The Aged Rights Advocacy Service recognizes that abuse may occur as a result of either intentional or unintentional actions or interactions on the part of one person toward another. To date, most referrals involved financial abuse, psychological abuse, and physical abuse but usually all three types were involved. Multiple risk factors often were identified for people who reported abuse; these included isolation, cognitive impairment, family conflict, and/or dependency (Lachs & Pillemer, 1995).