This document provides information on recognizing and reporting abuse, neglect, trauma, and exploitation. It defines different types of abuse and provides signs and symptoms to look for. It emphasizes that all staff are responsible for knowing how to identify potential abuse and how to properly report and investigate any suspicions. Staff should notify the Clinical Director immediately if any signs are present so a thorough investigation can be conducted. Each state has its own guidelines for reporting abuse, which are listed for reference. Tips are provided on dealing with stressful reactions in patients and recognizing limitations as direct care staff.