This descriptive study with quantitative aspects examined the phenomenon of elder abuse through the systematic review of 60 cases of elder abuse. Cases were randomly selected from the files of an Adult Protective Services agency in the North Central Texas area. Research questions examined the characteristics of the victims and abusers, types and duration of abuse, descriptions of abusive situations, the reporting and verification of abuse, case management strategies utilized by caseworkers, and the consequences of those strategies. The results of this study point to the probability of the elderly abuse victim being 75 years of age or older, female, white, and widowed. There did appear to be some connection between race and type of abuse with white victims more likely to experience physical and financial abuse. Approximately half of the elderly abuse victims had severe limitations in physical and/or mental functioning leading to some degree of dependence upon their abusers. However, eighty percent of the elderly victims resided in their own homes and half of these individuals were functionally independent. This study provided descriptions of the various types of abuse that were observed: physical, financial, emotional, passive neglect, and active neglect. Financial abuse was noted most frequently, and multiple types of abuse were noted in most cases with the combination of physical, financial, and emotional abuse being observed most frequently. Fifteen different categories of case management strategies were examined, averaging four different assistance strategies per case. Legal services appeared to be the most often refused form of assistance. This study also found no evidence that those who abuse the elderly are being prosecuted.