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Raise a concern about adults at risk of abuse (vulnerable adults) - Complaints, concerns and feedback

Everyone has the right to live in safety, free from abuse and neglect.

Abuse is when someone hurts you, frightens you or treats you badly. Neglect is when someone deprives you of basic needs or medical care.

Abuse and neglect can happen anywhere. For example, it can happen in your home, work, nursing home, hospital or in a public place.

Adults at higher risk of abuse

You might be at higher risk of abuse at a certain point in your life. This can be more common if you have a disability or when you are older. But it's usually to do with other things, not only your disability or your age.

You're more at risk of abuse at home if:

  • you're isolated and do not have much contact with friends, family or neighbours
  • if you have memory problems or difficulty communicating
  • you become dependent on your carer or someone else
  • your carer or someone you rely on is addicted to drugs or alcohol
  • your carer or someone you rely on, relies on you for a home, or financial or emotional support

Who to contact about adult abuse

If you or someone you know is being treated badly we can help you.

But you can also ask for support independent of the HSE.

Emergency action required: Contact 112 or 999 if:

  • you or someone you know is at immediate risk of harm

Types of abuse

There are different types of abuse. Some are more obvious than others.

Physical abuse

The person abusing you may hurt you in many ways.

Examples of physical abuse include being:

  • deliberately injured
  • spat on
  • restrained
  • attacked or assaulted
  • pushed
  • punched
  • slapped
  • beaten
  • pulled by your hair
Psychological abuse

Psychological abuse includes:

  • emotional abuse
  • threats of harm or abandonment
  • humiliation, blaming
  • controlling, intimidation, coercion
  • harassment, verbal abuse
  • isolating you or cutting you off from services, supportive networks or family members
Financial abuse

Financial abuse is when someone steals or misuses your money, property or possessions.

It includes:

  • theft, fraud, exploitation
  • pressure in connection with wills, property, inheritance
  • pressure in connection with financial transactions
  • using or taking your property, possessions or money without asking
  • attempts to stop you improving your financial situation - for example, through training, education or work
Neglect

Neglect includes:

  • ignoring your medical or physical care needs
  • not giving you access to health, social or educational services
  • not giving you necessities such as medicine, nutrition or heating

Neglect includes depriving you of:

  • food
  • money
  • somewhere warm and clean to live
  • care or supervision
  • clothing
  • medical care
Sexual abuse

Examples of sexual abuse include being:

  • raped
  • touched inappropriately
  • forced to strip
  • sexually assaulted
  • made do sexual acts to which you did not consent to, could not or were made consent to
  • forced to watch porn
  • around or having to listen to sexually explicit language
Institutional abuse

Institutional abuse may happen anywhere, including:

  • your own home if you are getting care from an organisation
  • in residential care or nursing homes
  • in hospitals

It may involve, for example:

  • poor standards of care
  • having routines that are set and cannot be easily changed
  • not getting the right help if you have complex needs
Discriminatory abuse

Discriminatory abuse includes:

  • ageism
  • racism
  • sexism
  • abuse based on your disability
  • harassment or slurs
Elder abuse

Elder abuse is the abuse of someone age 65 or over. The abuse can be any type of abuse.

Ways to raise a concern about adult abuse

When you tell us about abuse or neglect of an adult we call this raising a safeguarding concern. Sometimes it is known as reporting a concern of adult abuse.

There are 2 main ways to raise a concern about adult abuse.

It depends on whether the abuse is:

  • in a HSE or HSE-funded service
  • somewhere else

Abuse in a HSE or HSE-funded service

If abuse happens in a HSE-run or HSE-funded service, ask to talk to a manager.

If it is in an older persons or disability service, you can also ask to talk to the ‘designated officer’.

They can look into your concern and give you advice or support.

Abuse at home or somewhere else

Abuse can happen anywhere. The person treating you badly could be a family member, friend, neighbour, or someone who gives you care.

Use our online form to tell us about adult abuse so we can look into it.

Information:

If you need advice, you can talk to your local Safeguarding and Protection team.

Information that will help us

If you have a concern about adult abuse, give us as much information as you can. But if you do not know all the details, do not worry, tell us what you know.

What happens after you raise a concern

When someone raises a concern about adult abuse we:

  • look into every concern of abuse we receive
  • listen to you and make sure you feel okay with talking to us
  • find out what you would like to see happen after telling us
  • work with you to help keep you safe from abuse

If a crime is taking place, we'll contact the Gardaí.

Asking someone else to raise a concern for you

If you want to, you can tell someone else and ask them to raise a concern for you.

Talk to:

If you have a concern about the abuse of someone else

You can raise a concern about the abuse of someone else even if:

  • you do not know the person
  • you're not sure if they are being abused

If you are talking to them about it ask them:

  • what their wishes are
  • if they want family, a friend or someone else who supports them to know about it

Getting independent support to raise a concern

You can ask for help independent of the HSE if you need it.

These include supports for:

Office of the Confidential Recipient

The Office of the Confidential Recipient acts as an independent voice for older people and adults with a disability. They can help if you have a concern about your care in a HSE or HSE-funded service.

They are independent of the HSE but appointed by the HSE.

Contact the Office of the Confidential Recipient

There are 4 ways to contact the Office of the Confidential Recipient.

Online

Complete the enquiry form

Phone

Freephone: 1800 94 94 94

Office phone: 087 188 0523

Confidential recipient phone: 087 665 7269

Monday to Friday, 9am to 5pm

Email

General queries: cr.office@crhealth.ie

Confidential recipient: grainne.cunningham@crhealth.ie

Post

Gráinne Cunningham O’Brien,
Confidential Recipient,
Office of the Confidential Recipient,
Merlin Park University Hospital,
Block B,
Old Dublin Road,
Galway,
H91 N973

Concerns the Office of the Confidential Recipient can help with

The Office of the Confidential Recipient deals with concerns about:

  • low quality of care
  • abuse
  • negligence
  • mistreatment
  • denial of dignity
  • someone not having control over their daily life or choices
  • abuse of power or a culture of oppression

Concerns could be about a service such as a:

  • residential care service, day service or home support service that is run or funded by the HSE
  • carer who is working for a private company funded by the HSE

You may raise a concern with the Office of the Confidential Recipient if you are:

  • a person who uses these services
  • a neighbour, family member, friend
  • any member of the public
  • working at a HSE-funded service

They will:

  • listen to you and hear your concerns
  • review your concern to see if they can help
  • support you and send your concern to the right place
  • keep your identity anonymous if you prefer

Help for other concerns

You may have a concern we cannot help with. This may be because it is not a concern about an adult at risk of abuse. But there are other supports available.

If you need to, you can:

Urgent advice: Contact a social worker at Tusla if:

  • you have a concern about the abuse or neglect of a child

How to report a concern about a child - tusla.ie

Page last reviewed: 19 September 2024
Next review due: 11 January 2026