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Adult Protective Services

Spousal or caregiver abuse related to mental illness or dementia is a serious and often complex issue. It can occur in either direction:

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  • A person with dementia or a serious mental illness may become physically or emotionally abusive due to cognitive decline, delusions, or lack of impulse control.

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  • Conversely, a spouse or caregiver may become abusive toward the partner due to caregiver stress, burnout, or long-standing issues exacerbated by illness.

 

In these cases, Adult Protective Services (APS) can and should be involved if the situation involves:

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  • An elder (60+) or a dependent adult with cognitive or functional impairments.

  • Any suspected abuse, neglect, or exploitation, whether from the spouse/caregiver or the ill individual.

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How APS Can Help in These Situations

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  • Investigate reports of spousal/caregiver abuse involving dementia, Alzheimer’s, or mental illness.

  • Assess both parties' safety and capacity, including whether the abusive behavior is due to medical issues.

  • Coordinate care or respite services for caregivers.

  • Arrange for in-home support, mental health treatment, or adult day care.

  • In severe cases, APS can involve the Public Guardian for protective placement or conservatorship.

 

Emergency contact info

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  • Abuse involving elder/dependent adult

                         APS - (530) 749-6471

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  • Caregiver abused by mentally ill/dementia spouse:

                         APS - (530) 749-6471

                         Domestic Violence Hotline - (530) 674-2040

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  • Dangerous behavior due to mental illness:

                         Behavioral Health - (888) 923-3800

                         Law Enforcement - (530) 749-7777

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  • Urgent danger - 911

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