"The Indicators of Abuse (IOA) checklist signals mistreatment of seniors. The IOA (pronounced Iowa) also helps sensitize the practitioner to important abuse issues. The IOA is practical for busy practitioners and useful in training intervenors and volunteers in cases of abuse to recognize the signs of abuse. The IOA is a summary of abuse high-risk signals. It is not, however, a substitute for becoming knowledgeable about abuse signs through education."