RNAO coaches can help

Through collaborations with LTC homes, our team of coaches work towards improving resident care and promoting positive workplaces by implementing RNAO’s clinical and healthy work environment best practice guidelines.

Contact a coach

Identify where you can improve

Use RNAO's gap (opportunity) analysis tool to help identify where evidence-based best practice recommendations can improve your organization's current practice.

Abuse and neglect

Helps LTC staff recognize, prevent, and respond to abuse and neglect. Provides screening tools, reporting guidance, and education aligned with resident rights and safety standards.

All resources

External link
Key facts about the abuse of older people in both community and institutional settings globally is presented, including emerging evidence that indicates the prevalence of abuse of older people increased during the COVID-19 pandemic. Consequences, risk factors and prevention of abuse of older people is discussed. Copyright @ 2023 WHO   
External link
The College of Nurses of Ontario provides an e-learning opportunity for Abuse Prevention that includes videos, participant workbook and facilitators guide. "One Is One Too Many" is a valuable tool for any organization employing nurses that is concerned about issues involving client abuse. This e-learn provides powerful re-creations of situations in which abuse occurs, as well as guides and materials to facilitate discussion about what tools nurses need to stop abuse. © 2025 College of Nurses of Ontario
External link
Toolkit contains easy to use resources to support uptake of the guideline at practice, education, policy, organizational and systems levels. The toolkit includes a E-Learning course (4 modules) on Elder Abuse for leadership and staff with various knowledge-based activities and supplementary resources. Reference: Registered Nurses' Association of Ontario. (2015). Addressing Abuse of Older Adults: An RNAO Initiative-Best Practice Success Kit. Toronto, ON: Author. 
External link
The ACE Website provides materials for public education on prevention of elder abuse. Materials include information on powers of attorney, consumer protection and legal issues affecting older persons. Copyright © 2025 The Advocacy Centre for the Elderly (ACE).  
Document
An extensive list of validated assessment and screening tools. Tools not only assess for history of abuse but also assess for possibility of future abuse, and quality of care being given. Registered Nurses’ Association of Ontario. (2014). Appendix G of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. pp 105-110. 
External link
This site provides information on recognizing scams, frauds and identity theft and how to address and report them. Reference: Canadian Anti-Fraud Centre, Government of Canada, 2015. This site provides information on recognizing scams, frauds and identity theft and how to address and report them. http://www.antifraudcentre-centreantifraude.ca/index-eng.htm
Document
A short, easy guide to help keep ageism out of your writing. These guidelines for age-inclusive communications address: what is ageism and why should we care; terminology to avoid and preferable terms; ageist imagery vs age-positive images; and avoiding ageist storylines
External link
A short, easy guide to help keep ageism out of your writing. These guidelines for age-inclusive communications address: what is ageism and why should we care; terminology to avoid and preferable terms; ageist imagery vs age-positive images; and avoiding ageist storylines
External link
Cinq mesures à adopter pour vous protéger Fiche de renseignements pour la sensibilisation en matière de santé. Association des infirmières et infirmiers autorisés de l’Ontario (2014, juillet). Cinq mesures à adopter pour vous protéger . Toronto, ON, Canada: Auteur. 
Document
This appendix outlines considerations, tips and resources to support effective communication when addressing issues of abuse and neglect of older adults. Registered Nurses’ Association of Ontario. (2014). Appendix F of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. pp 103-104.
External link
The Comprehensive Geriatric Assessment (CGA) Toolkit is comprised of multiple resources for the personalized and person-centred care of the elderly. This link will take you to the page where you will find descriptions and possible signs and symptoms of the different types of abuse. A description and link for the Elder Assessment Instrument (EAI): Screening tool for elder mistreatment is provided, as are interventions that should be carried out based on the findings of the conducting clinician. Additional resources like hand-outs, videos and other tools are also available in the toolkit.    
Document
This resource describes the variety of abuse and neglect that can occur and will assist homes in planning a comprehensive education program. Registered Nurses’ Association of Ontario. (2014). Appendix D of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. Pp 97-99.
External link
Elder Abuse Ontario (EAO)) (formerly known as ONPEA, The Ontario Network for the Prevention of Elder Abuse) is a provincial, charitable, non-profit organization focused on supporting the implementation of The Ontario Strategy to Combat Elder Abuse and has been doing so since 2002. EAO has resources that are useful for LTC homes under the ‘Help for Seniors’ section of their website. © Copyright 2022 - Elder Abuse Prevention Ontario   
External link
This is a series of animated learning resources that have been created to enhance the capacity of those working with seniors and to adopt a common approach to identify and respond to elder abuse. As you move through each training module, you will be prompted by a coach who will act as your guide to make sure you maximize your learning. © Copyright 2022 - Elder Abuse Prevention Ontario   
External link
NICE (National Initiative for the Care of the Elderly) provides information tools and online resources for older adults covering caregiving, elder abuse, legal and financial matters, end-of-life planning, and physical and mental health.  @2024 NICE  
External link
The Fixing Long-Term Care Act, 2021 (FLTCA) was proclaimed into force to regulate Ontario's long-term care home sector. The Long-Term Care Homes Act, 2007 (LTCHA) was revoked, which means it is no longer in force. The new Act also includes a new regulation. © King’s Printer for Ontario, 2012-24  
External link
The link will take you to the document that the Law Commission of Ontario released entitled Legal Capacity, Decision-Making and Guardianship, this  report provides a number of recommendations designed to reduce opportunities for elder abuse. © Copyright Law Commission of Ontario 2025     
External link
Bullying (also known as harassment) happens when a person or a group of people repeatedly hurts, threatens, or scares a peer. Bullying awareness and prevention activities have been traditionally aimed at younger generations, even though the behaviours occur across the life course and can affect older adults where they live and socialize. This factsheet summarizes the definition of bullying, causes, impacts on older adults, strategies for prevention, and available services in Ontario.  Adapted from: A&O and CNPEA Info-graph on Older Adults and Bullying 2020 Copyright © 2017
External link
Ontario Regulation 246/22 was made under The Fixing Long-Term Care Act, 2021 (FLTCA) was proclaimed into force to regulate Ontario's long-term care home sector April 11, 2022. © King’s Printer for Ontario, 2012-24  
External link
Pauktuutit Inuit Women of Canada is the national organization that represents all Inuit women in Canada. Pauktuutit has been active in abuse prevention and building capacity to address abuse issues since its inception in 1984. Pauktuutit brought together individuals, agencies and groups who share a common interest in preventing abuse in Inuit communities, to collaborate on the development and implementation of this unique national, community-based strategy. Pauktuutit Inuit Women of Canada. (2006). 
Document
A tool to assist with comparing your organization’s current practice with evidence-based RNAO best practice recommendations. Registered Nurses Association of Ontario (2022). Opportunity Analysis Preventing and Addressing Abuse and Neglect of Older Adults. Toronto, ON.
External link
The Preventing Client Abuse fact sheet can be used to increase awareness of the regulatory mandate on educating and preventing client abuse and provide further resources to support nurses in the prevention of abuse in practice. Copyright © College of Nurses of Ontario, 2011
External link
Cette ligne directrice sur les pratiques exemplaires en soins infirmiers est axée sur la prévention et résolution des mauvais traitements et de la négligence envers les aînés dans divers établissements de santé et services communautaires à travers le Canada. Ces auditoires comprennent les infirmières, les gestionnaires, les éducateurs, les équipes d'amélioration de la qualité, les administrateurs, les décideurs, les organismes de réglementation des soins infirmiers et les organismes gouvernementaux. Financé par le programme Nouveaux Horizons pour les aînés du gouvernement du Canada. Association des infirmières et infirmiers autorisés de l’Ontario. (2014). Prévention et résolution des mauvais traitements et de la négligence envers les aînés: approches axées sur la personne, coopératives et à l'échelle du système Toronto, ON, Canada: Auteur.
External link
This Website provides local, provincial, federal and multicultural links to elder abuse resources. It also provides strategies to minimize the risk of elder abuse. Disclaimer: The Prevention of Elder Abuse Committee of York Region has a mission to reduce elder abuse by increasing awareness. The committee does not provide services or assistance.  
External link
Rainbow Health Ontario works to ensure 2SLGBTQ+ communities receive equitable, affirming health care across Ontario. We train health care and service providers in clinically and culturally competent care, develop evidence-based resources, advocate for inclusive policy change, and host Ontario’s leading 2SLGBTQ+ health conference. © 2025 Rainbow Health Ontario  
Document
This resource list helps you identify key contacts in addressing elder abuse. Complete the contact details for your local resources. Reference: Registered Nurses’ Association of Ontario. (2014). Appendix H of Addressing and Preventing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, ON: Registered Nurses’ Association of Ontario. , pp.112-114.
External link
This best practice guideline is focused on preventing and addressing abuse and neglect of older adults throughout various health-care institutions and community settings in Canada. It outlines recommendations for nurses and other health-care providers, educators, health-care organizations, advocacy groups, nursing regulatory bodies and governments. Implementation resources in development include an e-learning course, a health education fact sheet, and a personal digital assistant (PDA) version of the guideline. This guideline is part of an initiative funded by the Government of Canada’s New Horizons for Seniors Program and builds on a collaborative project between the Canadian Nurses Association (CNA) and RNAO, titled Promoting the Awareness of Elder Abuse in Long-Term Care. Registered Nurses’ Association of Ontario. (2014). Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, ON
External link
This guideline is to be used to enhance the safety of health service organizations and academic institutions through the adoption of evidence based practices. Safe and healthy work environments are an enabler for nurses and other health workers to optimize clinical outcomes for those receiving care.  Registered Nurses Association of Ontario (2019) Preventing Violence, Harassment and Bullying Against Health Workers. Toronto, ON. 
Document
This resource describes the variety of theories related to elder abuse and neglect. Registered Nurses’ Association of Ontario. (2014). Appendix E of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. Pp 100-102. 
External link
The link takes you to the College of Nurses of Ontario webcast on, Therapeutic Nurse-Client Relationship – Maintaining Boundaries. © 2025 College of Nurses of Ontario

Implementation resources

External link
The Fixing Long-Term Care Act, 2021 (FLTCA) was proclaimed into force to regulate Ontario's long-term care home sector. The Long-Term Care Homes Act, 2007 (LTCHA) was revoked, which means it is no longer in force. The new Act also includes a new regulation. © King’s Printer for Ontario, 2012-24  
External link
The link will take you to the document that the Law Commission of Ontario released entitled Legal Capacity, Decision-Making and Guardianship, this  report provides a number of recommendations designed to reduce opportunities for elder abuse. © Copyright Law Commission of Ontario 2025     
External link
Ontario Regulation 246/22 was made under The Fixing Long-Term Care Act, 2021 (FLTCA) was proclaimed into force to regulate Ontario's long-term care home sector April 11, 2022. © King’s Printer for Ontario, 2012-24  
External link
The Preventing Client Abuse fact sheet can be used to increase awareness of the regulatory mandate on educating and preventing client abuse and provide further resources to support nurses in the prevention of abuse in practice. Copyright © College of Nurses of Ontario, 2011
External link
Cette ligne directrice sur les pratiques exemplaires en soins infirmiers est axée sur la prévention et résolution des mauvais traitements et de la négligence envers les aînés dans divers établissements de santé et services communautaires à travers le Canada. Ces auditoires comprennent les infirmières, les gestionnaires, les éducateurs, les équipes d'amélioration de la qualité, les administrateurs, les décideurs, les organismes de réglementation des soins infirmiers et les organismes gouvernementaux. Financé par le programme Nouveaux Horizons pour les aînés du gouvernement du Canada. Association des infirmières et infirmiers autorisés de l’Ontario. (2014). Prévention et résolution des mauvais traitements et de la négligence envers les aînés: approches axées sur la personne, coopératives et à l'échelle du système Toronto, ON, Canada: Auteur.
External link
This guideline is to be used to enhance the safety of health service organizations and academic institutions through the adoption of evidence based practices. Safe and healthy work environments are an enabler for nurses and other health workers to optimize clinical outcomes for those receiving care.  Registered Nurses Association of Ontario (2019) Preventing Violence, Harassment and Bullying Against Health Workers. Toronto, ON. 
External link
The link takes you to the College of Nurses of Ontario webcast on, Therapeutic Nurse-Client Relationship – Maintaining Boundaries. © 2025 College of Nurses of Ontario

Education resources

External link
Key facts about the abuse of older people in both community and institutional settings globally is presented, including emerging evidence that indicates the prevalence of abuse of older people increased during the COVID-19 pandemic. Consequences, risk factors and prevention of abuse of older people is discussed. Copyright @ 2023 WHO   
External link
The College of Nurses of Ontario provides an e-learning opportunity for Abuse Prevention that includes videos, participant workbook and facilitators guide. "One Is One Too Many" is a valuable tool for any organization employing nurses that is concerned about issues involving client abuse. This e-learn provides powerful re-creations of situations in which abuse occurs, as well as guides and materials to facilitate discussion about what tools nurses need to stop abuse. © 2025 College of Nurses of Ontario
External link
Toolkit contains easy to use resources to support uptake of the guideline at practice, education, policy, organizational and systems levels. The toolkit includes a E-Learning course (4 modules) on Elder Abuse for leadership and staff with various knowledge-based activities and supplementary resources. Reference: Registered Nurses' Association of Ontario. (2015). Addressing Abuse of Older Adults: An RNAO Initiative-Best Practice Success Kit. Toronto, ON: Author. 
External link
The ACE Website provides materials for public education on prevention of elder abuse. Materials include information on powers of attorney, consumer protection and legal issues affecting older persons. Copyright © 2025 The Advocacy Centre for the Elderly (ACE).  
External link
This site provides information on recognizing scams, frauds and identity theft and how to address and report them. Reference: Canadian Anti-Fraud Centre, Government of Canada, 2015. This site provides information on recognizing scams, frauds and identity theft and how to address and report them. http://www.antifraudcentre-centreantifraude.ca/index-eng.htm
Document
A short, easy guide to help keep ageism out of your writing. These guidelines for age-inclusive communications address: what is ageism and why should we care; terminology to avoid and preferable terms; ageist imagery vs age-positive images; and avoiding ageist storylines
External link
A short, easy guide to help keep ageism out of your writing. These guidelines for age-inclusive communications address: what is ageism and why should we care; terminology to avoid and preferable terms; ageist imagery vs age-positive images; and avoiding ageist storylines
External link
Cinq mesures à adopter pour vous protéger Fiche de renseignements pour la sensibilisation en matière de santé. Association des infirmières et infirmiers autorisés de l’Ontario (2014, juillet). Cinq mesures à adopter pour vous protéger . Toronto, ON, Canada: Auteur. 
External link
The Comprehensive Geriatric Assessment (CGA) Toolkit is comprised of multiple resources for the personalized and person-centred care of the elderly. This link will take you to the page where you will find descriptions and possible signs and symptoms of the different types of abuse. A description and link for the Elder Assessment Instrument (EAI): Screening tool for elder mistreatment is provided, as are interventions that should be carried out based on the findings of the conducting clinician. Additional resources like hand-outs, videos and other tools are also available in the toolkit.    
External link
Elder Abuse Ontario (EAO)) (formerly known as ONPEA, The Ontario Network for the Prevention of Elder Abuse) is a provincial, charitable, non-profit organization focused on supporting the implementation of The Ontario Strategy to Combat Elder Abuse and has been doing so since 2002. EAO has resources that are useful for LTC homes under the ‘Help for Seniors’ section of their website. © Copyright 2022 - Elder Abuse Prevention Ontario   
External link
This is a series of animated learning resources that have been created to enhance the capacity of those working with seniors and to adopt a common approach to identify and respond to elder abuse. As you move through each training module, you will be prompted by a coach who will act as your guide to make sure you maximize your learning. © Copyright 2022 - Elder Abuse Prevention Ontario   
External link
NICE (National Initiative for the Care of the Elderly) provides information tools and online resources for older adults covering caregiving, elder abuse, legal and financial matters, end-of-life planning, and physical and mental health.  @2024 NICE  
External link
Bullying (also known as harassment) happens when a person or a group of people repeatedly hurts, threatens, or scares a peer. Bullying awareness and prevention activities have been traditionally aimed at younger generations, even though the behaviours occur across the life course and can affect older adults where they live and socialize. This factsheet summarizes the definition of bullying, causes, impacts on older adults, strategies for prevention, and available services in Ontario.  Adapted from: A&O and CNPEA Info-graph on Older Adults and Bullying 2020 Copyright © 2017
External link
Pauktuutit Inuit Women of Canada is the national organization that represents all Inuit women in Canada. Pauktuutit has been active in abuse prevention and building capacity to address abuse issues since its inception in 1984. Pauktuutit brought together individuals, agencies and groups who share a common interest in preventing abuse in Inuit communities, to collaborate on the development and implementation of this unique national, community-based strategy. Pauktuutit Inuit Women of Canada. (2006). 
External link
This Website provides local, provincial, federal and multicultural links to elder abuse resources. It also provides strategies to minimize the risk of elder abuse. Disclaimer: The Prevention of Elder Abuse Committee of York Region has a mission to reduce elder abuse by increasing awareness. The committee does not provide services or assistance.  
External link
Rainbow Health Ontario works to ensure 2SLGBTQ+ communities receive equitable, affirming health care across Ontario. We train health care and service providers in clinically and culturally competent care, develop evidence-based resources, advocate for inclusive policy change, and host Ontario’s leading 2SLGBTQ+ health conference. © 2025 Rainbow Health Ontario  
External link
This best practice guideline is focused on preventing and addressing abuse and neglect of older adults throughout various health-care institutions and community settings in Canada. It outlines recommendations for nurses and other health-care providers, educators, health-care organizations, advocacy groups, nursing regulatory bodies and governments. Implementation resources in development include an e-learning course, a health education fact sheet, and a personal digital assistant (PDA) version of the guideline. This guideline is part of an initiative funded by the Government of Canada’s New Horizons for Seniors Program and builds on a collaborative project between the Canadian Nurses Association (CNA) and RNAO, titled Promoting the Awareness of Elder Abuse in Long-Term Care. Registered Nurses’ Association of Ontario. (2014). Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, ON

Evaluation resources

There are no evaluation resources available for this topic.

BPG appendices

Document
An extensive list of validated assessment and screening tools. Tools not only assess for history of abuse but also assess for possibility of future abuse, and quality of care being given. Registered Nurses’ Association of Ontario. (2014). Appendix G of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. pp 105-110. 
Document
This appendix outlines considerations, tips and resources to support effective communication when addressing issues of abuse and neglect of older adults. Registered Nurses’ Association of Ontario. (2014). Appendix F of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. pp 103-104.
Document
This resource describes the variety of abuse and neglect that can occur and will assist homes in planning a comprehensive education program. Registered Nurses’ Association of Ontario. (2014). Appendix D of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. Pp 97-99.
Document
This resource list helps you identify key contacts in addressing elder abuse. Complete the contact details for your local resources. Reference: Registered Nurses’ Association of Ontario. (2014). Appendix H of Addressing and Preventing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, ON: Registered Nurses’ Association of Ontario. , pp.112-114.
Document
This resource describes the variety of theories related to elder abuse and neglect. Registered Nurses’ Association of Ontario. (2014). Appendix E of Preventing and Addressing Abuse and Neglect of Older Adults: Person-Centred, Collaborative, System-Wide Approaches. Toronto, Canada: Registered Nurses’ Association of Ontario. Pp 100-102.