although the self neglect maybe cooccurring. it maybe happening at the same time that an individual is being abused, neglected or exploited by someone else. in fact, very often what we see is that the self neglect makes an individual more vulnerable to exploitation and abuse and neglect by others. truly, the self neglect cases that we see range from mild to very very severe. mandated reporter's include nurses and doctors and anyone who comes into contact with an elder dependent adult through the course of their work and i say that because in many cases we have to follow-up with someone because they are not following their medication routine and neglecting their own health. when we think about the concept of neglect, we can all relate. some of us have been guilty of some neglect at one time or another. the seriousness that we might see are cases of hoarding and clutter and really poor hygiene, wounds, diabetes that is not managed and individuals that have not seen a doctor in decades even though they may have access to a doctor.