Neglect of older people and adults with disability features in around a quarter of all reports to the New South Wales Ageing and Disability Commission (ADC). This research aims to better understand incidents of neglect by examining reports to the ADC. It examines patterns of neglect, the roles of agencies and service providers and identifies opportunities to better prevent and respond to neglect of older people and adults with disability.

The report calls for urgent action from health professionals, service providers, and policymakers to proactively identify, prevent, and address neglect, always guided by the views and wishes of those at risk. It highlights the need for enhanced guidance and protocols for aged care, disability, and health services; greater public awareness of criminal neglect and its consequences; and improved support for carers, along with better mechanisms to identify those at risk.

Key findings

• Neglect is widespread and frequently linked to coercive control, abuse and social isolation.
• Neglect is an under-recognised form of domestic violence.
• Relatives, particularly primary carers, are the main alleged perpetrators.
• Service involvement, especially from aged care and disability providers, can be protective, yet serious neglect cases often lack such support.
• Social isolation is a major risk factor, with 44 percent of reports involving people who are socially isolated.
• There is a critical need for early intervention, improved service coordination, and greater awareness of criminal neglect.
• Not all neglect is intentional. Carer stress and poor health literacy are significant contributors.