Spot the Signs of Abuse and Speak Out
National Safeguarding Adults Week 2024
Monday 18 to Friday 22 November 2024 is National Safeguarding Adults Week, with each day focusing on a different safeguarding theme.
You can use #safeguardingadultsweeks to get involved on social media.
The Southampton Safeguarding Adults Board have developed a campaign around spotting the signs of abuse and speaking out.
Harmful behaviour comes in many forms, financial abuse, discrimination, neglect, self-neglect, domestic abuse, physical abuse, sexual abuse emotional abuse.
For more information on how to spot the signs and speak out, scroll down for the individual information leaflets below.
You can also download our Spot the Signs A4 poster.
Self-neglect
Self-neglect is when an adult is neglecting to care for their own personal hygiene. This may include:
- Lack of self-care in relation to daily needs to an extent it adversely affects wellbeing, personal health and safety
- A lack of care of the living environment to the extent this neglect of personal hygiene, health or surroundings may create a public health hazard and/or increased fire risk from hoarding
- An inability or unwillingness to accept essential care and support, and services, or necessary medical treatment to avoid harm to self
There are many reasons for self-neglect – an individual may face difficulties with their mental health, struggle with addiction or lack the mental capacity to care for themselves.
Signs of self-neglect in adults may include:
- Poor personal hygiene and an unkempt appearance.
- Lack of essential food, inappropriate and/or inadequate clothing or shelter.
- Poor living conditions, including living in unsanitary conditions, hazardous or unsafe living conditions.
- Hoarding of possessions and other items
- Malnutrition and/or dehydration.
- Inadequate medical care, not taking prescribed medications properly or treat illnesses or injuries
- Lack of the necessary medical aids
- Homelessness
View the signs of self-neglect leaflet.
If you recognise any of these signs and are concerned an adult is the victim of abuse, then it’s essential you act on your concerns. ‘Speaking out’ about abuse could save somebody’s life. If you are worried that an adult may be at risk of abuse or harm, please contact adult social care:
023 8083 3003
If there is an immediate threat to their safety, contact the police by calling 999.
Neglect
Neglect occurs when somebody who has responsibility for the care of an adult fails to provide the amount and type of care that the person requires.
It also includes mistreatment, such as delivering care in a way a person dislikes, ignoring or isolating them, and ignoring someone’s specific care needs (including physical, medical, cultural and recreational needs).
Signs that an adult may be experiencing neglect include:
- Poor personal hygiene
- A dirty or unhygienic environment including unsanitary and unclean living conditions
- Dehydration
- Malnutrition
- Unexplained weight loss
- Inadequate clothing
- Avoiding contact or not taking an adult to meet with medical or social care organisations
- Unattended or untreated health problems injuries or medical problems
View the signs of neglect leaflet.
If you recognise any of these signs and are concerned an adult is the victim of abuse, then it’s essential you act on your concerns. ‘Speaking out’ about abuse could save somebody’s life. If you are worried that an adult may be at risk of abuse or harm, please contact adult social care:
023 8083 3003
If there is an immediate threat to their safety, contact the police by calling 999.
Physical abuse
Physical abuse is an act involving contact, intended to cause feelings of physical pain, injury, or other physical suffering or bodily harm to hurt someone intentionally.
Signs of physical abuse may include:
- An adult reports being hit, slapped, kicked, or mistreated
- Bruising, fractures or burns
- Bed sores
- Open wounds, cuts, punctures
- Untreated injuries in various stages of healing
- A sudden change in behaviour by an adult
- The caregiver's refusal to allow visitors to see a vulnerable adult alone
- Unexplained weight loss
View the signs of physical abuse leaflet.
If you recognise any of these signs and are concerned an adult is the victim of abuse, then it’s essential you act on your concerns. ‘Speaking out’ about abuse could save somebody’s life. If you are worried that an adult may be at risk of abuse or harm, please contact adult social care:
023 8083 3003
If there is an immediate threat to their safety, contact the police by calling 999.
Financial abuse
Financial or material abuse involves someone using or misusing money to control a person’s actions and their freedom. Using an adult’s funds, belongings or property without their permission. Types of financial abuse include scams (both online and in-person), theft, fraud, coercion of an adult for their financial affairs or arrangements – such as their will, property or inheritance.
Signs of financial or material abuse may include:
- Withdrawal(s) of sums of money from bank accounts, and/or via cashpoints
- Unexplained disappearance of funds or valuable possessions
- Lack of money, food, clothing, heating
- Unusual activity in bank accounts
- Unpaid bills
- Internet or social media scamming, such as delivery of unexpected parcels
- Reluctance on the part of the person with responsibility for the funds to provide basic food and clothes etc
- Abrupt changes in a will or other financial documents
- Sudden appearance of previously uninvolved relatives claiming rights to a vulnerable adult’s possessions
- Potential misuse of responsibilities by people with power of attorney for an adult
View the signs of financial abuse leaflet.
If you recognise any of these signs and are concerned an adult is the victim of abuse, then it’s essential you act on your concerns. ‘Speaking out’ about abuse could save somebody’s life. If you are worried that an adult may be at risk of abuse or harm, please contact adult social care:
023 8083 3003
If there is an immediate threat to their safety, contact the police by calling 999.
Sexual abuse
Sexual abuse is where an individual is forced, pressured, or tricked into taking part in sexual activity with another person.
Sexual abuse includes rape, indecent exposure, inappropriate looking or touching, sexual harassment, teasing or innuendo, sexual photography or subjection to pornography or witnessing sexual acts that the adult has not consented to or was pressured into consenting to.
Sexual abuse can occur in relationships – for example, if somebody rapes their partner or regulates their access to birth control. The person may have expressed that they didn’t want to be involved, may not be able to give consent or may not have the capacity to understand what is happening.
Signs of sexual abuse may include:
- Bleeding, pain, itching or sores around the genitals
- Pain or discomfort when walking or sitting
- Bruising, especially on the thighs, buttocks, upper arms and neck
- Torn, blooded or stained clothing
- Sexually transmitted infections or incontinence that is unrelated to a medical diagnosis
- Unexplained pregnancy, for example in a woman who is unable to consent to intercourse
- Not wanting to receive help with personal care
- Exploitation of an adult into sex working
View the signs of sexual abuse leaflet.
If you recognise any of these signs and are concerned an adult is the victim of abuse, then it’s essential you act on your concerns. ‘Speaking out’ about abuse could save somebody’s life. If you are worried that an adult may be at risk of abuse or harm, please contact adult social care:
023 8083 3003
If there is an immediate threat to their safety, contact the police by calling 999.
Emotional abuse
Emotional abuse is any type of behaviour that involves emotional or psychological mistreatment of a person.
It includes threats of harm or abandonment, enforced social isolation (such as preventing someone from seeing their family or accessing external services, like education), not respecting privacy. Additionally, it can take the form of intimidating, coercing, or threatening someone. It can also be cyber-bullying, or preventing someone from meeting their religious and cultural needs, their expression of choice and opinion, or meaningful activities and stimulation.
In relationships, emotional abuse can also include harassing a partner about imagined affairs or other false claims.
Signs of emotional abuse may include:
- Tearfulness and other signs of distress, including anger in some cases.
- Fearfulness or silence when a particular person is around.
- Depression
- Confusion
- Loss of sleep
- Unexpected or unexplained change in behaviour
- Aggressive shouting causing fear of violence in a public place
- Low self-esteem, or withdrawal or change in the emotional state of the person.
- Changes in appetite, or weight loss or gain
- Insomnia
View the signs of emotional abuse leaflet.
If you recognise any of these signs and are concerned an adult is the victim of abuse, then it’s essential you act on your concerns. ‘Speaking out’ about abuse could save somebody’s life. If you are worried that an adult may be at risk of abuse or harm, please contact adult social care:
023 8083 3003
If there is an immediate threat to their safety, contact the police by calling 999.
Domestic abuse
Domestic abuse is abuse or neglect which arises from within an intimate or family relationship. This type of abuse can include physical, psychological, sexual, and financial abuse, as well as ‘honour-based’ abuse such as forced marriage. It includes threatening behaviour, violence and coercive or controlling behaviour.
Coercive control is a core feature of domestic abuse. This is any behaviour designed to control an individual, and includes behaviours such as regulating behaviour, punishing or frightening someone, isolating them, exploiting their resources or money, or assaulting, threatening, humiliating or intimidating them.
Signs of domestic abuse may include:
- Physical indicators, such as:
- Bruising
- Broken bones
- Burns
- Injuries to the body
- Psychological indicators, such as:
- Being isolated from friends or family
- Low self-esteem
- Blaming themselves for things (including their abuse)
- Humiliation in front of others
- Person is not able to go out alone
- Financial indicators, such as:
- Limited access to money
- Damage to the home or other property
View the signs of domestic abuse leaflet.
If you recognise any of these signs and are concerned an adult or child are the victim of abuse, then it’s essential you act on your concerns. ‘Speaking out’ about abuse could save somebody’s life. If you are worried that an adult or child may be at risk of abuse or harm, please contact adult social care:
Adults: 023 8083 3003
Children: 023 8083 3004
If there is an immediate threat to their safety, contact the police by calling 999.
Discriminatory abuse
Discriminatory abuse occurs when an someone is treated unequally because they possess one of the protected characteristics outlined by the Equality Act 2010. These characteristics are age, disability, sex, sexual orientation, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, and religion or belief.
This type of abuse includes derogatory comments, jokes or slurs, denying access to services, hate crime, ignoring someone’s views, unfair treatment, and denying somebody’s rights to healthcare, education or employment because of a protected characteristic.
Signs of discriminatory abuse may include:
- A report of or observing an adult of being treated unfairly
- Behavioural changes, including an individual becoming withdrawn, isolated, angry, frustrated, afraid and anxious
- An individual beginning to reject their own cultural background, personal beliefs, sexual preferences or lifestyle choices
- Lack of personal belongings
- Lack of privacy and dignity
- Use of punishments such as withholding food and drink
- A lack of support for an individual’s needs
View the signs of discriminatory abuse leaflet.
If you recognise any of these signs and are concerned an adult is the victim of abuse, then it’s essential you act on your concerns. ‘Speaking out’ about abuse could save somebody’s life. If you are worried that an adult may be at risk of abuse or harm, please contact adult social care:
023 8083 3003
If there is an immediate threat to their safety, contact the police by calling 999.
Contact adult social care
- Telephone: 023 8083 3003
- Outside of normal office hours: out of hours contact information
4LSAB Safeguarding Concerns - A Brief Guide for Referrers
Spot the signs of abuse and speak out
The signs of abuse could be:
When you spot these signs of abuse, there are ways you can speak out. Do not assume someone else will speak out instead of you.
If you are worried that an adult may be at risk of abuse or harm, contact adult social care:
- Telephone: 023 8083 3003
- Outside of normal office hours: out of hours contact information
There are lots of charities and services around Southampton that can help protect adults at risk and you can find them in our directory of support services.
What do we mean by abuse or harm? SHOW
What will happen next? SHOW
Report a concern
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