BROKEN TRUST: Elders, Families, and Finances Pamela. B. Teaster, Karen A. Roberto, John N. Migliaccio, Robert Blancato, Susan Lawrence, & Brandy Renee McCann Association for Gerontology in Higher Education March 2011 1 What is Elder Financial Abuse? Elder financial abuse is the illegal Elder financial abuse is the illegal taking, misuse, or concealment of funds, property, or assets of a vulnerable elder at risk for harm by another due to changes in physical f functioning, mental functioning, or both. i i l f i i b h ---National Center on Elder Abuse 2 1
Prevalence of Elder Financial Abuse Financial abuse is the 3 rd most Financial abuse is the 3 rd most commonly substantiated type of elder abuse. For every known case of elder financial o e e y o case o e de a c a abuse, it is estimated that 4 to 5 cases go unreported. 3 Elder Financial Abuse “Crime of the 21st Century” -- J F Wasik Journalist J.F. Wasik, Journalist 2008 estimated reported loss by victims of financial elder abuse: $2,600,000,000 Tens of billions in additional costs for health care, social services, investigative and legal costs, and lost income and assets 4 2
Growing Population, Social Change, Technology . . . Increasing Opportunity 5 Why are Older Adults Tempting Targets of Financial Abuse? Accumulated wealth A l d l h Often home alone/socially isolated Need for caregiving and “helpers” 6 3
Broken Trust: Elders, Family, and Finances Comprehensive understanding about elder financial abuse Personal Institutional Institutional Societal 7 How did we get our data? Searched 12 electronic databases for journals with literature about elder abuse from 1998-2008. Reviewed all newsfeed articles gathered by the National Center on Elder Abuse by the National Center on Elder Abuse from April 2008 through June 2008. 8 4
Academic and Trade Literature 168 unduplicated articles from 168 unduplicated articles from journals in the social science, medical, and legal disciplines. 110 unduplicated articles from organizational and trade. 9 Victims of Financial Abuse APS Data: The “typical” victim is between yp the ages of 70 and 89, white, female, frail, and cognitively impaired. Others suggest that victims come from all walks of life regardless of age gender walks of life, regardless of age, gender, race/ethnicity, or socioeconomic status. 10 5
Older Women are Vulnerable . . . Women live longer Greater numbers of older women than older men First time responsible f for household h h ld finances 11 Older Men are Vulnerable . . . First time responsible First time responsible for household tasks Looking for companionship More risk-taking than g women – get rich quick schemes 12 6
Racial/Ethnic Group Differences African-Americans and White Americans t tend to regard taking money from an elder d t d t ki f ld “because she would want me to” or “because I am going to get it all anyway” as unacceptable In other cultures, such as that of Korean- In other c lt res s ch as that of Korean Americans, taking money or items often is regarded as acceptable 13 Perpetrators of Elder Financial Perpetrators of elder financial abuse are Perpetrators of elder financial abuse are not always strangers, but people who have gained the trust of the older adult Business representatives Service professionals Service professionals Family members 14 7
Common Traits of Perpetrators Exhibit excellent persuasion skills p Good at cultivating relationships “Undue influence” Undue influence Immediate decision 15 Other Findings Suggest . . . Diminished cognitive abilities create greater vulnerability to financial abuse t l bilit t fi i l b Changes in families alter responsibility and oversight for providing care Artful and designing ways to exploit Artful and designing ways to exploit elders are increasingly varied 16 8
NCEA Newsfeeds Put a face on the information reported in the literature Provided real-time information on elder financial abuse Identified 357 articles on elder financial abuse of a total of 1 007 articles cited abuse of a total of 1,007 articles cited. –Of these, 266 (75%) reported specific instances of elder financial abuse 17 NCEA Newsfeeds Additional Info • Types of articles other than actual abuse – Warning of scams – Forum announcements – Meetings to educate public – Announcing World Elder Abuse Awareness Day – Legislation Changes 18 9
State Breakdown of Articles State Cases Warning/Forum Legislation California 44 13 1 Florida Florida 37 37 5 5 2 2 New York 15 7 0 Illinois 13 2 0 North Carolina 11 2 0 Oregon 11 0 0 Minnesota 10 1 0 Texas 10 2 0 Missouri 7 1 1 Kansas 3 1 2 Michigan 8 4 2 19 Elder Financial Abuse An Equal Opportunity Crime 20 10
Victim Profiles – Gender & Age • 69 Men – 25% aged 70-79* 25% aged 70 79* – 39% aged 80-89* • 130 Women – 19% aged 70-79* – 30% aged 80-89* • 95 Not reported 95 N t t d * Age percentages are based on those reported: men 52; women 84 21 Perpetrator Profiles – Gender Age • 141 male – 31% aged 40-49* 31% d 40 49* – 28% aged 50-59* • 116 Female – 26% aged 30-39* – 31% aged 40-49* * percentages are based on 108 males and 97 females 22 11
Businesses & Institutions • Trusted Others – Bankers, attorneys, trustees – Insurance & annuity salesmen • Medicare/Medicaid Fraud • ALF/SNF/Personal Care Homes ALF/SNF/P l C H 23 Elder Financial Abuse - Businesses Overall amount lost $250 152 744 Overall amount lost $250,152,744 Guise of trustworthiness of a business Examples – Life and health insurance misrepresentation – Predatory lending – Internet scams – Identity theft 24 12
Elder Financial Abuse - Acquaintances and Strangers Total amount lost $3,266,377 T l l $3 266 3 Extend “helping hands” – later defraud Examples: – Neighbors, – – Apartment managers Apartment managers – Home health aides – Ministers – Those with power of attorney – Guardians 25 Strangers • Contractors – Roofers – Local “handyman” • Instances of “Traveller” services – Especially after natural disasters • Criminal C i i l – Robbery, Rape, Drugs etc., 26 13
Elder Financial Abuse - Family Total amount lost $10,661,236 Total amo nt lost $10 661 236 Most likely to exploit elder Examples: – Adult children Ad lt hild – Grandchildren – Other relatives & fictive kin 27 Implications of Broken Trust •A new study. •Quantifiable and newsworthy finding helped Q tifi bl d th fi di h l d by the fact that the estimated amount was in the billions. •Cited in numerous bills and statements made in conjunction with bills and hearings in a bipartisan fashion because it was new bipartisan fashion because it was new. •Because it was involved in newscripts, the media saw it as credible. •Used as a resource that was readily available to the public versus being made up. 28 14
Use in the Media Though February 2011, Broken Trust has received 502,780,198 media impressions. p One of MetLife’s most widely cited publications. Top outlets: Wall Street Journal Online Washington Post Online Washington Post Online New York Times Online Boston Globe Online AARP Bulletin MSNBC.com 29 The Elder Justice Act Passed in March of 2010 after years of attempts for passage attempts for passage Authorized funding of approximately $195 million per year for four years Obama’s FY 2012 Budget Proposal requests $21.5 million in funding for the EJA For APS: $16.5 million Long-Term Care Ombudsman Program: $5 million 30 15
Questions 31 16
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