Neglect: what part of abuse?

Neglect and its consequences are important to study. At this time, there is little consensus on what it is specifically, but it is being reported with greater frequency and state agencies are concerned with the alarming number of incidents being called to the attention of their protective service staff. The purpose of this paper has been to describe some of the definitional and assessment problems related to elder neglect for the purpose of outlining a decision making aid that can guide individuals in their assessment of suspected neglect cases. While researchers continue to refine their understanding of the phenomenon of neglect, it is crucial that systematic guidelines be available which can assist in the evaluation of suspected neglect events. The clinical area may not be able to wait for the perfect definition of neglect. In the meantime, the health and safety of elders demands a process for consideration of the phenomenon.