder Abuse.

Emotional abuse can be difficult to recognize because it often leaves no physical signs. Watch for changes in behavior, mood, or interactions with caregivers and others.

  • Feeling stress, anxiety, fear, or agitation

  • Becoming withdrawn or reluctant to communicate with others

  • Changes in behavior, seeing signs of repetitive rocking, biting or self-soothing behaviors.

  • Witnessing a caregiver who intimidates or isolates the older adult

  • Noticable changes in sleeping patterns or eating habits

  • Sudden personality changes, excessive apologizing, fearfulness, or loss of confidence

  • Signs of depression or emotional distress

  • An older adult’s report of being verbally threatened, yelled at, or ignored

Warning signs of physical abuse

Warning signs of emotional and psychological abuse

These signs do not always indicate abuse, but they may be warning signs that warrant further attention or investigation.

  • Unexplained bruises, black eyes, welts, or marks on the body

  • Bone fractures, broken bones, or head injuries

  • Open wounds or injuries that appear untreated

  • Sprains, dislocations, or internal injuries

  • Broken eyeglasses or signs of forced restraint

  • Medication overdose or missed doses of prescribed drugs

  • Sudden change in mood or behavior

  • The caregiver is preventing family or professionals from speaking with the adult in private

  • The older adult reports they have been hit, slapped, kicked, or mistreated

Warning signs of financial exploitation

Financial exploitation is one of the most common forms of elder abuse. It occurs when someone improperly uses an older adult's money, property, or assets for personal gain.

  • Unexplained withdrawals, transfers, or large purchases from bank accounts

  • Sudden changes or additions to an older adult’s bank signature card

  • Unauthorized use of debit or ATM cards

  • Unexpected changes to wills, trusts, powers of attorney, or other financial documents

  • Missing money, valuables, or personal belongings

  • Unpaid bills or inadequate care despite having sufficient financial resources

  • Signs of forged signatures or financial transactions

  • Relatives or friends suddenly having access and becoming involved in financial matters

  • Unexplained transfers of property, money, or assets

Warning signs of neglect and abandonment

Neglect occurs when an older adult's basic needs, such as food, shelter, medical care, hygiene, or supervision, are not adequately met. Neglect may be intentional or the result of a caregiver being unable to provide necessary care.

  • Signs of dehydration, malnutrition, poor hygiene, or untreated bedsores

  • Medical conditions or health concerns that are ignored or left untreated

  • Unsafe living conditions, lack of heat, water, electricity, or necessities

  • Unsanitary living environments, including excessive dirt, pests, soiled bedding, or strong odors

  • Abandonment at a hospital, care facility, or public location

  • Limited or lack of food in the refrigerator or cupboards

Warning signs of sexual abuse

Sexual abuse includes any non-consensual sexual contact, activity, or exploitation involving an older adult. Warning signs may be physical, emotional, or behavioral.

  • Unexplained bruising, injuries, or marks around the breasts, genital area, or inner thighs

  • Sexually transmitted infections or genital infections without a clear explanation

  • Unexplained vaginal or anal bleeding, pain, or irritation

  • Sudden changes in behavior, including fear, anxiety, or withdrawal

  • Evidence of explicit material that has been shown or used with an older adult who may not be able to provide consent

  • Bloodstains found on sheets, linens, or clothing

  • Reports from the older adult that they have been sexually assaulted or touched without consent

Additional resources & sources