“…In the Netherlands one prevalence study on elder abuse showed a 5.6% prevalence rate (Comijs et al, 1998(Comijs et al, , 2000Comijs, 1999). Inadequate knowledge and training in how to detect abuse and a lack of staff awareness of what constitutes abuse can lead to underreporting of cases of abuse, underestimation and imprecise prevalence rates (Anetzberger, 2004;Griffin, 1994;Kivela et al, 1992;Ogg and Bennett, 1992;Podnieks, 1992). Some prevalence studies include only one form of elder abuse, such as solely physical abuse and others more than one, for example, physical and psychological abuse.…”