Older people possess a wealth of strength and wisdom. Yet far too many lack the services and support they need to remain safe, healthy, and connected to supportive networks. In the United States, an estimated 1 in 10 older adults experience physical, financial, or emotional mistreatment, and 6.2 million have dementia. In recent years, COVID-19 has increased the stress and social and economic hardships for older adults and their caregivers. COVID-19 has also heightened challenges, such as the digital divide that hinders many older adults’ from accessing telehealth and emotional support.

With government, health care, and private sector partners, EDC is working to build strong and responsive ecosystems to ensure all older adults thrive. We design, deliver, and disseminate effective models to prevent elder mistreatment and support older people, and especially older people with dementia and their caregivers. Our trainings, research, and evaluations advance knowledge of best practices and lead to sustainable improvements.


This special issue provides concrete tools and strategies for identifying and responding to elder mistreatment in a variety of settings. The authors spotlight the work of the National Collaboratory to Address Elder Mistreatment and emphasize that everyone—families, community members, clinicians, researchers, academics—can take action to eradicate elder mistreatment.
This case study spotlights the University of North Carolina Hillsborough Hospital’s implementation of the Elder Mistreatment Emergency Department Toolkit to identify and respond to elder mistreatment. The authors share factors affecting their implementation of the toolkit, the results of using the toolkit, and lessons learned.
This fact sheet describes the Elder Mistreatment Emergency Department Toolkit . The toolkit supports health systems and communities in improving the safety and well-being of older adults. It includes a survey for emergency department staff, online training modules, a screening and response tool, and a community connection road map to support patient safety and follow-up.