Abuse, Neglect, and Exploitation of Vulnerable Adults in Georgia

Have you ever been suspicious about how your relative received bruises on their arms? Perhaps you suspect your neighbor who has a disability is not caring for himself/herself the way he/she has in the past. Have you ever noticed an elderly or disabled neighbor wandering around asking neighbors for food or a ride?

What should you look for, and what can you do?

  • Abuse, neglect, or exploitation of elderly and disabled adults is one of the most undetected and underreported problems in the U.S.
  • Abuse or neglect of vulnerable adults can be intentional or unintentional. 
  • The definitions, indicators, and types of abuse apply to both older adults and adults 18 and older with any disability (see below).
  • Abuse, neglect, or exploitation can occur in a person’s own home or in a community living arrangement such as assisted living settings, personal care homes, or nursing homes.
  • Types of abuse

    Abuse of vulnerable adults occurs when someone intentionally causes harm or puts someone at risk for harm. Neglect occurs when someone intentionally or unknowingly withholds necessities or care. Self-neglect refers to a person’s inability to provide care and support to himself or herself.  Adult abuse can take several forms, including:

    • Physical abuse - using physical force to coerce or to inflict bodily harm. It often, but not always, causes physical discomfort, pain, or injury. It may include the willful deprivation of essential services, such as medical care, food, or water.
    • Emotional abuse - using tactics, such as harassment, insults, intimidation, isolation, or threats that cause mental or emotional anguish. It diminishes the person’s sense of identity, dignity, and self-worth.
    • Sexual abuse - any kind of sexual behavior directed towards an at-risk adult without the person’s full knowledge and consent. A spouse, partner, family member, or other trusted person can perpetrate sexual abuse.
    • Exploitation - improperly or illegally using a person's resources for the benefit of another person, for example, using a Power of Attorney to gain access to an adult’s assets for personal gain or using undue influence, false representation, and other means to gain access to an adult’s income.
    • Neglect - occurs when a caregiver refuses or fails to provide essential services (food, water, shelter, medical care, etc.) to the degree that it harms or threatens to harm an older and/or disabled adult.
    • Self-neglect - failing to perform essential self-care such as depriving oneself of necessities such as food, water, or medication. Consciously putting oneself in harm’s way or being unable to handle needs of day-to-day living because of medical, mental health, or other disabilities. Self-neglect is not a crime.
  • Warning signs

    If you are concerned that an adult might be the victim of abuse, knowing the possible signs and indicators can help. Changes in the adult’s behavior or emotional state may suggest a problem. Examples are behaviors suggesting agitation, apathy, withdrawal, fear, or anxiety. Additionally, adult’s comments about being mistreated, or the refusal of the caregiver to allow you to visit the adult alone could be indicators of abuse. 

    Some indicators of abuse, neglect, and exploitation include:

    Physical Abuse:

    • Pushing, striking, slapping, pinching, beating
    • Burning or scalding
    • Hitting with a hand or instrument
    • Rough handling
    • Improper use of restraints or medications
    • Intentional injuries such as bruising, burns, broken bones, or pain
    • Injuries not consistent with medical diagnosis or explanation
    • Forcing someone to remain in a bed or chair
    • Forcing someone to remain in a room (including locking them in)

    Emotional Abuse:

    • Threatening someone with violence, nursing home placement, abandonment, or neglect
    • Verbal abuse including threats, insults, harassment, name calling, intimidating
    • Isolating from friends, family, or activities
    • Ignoring or excessively criticizing; giving the silent treatment
    • Making derogatory or slanderous statements
    • Repeatedly raising the issue of death
    • Excluding the older person from decision making when he or she is capable and wants to be included

    Sexual Abuse:

    • Any nonconsensual sexual contact
    • Inappropriate touching
    • Forced viewing of sexually explicit materials
    • Sexual assault or rape
    • Sexual harassment

    Exploitation:

    • Misuse of financial resources for another’s gain
    • Missing money or valuables
    • Credit card charges the individual did not make
    • Unusual activity in bank accounts, depleted bank accounts
    • Legal documents (such as will or power of attorney) signed by a person who does not understand what s/he is signing
    • Checks/documents signed when person cannot write; signatures on checks that don’t resemble the person’s signature
    • Eviction notice arrives when person thought s/he owned the house
    • Unpaid bills (rent, utilities, taxes) when someone is supposed to be paying them for the person

    Neglect:

    • Failure to provide or purposely withholding shelter, clothing, food, water, medical care, or other basic needs
    • Malnourishment, dehydration, or weight loss inconsistent with medical diagnosis
    • Ignoring, leaving the person alone for long periods of time
    • Unsanitary or unsafe living conditions: rats, roaches, human or animal waste on floors or furniture; house filled with trash, rotting floors, falling ceiling, no toilet
    • Untreated medical conditions or injuries
    • Lack of clothing or inappropriate clothing for weather
    • Extreme dirtiness of bedding or lying in own waste
    • Decayed teeth or lack of needed false teeth
    • Lack of needed glasses or hearing aids
    • Bed sores or rashes

    Self-Neglect:

    • Lacking food or basic utilities
    • Failing to meet daily basic needs
    • Not recognizing his/her limitations
    • Refusing to take medications
    • Neglecting personal hygiene
    • Wearing soiled or ragged clothes

     

     

  • Helpful Services

    Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD),

    • Georgia Crisis & Access Line: 1-800-715-4225 (24/7 mental health, substance abuse, and emergency services). 
    • Visit mygcal.com.  For non-emergency mental health, developmental disabilities and addictive disease services, call 1-855-606-2725.

    The Governor’s Office of Consumer Protection or OCP, 404-651-8600 or outside Metro Atlanta

    • 1-800-869-1123 enforces the Fair Business Practices Act and other consumer protection laws.
    • OCP also mediates consumer complaints, investigates, and addresses consumer problems and takes necessary civil action against offending businesses. OCP works to prosecute crimes related to telemarketing, home construction, and home repair fraud, identity theft and Internet fraud.

    Elderly Legal Assistance Program (ELAP), 1-833-457-7529, provides legal assistance for civil matters for people 60 years of age and older.

    Georgia Senior Legal Aide, 1-888-257-9519, provides legal assistance over the telephone for Georgians 60 years of age and older. Hours of operation Monday-Thursday from 9 a.m.-2 p.m.

    State Health Insurance Assistance Program (SHIP), 1-866-552-4464, option “4”, provides free health insurance counseling for Medicare and Medicaid beneficiaries. SHIP also reports suspected fraud in Medicare and Medicaid. Call if you have questions about your health insurance or suspect fraud.

  • Mandatory Reporters

    APS is not a first responder. Call 911 if someone is in immediate danger!

    Many people are required by Georgia law to report when they suspect abuse, neglect, or exploitation.

    Mandated reporters must make a report when they have a reasonable cause to believe that 1) an at-risk adult has had an injury or injuries inflicted upon them by a caretaker, or 2) has been neglected or exploited by a caretaker. Mandated reporters who do not fulfill their obligation to report elder or disabled adult abuse may be charged with a misdemeanor. Georgia law lists mandated reporters at Code Section 30-5-8 for alleged victims who are disabled adults or elder persons who live in the community; and at Code Section 31-8-80 for alleged victims who are long-term care facility residents. All other parties are encouraged to make reports if they believe that a disabled adult or elder person is in need of protective services or has been the victim of abuse, neglect, or exploitation. By law the following are mandated reporters of abuse, neglect, and exploitation:

    Physicians (including interns and residents)Other hospital or medical personnel
    • Osteopaths
    • Dentists
    • Chiropractors
    • Podiatrists
    • Psychologists
    • Licensed professional counselors
    • Social workers
    • Employees of a public or private agency engaged in professional health-related services to elder persons or disabled adults
    • Adult Day Care personnel
    • Pharmacists
    • Physical therapists
    • Occupational therapists
    • Nursing personnel
    • Coroners and medical examiners
    • Nursing personnel
    • Any employee of a financial institution
    • Law enforcement personnel
    • Administrators, managers or other employees of a personal care home or nursing home

    Anyone who makes a report of fraud, testifies in any judicial proceeding, assists protective services, or participates in a required investigation is immune from any civil or criminal liability as a result of such report, testimony, or participation, unless such person acted in bad faith or with a malicious purpose, or was a party to such crime or fraud. Mandated reporters must report suspected abuse to both Adult Protective Services and to law enforcement (O.C.G.A. 30-5-4(b)(1)(A).

  • What you can do

    APS is not a first responder. Call 911 if someone is in immediate danger!

    If you suspect abuse, you can do something about it. First, recognize the signs. Then, report the situation so it can be investigated. The problem can’t be solved until it is reported.

    Any setting

    • Call local law enforcement if abuse, neglect, or exploitation is suspected (911).

    Community setting

    • If the suspected abuse, neglect, or exploitation occurs in a person’s home or other community settings then contact the Division of Aging Services’ Adult Protective Services Central Intake in Metropolitan Atlanta 404-657-5250 or outside of Atlanta at 1-866-552-4464. Your report is confidential and the law protects anyone from a lawsuit who reports abuse.

    Report Online

    Long-Term Care Facility or Residence including:

    • Nursing Facility, Personal Care Home (including assisted living), and Community Living Arrangement.
    • Georgia Department of Community Health, Healthcare Facility Regulation (HFR) is responsible for investigating reports in these facilities.
    • Call (404) 657-5728 or make a complaint online.
    • Healthcare Facility Regulation Division
    • To file a complaint about a licensed health care facility or service provider, call 1-800-878-6442. Leave your contact information for a return call from our staff. You may also fax your complaint to 404-657-5731.
    • Facility Locator: gamap2care.info

    Long-Term Care Ombudsman

    • If you or someone you know needs an advocate in any of the long-term care facilities, contact the local long-term care ombudsman who is authorized to advocate for residents in any licensed long-term care setting. To find your local long-term care ombudsman, call 1-866-552-4464 option “5” or call the Office of State Long-term Care Ombudsman at 404-463-8383. 

    Long-Term Care Ombudsman Locator: georgiaombudsman.org/where-we-are-located