The survey revealed 63 elderly persons who had been maltreated according to one of the three study criteria. Physical violence was the most widespread form of maltreatment. Approximately three-fifths of the perpetrators were spouses (23 wives and 14 husbands). In 10 cases the perpetrators were sons; in 5, daughters; and in 11 cases, other persons (grandchildren, siblings, boarders) were the perpetrators. Living situation and gender seemed most associated with risk for physical violence; whereas neglected elderly persons tended to be in poor health and to report that they did not have close contacts on whom they could rely for help. The survey indicates substantial underreporting of elder abuse. Service providers to the elderly should be trained in the problem of spouse abuse, and the elderly themselves must be informed about spouse abuse. Services should be tailored to the problem of spouse abuse among the elderly. 3 tables, 34 references.