confinement, intimidation, or cruel punishment with resulting physical harm, pain, or mental anguish.
INDICATORS Multiple/severe bruises, burns, welts Bilateral bruises on upper arms Clustered bruises on trunk Old and new bruises Signs of bone fractures Scratching Internal injuries Sprains, dislocations, laceration, cuts, punctures Black eyes Bed sores Untreated injuries Broken glasses/frames Untreated medical conditions Burns/scalding Restrained, tied to bed, tied to chair, locked in home, isolated Under/over medicated Verbal assaults, threats, intimidation Prolonged interval between injury and treatment Demonstrates fear of caregiver Visitor cant see client alone Recent/sudden changes in behavior Unexplained fear Unwarranted suspicion
Neglect means the failure of an adult to provide for himself the goods or services necessary to avoid physical harm, mental anguish, or mental illness or the failure of a caretaker to provide such goods or services.
INDICATORS Untreated medical condition Untreated mental health condition Bedsores Malnourishment Dehydration Dirt, fleas, lice on person Fecal/ urine issues Animal infested living quarters Insect infested living quarters No functioning toilet No heat, running water, electricity Homelessness Lacks needed supervision Lack of food or inadequate food Uneaten food over a period of time Accumulated newspapers/debris Unpaid bills Inappropriate or inadequate clothing Needs, but does not have glasses, Hearing aide, teeth, prosthetic devices Soiled bedding/furniture Hazardous living conditions Frequent moving House too hot or cold
Exploitation means the unlawful or improper act of a caretaker using an adult or his resources for monetary or personal profit or gain.
INDICATORS Unexplained disappearance of funds/valuables Dependent relationship (adult child is dependent on older person or older person is dependent for care giving by the abuser) Misuse of money or property by another person Transfer of property or savings Excessive payment for care or services Adult unaware of income amount Depleted bank account Sudden appearance of previously uninvolved relatives or friends Change in payee, power of attorney Unexplained cash flow The adult is kept isolated Documents signed when adult is unable to sign Adult complains that they dont know what happened to money Checks no longer come to the house Adult reports signing papers and doesnt know what was signed Unusual household composition Chronic failure to pay bills Personal belongings are missing
ADULT PROTECTIVE SERVICES INDICATORS Information provided by Ohio Coalition for Adult Protective Services/Ohio Department of Job and Family Services