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What is abuse?

Abuse is a violation of someone's human and civil rights by another person or group of people.

The person causing harm may be known to the person suffering abuse.  They could be a friend, a relative or a neighbour. They may be in a position of trust and power. They may be a professional in healthcare, social care or education.

Abuse can happen anywhere, including at home or in public places.  It can be a single incident or repeated acts of abuse and neglect.

There is more information below on different types of abuse.

Examples of 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 (e.g. opening a window and removing blankets)
  • Isolating them or confining them
  • Misuse of medication/drugs (e.g. over-sedation)
  • Forcible feeding or withholding food
  • Unauthorised restraint, restricting movement (e.g. tying someone to a chair)

Possible indicators of physical abuse

  • No explanation for injuries or inconsistency with the account of what happened
  • Injuries are inconsistent with the person’s lifestyle
  • Bruising, cuts, welts, burns and/or marks on the body or loss of hair in clumps
  • Frequent injuries
  • Unexplained falls
  • Subdued or changed behaviour in the presence of a particular person
  • Signs of malnutrition
  • Failure to seek medical treatment or frequent changes of GP

Social Care Institute of Excellence (SCIE) types of financial abuse

  • Theft of money or possessions
  • Fraud, scamming
  • Preventing a person from accessing their own money, benefits or assets
  • Employees taking a loan from a person using the service
  • Undue pressure, duress, threat or undue influence put on the person 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 a person’s home and living rent free without agreement or under duress
  • False representation, using another person's bank account, cards or documents
  • Exploitation of a person’s money or assets, e.g. unauthorised use of a car
  • 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

Possible indicators of financial abuse

  • Unexplained withdrawals from the bank
  • Unusual activity in the bank accounts
  • Unpaid bills
  • Unexplained shortage of money
  • Reluctance on the part of the person with responsibility for the funds to provide basic food and clothes etc.
  • Unnecessary property repairs
  • Changes in deeds or title to property

Impact of Financial Abuse

A victim of financial abuse may experience any of the following:

  • Depression / anxiety
  • Distress
  • Anger
  • Embarrassment / loss of self-esteem
  • Self-blame – decline in mental health
  • Denial / fear
  • Betrayal
  • Stress
  • Loss of confidence to live independently
  • Deterioration in physical health (leading to premature death)
  • Social isolation
  • More vulnerable to further exploitation
  • Inability to replace lost savings due to lack of earning potential
  • Risk of suicide

Useful Info and Other Support Services

Salford Welfare Rights and Debt Advice Service

Citizens Advice Salford

Free National debt helpline

Debt and borrowing - Money Advice Service

Salford Credit Union

Moneyline - Short Term Loans

Salford Assist • Salford City Council

Stop Loan Sharks - Investigating illegal money lenders and supporting borrowers 

Types of 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

Possible indicators of sexual abuse

  • Bruising, particularly to the thighs, buttocks and upper arms and marks on the neck
  • Torn, stained or bloody underclothing
  • Bleeding, pain or itching in the genital area
  • Unusual difficulty in walking or sitting
  • Foreign bodies in genital or rectal openings
  • Infections, unexplained genital discharge, or sexually transmitted diseases
  • Pregnancy in a woman who is unable to consent to sexual intercourse
  • The uncharacteristic use of explicit sexual language or significant changes in sexual behaviour or attitude
  • Incontinence not related to any medical diagnosis
  • Self-harming
  • Poor concentration, withdrawal, sleep disturbance
  • Excessive fear/apprehension of, or withdrawal from, relationships
  • Fear of receiving help with personal care
  • Reluctance to be alone with a particular person

Examples of neglect and acts of omission

  • Failure to provide or allow access to food, shelter, clothing, heating, stimulation and activity, personal or medical care
  • 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

Possible indicators of neglect and acts of omission

  • Poor environment – dirty or unhygienic
  • Poor physical condition and/or personal hygiene
  • Pressure sores or ulcers
  • Malnutrition or unexplained weight loss
  • Untreated injuries and medical problems
  • Inconsistent or reluctant contact with medical and social care organisations
  • Accumulation of untaken medication
  • Uncharacteristic failure to engage in social interaction
  • Inappropriate or inadequate clothing

Examples of 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
  • Inability or unwillingness to manage one’s personal affairs

Indicators of self-neglect

  • Very poor personal hygiene
  • Unkempt appearance
  • Lack of essential food, clothing or shelter
  • Malnutrition and/or dehydration
  • Living in squalid or unsanitary conditions
  • Neglecting household maintenance
  • Hoarding
  • Collecting a large number of animals in inappropriate conditions
  • Not attending medical appointments or non-compliance with health or care services
  • Inability or unwillingness to take medication or treat illness or injury

Types of 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, coercion, harassment, use of threats, humiliation, bullying, swearing or verbal abuse
  • Addressing a person in a patronising or infantilising way
  • Threats of harm or abandonment
  • Threats to harm themselves or others if you don't comply with their demands
  • Cyber bullying

Possible indicators of psychological or emotional abuse

  • A change in character when a particular person is present
  • Withdrawal or change in the psychological state of the person
  • Insomnia
  • Low self-esteem
  • Uncooperative and aggressive behaviour
  • A change of appetite, weight loss/gain
  • Signs of distress: tearfulness, anger, anxious
  • Apparent false claims, by someone involved with the person, to attract unnecessary treatment

The Domestic Abuse Act 2021 defines domestic abuse as:

Behaviour of a person (“A”) towards another person (“B”) is "domestic abuse" if:

  1. A and B are each aged 16 or over and are personally connected to each other, and
  2. the behaviour is abusive.

Behaviour is “abusive” if it consists of any of the following:

  1. physical or sexual abuse;
  2. violent or threatening behaviour;
  3. controlling or coercive behaviour;
  4. economic abuse (see subsection (4));
  5. psychological, emotional or other abuse;

and it does not matter whether the behaviour consists of a single incident or a course of conduct.

Personally connected

The term, 'personally connected' means any of the following:

  • They are, or have been, married to each other;
  • The are, or have been, civil partners of each other;
  • They have agreed to marry one another;
  • They are, or have been in an intimate personal relationship with each other;
  • They each have, or there has been a time when they each have had, a parental relationship with the same child;
  • They are relatives.

Possible indicators of domestic violence or abuse

  • Low self-esteem
  • Feeling that the abuse is their fault when it is not
  • Physical evidence of violence such as bruising, cuts, broken bones
  • Verbal abuse and humiliation in front of others
  • Fear of outside intervention
  • Damage to home or property
  • Noise from the property
  • Isolation – not seeing friends and family
  • Limited access to money

Children and domestic abuse

The Domestic Abuse Act 2021, recognises that children / young people who see, hear or experience the effects of domestic abuse of a parent, person with parental responsibility or a relative, are also a victim of domestic abuse in their own right.

Witnessing domestic abuse of a loved one can be extremely distressing and harmful to a child / young person. 

If you are worried about a child / young person who may be exposed to domestic abuse, then it is important that you contact The Bridge Partnership Bridge so the child / young person can also be supported as part of a Think Family approach.  

Types of modern slavery

  • Human trafficking
  • Forced labour
  • Domestic servitude
  • Sexual exploitation, such as escort work, prostitution and pornography
  • Debt bondage – being forced to work to pay off debts that realistically they never will be able to

Possible indicators of modern slavery

  • Signs of physical or emotional abuse
  • Appearing to be malnourished, unkempt or withdrawn
  • Isolation from the community, seeming under the control or influence of others
  • Living in dirty, cramped or overcrowded accommodation and or living and working at the same address
  • Lack of personal effects or identification documents
  • Always wearing the same clothes
  • Avoidance of eye contact, appearing frightened or hesitant to talk to strangers
  • Fear of law enforcers

Types of 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 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 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
  • Substandard service provision relating to a protected characteristic

Possible indicators of discriminatory abuse

  • The person appears withdrawn and isolated
  • Expressions of anger, frustration, fear or anxiety
  • The support on offer does not take account of the person’s individual needs in terms of a protected characteristic

Hate Crime

The term 'hate crime' can be used to describe a range of criminal behaviour where the perpetrator is motivated by hostility or demonstrates hostility towards the victim's disability, race, religion, sexual orientation or transgender identity.  Discriminatory abuse may also be a hate crime. 

For more information about Hate Crime, how to report a hate crime, including Hate Crime Reporting Centres, please see the Hate Crime page on the Salford City Council website.

Organisational abuse is that which occurs within an organisations, institutions or a specific care setting such as a hospital or care home and is often linked to poor standards. It can be through neglect or poor professional practice as a result of the structure, policies, processes and practices within an organisation.

Examples of organisational or institutional abuse

  • Discouraging visits or the involvement of relatives or friends
  • Run-down or overcrowded establishment
  • Insufficient staff or high turnover resulting in poor quality care
  • Abusive and disrespectful attitudes towards people 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

Possible indicators of organisational or institutional abuse

  • Lack of flexibility and choice for people using the service
  • Inadequate staffing levels
  • People being hungry or dehydrated
  • Poor standards of care
  • Lack of personal clothing and possessions and communal use of personal items
  • Lack of adequate procedures
  • Poor record-keeping and missing documents
  • Absence of visitors
  • Few social, recreational and educational activities
  • Public discussion of personal matters
  • Unnecessary exposure during bathing or using the toilet
  • Absence of individual care plans
  • Lack of management overview and support

There is more information and examples of abuse on the Salford City Council website.

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