Although the many American Indian tribes of the United States are unique in their own customs, languages, and histories, a common thread throughout their traditions and cultural lifestyles is that they are of a culture that reveres the elder in their communities. Elders are the carriers of the culture/history; they are the storytellers, holders of wisdom, and strength of the community. They assist in raising children; teach languages, customs, and ceremonies; and often comprise leadership groups of spiritual leaders, healers, and council chairs. This article seeks to identify the different types of abuse that are prevalent in American Indian communities both on and off reservations. Implications for mistreatment will be explored because the existence of elder abuse among American Indian populations is an important concern as it could contribute to further health disparities. Recommendations for additional research are made based on the status of the issue discussed. (Contains 35 notes.)