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Mandated Reporting Adult Protective Services Title Graphic

Unit 2

Sexual Abuse or Exploitation

  • Contact or interaction of a sexual nature involving an incapacitated or dependent adult without that adult’s consent. (Title 22 3472)

Physical Indicators:

  • Bruises around the breast or genital area

  • Unexplained veneral diseases or genital infection

  • Unexplained vaginal or anal bleeding

  • Torn, stained, or bloody underclothing

  • Painful urination or sitting

  • Difficulty walking or sitting

  • A person's report of being sexually assaulted or raped.

Behavioral Indicators:

  • Demonstrates inappropriate sex-role relationship

  • Exhibits inappropriate, unusual, or aggressive sexual behavior

  • Reveals extreme anxiety, including difficulty eating/sleeping, fearfulness, or compulsive behavior

  • Exhibits agitation or anger

  • Feels confused

  • Symptoms of emotional disorders


Abuse Activity


  • A threat to an adult’s health or welfare by physical or mental injury or impairment; deprivation of essential needs or lack of protection from these. It also includes self-neglect. (Title 22 3472)

Physical Indicators:

  • Dehydration

  • Neglected bed sores

  • Untreated injuries or medical problems

  • Poor hygiene

  • Hunger, malnutrition

  • Pallor, or sunken eyes or cheeks

  • Lack of clean bedding or clothing

  • Lack of glasses, hearing aid, dentures, prosthetic device

  • Skin disorder or rashes

  • Lack of prescribed medication

  • Person's report of being mistreated

Behavioral Indicators:

  • Unresponsiveness or helpless

  • Appears detached

  • Exhibits hopelessness

  • Expresses unrealistic expectations about his/her care




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