Back                 Tools List
NICE Online Tools

DMEA: Defining and Measuring Elder Abuse

Broad conceptual definition:

The following is the updated/revised version of the broad  conceptual definition of mistreatment that was developed  by participants in the Defining and Measuring Elder Abuse  (DMEA) Definition Consensus workshop:

“Mistreatment of older adults refers to actions/behaviours  or lack of actions/behaviours that cause harm or risk of  harm within a trust relationship.”

Sub-category definitions:

Physical Abuse

“Actions or behaviours that result in bodily injury, pain,  impairment or physical distress.”

Emotional/Psychological Abuse

“Severe or persistent verbal/non-verbal behavior that  results in emotional or physical harm.”

Financial/Material Abuse

“An action or lack of action with respect to material  possessions, funds, assets, property, or legal documents,  that is unauthorized, or coerced, or a misuse of legal  authority.”


“Repeated deprivation of assistance needed by an older  person for activities of daily living.”

National Initiative for the Care of the Elderly (NICE)
246 Bloor Street West, Room 234
Toronto, Ontario M5S 1V4, Canada