What are the penalties of elderly abuse?

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Can charges be filed if the elderly refuses to report the abuse?

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Yes, call Adult Protective Services.
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Call adult protective services - they will investigate and you can remain anonymous.
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Look up the laws in your state. You could also speak with a police detective. They have great advice. Stay away from Seniorcare...they "listen to the elder" (who may cover for the abusers due to shame, disbelief, diminished cognitive functioning/dementia), and do not have the investigative expertise that these complex situations may require. What are the types of abuse?
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If the victim won't sign a complaint, the abuse continues.
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