Each day, news reports cite instances of older adults across the U.S. being abused, denied needed care, or financially exploited, often by those they depend on. This report contains info. on: (1) existing estimates of the extent of elder abuse and their quality; (2) factors associated with elder abuse and its impact on victims; (3) characteristics and challenges of state Adult Protective Services (APS) responsible for addressing elder abuse; and (4) federal support and leadership in this area. The auditor visited six states and surveyed state APS programs; reviewed federal laws and regulations; and interviewed federal officials, researchers, and elder abuse experts. Includes recommendations. Charts and tables. This is a print on demand report.