{
  "schema_version": "uw.editorial_geo.v1",
  "article_index": "AGE-117",
  "catalog_id": "AGE-117",
  "language": "en",
  "headline": "When basic needs go unmet: neglect by others and difficulties with self-care",
  "description": "Unmet needs, causes and responsibility; assistance that considers abilities, choice, resources and urgency.",
  "master_filename": "ARTICLE_EN.md",
  "master_revision": "staging-r1-20261019",
  "master_sha256": "a38aad34415afbd2f40bab6f18fea21eeacbcbe6e097cd401335f437465662e9",
  "short_answer": "Groceries, an appointment or a phone do not alone establish accessible meals, assistance or communication. Clarify the need and obstacle; distinguish neglect by others from difficulty performing a task, limited resources and different preferences. The article gives no diagnosis or coercive authority; present danger requires appropriate urgent help.",
  "claims": [
    {
      "id": "C01",
      "type": "author_distinction",
      "text": "Groceries delivered and meals accessible are different outcomes.",
      "source_ids": [
        "N2",
        "N3"
      ],
      "article_sections": [
        "I. Having something available does not establish that a need is met"
      ],
      "limitations": "Irina is fictional; no nutritional assessment or finding of fault."
    },
    {
      "id": "C02",
      "type": "bounded_official_guidance",
      "text": "English guidance calls for individual consideration of self-neglect rather than an automatic section 42 enquiry in every case.",
      "source_ids": [
        "N1"
      ],
      "article_sections": [
        "III. Difficulty with self-care does not describe the whole person"
      ],
      "limitations": "England-specific example, not worldwide diagnosis/procedure; the source warns parts are outdated."
    },
    {
      "id": "C03",
      "type": "author_distinction",
      "text": "Rejecting a particular time, helper or format need not mean rejecting all assistance.",
      "source_ids": [
        "N1",
        "N2"
      ],
      "article_sections": [
        "IV. Different preferences do not mean rejecting every need"
      ],
      "limitations": "No assessment of ability, valid consent or permissible intervention; circumstances and local rules matter."
    },
    {
      "id": "C04",
      "type": "bounded_official_guidance",
      "text": "English guidance considers organisational structures, policies and practices as a possible context for poor care.",
      "source_ids": [
        "N1"
      ],
      "article_sections": [
        "V. Neglect can be hidden inside a functioning procedure"
      ],
      "limitations": "No finding about a particular institution or universal offence."
    },
    {
      "id": "C05",
      "type": "author_practical_reasoning",
      "text": "Check assistance against a specific need met rather than only a visit, payment or complaint received.",
      "source_ids": [
        "N2",
        "N3"
      ],
      "article_sections": [
        "I. Having something available does not establish that a need is met",
        "V. Neglect can be hidden inside a functioning procedure",
        "IX. Check outcomes against the person's life"
      ],
      "limitations": "No service-availability guarantee; does not replace health/legal assessment or urgent help."
    }
  ],
  "questions": [
    {
      "question": "Does delivering groceries establish that meals are provided?",
      "answer": "Establish whether the person can use what arrived and which task remains inaccessible. This article prescribes no diet or care procedure.",
      "claim_ids": [
        "C01",
        "C05"
      ],
      "article_sections": [
        "I. Having something available does not establish that a need is met"
      ]
    },
    {
      "question": "Can an untidy home establish a diagnosis of self-neglect?",
      "answer": "The article provides no such ground. Clarify the need, barriers and person’s view; specific health and decision-making questions require appropriate assessment.",
      "claim_ids": [
        "C02",
        "C03"
      ],
      "article_sections": [
        "III. Difficulty with self-care does not describe the whole person",
        "IV. Different preferences do not mean rejecting every need"
      ]
    },
    {
      "question": "What if help was promised but a need remains unmet?",
      "answer": "Describe the specific gap to an appropriate service, clarify the accepted task and actual performance; immediate danger requires the appropriate urgent route without waiting for a perfect plan.",
      "claim_ids": [
        "C05"
      ],
      "article_sections": [
        "V. Neglect can be hidden inside a functioning procedure",
        "VII. Help starts with an accessible question and appropriate urgency",
        "IX. Check outcomes against the person's life"
      ]
    }
  ],
  "sources": [
    {
      "id": "N1",
      "title": "DHSC — Care and support statutory guidance",
      "url": "https://www.gov.uk/government/publications/care-act-statutory-guidance/care-and-support-statutory-guidance",
      "edition": "Updated 2025-07-22, partial-outdatedness warning after 2022 changes",
      "read_scope": "Selected 14.16–14.18, 3458–3460/3534–3547; 14.2–14.10 and 14.91–14.98 read earlier in same session",
      "role": "England-specific organisational neglect/self-neglect and individual consideration; no universal diagnosis or procedure",
      "rights_status": "OGL-3.0_EXCEPT_THIRD_PARTY",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Original attributed paraphrase or minimal quotation; no full text, case study, image or logo reproduced; RESEARCH.md"
    },
    {
      "id": "N2",
      "title": "NHS — Abuse and neglect of adults at risk",
      "url": "https://www.nhs.uk/social-care-and-support/help-from-social-services-and-charities/abuse-and-neglect-adults-at-risk/",
      "edition": "Reviewed 2024-03-26; due 2027-03-26",
      "read_scope": "Main 12–149 read in same session; needs 75–79, conversation/help 126–147",
      "role": "Official British information; local routes not universal",
      "rights_status": "UNKNOWN",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Original attributed paraphrase or minimal quotation; no full text, case study, image or logo reproduced; RESEARCH.md"
    },
    {
      "id": "N3",
      "title": "CDC — About Abuse of Older Persons",
      "url": "https://www.cdc.gov/elder-abuse/about/index.html",
      "edition": "2024-11-07",
      "read_scope": "Definitions 31–40, support/evidence limits 53–64 read in same session",
      "role": "Official information, not personal diagnosis or presumed intent",
      "rights_status": "UNKNOWN",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Original attributed paraphrase or minimal quotation; no full text, case study, image or logo reproduced; RESEARCH.md"
    },
    {
      "id": "N4",
      "title": "Charles Dickens — A Christmas Carol, Stave One",
      "url": "https://www.gutenberg.org/files/46/46-h/46-h.htm",
      "edition": "Current Project Gutenberg text; update date not established from read title",
      "read_scope": "Selected Marley/Scrooge dialogue 322–351, especially 344–348; poverty dialogue 181–204 also displayed/read; not whole novella",
      "role": "Literary character’s moral reflection, not clinical evidence or unlimited duty of one caregiver",
      "rights_status": "UNKNOWN_FOR_DIGITAL_EDITION_AND_GLOBAL_JURISDICTIONS",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Original attributed paraphrase or minimal quotation; no full text, case study, image or logo reproduced; RESEARCH.md"
    },
    {
      "id": "N5",
      "title": "Matthew 25:31–40, King James Version",
      "url": "https://www.biblegateway.com/passage/?search=Matthew+25%3A31-40&version=KJV",
      "edition": "KJV displayed by Bible Gateway",
      "read_scope": "Complete selected 31–40, lines49–65; KJV/Public Domain 69–72; not whole chapter",
      "role": "Christian judgement/care image; no fluid prescription or compulsory belief",
      "rights_status": "PAGE_MARKED_PUBLIC_DOMAIN_GLOBAL_JURISDICTIONS_NOT_ASSESSED",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Original attributed paraphrase or minimal quotation; no full text, case study, image or logo reproduced; RESEARCH.md"
    }
  ],
  "retrieval_limits": [
    "Irina and the neighbour are fictional; no individual condition has been established.",
    "No diagnosis of depression, dementia, hoarding disorder or legal incapacity.",
    "No diet, fluid, treatment or compulsory-care prescription; essential care must not be cancelled on this article’s basis.",
    "No universal authority to enter a home, discard belongings, manage property or obtain information.",
    "English safeguarding and literary/religious comparisons create no worldwide procedure or proven treatment."
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:AGE-117:en",
    "headline": "When basic needs go unmet: neglect by others and difficulties with self-care",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  },
  "production_acceptance": "NOT_RUN",
  "production_machine_publisher_compatibility": "NOT_RUN"
}