Sexual Abuse or Exploitation

• Contact or interaction of a sexual nature involving an incapacitated or dependent adult without that adult’s consent. (Title 22 3472)
  

Indicators
	Physical Indicators: Bruises around the breast or genital area Unexplained veneral diseases or genital infection Unexplained vaginal or anal bleeding Torn, stained, or bloody underclothing Painful urination or sitting Difficulty walking or sitting A person's report of being sexually assaulted or raped. Behavioral Indicators: Demonstrates inappropriate sex-role relationship Exhibits inappropriate, unusual, or aggressive sexual behavior Reveals extreme anxiety, including difficulty eating/sleeping, fearfulness, or compulsive behavior Exhibits agitation or anger Feels confused Symptoms of emotional disorders

 

Abuse Activity

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Neglect

• A threat to an adult’s health or welfare by physical or mental injury or impairment; deprivation of essential needs or lack of protection from these. It also includes self-neglect. (Title 22 3472)
  

Indicators
	Physical Indicators: Dehydration Neglected bed sores Untreated injuries or medical problems Poor hygiene Hunger, malnutrition Pallor, or sunken eyes or cheeks Lack of clean bedding or clothing Lack of glasses, hearing aid, dentures, prosthetic device Skin disorder or rashes Lack of prescribed medication Person's report of being mistreated Behavioral Indicators: Unresponsiveness or helpless Appears detached Exhibits hopelessness Expresses unrealistic expectations about his/her care