Self neglect and hoarding

Physical appearance and health

Poor hygiene, dirty or inappropriate clothing, poor hair and/or nail care, malnutrition, obesity, unmet medical or health needs, alcohol and/or drug misuse/dependency, eating disorders

Social isolation

This includes withdrawal from social activities and relationships, leading to feelings of loneliness and disconnection.

Living conditions

Unsanitary, untidy or dirty conditions which create a hazardous situation, poor maintenance of property, keeping lots of pets which are poorly cared for, vermin at the adult’s property, lack of heating, no running water and or lack of sanitation

Refusal of services

Refusal of care services in home, refusal of care services in care environment, refusal of health assessments, refusal of health interventions