R2P Webinar: Daily Caregiver Mental Health: A Dynamic Risk Factor of Elder Mistreatment

Presentation Description:

Caregiver mental health plays a crucial role in the well-being of care recipients, and when compromised, it may increase the risk of harmful behaviors such as elder mistreatment. Mental health is inherently dynamic, with symptoms varying both within and between individuals. This variability underscores the need to examine how daily mental health experiences influence the risk of adverse caregiver behaviors, such as elder mistreatment, over time.

This presentation provides an overview of research focused on day-to-day variations in caregiver mental health, the association with adverse caregiver behaviors, and how this knowledge can help predict and prevent elder mistreatment. Further, this presentation introduces novel approaches for elder mistreatment research grounded in a complex systems model of caregiver mental health. Based on this model, increased variability in daily caregiver mental health may serve as an early warning signal for mistreatment, highlighting the potential for early detection and mitigation of risks.

Photo of a smiling man with dark hair and a beard, wearing a suit.

Presenter:

Dr. Frank Puga is an Assistant Professor in the Department of Acute, Chronic, and Continuing Care at the University of Alabama at Birmingham (UAB) School of Nursing. He earned his Ph.D. in Psychology with a concentration in Behavioral Neuroscience from the University of Texas at Austin. His research focuses on the mental health and stress profiles of older adults living with chronic illness and their care partners, particularly in populations disproportionately affected by age-related diseases, such as Hispanic and LGBTQ+ communities. Dr. Puga’s current R01-funded project from the National Institute on Aging examines how stress, resilience, and cultural factors influence daily and long-term mental health outcomes among Hispanic dementia caregivers. A key objective of his work is to identify which individuals, and under what circumstances, are more likely to develop clinically significant psychopathology. A secondary aim is to determine the dynamic relationship between caregiver well-being and engagement in harmful behaviors, such as elder and vulnerable adult mistreatment. Ultimately, Dr. Puga’s research seeks to inform the development of culturally responsive, resilience-based interventions tailored to the unique needs of individuals living with chronic illness and their caregivers. As a Mexican American, he is deeply committed to ensuring that underrepresented and underserved populations at greater risk for age-related diseases are engaged in research, helping to promote more equitable healthcare outcomes.

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Washington

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Washington Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE & TTY: 866-363-4276
LOCAL OFFICES: List of Local Offices

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Montana

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Montana Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 844-277-9300

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North Dakota

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

North Dakota Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 855-462-5465, Option 2 (toll free)
Online Reporting System

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Minnesota

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Minnesota Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities as well as institutional abuse:

PHONE: 844-880-1574 (toll free)
TTY (in Minnesota): 711

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Wisconsin

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Wisconsin Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
LOCAL OFFICES: List of Local Offices

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Iowa

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Iowa Dependent Adult Abuse Program
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-362-2178
LOCAL OFFICES: List of Local Offices

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Missouri

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Missouri Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-392-0210
TDD: 800-735-2466

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Illinois

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Illinois Adult Protective Services
Report Abuse of Seniors:
PHONE: 866-800-1409
TTY: 888-206-1327

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Indiana

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Indiana Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-992-6978
LOCAL OFFICES: List of Local Offices

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Ohio

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Ohio Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 855-644-6277
Click here for a map of county reporting numbers.

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Pennsylvania

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Pennsylvania Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-490-8505
LOCAL OFFICES: List of Local Offices

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New York

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Bureau of Adult Services of the New York State Office of Children & Family Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 518-402-6513

Adult Services Help Line:
PHONE: 844-697-3505

LOCAL OFFICES: List of Local Offices

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Vermont

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Vermont Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-564-1612
AFTER HOURS: 800-649-5285
FAX: 802-871-3318
ONLINE FORM: Form

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Maine

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Maine Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-624-8404 (24-hours a day)
TTY Maine Relay: 711
TTY AFTER-HOURS: 207-287-3492

DISTRICT OF COLUMBIA MICHIGAN HAWAII DELAWARE NEW JERSEY CONNECTICUT RHODE ISLAND MASSACHUSETTS NEW HAMPSHIRE FLORIDA PUERTO RICO ALASKA MARYLAND VIRGINIA W VIRGINIA KENTUCKY TENNESSEE N CAROLINA S CAROLINA GEORGIA ALABAMA MISSISSIPPI LOUISIANA ARKANSAS OKLAHOMA S DAKOTA NEBRASKA WYOMING IDAHO OREGON KANSAS COLORADO UTAH NEVADA CALIFORNIA ARIZONA NEW MEXICO TEXAS MAINE VERMONT NEW YORK PENNSYLVANIA OHIO INDIANA ILLINOIS MISSOURI IOWA WISCONSIN MINNESOTA N DAKOTA MONTANA WASHINGTON

Texas

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Texas Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-252-5400
TTY: 800-735-2989
LOCAL OFFICES: List of Local Offices
ONLINE FORM: Form

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New Mexico

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

New Mexico Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 866-654-3219

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Arizona

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Arizona Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 877-767-2385
TDD: 877-815-8390
ONLINE FORM: Form 

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California

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

California Adult Protective Services
To report abuse, call this number 1-833-401-0832 and when prompted enter your 5-digit zip code to be connected to the Adult Protective Services in your county, 7 days a week, 24 hours a day.

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Nevada

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Nevada Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 888-729-0571 (Statewide)
PHONE: 702-486-6930 (Las Vegas / Clark County)

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Utah

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Utah Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 801-538-3567
PHONE: 800-371-7897
ONLINE FORM: Form

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Colorado

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Colorado Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities or to Report Institutional Abuse:
LOCAL OFFICES: List of Local Offices

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Kansas

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Kansas Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-922-5330

DISTRICT OF COLUMBIA MICHIGAN HAWAII DELAWARE NEW JERSEY CONNECTICUT RHODE ISLAND MASSACHUSETTS NEW HAMPSHIRE FLORIDA PUERTO RICO ALASKA MARYLAND VIRGINIA W VIRGINIA KENTUCKY TENNESSEE N CAROLINA S CAROLINA GEORGIA ALABAMA MISSISSIPPI LOUISIANA ARKANSAS OKLAHOMA S DAKOTA NEBRASKA WYOMING IDAHO OREGON KANSAS COLORADO UTAH NEVADA CALIFORNIA ARIZONA NEW MEXICO TEXAS MAINE VERMONT NEW YORK PENNSYLVANIA OHIO INDIANA ILLINOIS MISSOURI IOWA WISCONSIN MINNESOTA N DAKOTA MONTANA WASHINGTON

Oregon

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Oregon Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 855-503-SAFE (855-503-7233)

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Idaho

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Idaho Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 208-334-3833
PHONE: 800-926-2588
E-MAIL: icoa@aging.idaho.gov

DISTRICT OF COLUMBIA MICHIGAN HAWAII DELAWARE NEW JERSEY CONNECTICUT RHODE ISLAND MASSACHUSETTS NEW HAMPSHIRE FLORIDA PUERTO RICO ALASKA MARYLAND VIRGINIA W VIRGINIA KENTUCKY TENNESSEE N CAROLINA S CAROLINA GEORGIA ALABAMA MISSISSIPPI LOUISIANA ARKANSAS OKLAHOMA S DAKOTA NEBRASKA WYOMING IDAHO OREGON KANSAS COLORADO UTAH NEVADA CALIFORNIA ARIZONA NEW MEXICO TEXAS MAINE VERMONT NEW YORK PENNSYLVANIA OHIO INDIANA ILLINOIS MISSOURI IOWA WISCONSIN MINNESOTA N DAKOTA MONTANA WASHINGTON

Wyoming

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Wyoming Adult Protective Services
PHONE: (307) 777-7564
LOCAL OFFICES: List of Local Offices

DISTRICT OF COLUMBIA MICHIGAN HAWAII DELAWARE NEW JERSEY CONNECTICUT RHODE ISLAND MASSACHUSETTS NEW HAMPSHIRE FLORIDA PUERTO RICO ALASKA MARYLAND VIRGINIA W VIRGINIA KENTUCKY TENNESSEE N CAROLINA S CAROLINA GEORGIA ALABAMA MISSISSIPPI LOUISIANA ARKANSAS OKLAHOMA S DAKOTA NEBRASKA WYOMING IDAHO OREGON KANSAS COLORADO UTAH NEVADA CALIFORNIA ARIZONA NEW MEXICO TEXAS MAINE VERMONT NEW YORK PENNSYLVANIA OHIO INDIANA ILLINOIS MISSOURI IOWA WISCONSIN MINNESOTA N DAKOTA MONTANA WASHINGTON

Nebraska

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Nebraska Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-652-1999

DISTRICT OF COLUMBIA MICHIGAN HAWAII DELAWARE NEW JERSEY CONNECTICUT RHODE ISLAND MASSACHUSETTS NEW HAMPSHIRE FLORIDA PUERTO RICO ALASKA MARYLAND VIRGINIA W VIRGINIA KENTUCKY TENNESSEE N CAROLINA S CAROLINA GEORGIA ALABAMA MISSISSIPPI LOUISIANA ARKANSAS OKLAHOMA S DAKOTA NEBRASKA WYOMING IDAHO OREGON KANSAS COLORADO UTAH NEVADA CALIFORNIA ARIZONA NEW MEXICO TEXAS MAINE VERMONT NEW YORK PENNSYLVANIA OHIO INDIANA ILLINOIS MISSOURI IOWA WISCONSIN MINNESOTA N DAKOTA MONTANA WASHINGTON

South Dakota

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

South Dakota Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 1-833-663-9673

DISTRICT OF COLUMBIA MICHIGAN HAWAII DELAWARE NEW JERSEY CONNECTICUT RHODE ISLAND MASSACHUSETTS NEW HAMPSHIRE FLORIDA PUERTO RICO ALASKA MARYLAND VIRGINIA W VIRGINIA KENTUCKY TENNESSEE N CAROLINA S CAROLINA GEORGIA ALABAMA MISSISSIPPI LOUISIANA ARKANSAS OKLAHOMA S DAKOTA NEBRASKA WYOMING IDAHO OREGON KANSAS COLORADO UTAH NEVADA CALIFORNIA ARIZONA NEW MEXICO TEXAS MAINE VERMONT NEW YORK PENNSYLVANIA OHIO INDIANA ILLINOIS MISSOURI IOWA WISCONSIN MINNESOTA N DAKOTA MONTANA WASHINGTON
DISTRICT OF COLUMBIA MICHIGAN HAWAII DELAWARE NEW JERSEY CONNECTICUT RHODE ISLAND MASSACHUSETTS NEW HAMPSHIRE FLORIDA PUERTO RICO ALASKA MARYLAND VIRGINIA W VIRGINIA KENTUCKY TENNESSEE N CAROLINA S CAROLINA GEORGIA ALABAMA MISSISSIPPI LOUISIANA ARKANSAS OKLAHOMA S DAKOTA NEBRASKA WYOMING IDAHO OREGON KANSAS COLORADO UTAH NEVADA CALIFORNIA ARIZONA NEW MEXICO TEXAS MAINE VERMONT NEW YORK PENNSYLVANIA OHIO INDIANA ILLINOIS MISSOURI IOWA WISCONSIN MINNESOTA N DAKOTA MONTANA WASHINGTON

Arkansas

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Arkansas Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-482-8049

Louisiana

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Louisiana Adult Protective Services
Report incidents of abuse, neglect, and exploitation involving adults ages 18 to 59 at apsreporting@la.gov or the toll free number at 800-898-4910.

Report incidents of abuse, neglect, and exploitation involving adults 60 and older to Elderly Protective Services at 833-577-6532.

Mississippi

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Mississippi Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
Vulnerable Persons Hotline: 844-437-6282
PHONE: 800-345-6347 then choose prompt #2
PHONE: 601-359-4500 then choose prompt #2

Alabama

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Alabama Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-458-7214
PHONE: 334-242-1350
E-MAIL: aps@dhr.alabama.gov

 

Georgia

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Georgia Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 888-774-0152
PHONE: 404-657-5250
FAX: 770-408-3001
ONLINE FORM: Form

South Carolina

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

South Carolina Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 1-888-CARE4US (1-888-227-3487)

North Carolina

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

North Carolina Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:

Tennessee

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Tennessee Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 888-277-8366
LOCAL OFFICES: List of Local Offices

Kentucky

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Kentucky Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 877-597-2331

West Virginia

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

West Virginia Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-352-6513
LOCAL OFFICES: List of Local Offices

Virginia

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Virginia Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 888-832-3858
LOCAL OFFICES: List of Local Offices

Maryland

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Maryland Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 800-332-6347
TTY: 800-735-2258

Alaska

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Alaska Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: (907)-269-3666
FAX:   907-269-3648
ONLINE FORM: Form

Puerto Rico

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Puerto Rico Long-Term Care Ombudsman Program
Report Institutional Abuse:
PHONE: 787-721-8225

New Jersey

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

New Jersey Adult Protective Services
609-588-6501
Report Abuse of Seniors or Adults with Disabilities by County
BROCHURE: Fact Sheet

Delaware

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Delaware Adult Protective Services
Statewide: 800-223-9074; (Administration Main office: (302) 255-9390)

New Castle County: (302) 391-3500;
Fax: (302) 424-1346;

Kent/Sussex Counties: (302) 424-7310
Fax number (302) 424-1346
To Report Institutional Abuse, Call:
(877) 453-0012

Hawaii

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Hawaii Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
Oahu: 808-832-5115
Kauai: 808-241-3337
Maui/ Molokai/Lanai: 808-243-5151
East Hawaii (Hilo/Hamakua/Puna): 808-933-8820
West Hawaii (Kau/Kona/Kohala/Kamuela): 808-327-6280

Michigan

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

Michigan Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 855-444-3911

District of Columbia

Are you concerned someone you love or care about may be the victim of abuse? Don’t be silent. Report it now. All calls are confidential.

To Report a case in your area call:

District of Columbia Adult Protective Services
Report Abuse of Seniors or Adults with Disabilities:
PHONE: 202-541-3950

Report Institutional Abuse:
PHONE: 202-434-2140
PHONE: 202-442-5833

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