Every person deserves to age with safety, dignity, respect, and care.

In the summer of 2024, the National Clearinghouse on Abuse in Later Life (NCALL), an initiative of End Domestic Abuse Wisconsin, created this webpage. It’s full of information and linked resources, all aiming to create a foundational understanding of abuse in later life. We hope you find it useful! We also invite you to dig even deeper into the issue by checking out the For Domestic and Sexual Violence Advocates and Programs webpage on NCALL’s website as well as the NCALL Publications Library and Video Library. Questions are always welcome, too! Email the NCALL team at ncall@ncall.us. 

Older Latin@ man with glasses and a mustacheDomestic violence transcends age  

We all have the right to age with safety and dignity, yet age does not safeguard against domestic violence. Unfortunately, abuse in later life occurs more often than people realize, and studies have consistently shown that domestic violence makes up a large share of these cases (United Nations, 2013).  

Domestic violence programs have an important role to play in responding to the needs of older victims, who are often underserved in traditional service models. NCALL offers victim service providers and other professionals information and resources to address the unique aspects of abuse in later life so older adults can age with the safety, dignity, and justice they deserve. 

First things first. What exactly is abuse in later life? 

Elder Abuse – A growing yet overlooked problem 

Although definitions of elder abuse vary, the term generally refers to any physical, sexual, or psychological abuse, neglect, abandonment, or financial exploitation of an older person either within a relationship where there is an expectation of trust and/or when an older person is targeted based on age or disability (U.S. DOJ, The Elder Justice Roadmap, 2014). “Older” is generally considered 60+, 65+ or 70+ depending on state statutes or funding streams, such as the Older Americans Act. Elder abuse is a hidden yet growing problem—one that becoming more urgent as the U.S. population of older adults is rapidly increasing. By 2030, all baby boomers will be age 65 or older (U.S. Census Bureau, 2019) and by 2060, there will be about 94.7 million older adults, more than twice as many in 2010.  

Abuse in Later Life – A subset of elder abuse 

Abuse in later life describes the intersection of domestic violence, sexual abuse, and elder abuse. NCALL defines abuse in later life as the willful abuse, neglect, or financial exploitation of an older adult who is age 50+ that is perpetrated by someone in an ongoing, trust-based relationship (e.g., spouse, partner, family member, or caregiver) with the victim and sexual abuse or stalking by any offender, including strangers. 

The term abuse in later life applies to victims who are age 50 and older for the following reasons: 

  • By age 50 there is a significant decrease in the number of victims accessing services from domestic violence and sexual assault programs. This is partly because many services for domestic and sexual assault victims focus on meeting the needs of younger women and their children. Most domestic and sexual violence programs do not have programming tailored to meet the unique needs of victims of abuse in later life, such as financial planning for persons who do not yet qualify for Social Security or support groups exclusively for older women. 
  • Victims who are age 50 and older may need economic assistance to obtain safe housing and live independently if they choose to leave their abuser. However, victims who are age 50 to 62 may be ineligible for financial assistance from the Temporary Assistance for Needy Families program because they may not be parenting children. They also may be ineligible for Social Security and the aging services network because they are too young. Few options exist to assist victims in this age group who want to become independent from their abuser but do not have the financial resources to do so. 
  • Focusing on survivors age 50 and above includes older victims who have a shorter life expectancy due to structural oppression or because they experienced trauma, lived in poverty, or lacked access to health care. 

Older African American woman with short gray hair, smilingHow domestic violence programs can support older survivors 

Domestic violence programs are vital supports for older survivors of abuse—helping them regain control of their lives, plan for their emotional and physical safety, and foster a sense of dignity and empowerment that is essential for their well-being.  

Victim services can be life changing and lifesaving. Victim advocates are equipped to offer empathy, compassion, healing support, and resources to survivors of all ages. Yet, it is vital to understand some of the unique challenges in abuse in later life cases to assure that responses to older survivors are age-relevant and address both their immediate and long-term needs. Outreach efforts, too, may be adapted to be inclusive of older adults. Including depictions of survivors across the lifespan and from different backgrounds and populations is an important first step. Being intentional about language used to describe abuse is key. Not all older adults will identify with terms like “domestic violence,” or the words “abused” or “victim.” Instead, describing behavior can be a more effective way to connect with older survivors. 

Information and Resources

Fast Facts
  • A large proportion of elder abuse cases involve female victims with spouses as perpetrators (United Nations, 2013). 
  • About 2/3 of elder abuse victims are women (Lachs & Berman, 2011). 
  • Approximately one in ten older U.S. adults living in their homes experience elder abuse each year. (Acierno et al., 2010; Beach et al., 2010; Lachs & Berman, 2011; Rosay & Mulford, 2017).  
  • 5 million older adults are estimated to experience abuse, neglect, or exploitation every year (U.S. DOJ, 2014).  
  • Elder abuse triples the risk of premature death and causes unnecessary illness, injury, and suffering (Lachs, et al., 1998). 
  • Elder abuse is significantly underreported. For every incident of abuse reported to authorities, nearly 24 additional cases remain undetected. (Storey, 2020). 
  • Fewer than 5% of elder abuse cases come to light (Lachs et al., 2011). 
Abuse in Later Life and Elder Abuse
Abuse in Later Life Fact Sheets 

 This series of five information sheets provides data and resources to service providers and justice professionals who may work with older victims. 

Abuse in Later Life Power and Control Wheel  

This power and control wheel describes different types of abuses that occur in later life and tactics used by abusers to exercise power and control over their victims. The wheel is an adaptation of the Power and Control Wheel, developed by the Domestic Abuse Intervention Project, Duluth, MN. It was developed in consultation with survivors of abuse in later life. 

Advocacy
Working with Older Survivors of Abuse: A Toolkit for Advocates 

This toolkit aims to assist community based domestic violence and/or sexual abuse programs assess existing services. It also provides guidance to enhance programs and advocates response to older survivors of abuse.  

Abuse in Later Life Education Series for Advocates 

This self-paced learning series consists of 20 instructional videos featuring national experts discussing key topics advocates encounter when serving older survivors.  

DV, SA, Stalking in Later Life
Domestic Violence Across the Lifespan: Supporting Older Survivors 

A short resource examining the unique dynamics and barriers that older survivors of domestic abuse experience and offering recommendations for tailored service and systems responses to better support older survivors. 

Sexual Abuse in Later Life: Believing and Supporting Older Survivors 

A short resource describing the unique issues faced by older survivors of sexual abuse and strategies for providing support. 

Stalking in Later Life 

A short resource offering information on common stalking tactics, the impacts of stalking on victims, the unique challenges about cases of stalking in later life, and resources for support. 

Collaboration

Integrating Abuse in Later Life into Your Domestic Violence or Sexual Assault Coordinated Community Response  

This document was created in 2024 as a supplement to the Wisconsin Sexual Assault and Domestic Violence Coordinated Community Response (CCR) Toolkit, 2nd Edition 2016, created by End Domestic Abuse Wisconsin (End Abuse) and the Wisconsin Coalition Against Sexual Assault (WCASA). It covers considerations when focusing on a coordinated community response inclusive of older adults experiencing abuse.

Legal Resources
FAQ for Advocates Working with Older Survivors of Abuse Under Guardianship in Wisconsin  

Guardianship is a court-ordered legal arrangement where a guardian makes decisions for a person a court determines to be incapacitated. This resource offers guidance to advocates who wonder how to proceed when working with a survivor who has a legal guardian.

 

FAQ for Advocates Working with Older Survivors of Abuse: Mandatory Reporting in Wisconsin 

Mandatory reporting requires certain professionals to report suspected elder abuse, neglect, or exploitation of adults aged 60 or older who are at risk. This resource was created to assist advocates with assessing their mandatory reporting responsibilities, and to address survivor concerns in the event a report is necessary.

FAQ for Advocates Working with Older Survivors of Abuse: Powers of Attorney in Wisconsin 

Health care and financial powers of attorney can serve protective purposes for older adults, but they can also be misused by abusers if they are appointed as agents. This resource provides an overview of the different kinds of advance directives an advocate might encounter, and tips for working with survivors who have a Power of Attorney in place.

FAQ for Advocates Working with Older Survivors of Abuse: Restraining Orders in Wisconsin

This resource is intended to familiarize advocates with the three main types of restraining orders in Wisconsin relevant to older adults: Domestic Abuse, Harassment, and Individual-at-Risk Restraining Orders.

Citations

Acierno, R., Hernandez, M. A., Amstadter, A. B., Resnick, H. S., Steve, K., Muzzy, W., & Kilpatrick, D. G. (2010). Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. American journal of public health, 100(2), 292-297. 

Beach, S. R., Schulz, R., Castle, N. G., & Rosen, J. (2010). Financial exploitation and psychological mistreatment among older adults: Differences between African Americans and non-African Americans in a population-based survey. The Gerontologist, 50(6), 744-757. 

Dong, X., Simon, M., De Leon, C. M., Fulmer, T., Beck, T., Hebert, L., … & Evans, D. (2009). Elder self-neglect and abuse and mortality risk in a community-dwelling population. Jama, 302(5), 517-526. 

Lachs, M. S., & Berman, J. (2011). Under the radar: New York State elder abuse prevalence study. Prepared by Lifespan of Greater Rochester, Inc., Weill Cornell Medical Center of Cornell University, and New York City Department for the Aging. 

Lachs, M. S., Williams, C. S., O’Brien, S., Pillemer, K.A., & Charlson, M. E. (1998). The mortality of elder mistreatment. Journal of the American Medical Association, 280(5), 428-432. (p. 431). 

Rosay, A. B., & Mulford, C. F. (2017). Prevalence estimates and correlates of elder abuse in the United States: The national intimate partner and sexual violence survey. Journal of elder abuse & neglect, 29(1), 1-14. 

Storey, J. E. (2020). Risk factors for elder abuse and neglect: A review of the literature. Aggression and violent behavior, 50, 101339. 

U.S. Census Bureau (2019). By 2030, All Baby Boomers Will Be Age 65 or Older

United Nations (2013). Neglect, Abuse and Violence Against Older Women, http://www.un.org/esa/socdev/documents/ageing/neglect-abuse-violence-older-women.pdf  

U.S. Department of Justice. (2014). The elder justice roadmap, a stakeholder initiative to respond to an emerging health, justice, financial and social crisis. 

Other pages in this section

Education
End Abuse provides a variety of educational opportunities to advocates, law enforcement, legislators, and community members to enable them to better serve survivors throughout WI.
Public Policy Advocacy
End Domestic Abuse Wisconsin mobilizes advocates, survivors, and concerned individuals to make policy changes that will support survivors and help end domestic violence.
Prevention
We envision promising prevention strategies that work with people and systems to challenge gender, race, and class stereotypes and oppressive norms while defining new ways to be a more positive, equitable, and just society.
Outreach to Underserved Communities
End Domestic Abuse WI has a long history of supporting underserved and under-represented communities - including communities of color, those in later life, the LQBTQI+ community, people with disabilities, children and youth, immigrants and refugees, and tribal communities - in...
Legal Services
Our legal team is a leader in educating advocates, attorneys, judges and others on the best responses to domestic abuse. In addition, we advocate for changes in laws and legal practices to improve the legal system for survivors.
Human Trafficking Awareness
End Abuse provides resources, training and technical assistance to programs serving domestic violence survivors, including survivors of human trafficking. Sex trafficking survivors face unique challenges to recovery and safety.
Engaging Youth
The children and youth program offers training, information, and resources for those working with youth. Also providing leadership opportunities for teens to develop skills they can use to educate their peers.
Economic Empowerment
Financial independence is key to domestic abuse survivors’ ability to live successful, violence-free lives. In partnership with local programs, we address economic needs and challenges so survivors can break free of violence.
Coordinated Community Response
For CCR and other DV/SA-focused multidisciplinary teams seeking to improve their community's response to domestic violence, sexual violence, and other forms of oppression.

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