Special Article| Volume 8, ISSUE 2, P104-111, March 2000

Exposing Financial Exploitation of Impaired Elderly Persons

      There is a dearth of medical publications on financial exploitation of elderly persons, but a significant amount of information on this subject is contained in the literature of other disciplines. Financial abuse accounts for up to one-half of all types of elder abuse in the United States, accounting for over 500,000 victims. Psychological abuse, including deception, intimidation, and threats, always accompanies financial exploitation. Despite the devastating emotional and financial losses incurred, physicians are reluctant to recognize, diagnose, and assist impaired elderly victims of financial exploitation.
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        • Lachs MS
        • Pillemer K
        Abuse and neglect of elderly persons.
        N Engl J Med. 1995; 332: 437-443
        • Burston GR
        Granny-battering (letter).
        BMJ. 1975; 3: 592
        • Goldstein MZ
        Maltreatment of elderly persons.
        Psychiatr Serv. 1995; 46: 1219-1225
        • Capezuti E
        • Brush BL
        • Lawson WT
        Reporting elder mistreatment.
        J Gerontol Nurs. 1997; 23: 24-32
        • Elder Abuse
        An Examination of a Hidden Problem. Report by the Select Committee on Aging, U.S. House of Representatives. Comm Pub 97-277. U.S. Government Printing Office, Washington, DC1981
        • Aravanis SC
        • Adelman RD
        • Breckman R
        Diagnostic and Treatment Guidelines on Elder Abuse and Neglect. American Medical Association, Chicago, IL1993
        • Reifler BV
        • Maletta GJ
        • Jeste DV
        • et al.
        Position statement on elder abuse, neglect, and exploitation.
        Am J Psychiatry. 1995; 152: 820
        • Gilbert DA
        The ethics of mandatory elder abuse reporting statutes.
        Adv Nurs Sci. 1986; 8: 51-62
        • Jecker NS
        Privacy beliefs and the violent family: extending the ethical arguments for physician intervention.
        JAMA. 1993; 269: 776-780
        • Healek M
        • Hill B
        • Stahl C
        The Illinois plan for a statewide elder abuse program.
        in: Filinson R Ingmans S Elder Abuse Practice and Policy. Human Sciences Press, New York1989: 31-34
        • Wilber KH
        • Reynolds SL
        Introducing a framework for defining financial abuse of the elderly.
        Journal of Elder Abuse and Neglect. 1996; 8: 61-80
      1. State of Florida Statute: Abuse, Neglect, and Exploitation of Elderly Persons and Disabled Adults. Chapter 825, 1995

        • Lavrisha M
        What can nurses do about financial exploitation of elders?.
        J Gerontol Nurs. 1998; 7: 49-50
        • Shiferaw B
        • Mittelmark MD
        • Wofford JL
        • et al.
        The investigation and outcome of reported cases of elder abuse: the Forsyth county aging study.
        Gerontologist. 1994; 34: 123-125
        • Heisler CJ
        • Tewksbury JE
        Fiduciary abuse of the elderly: a prosecutor's perspective.
        Journal of Elder Abuse and Neglect. 1991; 3: 23-40
        • Elder Abuse
        Questions and Answers. NARCDA 190. Subcommittee on Health and Long-Term Care, Select Committee on Aging, U.S. House of Representatives, Washington, DC1990
      2. California County Welfare Director's Association: Protecting the Silent Population: Remedying Elderly and Dependent-Adult Abuse. 1988

        • Podkieks E
        National survey on abuse of the elderly in Canada.
        Journal of Elder Abuse and Neglect. 1992; 4: 5-58
        • Pillemer K
        • Finkelhor D
        The prevalence of elder abuse: a random sample survey.
        Gerontologist. 1988; 28: 51-57
        • Paris BE
        • Meier DE
        • Goldstein T
        • et al.
        Elder abuse and neglect: how to recognize warning signs and intervene.
        Geriatrics. 1995; 50: 47-51
        • Homer AC
        • Gilleard C
        Abuse of elderly people by their caregivers.
        BMJ. 1990; 301: 1359-1362
        • Pillemer K
        • Suitor JJ
        Violence and violent feelings: what causes them among family caregivers?.
        J Gerontol. 1992; 47: S165-S172
        • Coyne AC
        • Reichman WE
        • Berbig LJ
        The relationship between dementia and elder abuse.
        Am J Psychiatry. 1993; 150: 643-646
        • Wolf R
        Major findings from three model projects on elderly abuse.
        in: Pillemer K Wolf R Elder Abuse: Conflict in the Family. Auburn House, Dover1986: 50-71
        • Kapp MB
        Elder mistreatment: legal interventions and policy uncertainties.
        Behav Sci Law. 1995; 13: 365-380
        • Quinn MJ
        Elder abuse and neglect raise new dilemmas.
        Generations. 1985; 16: 22-25
        • McGuinness M
        Recognizing the financial abuse of older people.
        Prof Nurse. 1997; 12: 256-258
        • Blunt AP
        Financial exploitation of the incapacitated: investigation and remedies.
        Journal of Elder Abuse and Neglect. 1993; 5: 19-32
        • Price G
        • Fox C
        The Massachusetts Bank reporting project: an edge against elder financial exploitation.
        Journal of Elder Abuse and Neglect. 1998; 8: 59-71
        • Wilber KH
        Material abuse in the elderly: when is guardianship a solution?.
        Journal of Elder Abuse and Neglect. 1990; 2: 89-104
        • Lachs MS
        Preaching to the unconverted: educating physicians about elder abuse.
        Journal of Elder Abuse and Neglect. 1995; 7: 1-12
        • Blakely BE
        • Dolon R
        The relative contributions of occupation groups in the discovery and treatment of elder abuse and neglect.
        J Gerontol Soc Work. 1991; 17: 183-199
        • Sugg NK
        • Inui T
        Primary care physicians' response to domestic violence: opening Pandora's box.
        JAMA. 1992; 267: 3157-3160