Organisational abuse

Organisational abuse includes neglect, poor care practice within an institution or specific care setting such as a hospital or care home and poor practice in relation to care provided in one's own home. This may range from one off incidents to ongoing ill-treatment.  It can be through neglect or poor professional practice as a result of the structure, policies, processes and practices within an organisation.

The following list includes some indicators of ‘possible’ organisational abuse:

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