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Tuesday, January 06, 2009
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Adult Services Division

Recognizing Abuse, Neglect & Expoitation

PRINTABLE VERSION

Reporting abuse, neglect and exploitation.

Abuse

. . . is defined by the statutes as the willful infliction of physical pain, injury or mental anguish, unreasonable confinement, or the willful deprivation of services (by a caretaker), which are necessary to maintain the disabled adult's mental/physical health. Some indicators are:

  • bed sores
  • weight loss
  • willful confinement in a dangerous environment
  • inappropriate clothing for weather
  • fractures and dislocations
  • lacerations and abrasions
  • burns
  • injuries to the head, scalp, face
  • bruises (in various stages of healing) on upper arms (from shaking), around wrists or ankles (from being tied down), in shapes similar to objects (ropes, belts, hands), inside of thighs or arms
  • pain, itching, bleeding or bruising in the genital area
  • sexually transmitted diseases
  • low self-esteem
  • overly anxious or withdrawn
  • extreme changes in mood
  • depression
  • suicidal behavior
  • confusion or disorientation
Neglect

. . . is defined by the statutes as the inability of a disabled adult to provide the services which are necessary to maintain mental/physical health (Self Neglect), and who is not receiving services from his caretaker (Caretaker Neglect). Some indicators are:

Self Neglect

  • unable to cook, shop for food, bathe, toilet, dress appropriately
  • sudden weight loss
  • dehydration
  • signs of overmedication, undermedication, and/or misuse of medication
  • forgetfulness that causes dangerous situations (leaving stove/gas on)
  • aimless wandering/getting lost
  • living in unsafe dwelling
  • frequent accidents (falling, driving mishaps, starting fires)
  • elder left alone and deprived of stimulation and affection
  • malnutrition or diet inconsistent with medical condition (diabetes, etc.)

Caretaker Neglect

  • failure to manage resources to meet needs
  • failure to provide for medical needs
  • failure to provide adequate food, shelter, clothing
  • failure to provide appropriate supervision
  • failure to provide safe environment
Exploitation

. . . is defined by the statutes as the improper use of a disabled adult or his resources for another's profit or advantage. Some indicators are:

  • Inappropriate sexual activity (exploitation of person)
  • Excessive payments for services
  • Unexplained withdrawal of money from bank accounts
  • Failure to pay for essential services
  • Transfers of assets through deceit or coercion

Reporting abuse, neglect and exploitation.

Contact Information

Adult Services Division
741 North Highland Avenue
Winston-Salem, NC 27101
Main Phone Line:
(336) 703-3501
Direct Phone Lines:
Adult Medicaid
. . . . . . . . . (336) 703-3502
Carolina Access
. . . . . . . . . (336) 703-3505
Adult Services Intake
. . . . . . . . . (336) 703-3501
Adult Protective Services
. . . . . . . . . (336) 703-3503
Guardianship
. . . . . . . . . (336) 703-3503
Adult Placement
. . . . . . . . . (336) 703-3821
Facility Complaints
. . . . . . . . . (336) 703-3821
Fax Line:
(336) 748-3100

Mailing Address
P.O. Box 999
Winston-Salem, NC 27102


Office Hours
8:00 - 5:00
Monday - Friday

Did You Know . . .

Most Adult Care Homes provide respite care.

Job Opportunities

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Have you heard a good book lately? It's illegal to burn anything other than vegetation!  Don't break the law!