Types of Abuse/Signs & Symptoms 'No Secrets' identifies categories of abuse. They are: Physical Abuse Abusive Action Signs & Symptoms Hitting. Slapping. Pushing. Kicking. Misuse of medication. Restraint. Inappropriate sanctions. Series of unexplained falls or major injuries. Injuries/bruises at different stages of healing. Bruising in unusual sites e. g. inner arms, thighs. Abrasions. Teeth indentations. Injuries to head or face. Client very passive. Sexual Abuse Abusive Action Signs & Symptoms Including rape and sexual assault or sexual acts to which the vulnerable adult has not consented, or could consent, or was pressured into onsenting. Change in behaviour. Overt sexual behaviour or language. Difficulty in walking, sitting. Injuries to genital and/or anal area. Neglect Abusive Action Signs & Symptoms Includes acts of omission. Ignoring physical or medical care needs. Failure to provide access to appropriate health, social care or educational services. Withholding necessities of life e. g. medications, nutrition, heating. Absence of food, heat, hygiene, clothing, comfort. Preventing client to have access to services. Isolation. Absence of prescribed medication. Psychological Abuse Abusive Action Signs & Symptoms Emotional abuse. Threats of harm or bandonment. Deprivation of contact. Humiliation, blaming, controlling, intimidation, coercion, harassment, verbal abuse, isolation or withdrawal from services or supportive networks. Withdrawal, depression. Cowering and fearfulness. Change in sleep patterns. Agitation, confusion, change in behaviour. Change in appetite/weight. Financial Abuse Abuse Action Signs & Symptoms Theft, fraud, exploitation. Pressure in connection with wills, property, inheritance or financial transactions. Misuse or misappropriation of property, possessions or benefits. Unpaid bills. Basic needs not being met. lack of cash on day to day basis.
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InstitutionalAbuse Abusive Action Signs & Symptoms Poor care standards, lack of positive responses to complex needs. Rigid routines. Inadequate staffing. Insufficient knowledge base within service. Inability to make choices or decisions. Agitation if routine broken. Disorientation. Patterns of challenging behaviour- Discriminatory Abusive Action Signs & Symptoms Racist, sexist, or that based on a person's disability. Other forms of harassment, slurs or similar treatment. Failure of agencies to ensure that staff receive adequate anti-discrimination practice training. Low self esteem. Withdrawal. Depression. Fear. Anger. Risk Indicators
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