Abstract
Annually in the United States, around five million older adults fall victim to financial abuse and/or exploitation of some form, losing an estimated $2.9 to $36.5 billion each year (National Council on Aging, 2021). While it is known that financial exploitation is under- detected and underreported, there are few data to explain the process of assessing capacity within the legal field. Using thematic analysis methodology, 18 attorneys with varying levels of elder law experience participated in a semi-structured virtual interview. Specifically, the current study sought to examine how attorneys perceive financial capacity, the typical conditions under which capacity issues are identified, and the protocol followed to address capacity concerns. Using thematic analysis, major and minor themes, as well as subthemes, were identified to explain ways in which attorneys tend to rely on their own experiential knowledge, semi-structured interview and evaluation process, and often longstanding relationships with their clients and/or their families to assess for financial capacity and detect financial capacity or exploitation concerns.
Attorney understanding of financial exploitation was typically limited to family, friend, and/or caregiver perpetrators, though some attorneys cited past issues with financial representatives and/or designated power of attorney as well. Examples of cues included abnormal financial spending and/or requests and suspicious interpersonal relationships or interactions. In regards to assessing financial capacity, attorneys tended to again rely on experiential learning, as well as the use of routine interview questions, typically related to psychosocial and financial background. These findings highlight not only the need for future financial capacity and exploitation research involving attorneys and their older adult clients, but also the importance of increased interdisciplinary work among those in close proximity with older adults and improved policies to make financial capacity assessment and financial exploitation prosecution more feasible for all to obtain.
INTRODUCTION
In recent decades, older adults have experienced financial exploitation at an increasing and alarming rate (Teaster et al., 2012). Various studies report the prevalence of elder financial exploitation ranges from 2.7 percent to 6.6 percent (Deane, 2018). Annually in the United States, around five million older adults fall victim to financial abuse and/or exploitation of some form, losing an estimated $2.9 to $36.5 billion each year (National Council on Aging (NCOA), 2021). This issue has been deemed both a “public health crisis” and “virtual pandemic”, and is likely to be underreported (Acierno et al., 2010; Lachs & Pillemer, 2015; Deane, 2018). In fact, New York’s “Under the Radar” study estimated 44 undocumented incidents involving financial exploitation take place for each reported incident (United States Government Accountability Office, 2011).
To prevent and/or mitigate issues related to financial exploitation, the rights of older adults must be carefully considered. This involves the assessment of one’s financial autonomy, capacity, and competency. However, there are large gaps in data and barriers to empirical research (e.g., older adults who might not realize they are being exploited or are too embarrassed to report), which prevent us from quantifying the enormity of this problem. Previous research calls for heightened sensitivity among non-psychological professionals (finance, law, healthcare) to help detect and assist older adults with a history of financial exploitation, as well as those who are subject to exploitation in the future (Lichtenberg, 2013; Deane, 2018). The U.S. Securities and Exchange Commission called for a reform through the development of an integrated and systemic approach that includes creation of cross-communication and collaboration between the