Elder abuse is a complex social and public health issue that cannot be addressed by crisis responses alone. Many older people hesitate to seek support due to concerns about family relationships, uncertainty about legal consequences, or fears of becoming further isolated. This highlights the importance of responses that uphold autonomy, strengthen choice, and offer proportionate protection. 

Current response systems often become involved only once harm has escalated. This paper calls for a broader policy shift towards approaches that reflect the relational and structural complexity of elder abuse. A tiered response framework – grounded in human rights and informed by frontline practice – creates opportunities for earlier, more supportive interventions that meet older people’s needs before situations reach crisis point. 

To reduce harm and respect dignity, Australia needs a coordinated and sustainable approach that prioritises prevention and ensures every older person can access support safely, confidently and without fear.