1. Adult Protective Service
Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or cruel punishment with resulting physical harm, pain or mental anguish; Or the deprivation by a person, including a caregiver, of goods or services that are necessary to avoid physical harm, mental anguish, or mental illness.
Exploitation is the use of an individuals resources by another person, to the disadvantage of that individual or for the advantage of another person, other than that of the individual.

2. ELDER ABUSE LAW
The Illinois Elder Abuse and Neglect Act became law in 1988 and called for the state to address the problem of domestic elder abuse. As a result, the Elder Abuse and Neglect Program was implemented under the direction of the Illinois Department on Aging (IDOA). This statewide program was established to respond to reports of alleged elder abuse, neglect and exploitation and to work with the older victims in resolving abusive situations. On July 1, 2013 Elder Abuse became Adult Protective Services.

3. Who should report Abuse ?
Everyone is encouraged to report abuse!
Certain professionals are MANDATED BY LAW to report suspected cases if the individual is unable to report for themselves:
Social Service staff Educators
Licensed Professionals Law Enforcement
Formal Caregivers
State, County, local government

4. Types of Abuse Financial Exploitation
Misusing an older or disabled persons’ money or resources for the personal gain of another
Exerting undue influence-this includes the use of emotional tactics such as inducing guilt, shame, or anxiety to convince an older adult or disabled person to make changes to a will for the personal gain of the abuser.
Stealing money or property

5. Indicators of Financial Exploitation
A gap between income and lifestyle
Individual has no knowledge of their finances
Unusual activity in bank accounts
Unpaid bills despite adequate resources
Caregiver or family is evasive about the financial arrangements.

6. Types of Abuse
Emotional Abuse - actions intended to compel an eligible adult to engage in conduct a person wants to abstain or prevention of conduct wished to engage.
Threats
Destruction of Property
Humiliation
Verbal Assaults
Harassment
Intimidation

7. Types of Abuse
Physical Abuse is causing the infliction of physical pain or injury to an eligible adult.
Assault
Battery
Hitting
Slapping
Pulling Hair
Burning
Over Medicating

8. Indicators of Physical Abuse
Bruises and other physical injuries
Bilateral injuries
Injuries at various healing stages
Over or under medicated
Dehydration
Malnutrition

9. Types of Abuse
Confinement – restraining or isolating an individual for reasons other than medically necessary.
Denies access to phone/mail
Controls activities of individual
Limits time the individual spends with loved ones

10. Types of Abuse Passive Neglect Willful Neglect
Failure of the caregiver to provide for the basic needs of the older adult, including food, medicine, shelter, clothing, etc……….
Willful Neglect
Intentional failure of the caregiver to provide for the basic needs of the older adult, including food, medicine, shelter, clothing, etc……………..

11. Indicators of Neglect Leaving a dependent adult alone
Unsanitary or hazardous conditions
Inadequate food
Malnutrition
Inappropriate clothing for the weather
Utilities turned off

12. Types of Abuse Sexual Abuse Any non-consensual sexual conduct
Any sexual activity with a person who is unable to understand or give consent
Any sexual act committed under threat of harm
Any forced sexual act

13. Indicators of Sexual Abuse
Behavior Signs
Expression of fear around males
Withdrawn or sexualized behavior
Refusing to cooperate with normal routine
Physical Signs
Genitals or anal area bruised
Vaginal or anal bleeding
Swelling or redness of genital area
Venereal Disease

14. What Constitutes Abuse ?
Victim 18 – 59 years of age with a disability or
A senior 60 +
Victim resides in a domestic setting
Alleged Abuse has occurred within the past 12 months
Alleged abuse must be caused by someone other than the victim
Reporter must name an abuser

15. The Intake Process
The report taker shall attempt to secure all the information on the ANE Intake Form.
Alleged victims name, address, age, phone number.
If the APS case worker can contact the reporter for further information.
The reason the reporter has a concern.
Any knowledge the reporter has regarding any risk of harm to the alleged victim.

16. The Intake Process, Cont.
‒Knowledge the reporter may have about any danger the case worker might have.
‒Knowledge the reporter may have about the mental and physical condition of the alleged victim and alleged abuser.
‒The identity and location of possible witnesses
‒Directions to any rural route, apartment number or other address.
‒ If the reporter is a mandated report.

17. Defining Urgency
Priority I = Serious Physical Harm or Immediate Danger
Caseworker must respond within 24 hours
Priority II = Less Serious Consequences than Priority I
Caseworker must respond within 72 hours
Priority III = Emotional Abuse, Financial Exploitation with no Immediate threat
Caseworker has 7 days to respond.

18. Behavior Characteristic of the Victim
Fearful
Withdrawn
Hesitant to talk
Depressed
Helpless
Confused and/or disoriented
Angry
Explanations of injuries do not make sense
Denial
Non-Responsive
Agitated/ anxious

19. Behavior Characteristics of the Abuser
Doesn’t allow the victim to speak for themselves
Lack of assistance
Attitudes of indifference or anger toward victim
Aggressive Behavior
Substance Abuse
Mental Illness
Gives conflicting accounts of incidents
Non-Compliance with plan of care
Blames victim

20. Conclusion Protect individuals from abuse, neglect, and exploitation
Report any suspicions of abuse, you can remain anonymous
Help people stay in their homes
Report any concerns to
Visit IDOA website for more information

21. Adult Protective Services
In July of 2013 the Adult Protective Services Act was established. It expanded the Illinois Elder Abuse and Neglect Act to include disabled individuals ages 18 – 59, as well as, individuals 60 years of age and older.