Evidence suggests that elder abuse is associated with emergency room visits, hospitalization, and nursing home placement and premature mortality. Dong, Simon, and Evans (2012a)found in the Chicago Health and Aging Project (CHAP) cohort that older adults who self-neglect use emergency services three times greater rate than those without self-neglect. In addition, self-neglect is associated with increased rate of hospitalization and longer length of hospital stay (Dong, 2013; Dong, Simon, & Evans, 2012c). Moreover, recent study suggests that self-neglector uses hospice services more frequently and that they have a shorter time between admission and death (Dong & Simon, in press).