Tsali Care Medical Director Offers Guidance on Recognizing Elder Abuse

Written by Dr. Blythe Winchester, Medical Director of Tsali Care Center

June is recognized as National Elder Abuse Awareness Month and is dedicated to shining a light on the often-hidden issue of elder mistreatment. While this is a nationwide concern, it is especially important to acknowledge its presence in tribal communities where cultural values emphasize the importance of honoring and caring for our elders.

Elder abuse in tribal communities is something that is often not talked about or even identified, despite its prevalence. In a recent survey of tribal elders, 29.7% reported experiencing abuse, exploitation, or mistreatment. Alarmingly, nearly 25% reported emotional abuse since turning 60, which is more than double the rate reported by white elders in the same survey.

As Cherokee people it is important for us to honor our elders and make sure they feel safe, respected, and supported as leaders in our community.

I encourage you to uphold elder justice in tribal communities by protecting and advocating for the well-being and rights of our older tribal members.

Risk factors for elder abuse can include:

  • Substance abuse within the family or community

  • Mental health challenges among elders

  • Social isolation or lack of support

  • Caregiver stress and burnout

At the same time, a strong cultural foundation of respect for elders is a powerful protective factor.

Warning signs of elder abuse may include:

  • Bruises or injuries, especially in unusual places
  • Sudden or unexplained withdrawal from regular activities

  • Sudden changes in financial circumstances

  • Poor hygiene, noticeable weight loss, or unattended medical needs

  • Belittling, threats, or displays of power and control

  • Frequent arguments or visible tension between an elder and their caregiver

We want to prevent and address abuse, but let’s honor and cherish each person’s existence- especially those who have reached the impressive feat of leveling up and becoming elders. Remember how much the ones who walked before us have conquered for us to be where we are today.

So, this month, reach out to an older neighbor, family member, or friend. Offer a smile, a kind word, or simply your time. I often speak in other communities about how well the Eastern Band of Cherokee Indians supports our elders—by giving them purpose, listening to their voices, and lifting them up as the community leaders they are.

This Elder Abuse Awareness Month, let us go beyond awareness. Let us educate. Let us act. And most of all, let us show that we are a different kind of community—one that honors, protects, and reveres our wisest members.

About Tsali Care Center
Tsali Care Center is a 120-bed senior-living community in Cherokee, NC, dedicated to serving elders in Western North Carolina. With all private rooms, modern amenities, and culturally grounded care, we provide a safe, respectful, and healing environment where elders are honored, supported, and celebrated. To learn more about Tsali Care Center, visit TsaliCareCenter.Org.

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