{"id":355739,"date":"2016-04-04T11:01:54","date_gmt":"2016-04-04T16:01:54","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/elder\/elder-abuse\/elder-self-neglect.html"},"modified":"2022-10-27T13:50:55","modified_gmt":"2022-10-27T18:50:55","slug":"elder-self-neglect","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/elder\/elder-abuse\/elder-self-neglect.html","title":{"rendered":"Elder Self-Neglect"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n    \n    <div class=\"fl-page-articles fl-section-main fl-section-main-full-width\">\n        <h1 class=\"fl-no-margin-top\">Older Adult Self-Neglect<\/h1>\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw Staff<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/melissa-bender-esq\/\">Melissa Bender, Esq.<\/a>\n                | Last updated\n        <time>\n                            October 27, 2022\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n    <div class=\"fl-callout-text article-blockquote\">\n        <p>Elder self-neglect occurs when an older adult can no longer meet their basic daily needs.&nbsp;Although older adult self-neglect doesn\u2019t involve a third-party perpetrator, it\u2019s still considered a form of elder abuse. Any form of abuse raises serious health and safety concerns.<\/p>\n\n    <\/div>\n\n<figure class=\"wp-block-image fl-no-margin\"><img decoding=\"async\" src=\"https://www.findlaw.com/static/c/images\/image\/upload\/ability-law\/wp-prod\/voting-older-adult-images-GettyImages-1251255784.jpg\" alt=\"\" \/><\/figure><p>Older adult self-neglect, also known as elder self-neglect, happens when an elderly person can no longer meet their basic needs. An elderly person is 65 years of age or older.<\/p>\r\n<p>Although older adult self-neglect doesn&#8217;t involve a third-party perpetrator, it is still considered a form of elder abuse. In fact, most reported cases of older adult abuse involve self-neglect.<\/p>\r\n<p>According to the&nbsp;<a href=\"https:\/\/www.ssa.gov\/OP_Home\/ssact\/title20\/2011.htm\" target=\"_blank\" rel=\"noopener\">Elder Justice Act<\/a>, older adult self-neglect is the &quot;inability, due to physical or mental impairment or diminished capacity, to perform essential self-care.&quot;<\/p>\r\n<p>Moreover, the&nbsp;<a href=\"https:\/\/www.hhs.gov\/answers\/programs-for-families-and-children\/how-can-i-recognize-elder-abuse\/index.html\" target=\"_blank\" rel=\"noopener\">U.S Department of Health and Human Services<\/a>&nbsp;defines self-neglect as \u201cthe behavior of an older adult that threatens their own health or safety and generally manifests itself by failure to provide themselves with adequate food, water, clothing, shelter, personal hygiene, medication (when indicated), and safety precautions.&quot;<\/p>\r\n<h2>Warning Signs and Symptoms<\/h2>\r\n<p>When a family member or loved one starts to exhibit signs of self-neglect, it is often time to consider hiring a caregiver or placing the older adult in an assisted living facility or nursing home. In general, typical signs and symptoms of older adult self-neglect fall under four categories:<\/p>\r\n<ul>\r\n<li>Environmental<\/li>\r\n<li>Physical<\/li>\r\n<li>Mental<\/li>\r\n<li>Financial<\/li>\r\n<\/ul>\r\n<h3>Environmental Signs and Symptoms of Abuse<\/h3>\r\n<ul>\r\n<li>Unsanitary living conditions (foul odors, animal or insect infestations, piles of trash)<\/li>\r\n<li>Unsafe living conditions (inadequate plumbing, heating\/air, ventilation, home in disrepair)<\/li>\r\n<\/ul>\r\n<ul>\r\n<li>Inadequate or unclean clothing (soiled, improper dress for weather\/conditions)<\/li>\r\n<\/ul>\r\n<h3>Physical Signs and Symptoms of Abuse<\/h3>\r\n<ul>\r\n<li>Poor hygiene (dirty nails and skin, matted or lice-infested hair, presence of feces or urine)<\/li>\r\n<li>Bedsores or skin rashes<\/li>\r\n<li>Refusing medical care<\/li>\r\n<li>Untreated infections or unattended injuries<\/li>\r\n<li>Dehydration or malnutrition<\/li>\r\n<li>Weight loss<\/li>\r\n<\/ul>\r\n<h3>Mental Signs and Symptoms of Abuse<\/h3>\r\n<ul>\r\n<li>Inadequate or inconsistent sleep<\/li>\r\n<li>Erratic behavior or mood swings<\/li>\r\n<li>Refusing medications<\/li>\r\n<li>Memory loss or forgetfulness<\/li>\r\n<li>Failure to remember to eat or drink<\/li>\r\n<\/ul>\r\n<h3>Financial Signs and Symptoms of Abuse<\/h3>\r\n<ul>\r\n<li>Signs of unpaid bills and bounced checks<\/li>\r\n<\/ul>\r\n<ul>\r\n<li>Utility shut-offs and eviction notices<\/li>\r\n<li>Lack of food in the home<\/li>\r\n<li>Lack of needed medical aids (hearing aids, glasses, dentures)<\/li>\r\n<\/ul>\r\n<h2>Signs That Elder Abuse Is Contributing to Self-Neglect<\/h2>\r\n<p>If an older person is exhibiting self-neglecting behaviors, it could be a sign that they are experiencing another form of elder abuse, like sexual abuse, physical abuse, or financial exploitation. For example, if an older adult is being financially exploited, this could be the reason the older person is not buying basic necessities like food and medication.<\/p>\r\n<h2>How To Report Older Adult Self-Neglect<\/h2>\r\n<p>Older adult self-neglect often requires mental health and social service interventions. You may be a mandatory reporter of elder self-neglect, depending on your state&#8217;s laws. Most healthcare providers are mandatory reporters.<\/p>\r\n<p>APS offices provide social services, such as personal care and emergency shelter, to abused, neglected, or exploited older adults. They also work with vulnerable adults with disabilities or mental illness. To find the APS office near you, see the&nbsp;<a href=\"http:\/\/www.napsa-now.org\/get-help\/help-in-your-area\/\" target=\"_blank\" rel=\"noopener\">National Adult Protective Services Association<\/a>, which provides a list of APS offices nationwide.<\/p>\r\n<p>You can also report any suspicions of older adult self-neglect to local law enforcement, a long-term care ombudsman, or your state&#8217;s toll-free&nbsp;<a href=\"https:\/\/elderprotectioncenter.com\/state-elder-abuse-hotlines\/\" target=\"_blank\" rel=\"noopener\">elder abuse hotline<\/a>.<\/p>\r\n<h2>Responding To Older Adult Self-Neglect: Power of Attorney (POA)<\/h2>\r\n<p>If an older adult&#8217;s self-neglect is affecting their finances or health care, they might sign a power of attorney. This names a trusted individual (or a professional fiduciary) as the elder&#8217;s agent. A POA is only possible if the older person still has the mental capacity to make their own decisions.<\/p>\r\n<p>This agent will then be able to make financial or healthcare decisions on the older adult&#8217;s behalf. You can create a power of attorney with a&nbsp;<a href=\"https:\/\/www.findlaw.com\/forms\/power-of-attorney-form.html\">simple standardized DIY form<\/a>&nbsp;or with the help of an estate planning attorney.<\/p>\r\n<p>For more information on powers of attorney, see FindLaw&#8217;s&nbsp;<a href=\"https:\/\/www.findlaw.com\/forms\/resources\/estate-planning\/power-of-attorney\/loved-one-make-power-of-attorney.html\">Help a Loved One Make a Power of Attorney<\/a>.<\/p>\r\n<h2>Responding To Older Adult Self-Neglect: Conservatorship or Guardianship<\/h2>\r\n<p>In some instances of older adult self-neglect, you might need a conservatorship or guardianship. This is especially the case when an older person:<\/p>\r\n<ul>\r\n<li>Suffers from diminished mental capacity<\/li>\r\n<li>Is resistant to outside intervention<\/li>\r\n<li>Doesn&#8217;t want to sign a power of attorney<\/li>\r\n<\/ul>\r\n<p>A court appoints and supervises a conservator or guardian. They are normally granted the authority to manage the personal, financial, and health care decisions of an adult who cannot do so on their own.<\/p>\r\n<p>For more information about conservatorships and guardianships, see FindLaw&#8217;s&nbsp;<a href=\"https:\/\/www.findlaw.com\/legalblogs\/law_and_life\/2014\/05\/what-is-a-conservatorship-5-basic-questions.html\">What is a Conservatorship? Five Basic Questions<\/a>.<\/p>\r\n<h2>More Resources To Help<\/h2>\r\n<p>For more information on general older adult abuse, see FindLaw&#8217;s&nbsp;<a href=\"https:\/\/www.findlaw.com\/elder\/elder-abuse\/elder-abuse-overview.html\">Elder Abuse Overview<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.findlaw.com\/elder\/elder-abuse\/dealing-with-elder-abuse.html\">Dealing With Elder Abuse<\/a>. The&nbsp;<a href=\"https:\/\/acl.gov\/programs\/elder-justice\/national-center-elder-abuse\" target=\"_blank\" rel=\"noopener\">National Center on Elder Abuse<\/a>&nbsp;also has more information.<\/p>\r\n<p>The&nbsp;<a href=\"https:\/\/eldercare.acl.gov\/Public\/Index.aspx\" target=\"_blank\" rel=\"noopener\">Elder Care Locator<\/a>&nbsp;is also a great resource if you are looking for a long-term care facility for your loved one or family member.<\/p>\r\n<p>If you aren&#8217;t sure where to turn, start by&nbsp;<a href=\"https:\/\/lawyers.findlaw.com\/elder-law\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">talking to an Elder Law attorney<\/a>&nbsp;about the situation.<\/p>\r\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                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19.7769 19.28 19.3L20.66 10.3C20.7035 10.0134 20.6842 9.72068 20.6033 9.44225C20.5225 9.16382 20.3821 8.90629 20.1919 8.68751C20.0016 8.46873 19.7661 8.29393 19.5016 8.17522C19.2371 8.0565 18.9499 7.99672 18.66 8H13Z\"\n                              stroke=\"#666666\" stroke-width=\"2\" stroke-linecap=\"round\"\n                              stroke-linejoin=\"round\"><\/path>\n                    <\/g>\n                    <defs>\n                        <clipPath id=\"clip0_604_3418\">\n                            <rect width=\"22\" height=\"22\" fill=\"white\"><\/rect>\n                        <\/clipPath>\n                    <\/defs>\n                <\/svg>\n            <\/i>\n        <\/button>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"No\"\n                value=\"no\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">No<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-down\" clip-path=\"url(#clip0_604_3423)\">\n                        <path id=\"Vector\"\n                              d=\"M16 0.999995H18.67C19.236 0.989986 19.7859 1.18813 20.2154 1.55681C20.645 1.9255 20.9242 2.43905 21 3V10C20.9242 10.5609 20.645 11.0745 20.2154 11.4432C19.7859 11.8119 19.236 12.01 18.67 12H16M9.00003 14V18C9.00003 18.7956 9.3161 19.5587 9.87871 20.1213C10.4413 20.6839 11.2044 21 12 21L16 12V0.999995H4.72003C4.2377 0.994543 3.76965 1.16359 3.40212 1.47599C3.0346 1.78839 2.79235 2.22309 2.72003 2.7L1.34003 11.7C1.29652 11.9866 1.31586 12.2793 1.39669 12.5577C1.47753 12.8362 1.61793 13.0937 1.80817 13.3125C1.99842 13.5313 2.23395 13.7061 2.49846 13.8248C2.76297 13.9435 3.05012 14.0033 3.34003 14H9.00003Z\"\n                              stroke=\"#666666\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n                    <\/g>\n                    <defs>\n                        <clipPath id=\"clip0_604_3423\">\n                            <rect width=\"22\" height=\"22\" fill=\"white\"\/>\n                        <\/clipPath>\n                    <\/defs>\n                <\/svg>\n            <\/i>\n        <\/button>\n    <\/div>\n    <span class=\"was-this-helpful__taken-action fl-text-sm-bold\"><\/span>\n    <div class=\"was-this-helpful__feedback-container\">\n        <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n            <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n        <\/div>\n        <form class=\"was-this-helpful__feedback-form\">\n            <div class=\"was-this-helpful__feedback was-this-helpful__feedback--positive\">\n                <fieldset>\n                    <legend class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was 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was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--missing-info\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Missing Information\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--missing-info\"\n                        >Missing the information I need<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--complicated\"\n                           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value=\"Out of date\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--dated\"\n                        >Out of date<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--negative-other\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Other\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--negative-other\"\n                        >Other<\/label>\n                    <\/div>\n                <\/fieldset>\n            <\/div>\n            <div class=\"was-this-helpful__form-buttons-container\">\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--positive at-feedback-submit fl-button secondary\"\n                    type=\"submit\"\n                >\n                    <span class=\"fl-button-content\">Submit<\/span>\n                    <i\n                        class=\"fa fa-angle-right medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--cancel fl-button primary disabled\"\n                    type=\"reset\"\n                >\n                    <span class=\"fl-button-content\">Cancel<\/span>\n                    <i\n                        class=\"fa fa-times-circle medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n            <\/div>\n        <\/form>\n    <\/div>\n    <div class=\"was-this-helpful__thank-you-message\" role=\"status\">\n        <i class=\"was-this-helpful__thank-you-message-icon fa fa-check\"><\/i>\n        <p class=\"was-this-helpful__thank-you-message-text\" aria-live=\"polite\"><\/p>\n    <\/div>\n<\/div>\n\n\n    <\/div>\n    \n    <div class=\"fl-section-sidebar\">\n        <div class=\"fl-editors-summary\" data-testid=\"fl-editors-summary\">\n    \n    <div class=\"fl-editors-summary-content\" data-testid=\"fl-editors-summary-content\">\n                    <h2>Can I Solve This on My Own or Do I Need an Attorney?<\/h2>\n                <div class=\"fl-editors-summary-content-main\" data-testid=\"fl-editors-summary-content-main\">\n            \n        <\/div>\n        <ul class=\"fl-list-style-none\">\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Complex health and financial situations usually require a lawyer\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    A lawyer can reduce the chances of a family dispute\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    <a href=\"https:\/\/www.findlaw.com\/forms\/estate-planning\/power-of-attorney-form.html\">DIY is possible<\/a> in some simple cases\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    You can always have an attorney review your form\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Get\u00a0tailored\u00a0advice\u00a0and ask your legal questions\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Many attorneys offer free consultations\n\n                <\/li>\n                    <\/ul>\n                            <div 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<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>FindLaw reviews elder self-neglect basics and how to report cases to the 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