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This document outlines the procedures for reporting suspected elder or dependent adult abuse at UCLA Medical Center, including definitions of abuse, reporting responsibilities, and procedures for
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How to fill out Suspected Elder or Dependent Adult Abuse Reporting

01
Obtain the Suspected Elder or Dependent Adult Abuse Reporting form.
02
Fill in the date and time of the report.
03
Provide the reporter's information, including name, contact number, and relationship to the victim.
04
Describe the victim's information, including name, age, and address.
05
Detail the suspected abuse or neglect, including the nature of the abuse, and any relevant dates and locations.
06
Identify any suspected abuser, if known, and provide their details.
07
Include any witnesses or other individuals who may have information about the situation.
08
Submit the completed report to the appropriate agency or authorities.

Who needs Suspected Elder or Dependent Adult Abuse Reporting?

01
Mandated reporters such as healthcare professionals, social workers, and law enforcement officials.
02
Family members or caregivers who suspect abuse or neglect.
03
Anyone who witnesses or has knowledge of potential elder or dependent adult abuse.
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The basic responsibilities of all workers if they suspect elder abuse are: Don't ignore it. Ensure that your actions are respectful of the older person's rights and choices. Contact emergency services if there is an immediate risk of harm (see Safety in emergencies)
The authorities who will investigate the situation do not expect you to know everything. Time, date, and location of the incident(s) Names of anyone who was involved and anyone who observed the incident(s) Description of the suspected financial abuse and any other types of abuse or neglect.
If you want to report financial abuse – you can contact your local safeguarding adults board. You should be able to find their contact information by searching 'safeguarding adults board' and your local area.
Older person abuse is an intentional act or failure to act that causes or creates a risk of harm to an older adult. An older adult is someone aged 60 or older. The abuse occurs at the hands of a caregiver or other trusted person.
The basic responsibilities of all workers if they suspect elder abuse are: Don't ignore it. Ensure that your actions are respectful of the older person's rights and choices. Contact emergency services if there is an immediate risk of harm (see Safety in emergencies)
Dependent Adult means any person residing in this state, between the ages of 18 and 64, who has physical or mental limitations that restrict his or her ability to carry out normal activities or to protect his or her rights including, but not limited to, persons who have physical or developmental disabilities or whose

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Suspected Elder or Dependent Adult Abuse Reporting is the process of notifying appropriate authorities about suspected abuse of elderly individuals or dependent adults, which may involve physical, emotional, or financial harm.
Individuals who are mandated reporters, such as certain professionals working with elderly or dependent adults (like healthcare providers, social workers, and law enforcement) are required to file Suspected Elder or Dependent Adult Abuse Reporting.
To fill out the report, gather necessary information about the suspected abuse, including details about the victim, suspected abuser, and nature of the abuse, then complete the provided reporting form accurately and submit it to the relevant authorities.
The purpose of Suspected Elder or Dependent Adult Abuse Reporting is to protect vulnerable populations by ensuring that suspected abuse is investigated and addressed, and to promote the safety and well-being of elderly or dependent individuals.
The report must include the name and contact information of the elder or dependent adult, details about the suspected abuser, description of the alleged abuse, any witnesses, and the reporter's information, including their relationship to the case.
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