Self-Neglect Among the Elderly

Combinging three years of quantitative data from the Wisconsin Elder Abuse Reporting System with in-depth interviews of a purposeful sample of elder abuse investigators, this study examines differences between substantiated cases of self-neglect and cases of maltreatment by others. Living arrangements were highly associated with the type of maltreatment for which elderly were likely to need service. Mental illness, drug or alcohol problems, and dementia were moderately associated, while being male, white, and older were weakly associated. Referred by a formal support system was also weakly related to receiving services for self-neglect. Qualitative data suggested that family context may also be an important factor. The implications of these findings for policy, programs, and practice aimed at preventing self-neglect are discussed.