elder abuse screening tool

1. Do you have anyone who spends time with you, taking you shopping or to the doctor?

2. Are you helping to support someone?

3. Are you sad or lonely?  

4. Who makes decisions about your life-like how you should live or where you should live?

5. Do you feel uncomfortable with anyone in your family?

6. Can you take your own medications and get around by yourself?

7. Do you feel that nobody wants you around?

8. Does anyone in your family drink a lot? 

9. Does someone in your family make you stay in bed or tell you you're sick when you're not?

10. Has anyone forced you to do things you didn't want to do?

11. Has anyone taken or stolen things that belonged to you without your OK?

12. Do you trust most of the people in your family?

13. Does anyone tell you that you give them too much trouble?

14. Do you have enough privacy at home?

15. Has anyone close to you tried to hurt you or harm you recently?

Analysis:  [From Hwalek and Sengstock (1986)]
Overt Violation of Personal Rights or Direct Abuse	“YES” to 4, 9, 10, 11, 15.
Characteristics indicating vulnerability  to abuse	“YES” to 3.  and  “NO to 1, 6.
Characteristics of potentially abusive situation	“YES” to 2, 5, 7, 8, 12, 13, 14.