Elder Abuse

EASI – Elder Abuse Suspicion Index

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What is EASI?

The EASI was developed* to raise a doctor’s suspicion about elder abuse to a level at which it might be reasonable to propose a referral for further evaluation by social services, adult protective services, or equivalents. While all six questions should be asked, a response of "yes" on one or more of questions 2 to 6 may establish concern. The EASI was validated for use by family practitioners of cognitively intact seniors seen in ambulatory settings.

Q 1-5 ask of patient: Q 6 answered by doctor.

Within the last 12 months:

1. Have you relied on people for any of the following: bathing, dressing, shopping, banking, or meals?
Yes ❍  No ❍  Did not answer ❍

2. Has anyone prevented you from getting food, clothes, medication, glasses, hearing aids or medical care, or from being with people you wanted to be with?
Yes ❍  No  ❍ Did not answer ❍

3. Have you been upset because someone talked to you in a way that made you feel shamed or threatened?
Yes ❍  No ❍  Did not answer ❍

4. Has anyone tried to force you to sign papers or to use your money against your will?
Yes ❍  No ❍  Did not answer ❍

5. Has anyone made you afraid, touched you in ways that you did not want, or hurt you physically?
Yes ❍  No ❍  Did not answer ❍

6. Doctor: Elder abuse may be associated with findings such as: poor eye contact, withdrawn nature, malnourishment, hygiene issues, cuts, bruises, inappropriate clothing, or medication compliance issues. Did you notice any of these today or in the last 12 months?
Yes ❍  No ❍  Did not answer ❍

You should not rely on this pocket tool for financial or legal advice. It provides general information only. NICE is not responsible for any use of the information other than for general educational/informational purposes and no claim can be made against NICE or any of its personnel for any such use.
National Initiative for the Care of the Elderly (NICE)
246 Bloor Street West, Room 234
Toronto, Ontario M5S 1V4, Canada