Gillian Dalley, Mary Lynn Gilhooly, Kenneth Gilhooly, Michael Levi and Priscilla Harries
The purpose of this paper is to report on the aspects of an exploratory investigation into the scale and nature of the financial abuse of adults lacking mental capacity.
Abstract
Purpose
The purpose of this paper is to report on the aspects of an exploratory investigation into the scale and nature of the financial abuse of adults lacking mental capacity.
Design/methodology/approach
It uses mixed-methods study which comprises of: a review of safeguarding adults’ statistics; analysis of court case findings; classification of types of financial abuse, victims and perpetrators; qualitative exploration of professional views of the nature of financial abuse of those lacking mental capacity; and a consideration of policy implications.
Findings
It demonstrates the significance of financial abuse within the spectrum of abuse experienced by adults at risk; the wide range of both victims lacking capacity being abused and type of financial abuse; its often hidden nature embedded within the family; and the limitations of processes designed to protect.
Research limitations/implications
The investigation reveals the paucity of statistical data available on the nature of financial abuse and the outcomes of official investigations into reported cases, both of which limit analysis and understanding of the phenomenon.
Practical implications
It demonstrates the need for greater transparency and consistency in the reporting of safeguarding and legal processes to enable practitioners and policymakers to fully understand the nature and significance of this abuse for both victims and society.
Social implications
It questions the extent to which existing protective processes are sufficient in terms of safeguarding victims and deterring perpetrators.
Originality/value
It involves original research that brings together data from a range of sources involved in the protection of a particular hard-to-reach group of individuals (those lacking capacity) from a particular type of risk (financial abuse) of increasing social significance.
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Les Bright, Alison Clarke and Gillian Dalley
The research reported here aims to explore the problems facing individuals searching for information about available options in choosing care services.
Abstract
Purpose
The research reported here aims to explore the problems facing individuals searching for information about available options in choosing care services.
Design/methodology/approach
It presents data drawn from an on‐line survey, follow‐up telephone calls and a focus group, which reveals the preferences people have in searching for information about care services and the difficulties encountered.
Findings
It finds that people need information but find it complicated, unwieldy and inaccessible. In addition to using on‐line sources, they value person‐to‐person contact and information tailored to meet their specific needs.
Research limitations/implications
This study is original in raising issues and presenting findings that open up the topic of information in care decision‐making. While it relies on a self‐reporting survey and the direct participation of a small number of subjects, future research based on random sampling and a larger sample of subjects would enable these findings to be tested more thoroughly.
Practical implications
High quality, accurate information is an essential element in enabling individuals to make appropriate choices about the care they seek for themselves or their loved ones. Service providers, councils and commercial undertakings each have a part to play in facilitating that choice.
Social implications
This research highlights issues that confront both information searcher and provider, making recommendations about overcoming them. The concept of individual choice is a cornerstone of social policy but findings reveal the complexity facing individuals, providers and practitioners in making this a reality.
Originality/value
The importance of information in making decisions about care is under‐researched; this study raises issues and presents findings which open the topic for further exploration.
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Mary L.M. Gilhooly, Deborah Cairns, Miranda Davies, Priscilla Harries, Kenneth J. Gilhooly and Elizabeth Notley
The purpose of this paper is to explore the detection and prevention of elder financial abuse through the lens of a “professional bystander intervention model”. The authors were…
Abstract
Purpose
The purpose of this paper is to explore the detection and prevention of elder financial abuse through the lens of a “professional bystander intervention model”. The authors were interested in the decision cues that raise suspicions of financial abuse, how such abuse comes to the attention of professionals who do not have a statutory responsibility for safeguarding older adults, and the barriers to intervention.
Design/methodology/approach
In‐depth interviews were conducted using the critical incident technique. Thematic analysis was carried out on transcribed interviews. In total, 20 banking and 20 health professionals were recruited. Participants were asked to discuss real cases which they had dealt with personally.
Findings
The cases described indicated that a variety of cues were used in coming to a decision that financial abuse was very likely taking place. Common to these cases was a discrepancy between what is normal and expected and what is abnormal or unexpected. There was a marked difference in the type of abuse noticed by banking and health professionals, drawing attention to the ways in which context influences the likelihood that financial abuse will be detected. The study revealed that even if professionals suspect abuse, there are barriers which prevent them acting.
Originality/value
The originality of this study lies in its use of the bystander intervention model to study the decision‐making processes of professionals who are not explicitly charged with adult safeguarding. The study was also unique because real cases were under consideration. Hence, what the professionals actually do, rather than what they might do, was under investigation.
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The purpose of this article is to introduce the ESRC's Growing Older Programme and to outline some of the challenges it is facing. I will also put the Programme in context so that…
Abstract
The purpose of this article is to introduce the ESRC's Growing Older Programme and to outline some of the challenges it is facing. I will also put the Programme in context so that its aims, ambitions and potential can be understood. The article opens with a few words about the demographic pressures that overarch this programme and which were influential in its conception.
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Anthony Gilbert, David Stanley, Bridget Penhale and Mary Gilhooly
The purpose of this paper was to undertake a review of selected adult safeguarding policy and guidance documentation to establish the level of guidance provided in relation to…
Abstract
Purpose
The purpose of this paper was to undertake a review of selected adult safeguarding policy and guidance documentation to establish the level of guidance provided in relation to financial abuse; identify similarities and differences between the guidance given to professionals working in different contexts; and report gaps or inconsistencies in the guidance given.
Design/methodology/approach
Qualitative documentary content analysis was undertaken to identify key issues and themes in documents selected from 25 local authorities in England.
Findings
Little variation was found in the content of the documents, which were all heavily influenced by “No Secrets” guidance. The victim and perpetrator were largely invisible and there is no reference to the possible medium to long‐term impact of abuse on individuals. There is no research evidence underpinning the use of the notion of “significant harm” when used in the context of adults. In addition, there is no means of comparing safeguarding decisions across different local authorities to evaluate consistency of decisions and outcomes.
Research limitations/implications
The lack of any mechanisms to compare safeguarding decisions and outcomes across local authority areas is a serious limitation of the way safeguarding works. Also, the failure to address the aftercare and support of victims means they are left to manage the psycho‐social consequences.
Practical implications
Safeguarding boards should evaluate the outcomes of interventions in a standardised way to enable comparison. They should also do more to ensure the longer‐term wellbeing of victims.
Social implications
The paper raises awareness of elder financial abuse.
Originality/value
This is the only policy review that focuses specifically on financial abuse.