1 in 10 adults over the age of 65 will experience abuse, and only 1 in 14 of those cases will ever be reported.¹ New Jersey’s older population faces increasing risks of abuse, neglect, and exploitation, particularly as individuals experience diminished capacity for self-care and increased psychosocial needs. Adult Protective Services (APS), which falls under the NJ Department of Human Services, plays a critical role in safeguarding these individuals.

Gaps in knowledge about APS processes, mandatory reporting requirements, and collaboration with healthcare providers often hinder the ability to protect at-risk adults effectively. Providers and caregivers are often unprepared to address complexities related to aging, such as stigma, ageism, trauma-related behaviors, and cultural barriers. These challenges contribute to hesitation in reporting abuse, navigating ethical dilemmas like self-neglect, and providing inclusive, affirming care that respects older adults’ self-determination and dignity.  The goal of this series is to address these gaps in knowledge and address challenges for providers related to aging and navigating ethical dilemmas. 

¹Patel K, Bunachita S, Chiu H, et al. (April 08, 2021) Elder Abuse: A Comprehensive Overview and Physician-Associated Challenges. Cureus 13(4): e14375. doi:10.7759/cureus.14375