Unit 2

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)

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


  • 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)

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
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