Objective: To define risks or basic factors associated with older adults’ self-neglect, clarify to appropriate meaning, and develop participatory self-neglect’s management methods in crowded community.

Materials and Methods: Thirty-eight older adults including stakeholders were participated in focus group discussion to determine meaning older adults’ self-neglect and developing self-neglect evaluation questionnaire. Older adults were assessed by this selfneglect questionnaire and presented overall information in community forum to develop self-neglect’s management methods.

Results: Self-neglect in older adults’ perspectives was defined as lack of physical and mental care in activity daily live. Twentyone indicators were emerged and categorized into three key result areas: self-neglect risk factors, behaviors, and effects. Three first self-neglect risk factors were lack of self-care knowledge, older adults’ physical and mental health problems. Similarly, selfneglect behaviors were deficit interaction with other people, lack of exercises and healthy diets affecting older adults’ physical and psychological health, family’s finance and psychological health. After reporting self-neglect information in community forum, two management methods were suggested including volunteer groups for taking care older adults and illegal loan change into legal loans with lower interest rates.

Conclusion: Older adults’ self-neglect is essential to evaluate and develop a management plan to solve impact of older adults’ selfneglect using community participation resulting in improving quality of life in older adults and their families.

Keywords: Self neglect, Elder abuse, Participatory evaluation, Self-neglect, Crowded community