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Rising numbers of older adults are unable to care for themselves, often leading to serious health problems and even death, according to state and local government agencies. So-called self-neglect cases generally involve the inability to perform basic self-care, such as providing oneself with food, personal health, medication and safety.

Seniors who no longer drive, for instance, are often unable to get to medical appointments, worsening health problems that can make them unable to care for themselves. A fall can result in body injuries leaving one bedridden and unable to care for oneself. Failure to pay bills for public services could lead to service cutoffs. Forgetting to pay rent could lead to the loss of a home.

Mr. Mc-Cormack, 75 years old, and his wife, 71, both had mental illness and stayed in hospitals from time to time, unable to care for their possessions. Despite repeated visits to their home by local officials, the Mc-Cormacks refused assistance. But after they were found living in their car parked outside their house in December 2017, officials removed them from their home and helped them settle in a nursing home.

Self-neglect cases, like above, involved 144, 296 people across the country in 2018, according to a report. The federal government doesn't have comparable data for previous years, but several state and local service providers say they are seeing the self-neglect problem rise.

The reasons seniors stop caring for themselves vary, including illness, depression and poverty. The loss of the spouse or a neighbor who previously kept an eye on an individual often starts a decline into self-neglect, experts say. And the key to reducing self-neglect cases is providing services to enable seniors to remain in their homes safely, such as reliable transportation for medical appointments and shopping, as well as affordable home help.

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