Here's the shocking truth about sexual abuse in later life—and how older Aussies can fight back

Content warning: This article contains references to sexual abuse.

The stories of older Australians who suffered in silence for years are now being brought into the spotlight.

Behind closed doors—in homes, care facilities, and even during simple acts of kindness—many remain vulnerable to abuse they cannot name.

Advocates say what is happening is one of the most neglected forms of harm against older people, and it is time for it to be addressed.


A Queensland parliamentary inquiry was underway to examine the devastating consequences of elder abuse—ranging from physical, sexual, psychological and emotional harm, to financial exploitation.

According to the Royal Commission into Aged Care Quality and Safety, an estimated 50 incidents of unlawful sexual contact occurred in residential aged care facilities every week, described in the report as a ‘disgrace’.

For Gold Coast Centre Against Sexual Violence founder Di Macleod, the inquiry was an opportunity to highlight the often invisible reality of elder sexual abuse.


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Inquiry exposes hidden sexual abuse in care. Image source: Pexels/RDNE Stock project
Disclaimer: This is a stock image used for illustrative purposes only and does not depict the actual person, item, or event described.


‘If we are talking about elder abuse, we need to very clearly include elder sexual abuse,’ she said.

Ms Macleod, who had supported victims for 35 years, urged the need for greater awareness about how elder sexual abuse was defined and recognised.

‘Because many women out there right now that are being sexually abused wouldn't put that label to it,’ she said.

The National Elder Abuse Prevalence Study in 2021 revealed that nearly one in six older Australians reported abuse within the past year, yet only one-third sought help.

The most common form of abuse was psychological (11.7 per cent), followed by neglect (2.9 per cent), financial abuse (2.1 per cent), physical abuse (1.8 per cent) and sexual abuse (1 per cent).

The Queensland inquiry had already held 12 regional hearings, with its fourth public hearing taking place in Brisbane.

Families, experts, and advocates had called for nationally consistent Enduring Powers of Attorney laws and the introduction of adult safeguarding measures.

A 24-hour sexual assault support service run by The Women’s Centre in Townsville had assisted 41 older women in the past three years.


Chief executive Catherine Crawford warned that even small gestures of help—such as a neighbour assisting with chores or a taxi driver carrying groceries—could pose risks.

‘We have had examples of even just anyone helping an older person—like a taxi driver taking groceries in or a friend from next door giving a hand doing something—that can be a risk, and we certainly have women offended upon when people are supposedly helping out an elderly person,’ she said.

Ms Crawford said older people living at home were often more isolated and more reliant on carers than those in aged care facilities, which left them vulnerable to opportunistic offenders.

She called for safeguards similar to those protecting children, asking: ‘What measures do we have in terms of ensuring no-one is going in who has a history of sexual offending?’

Celebrate Ageing chief executive Catherine Barrett echoed the concerns, saying sexual abuse was ‘one of the most neglected forms of elder abuse’.

‘Older people are sexual beings and have sexual rights and responsibilities, and we just haven't talked about it and so we've not protected older people,’ Dr Barrett said.

She had worked with Aged and Disability Advocates Australia and other organisations on programs to better understand elder abuse through a gender lens.


Uniting Care’s 2023–24 review into elder abuse in Queensland showed twice as many women than men were victims.

Dr Barrett said gender shaped both the types of abuse people endured and the way they sought support.

‘Every step of the journey towards elder abuse and healing and recovery is a gendered experience,’ she said.

The committee was expected to hand down its report in December.

Behind every statistic are real people whose lives have been shaken by abuse that often goes unseen.

The Queensland inquiry is just one part of a larger national conversation about how vulnerable groups are treated and protected.

Another case highlights how even within families, the most personal relationships can become a source of harm.

Read more: Advocates call for elder abuse laws as one in seven senior Territorians face family abuse

Key Takeaways
  • The Royal Commission estimated 50 unlawful sexual incidents in aged care facilities occur each week.
  • Almost one in six older Australians reported abuse in the past year, with only one-third seeking help.
  • Advocates stressed the need for greater awareness and safeguards, both in care facilities and at home.
  • The Queensland inquiry will deliver its findings in December.

Losing one’s safety and dignity in later life is a devastating reality—how do we ensure older Australians are finally protected?
 

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I witnessed elder abuse during a decades long nursing career. I only worked in hospitals, never nursing homes, but elderly people make up a fair percentage of hospital patients.

It's mostly emotional in hospital, telling the elderly patients to hurry up, stop making a mess with meals, refusing pain relief because staff don't believe they need it and other things like refusing to take a patient to the toilet and then abusing the patient because they had an accident.

As a senior myself now, I've been a patient in a large teaching hospital twice in the last 11 months. I was treated with absolute respect and kindness. At one point, I had a patient in the bed next to me who would have tried the patience of a saint! She was 93 years old, sharp as a tack and rude, condescending and just plain nasty to everyone, from the gentleman who mopped the floors, to the doctors looking after her. She was treated with unwavering respect and kindness. All her demands were met without argument.

She'd had a fall and was being transferred from the hospital into rehab in a private hospital. I'd spent two weeks there following my fifth spinal fusion, and I'd have given anything to have been a fly on the wall, because the objective of a rehab facility is to get you moving and doing everything for yourself, which this lady had been doing before she fell at home where she lived completely independently. I know though, that she would have been treated with respect and compassion.
 
Sexual abuse is quite common in dementia facilities where some men become very aggressive. And the old ladies cannot ptotect themselves. Even if police are called, there is no hope of getting redress because what can you do with a person who has dementia - you cant take them to court because they dont understand. Perhaps these places should be segregated?
 
Then you have the abuse dished out by age care itself. Your not let out of hospital until you have an age care assessment. They then tell you what package you are on, what they can do for you etc.. You get discharged to a home that aged care has promised to make liveable again for your disability. They then tell you they have no money and can't do anything for you for at least 2yrs. You have no way of having a shower, getting in and out of your house, shopping, the works. That is abuse in every sense.
 
i must remember to carry a very blunt knife with me, and believe me I would be using it.
 
Then you have the abuse dished out by age care itself. Your not let out of hospital until you have an age care assessment. They then tell you what package you are on, what they can do for you etc.. You get discharged to a home that aged care has promised to make liveable again for your disability. They then tell you they have no money and can't do anything for you for at least 2yrs. You have no way of having a shower, getting in and out of your house, shopping, the works. That is abuse in every sense.
So talk to your local member, because it is the govt that allocates money. Aged Care Assessment does not have any money, they can only recommend what you should have.
 
Loosing your safety and dignity at any stage in your life is a devastating and traumatic reality…….but we’re talking about the aged receiving care here, our vulnerable elders who can do very little for themselves physically and may be suffering from mental illness in it’s various forms. The caregivers are supposed to be in a position of absolute trust, and if they break their trust, in any way, then they deserve to be severely punished because there is absolutely no excuse for it……..at the end of their lives, abuse is deplorable…..what an horrendous experience ….
 
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Loosing your safety and dignity at any stage in your life is a devastating and traumatic reality…….but we’re talking about the aged receiving care here, our vulnerable elders who can do very little for themselves physically and may be suffering from mental illness in it’s various forms. The caregivers are supposed to be in a position of absolute trust, and if they break their trust, in any way, then they deserve to be severely punished because there is absolutely no excuse for it……..at the end of their lives, abuse is deplorable…..what an horrendous experience ….
The caregivers are also stretched and cannot be everywhere at once. Its the owners of the aged care facilities that should be brought to task as they chase the dollar.
 
Sadly this does not get the mainstream media attention as does childcare abuse.
 

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