This paper reports on a study of elder abuse among clients of an outer London community psychogeriatric service. Staff reported elder abuse in their case loads over a period of one year. Reported cases were linked with referrals. Rates of abuse for different staff and for different age and ethnic groups were calculated. Women were very much more likely to be abused than men and were less likely to be abusers. Clients were frequently reported as abusing their carers. Staff reporting rates varied widely. Training and the time available to win the trust of clients appeared to be important variables. The staff response was limited by lack of managerial support and by lack of developed strategies for dealing with abusive situations. Separation was the most common response to physical violence in the home. Financial abuse was mainly dealt with by social services. Staff abuse was largely ignored
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