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Factors influencing decision-making by social care and health sector professionals in cases of elder financial abuse. | LitMetric

Factors influencing decision-making by social care and health sector professionals in cases of elder financial abuse.

Eur J Ageing

School of Health Sciences and Social Care, Brunel Institute for Ageing Studies, Brunel University, Uxbridge, UB8 3PH UK.

Published: January 2013

AI Article Synopsis

  • * A factorial survey was conducted with 152 professionals who assessed 50 vignettes of elder financial abuse, revealing that an older person’s mental capacity and the nature of financial issues were key factors influencing professionals' judgment.
  • * Findings suggest that training is needed for professionals to recognize financial abuse cases involving older individuals with full mental capacity and to address subtle forms of financial abuse that may go unnoticed.

Article Abstract

This study aimed to identify the factors that have the greatest influence on UK social care and health sector professionals' certainty that an older person is being financially abused, their likelihood of intervention, and the type of action most likely to be taken. A factorial survey approach, applying a fractional factorial design, was used. Health and social care professionals ( = 152) viewed a single sample of 50 elder financial abuse case vignettes; the vignettes contained seven pieces of information (factors). Following multiple regression analysis, incremental tests were used to compare the impact of each factor on judgements. Factors that had a significant influence on judgements of certainty that financial abuse was occurring included the older person's mental capacity and the nature of the financial problem suspected. Mental capacity accounted for more than twice the variance in likelihood of action than the type of financial problem. Participants from social care were more likely to act and chose more actions compared to health sector participants. The results are discussed in relation to a bystander intervention model. The impact of the older person's mental capacity on decision-making suggests the need for training to ensure action is also taken in cases where older people have full mental capacity and are being abused. Training also needs to highlight the more subtle types of financial abuse, the types that appear not to lead to certainty or action.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3851704PMC
http://dx.doi.org/10.1007/s10433-013-0279-3DOI Listing

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