A uniform definition of EM does not exist, as states take varying approaches to define it in law. Generally, however, it is a knowing, intentional, or negligent act by a caregiver or any other person that causes harm or serious risk of harm to an older adult or vulnerable adult. This includes physical and emotional abuse, neglect, or financial exploitation. Usually the perpetrator is in a position of trust to the victim, but not necessarily in all circumstances.19
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