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Key issues for care and health service providers when safeguarding adults from harm and abuse. Definition; Six principles; Key issues; Responsibilities care and support needs that may make them more vulnerable to abuse or neglect. An adult at risk refers to any adult aged eighteen or over: “who is or may be in need of community care services by reason of mental or other disability, age or illness; and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation”.