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Organisational abuse

Organisational abuse includes:

  • neglect

  • poor care practice within an institution or specific care setting such as a hospital or care home

  • poor practice in relation to care provided in one's own home

This may range from one off incidents to on-going ill-treatment.  It can be through neglect or poor professional practice as a result of the structure, policies, processess and practices within an organisation.

Potential indicators of organisational abuse

It is important not to jump to the wrong conclusions too quickly but the following list may be possible indicators of institutional abuse:

  • no flexibility in bedtime routine and/or deliberate waking
  • people left on a commode or toilet for long periods of time
  • inappropriate care of possessions, clothing and living area
  • lack of personal clothes and belongings
  • un-homely or stark living environments
  • deprived environmental conditions and lack of stimulation
  • inappropriate use of medical procedures such as enemas, catheterisation
  • batch care - lack of individual care programmes
  • illegal confinement or restrictions
  • inappropriate use of power or control
  • people referred to, or spoken to with disrespect
  • inflexible services based on convenience of the provider rather than the person receiving services
  • inappropriate physical intervention
  • service user removed from the home or establishment, without discussion with other appropriate people or agencies because staff are unable to manage the behaviour.

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