In addition, there exist structural, cultural, and social barriers in help seeking among the victims. For elder abuse victims, barriers to obtaining services may include physical frailty, cognitive impairment, and dependence on the abusers [19]. At the same time, victims may also serve in a caregiving or support capacity to their dependents or abusive family members, which in turn create different but equally challenging barriers to the victims’ willingness and acceptance of needed services for themselves [20].