What the law counts as abuse, neglect or exploitation of an older or dependent adult, who must report it, what Adult Protective Services can and cannot do, and the civil and criminal remedies that follow.
Every state has an adult protective statute that defines abuse, neglect, self-neglect and financial exploitation of an older adult or an adult with a disability, creates an agency to receive and investigate reports, and names the people who must report suspected abuse - health care workers, social workers, care facility staff, and in many states bankers, clergy and anyone at all. Financial exploitation, a large and growing category, covers the misuse of a power of attorney, undue influence over a will or a deed, scams, and family members taking money or property; several states now let banks and brokers delay a suspicious transaction and notify a trusted contact or the agency.
Adult Protective Services is a social service agency, not a police force or a court. It investigates, offers services, and can arrange emergency shelter or medical care; where the adult has capacity and declines help, in most states the agency must respect that refusal, which surprises families. Where the adult lacks capacity the agency can petition for a protective order, an emergency intervention or a guardianship. Abuse in a nursing home or other licensed facility is handled by the state's long-term care ombudsman and licensing agency as well, and federal law requires facility staff to report a reasonable suspicion of a crime against a resident to law enforcement.
Remedies run on three tracks. Criminal statutes in every state make abuse, neglect and exploitation of a vulnerable adult specific offences, often with enhanced penalties. Civil elder abuse statutes in a number of states give the victim, or the estate after death, a claim with enhanced damages and attorney's fees beyond ordinary negligence, and courts can set aside transfers procured by undue influence, freeze assets, and remove an agent under a power of attorney. Federal law funds the state systems and adds a federal offence for certain schemes targeting older adults, but the operative law is the state's.
Anyone who suspects abuse of an older adult should report it to the state adult protective services line, or to the ombudsman if the adult is in a facility, and to the police if a crime is in progress - reporting is free, is protected from retaliation, and does not require proof. A lawyer is needed when money or property has been taken, a power of attorney or a will has been manipulated, or a family member needs to seek guardianship or a protective order, because those remedies run through the courts and the evidence disappears quickly.
Choose your state. Each link opens the directory page for the city in that state with the most currently published law firms in this practice area; a +n beside the city is how many other cities in the state also have one. The list is generated when this page loads, so a state whose listings have lapsed drops out rather than becoming a dead link.