Elder abuse is often referred to as a hidden crime, writes Arlene Groh. This fact led to the development of the Restorative Justice Approaches to Elder Abuse Project in the Waterloo region of Ontario. The aim of the project is to seek a healing, safe approach to elder abuse. This document covers key elements in the development, operation, and evaluation of that project. Contents of the manual include the following: the project mission; the nature, causes, and prevalence of elder abuse; restorative justice and elder abuse; project development; integration of restorative justice into the project's approach to elder abuse; the case process; project evaluation; the future of the project; and appendices relevant to the operation of the elder abuse project.