Physical Abuse? Assault? Hitting? Slapping? Punching? Kicking? Hair-pulling? Biting? Pushing? Rough handling? Scalding and burning? Physical punishments? Inappropriate or unlawful use of restraint? Making someone purposefully uncomfortable (eg opening a window or removing blankets)? Involuntary isolation or confinement? Misuse of medication (eg over-sedation)? Forcible feeding or withholding food? Unauthorised restraint, restricting movement (eg tying someone to a chair) Domestic Violence and Abuse? Psychological? Physical? Sexual? Financial? Emotional? So called honour-based abuse (HBA)? Female genital mutilation? Forced marriage? Sexual Abuse? Rape, attempted rape or sexual assault? Inappropriate touch anywhere? Non-consensual masturbation of either or both persons? Non-consensual sexual penetration or attempted penetration of the vagina, anus or mouth? Any sexual activity that the person lacks the capacity to consent to? Inappropriate looking, sexual teasing or innuendo or sexual harassment? Sexual photography or forced use of pornography or witnessing of sexual acts? Indecent exposure? Psychological or Emotional Abuse? Enforced social isolation: preventing someone accessing services, educational and social opportunities and seeing friends? Removing mobility or communication aids or intentionally leaving someone unattended when they need assistance? Preventing someone from meeting their religious and cultural needs? Preventing the expression of choice and opinion? Failure to respect privacy? Preventing stimulation, meaningful occupation or activities? Intimidation, ridicule, coercion, harassment, controlling, use of threats, blaming, humiliation, bullying, swearing or verbal abuse? Name calling? Addressing a person in a patronising or infantilising way? Threats of harm or abandonment? Radicalisation? Cyber-bullying? Financial or Material Abuse? Theft of money or possessions? Fraud, scamming? Preventing an individual from accessing their own money, benefits or assets Employees taking a loan from an individual using the service? Undue pressure, duress, threat or undue influence put on the individual in connection with loans, wills, property, inheritance or financial transactions? Arranging less care than is needed to save money to maximise inheritance? Denying assistance to manage/monitor financial affairs? Denying assistance to access benefits? Misuse of personal allowance in a care home? Misuse of benefits or direct payments in a family home? Someone moving into an individuals home and living rent free without agreement or under duress? False representation, using another individual’s bank account, cards or documents? Exploitation of an individual’s money or assets (eg unauthorised use of a car)? ”Cuckooing” (An individual’s property is taken over and used for illegal activities) Misuse of a power of attorney, deputy, appointeeship or other legal authority? Rogue trading (eg unnecessary or overpriced property repairs and failure to carry out agreed repairs or poor workmanship)? Modern Slavery? Labour exploitation? Domestic servitude? Sexual exploitation (eg escort work, prostitution and pornography)? Criminal exploitation? Debt bondage – being forced to work to pay off debts that realistically they never will be able to? Discriminatory Abuse? Unequal treatment based on age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion and belief, sex or sexual orientation (known as ‘protected characteristics’ under the Equality Act 2010) Verbal or physical abuse, derogatory remarks or inappropriate use of language related to a protected characteristic? Denying access to communication aids, not allowing access to an interpreter, signer or lip-reader? Harassment, bullying, name calling or deliberate exclusion on the grounds of a protected characteristic? Denying basic rights to healthcare, education, employment and criminal justice relating to a protected characteristic? Organisational or Institutional Abuse? Discouraging visits or the involvement of relatives or friends? Run-down or overcrowded establishment? Authoritarian management or rigid regimes? Lack of leadership and supervision? Insufficient staff or high turnover resulting in poor quality care? Abusive and disrespectful attitudes towards individual’s using the service? Inappropriate use of restraints? Lack of respect for dignity and privacy? Failure to manage residents with abusive behaviour? Not providing adequate food and drink, or assistance with eating? Not offering choice or promoting independence? Misuse of medication? Failure to provide care with dentures, spectacles or hearing aids? Not taking account of individuals cultural, religious or ethnic needs? Failure to respond to abuse appropriately? Interference with personal correspondence or communication? Failure to respond to complaints? Other Types of Abuse? Physical intervention or restraint? Online sexual abuse & sexting? Scams? Internet abuse? Hate incidents & hate crime? Neglect and Acts of Omission? Wilfully ignoring the medical or physical care needs? Failure to provide access to appropriate health and social care, including not supporting a person to access clinical appointments and support? Failure to provide or withholding access to the necessities of life such as adequate nutrition, shelter, clothing, heating, medication, stimulation and activity? Providing care in a way that the person dislikes? Failure to administer medication as prescribed? Refusal of access to visitors? Not taking account of individuals’ cultural, religious or ethnic needs? Not taking account of educational, social and recreational needs? Ignoring or isolating the person? Preventing the person from making their own decisions? Preventing access to glasses, hearing aids, dentures, etc.? Failure to ensure privacy and dignity? Self-Neglect? Lack of self-care to an extent that it threatens personal health and safety Neglecting to care for one’s personal hygiene, health or surroundings? Inability to avoid self-harm? Failure to seek help or access services to meet health and social care needs, including not attending necessary health/dental appointments? Inability or unwillingness to manage one’s personal affairs? Reference(s): Social Care Institute of Excellence (SCIE): Types and indicators of abuse