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Forensic Accountants and Multidisciplinary Teams

Elder mistreatment is a multifactorial and nuanced phenomenon, often involving intersecting medical, legal, social, financial, and familial issues. Given the complexity of cases, response and redress often require the expertise of inter-sectorial professionals. Elder abuse multidisciplinary teams (MDTs) are an evidence-based intervention designed to enable collaborative case discussion, coordination, and resolution among professionals who might

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Lower Entorhinal Cortex Thickness Is Associated With Greater Financial Exploitation Vulnerability In Cognitively Unimpaired Older Adults

Published: September 3, 2024 Authors: Laura Fenton, Lauren E Salminen, Aaron C Lim, Gali H Weissberger, Annie L Nguyen, Jenna Axelrod, Daisy Noriega-Makarskyy, Hussein Yassine, Laura Mosqueda, S Duke Han Abstract: Research suggests that increased financial exploitation vulnerability due to declining decision making may be an early behavioral manifestation of brain changes occurring in preclinical Alzheimer’s disease. One of the earliest documented brain changes

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Increased Financial Altruism is Associated with Alzheimer’s Disease Neurocognitive Profile in Older Adults

Published 2022 Authors: Gali H Weissberger 1, Anya Samek 2, Laura Mosqueda 3 4, Annie L Nguyen 3, Aaron C Lim 3, Laura Fenton 5, S Duke Han Background: Older age is associated with an increase in altruistic behaviors such as charitable giving. However, few studies have investigated the cognitive correlates of financial altruism in older adults. Objective: This study investigated the cognitive correlates of financial altruism measured using an

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Neuropsychological profile associated with financial exploitation vulnerability in older adults without dementia

Published: 26 July 2024 Researchers: Aaron C. Lim, Gali H. Weissberger, Jenna Axelrod, Laura Mosqueda, Annie L. Nguyen, Laura Fenton, Daisy Noriega, Camille E. Erdman & S. Duke Han Abstract Objective: Reports of financial exploitation have steadily increased among older adults. Few studies have examined neuropsychological profiles for individuals vulnerable to financial exploitation, and existing studies have focused

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Risk Factors for Elder Mistreatment Among Older Korean Americans

Published: 15 May 2024 Researchers: Park, J., Wilber, K., Wu, S., Aranda, M. P., Oh, H., & Jang, Y. (2024). Risk Factors for Elder Mistreatment Among Older Korean Americans. The International Journal of Aging and Human Development, 00914150241253235. Abstract Using data from a sample of older Korean Americans (n = 2,150), we examined the prevalence and associated

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Comprehensive Older Adult and Caregiver Help (COACH): A person-centered caregiver intervention prevents elder mistreatment

Published: 04 October 2023 Researchers: Zachary D. Gassoumis PhD, Julia M. Martinez PhD, Jeanine Yonashiro-Cho PhD, Laura Mosqueda MD, AGSF, Anthony Hou MD, S. Duke Han PhD, Bonnie Olsen PhD, Anat Louis PsyD, Marie-Therese Connolly JD, Kylie Meyer PhD, Kelly Marnfeldt MSG, Sheila A. Salinas Navarro MPA, Mengzhao Yan MA, Kathleen H. Wilber PhD Abstract: Background Elder

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Elder abuse in the COVID-19 era based on calls to the National Center on Elder Abuse resource line

Published: August 20, 2022 Researchers: Gali H. Weissberger, Aaron C. Lim, Laura Mosqueda, Julie Schoen, Jenna Axelrod, Annie L. Nguyen, Kathleen H. Wilber, Richard S. Esquivel & S. Duke Han Abstract: Background The COVID-19 pandemic has exacerbated circumstances that place older adults at higher risk for abuse, neglect, and exploitation. Identifying characteristics of elder abuse during COVID-19

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Frailty and Perceived Financial Exploitation: Findings from the Finance, Cognition, and Health in Elders Study

Published: November 4, 2020 Authors: Jenna Axelrod, PhD, Laura Mosqueda, MD, Gali H. Weissberger, PhD, Annie L. Nguyen, PhD, Patricia A. Boyle, PhD, Emanuil Parunakian, BS, S. Duke Han, PhD Abstract: Many older adults who are cognitively intact experience financial exploitation (FE), and the reasons for this are poorly understood. Methods: Data were gathered from 37 older

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Person-centric care of elder mistreatment: Lessons learned from a service advocate

Published: November 11, 2018 Authors: J Rowan, Z Gassoumis, D Homeier, L Rath, K Wilber Abstract: Elder mistreatment has enormous costs to victims and society, yet little is known about strategies to effectively prevent and mitigate the effects. Maintenance of decision-making for older people is beneficial for psychological well-being, physical health, and reduced mortality. As such, person-centered approaches are associated

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Developing the Geriatric Injury Documentation Tool (Geri-IDT) to Improve Documentation of Physical Findings in Injured Older Adults.

Published: February 13, 2019 Authors: Kogan AC, Rosen T, Navarro A, Homeier D, Chennapan K, Mosqueda L. BACKGROUND: Standardization in tools and documentation of child abuse and intimate partner violence have proven helpful in completely documenting injuries and suspected abuse among these populations. Similar tools do not yet exist for older adults and elder abuse. OBJECTIVE: To (1) use insights from

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Measuring the quality of care provided to community dwelling vulnerable elders dually enrolled in Medicare and Medicaid.

Published: October 10, 2007 Authors: Zingmond DS, Wilber KH, Maclean CH, Wenger NS. Context Small studies suggest that the quality of healthcare provided to older patients needs improvement. However, measuring the quality of care for larger groups of older adults is difficult. Objective To measure the quality of care in a community-dwelling vulnerable geriatric population using

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Association of claims-based quality of care measures with outcomes among community-dwelling vulnerable elders.

Published: June 6, 2011 Authors: Zingmond DS, Ettner SL, Wilber KH, Wenger NS. Background Few studies examine the link between measured process of care and outcome. Objective To evaluate the relationship of claims-based assessment of process of care to subsequent function and survival. Research Design Retrospective cohort study using claims from 1999 to assess performance on

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Developing an undue influence screening tool for Adult Protective Services.

Published: March 2017 Authors: Quinn MJ, Nerenberg L, Navarro AE, Wilber KH. Abstract: The study purpose was to develop and pilot an undue influence screening tool for California’s Adult Protective Services (APS) personnel based on the definition of undue influence enacted into California law January 1, 2014. Methods included four focus groups with APS providers (n

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Is this broken bone because of abuse? Characteristic and comorbid diagnoses on older adults with fractures.

Authors Gironda MW, Nguyen AL, Mosqueda L. Objectives To examine the relationship between individual characteristics and potential correlates of elder abuse in older adults who present with fractures. Design Cross-sectional analysis of deidentified data extracted from medical records. Setting Academic medical center. Participants Individuals aged 65 and with a primary diagnosis of any fracture admitted

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The effectiveness of educational programs to improve recognition and reporting of elder abuse and neglect: A systematic review of the literature. Journal of Elder Abuse and Neglect.

Authors Alt KL, Nguyen AL, Meurer, LN. Abstract Health professionals often lack adequate protocols or knowledge to detect, manage, and prevent elder maltreatment. This systematic review describes and evaluates existing literature on the effectiveness of educational interventions to improve health professionals’ recognition and reporting of elder abuse and neglect. Fourteen articles described 22 programs ranging

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Aging: physiology, disease, and abuse.

Authors Homeier D. Abstract There are physiologic changes associated with aging. There are also medical conditions that occur more commonly with advancing age. These changes and conditions increase an older adult’s vulnerability to and injuries from abuse or neglect. An older adult may have more difficulty recovering from an abuse incident. The investigation of abuse

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Using Latent Class Analysis to Identify Profiles of Elder Abuse Perpetrators.

Authors DeLiema M, Yonashiro-Cho J, Gassoumis ZD, Yon Y, Conrad KJ. Objectives Research suggests that abuser risk factors differ across elder mistreatment types, but abuse interventions are not individualized. To move away from assumptions of perpetrator homogeneity and to inform intervention approaches, this study classifies abusers into subtypes according to their behavior profiles. Method Data

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State of the science on prevention of elder abuse and lessons learned from child abuse and domestic violence prevention: Toward a conceptual framework for research.

Authors Teresi JA, Burnes D, Skowron EA, Dutton MA, Mosqueda L, Lachs MS, Pillemer K. Abstract The goal of this review is to discuss the state of the science in elder abuse prevention. Findings from evidence-based programs to reduce elder abuse are discussed, drawing from findings and insights from evidence-based programs for child maltreatment and

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Mild cognitive impairment is associated with poorer decision-making in community-based older persons.

Authors Han SD, Boyle PA, James BD, Yu L, Bennett DA Objective To test the hypothesis that mild cognitive impairment (MCI) is associated with poorer financial and healthcare decision-making. Design Community-based epidemiological cohort study. Setting Communities throughout northeastern Illinois. Participants Older persons without dementia from the Rush Memory and Aging Project (N = 730). Measurements

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Age-Associated Financial Vulnerability: An Emerging Public Health Issue

Lachs MS, Han SD. Abstract Various processes common in the aging brain may affect an older adult’s ability to manage personal finances, the most recognized of which are dementing illnesses (1). These conditions can affect cognitive abilities, which may jeopardize an older adult’s financial well-being over their longitudinal course. However, recent studies suggest that even cognitively

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Mild Cognitive Impairment and Susceptibility to Scams in Old Age

Han, S.D., Boyle, P.A., James, B.D., Yu, L., & Bennett, D.A. (2015). Mild cognitive impairment and susceptibility to scams in old age.  Journal of Alzheimer’s Disease. 49: 845-851, 2016. Abstract BACKGROUND: Falling victim to financial scams can have a significant impact upon social and financial wellbeing and independence. A large proportion of scam victims are

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Variability in Findings From Adult Protective Services Investigations of Elder Abuse in California

Mosqueda, L., Wiglesworth, A., Moore, A. A., Nguyen, A., Gironda, M., & Gibbs, L. (2015). Variability in Findings From Adult Protective Services Investigations of Elder Abuse in California. Journal of evidence-informed social work, 1-11. Abstract: Adult Protective Services (APS) workers in California investigate complaints of elder abuse and must determine the validity of a complaint with

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Multicultural voices: Attitudes of older adults in the United States of America about elder mistreatment.

Enguidanos, S. M., DeLiema, M., Aguilar, I., Lambrinos, J., & Wilber, K. H. (2014). Multicultural voices: Attitudes of older adults in the United States of America about elder mistreatment. Ageing and society, 34(05), 877-903. Abstract: Despite international growth in policies to increase the identification and response to elder abuse and neglect, there remain considerable barriers

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Tricks of the trade: Motivating sales agents to con older adults

DeLiema, M., Yon, Y., & Wilber, K. H. (2014). Tricks of the trade: Motivating sales agents to con older adults. The Gerontologist, gnu039. Abstract: PURPOSE OF THE STUDY: Financial fraud is estimated to cost consumers approximately $50 billion annually. To examine how new hires are trained to engage in fraud, this study analyzed a sales training

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Neuropsychological profiles of victims of financial elder exploitation at the Los Angeles County Elder Abuse Forensic Center

Wood, S., Rakela, B., Liu, P. J., Navarro, A. E., Bernatz, S., Wilber, K. H., … & Homeier, D. (2014). Neuropsychological profiles of victims of financial elder exploitation at the Los Angeles County Elder Abuse Forensic Center. Journal of elder abuse & neglect, 26(4), 414-423. Abstract: The current article examines neuropsychological correlates of financial elder exploitation

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Injury patterns and causal mechanisms of bruising in physical elder abuse

Ziminski, C. E., Wiglesworth, A., Austin, R., Phillips, L. R., & Mosqueda, L. (2013). Injury patterns and causal mechanisms of bruising in physical elder abuse. Journal of forensic nursing, 9(2), 84-91. Abstract: The recognition of injury patterns can aid forensic nurses to identify victims of elder abuse. This study examined the mechanism of injury of bruises endured

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Holding abusers accountable: An elder abuse forensic center increases criminal prosecution of financial exploitation

Navarro, A. E., Gassoumis, Z. D., & Wilber, K. H. (2013). Holding abusers accountable: An elder abuse forensic center increases criminal prosecution of financial exploitation. The Gerontologist, 53(2), 303-312. Abstract: PURPOSE: Despite growing awareness of elder abuse, cases are rarely prosecuted. The aim of this study was to examine the effectiveness of anelder abuse forensic center compared with usual

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Determining prevalence and correlates of elder abuse using promotores: Low‐income immigrant latinos report high rates of abuse and neglect

DeLiema, M., Gassoumis, Z. D., Homeier, D. C., & Wilber, K. H. (2012). Determining prevalence and correlates of elder abuse using promotores: Low‐income immigrant latinos report high rates of abuse and neglect. Journal of the American Geriatrics Society, 60(7), 1333-1339. Abstract: Low-income Latino immigrants are understudied in elder abuse research. Limited English proficiency, economic insecurity, neighborhood seclusion,

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Conceptual model and map of financial exploitation of older adults

Conrad, K. J., Iris, M., Ridings, J. W., Fairman, K. P., Rosen, A., & Wilber, K. H. (2011). Conceptual model and map of financial exploitation of older adults. Journal of elder abuse & neglect, 23(4), 304-325. Abstract: This article describes the processes and outcomes of three-dimensional concept mapping to conceptualize financial exploitation of older adults. Statements were

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The prevalence of elder self-neglect in a community-dwelling population: hoarding, hygiene, and environmental hazards

Dong, X., Simon, M. A., Mosqueda, L., & Evans, D. A. (2011). The prevalence of elder self-neglect in a community-dwelling population: hoarding, hygiene, and environmental hazards. Journal of Aging and Health, 0898264311425597. Abstract: OBJECTIVE: To examine the prevalence of self-neglect and its specific behaviors in a community-dwelling population of older adults. METHOD: A population-based cohort study

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Elder Abuse and Self-neglect: “I Don’t Care Anything About Going to the Doctor, to Be Honest….”

Mosqueda, L., & Dong, X. (2011). Elder Abuse and Self-neglect: “I Don’t Care Anything About Going to the Doctor, to Be Honest….”. JAMA, 306(5), 532-540. Abstract: Elder mistreatment encompasses a range of behaviors including emotional, financial, physical, and sexual abuse, neglect by other individuals, and self-neglect. This article discusses the range of elder mistreatment in community-living older

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Screening for abuse and neglect of people with dementia

Wiglesworth, A., Mosqueda, L., Mulnard, R., Liao, S., Gibbs, L., & Fitzgerald, W. (2010). Screening for abuse and neglect of people with dementia. Journal of the American Geriatrics Society, 58(3), 493-500. Abstract: OBJECTIVE: To investigate characteristics of people with dementia and their caregivers (CGs) that are associated with mistreatment in order to inform clinicians about screening for

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Vision for 2020

Giles, L., Brewer, E. T., Mosqueda, L., Huba, G. J., & Melchior, L. A. (2010). Vision for 2020. Journal of elder abuse & neglect, 22(3-4), 375-386. Abstract: This article reflects the collective thoughts of the 20 projects supported by the Archstone Foundation Elder Abuse and Neglect Initiative on offering a vision for improving the response system for

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Self-report measure of financial exploitation of older adults

Conrad, K. J., Iris, M., Ridings, J. W., Langley, K., & Wilber, K. H. (2010). Self-report measure of financial exploitation of older adults. The Gerontologist, 50(6), 758-773. Abstract: PURPOSE: this study was designed to improve the measurement of financial exploitation (FE) by testing psychometric properties of the older adult financial exploitation measure (OAFEM), a client self-report instrument. DESIGN

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Elder abuse forensic centers

Schneider, D. C., Mosqueda, L., Falk, E., & Huba, G. J. (2010). Elder abuse forensic centers. Journal of Elder Abuse & Neglect, 22(3-4), 255-274. Abstract: This article describes the clinical work that three sets of geriatricians and psychologists provided in three elder abuse forensic centers in California. After a brief history of how the clinical services in

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Do we really need another meeting? lessons from the Los Angeles County Elder Abuse Forensic Center

Navarro, A. E., Wilber, K. H., Yonashiro, J., & Homeier, D. C. (2010). Do we really need another meeting? lessons from the Los Angeles County Elder Abuse Forensic Center. The Gerontologist, 50(5), 702-711. Abstract: PURPOSE: Elder abuse cases are often time consuming and complex, requiring interagency cooperation from a diverse array of professionals. Although multidisciplinary teams (MDTs)

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Bruising as a marker of physical elder abuse

Wiglesworth, A., Austin, R., Corona, M., Schneider, D., Liao, S., Gibbs, L., & Mosqueda, L. (2009). Bruising as a marker of physical elder abuse. Journal of the American Geriatrics Society, 57(7), 1191-1196. Abstract: OBJECTIVES: To describe bruising as a marker of physical elder abuse. DESIGN: Consenting older adults were examined to document location and size of

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Consortium for Research in Elder Self‐Neglect of Texas Research: Advancing the Field for Practitioners

Mosqueda, L., Brandl, B., Otto, J., Stiegel, L., Thomas, R., & Heisler, C. (2008). Consortium for Research in Elder Self‐Neglect of Texas Research: Advancing the Field for Practitioners. Journal of the American Geriatrics Society, 56(s2), S276-S280. Abstract: An external advisory board consisting of members from the fields of geriatric internal medicine, family practice geriatrics, criminal prosecution, civil

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Findings from an elder abuse forensic center

Wiglesworth, A., Mosqueda, L., Burnight, K., Younglove, T., & Jeske, D. (2006). Findings from an elder abuse forensic center. The Gerontologist,46(2), 277-283. Abstract: PURPOSE: The first Elder Abuse Forensic Center (EAFC) in the United States was instituted in 2003. People from a variety of disciplines, including Adult Protective Services social workers, law enforcement, the district attorney’s

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Elder financial abuse: An evaluation framework and supporting evidence

Kemp, B. J., & Mosqueda, L. A. (2005). Elder financial abuse: An evaluation framework and supporting evidence. Journal of the American Geriatrics Society, 53(7), 1123-1127. Abstract: OBJECTIVES: To develop a valid and reliable framework for evaluating cases of alleged elder financial abuse. DESIGN: Experienced experts in elder financial abuse rated a framework with eight elements. SETTING: Professionals

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The life cycle of bruises in older adults

Mosqueda, L., Burnight, K., & Liao, S. (2005). The life cycle of bruises in older adults. Journal of the American Geriatrics Society, 53(8), 1339-1343. Abstract: OBJECTIVES: To summarize the occurrence, progression, and resolution of accidentally acquired bruises in a sample of adults aged 65 and older. The systematic documentation of accidentally occurring bruises in older adults could

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Four models of medical education about elder mistreatment

Heath, J. M., Dyer, C. B., Kerzner, L. J., Mosqueda, L., & Murphy, C. (2002). Four models of medical education about elder mistreatment.Academic Medicine, 77(11), 1101-1106. Abstract: The authors describe four models of incorporating elder-mistreatment curricular content and collaboration with adult protective service (APS) community service agencies into geriatrics medical education. Geriatrics education programs at four

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