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This report presents the results of efforts of the Subcommittee on Health and Long-Term Care to examine the extent of elder abuse in the United States. The executive summary presents details of the actions taken by Congress to pass legislation (H.R. 7551) to help control unwarranted violence against the aged and by the states to pass elder abuse-related laws and procedures to gain compliance with the anticipated new law. The procedures taken by the subcommittee to gain information in the area of elder abuse are outlined, e.g., collecting, reviewing, and tabulating letters and case histories received by the subcommittee over a 4-year period; reviewing all Congressional hearings and reports on elder abuse; and conducting survey and telephone interviews of state human services departments. Section I of the report presents case histories submitted by the states describing physical, financial, psychological, and sexual abuse and violations of rights and self-neglect. SEction II discusses theories of the causes of elder abuse and section III presents the results of the survey of state human services departments (budget and resources, abuses, state regulatory actions). Section IV summarizes the federal response to elder abuse, i.e., Congressional action, the involvement of the Justice and Health and Human Services Departments, and federal funding. Section V contains policy recommendations for the Congress and for the states and section VI provides a brief summary of the report. The appendices contain the questionnaire to the states, a directory of offices responsible for adult protective services, and a summary of Health and Human Services elder abuse programs. Eight tables are included in the text which summarize elder abuse information by state. (MCF)