Conference Puts the Spotlight on Financial Exploitation of the Elderly

Published in Pawtucket Times, October 31, 2014

In 2005, 80-year old Jane Jacques suffered her second stroke and was diagnosed with dementia. With no family living nearby, the widow’s physician determined that she could no longer live independently at home. The Department of Elderly Affairs asked the Alliance for Better Long Term Care to find Ms. Jacques a guardian. The probate court appointed Janet Mastronardi, to serve as guardian, making the East Greenwich attorney responsible for the older woman’s personal and financial well-being.

Over the next five years, Mastronardi embezzled and misappropriated approximately $130,000 from Jacques’ accounts, leaving her near penniless. An employee of lawyer noticed the financial irregularities while preparing an accounting of Jacques’ finances for the probate court and contacted the Rhode Island State Police, who conducted an investigation.

Earlier this year, Mastronardi pled guilty to her crimes of financial exploitation and although the Attorney General’s Office sought jail time, the Court ordered her to seven years, with 30 months to serve in home confinement and the remaining 54 months suspended with probation. In addition, the Court ordered her to pay full restitution to Jacques’ estate.

This case clearly illustrates the hidden problem of financial exploitation on older victims who oftentimes are unwilling to report this abuse because for fear of losing support of their family member or caregiver or future retaliation of these individuals. Simply put, this abuse occurs when deception, coercion, undue influence or misrepresentation is used, like the above example, to obtain unauthorized use of the older person’s property, money, pension book or other valuables.

But, the National Center on Elder Abuse, as well as other elder advocate organizations, has called financial exploitation of elders “the crime of the century.”

Aging advocates say there is currently reliable current data available on the precedence of financial exploitation. But, according to a 2010 survey by the Investor Protection Trust (IPT), more than seven million older Americans – one out of every five citizens over the age of 65 – already have been victimized by a financial scam. One year later, a MetLife study reported the huge impact of this problem, noting that the annual financial loss by victims of elder financial abuse is estimated to be at least $2.9 billion dollars, a 12 percent increase from the $2.6 billion estimated in 2008.

Combatting Financial Exploitation in Rhode Island

Just two days ago, the state’s Rhode Island Commission for the Safety and Care of the Elderly, brought together the Rhode Island Division of Elderly Affairs (DEA), local and state police, fire, social service agencies, and banks and other financial institutions to put the spotlight on financial exploitation

The half day event, hosted by the Rhode Island Citizens Commission for the Safety and Care of the Elderly, at the CVS Health Finance Center in Cumberland, provided over 100 attendees an in-depth look at how financial crimes cases against older persons are developed, investigated and prosecuted, as well as a discussion on best practices for financial institutions to identity financial exploitation.

Financial Exploitation a Change to Investigate

Keynote speaker, Attorney General Peter Kilmartin, stated “As striking as that figure is, government statistics estimate that financial exploitation is a highly underreported crime because many of the victims are unaware they are being duped or they are too frightened to even report this crime. Many elders rely on others they believe they can trust to handle their financial affairs, only to be robbed of their hard-earned money. In some cases, the perpetrator leaves the victim penniless. Financial exploitation of elders is one of the most challenging charges to investigate and prosecute,” said.

Recognizing the challenging factors in investigating and prosecuting elder abuse, including financial exploitation, the AG’s Office has created the Elder Abuse Unit, to handle those type of cases, says Kilmartin, noting that the specialized unit was created in recognition of the fact that the proportion of the state’s population over age 60 is dramatically increasing and will continue to do so. The Elder Abuse Unit is responsible for investigative management and prosecution of crimes involving elderly victims of abuse, neglect and financial exploitation

Since it was established in 2006, the Elder Abuse Unit has seen a steady increase in the number of cases reported and prosecuted, noted Kilmartin, adding that the Office in its first year prosecuted 65 cases of elder abuse, including physical and financial exploitation. Last year, 140 individuals were prosecuted, an increase of 115 percent in less than ten years, he says…

Kilmartin credited the dramatic increase in prosecutions to a recognition by society that financial exploitation is a crime and should be prosecuted. “Like other forms of elder abuse, financial exploitation is a complex problem and it is easy for people to have misconceptions about it. I have made it a priority to educate the public, law enforcement, healthcare professionals and the financial industry on the signs of financial exploitation and the numbers prove that increased awareness has directly led to increased reporting and prosecuting,” stated Kilmartin.

The Attorney General called on banking and financial industry to understand and know the signs of financial exploitation, as they are most likely to catch irregular transactions by perpetrators. “As many elders still regularly go to the bank, bank personnel are in a good position to notice suspicious activity and behavior,” he added.

John Clarkson, former Pawtucket Police Officer who now serves as Assistant Vice President of Security at Pawtucket Credit Union, led a presentation at the conference discussing how bank employees need to be aware of the various signs that an elder may be being exploited and ways to stop it.

“It’s unfortunate but our elders are a prime target for financial exploitation. It is important that we at Pawtucket Credit Union and at other financial institutions train our front line staff and management to identify when this is occurring, prevent it if possible, and most importantly report it immediately. When discovered we have worked closely with the Attorney General’s Office and law enforcement agencies throughout the state to have those responsible prosecuted,” Clarkson said.

Kilmartin stressed that it is equally important for family members and friends to prevent and report instances of financial exploitation. He urges, family, friends and neighbors to take note of what may be happening with older relatives or neighbors. “If anything seems suspicious, such as the person seems to be withdrawn, nervous, fearful or anxious, especially around certain people, when they have not seemed so in the past, it is important to report the matter to the appropriate authorities,” he recommends.

Abuse and self-neglect reports can be filed 24 hours a day, seven days a week, and on nights, weekends, and holidays, by calling 401-462-0555. Reports can be filed anonymously and are confidential. In filing a report of alleged abuse, you should give as much detail as possible, including the name of the elder, address, and contact information. If reporting to law enforcement, contact your police department, the Rhode Island State Police at 401-444-1000, or the Office of Attorney General at 401-274-4400.

Herb Weiss, LRI ’12, is a Pawtucket-based writer covering aging, health care and medical issues. He can be reached at hweissri@aol.com.

AARP Pushes Busch to Pull Rude Commercial

Published in the Pawtucket Times on July 23, 2001

Everyone knows that sex and humor are used every day to effectively advertise products, ranging from blue jeans, CDs, perfumes and colognes, to America’s youth. Now an advertising firm is seeking new outrageous ways to pitch beer for their Fortune 500 client.

Anheuser-Busch, Inc., the maker of Budweiser beer, is known for its fun and humorous commercials to sell Bud beer by using computer-generated talking lizards and young men yelling “Whassup.” But the Washington, D.C.-based AARP and senior advocates across the country found Anheuser-Busch’s new radio commercial using elder abuse to pitch its beer to be unacceptable. The nation’s largest senior advocacy group, representing 33 million older Americans, called the radio ad portraying a young woman abusing and exploiting her elderly infirmed husband, “offensive” stating that it just goes so far.

In “She Married Steven Buck Simpson,” a young woman gleefully talks about how she is physical, emotionally and financially abusing her frail elderly husband. Here’s the text for the commercial spot describing the abuse intergenerational relationship:

“Last year I married oil tycoon Steven Buck Simpson. He was 93. I was 22. And it was true love, hmm, or so I led him to believe until the wedding. After that, I fired his lawyer and cardiologist. I let his house insurance lapse, alienated him from his children, and sent him out for a walk so I could get freaky with the pool boy. Umm, I deflated the tires on his wheelchair, soaked his dentures in turpentine, and hid his oxygen.”

“Let’s see. I replaced his blood pressure medication with Red Hots, fed him high fat, high cholesterol foods. And finally, liquidated 100 percent of his assets into a Swiss bank account, dropped his dog King off at the pound, and left the country in his private jet, where I promptly renewed my membership in the Mile High Club.”

At this point a m  a states, “Ooh, ooh man that’s cold!” With the sound of a cap being popped off a beer bottle, an announcer responds, “But not as cold as Bud Ice. Ice brewed for a smooth crisp, refreshing taste. Bud Ice, there ain’t nothing colder. Anheuser-Bush.” Quite a way to sell a brand of beer.

When the commercial, playing in several markets, caught the attention of AARP the group’s president Esther Canja, wrote to CEO August A. Busch III of Anheuser-Bush, informing him of her disappointment that the beer company would “make light” of the very serious aging issue of elder abuse.

“Elder abuse is not a joking and your message to the contrary is most inappropriate.” Canja bluntly told the CEO noting that the incidence of elder abuse is increasing at an alarming rate. She cited a National Elder Abuse Incidence Study that estimated that 450,000 older persons are abused or exploited each year.

“While humor has its place, your ad goes to far,” Canja said, urging Busch to withdraw the offensive ad from the marketplace. “You certainly would not sponsor a commercial that portrays a parent physically abusing a child or even mistreating a family pet,” she added.

In Rhode Island, senior advocates were also incensed about Anheuser-Busch’s radio commercial. “This ad, which is so corrosive to the well-being and dignity of our seniors, crosses the boundary from humor to just plain bad taste,” Kathleen S. Connell, AARP Rhode Island director, told the Times. “I join AARP President Esther Canja in calling the company to scrap this piece of junk,” she said.

Adds Rhode Island Ombudsman Roberta Hawkins, of the Alliance for Better Long-Term Care, the Anheuser-Busch commercial is unacceptable.” The well-known Rhode Island senior advocate stated that elder abuse, although not publicly acknowledged by the media, is a widespread and a tragic problem. “If you spent your days the way we do listening to horrible situations just like the ones you think are so funny, your opinion of this commercial would change,” she added.

An e-mail writing campaign initiated by Bill Benson, a former deputy assistant secretary for aging at the U.S. Department of Health and Human Services and president of the Maryland-based Benson Consulting Group, during his July 13 Washington Radio Report, has finally caught the attention of the St. Louis, Mo-based beer company.

Benson e-mailed his weekly radio report, “This Bud’s Not for You” to hundreds of his colleagues informing them about the offensive commercial. Word spread like wildfire across the Internet. After numerous attempts to contact Anheuser-Busch, the company finally responded with a written statement. Bill Etling, a spokesperson for the company stated, “It is never our intention offend anyone with our advertising. Anheuser-Busch has discontinued use of this ad and has no plans to use it in the future.”

As the dust settles after Anheuser-Busch’s recent public relations fiasco. Benson hopes that the beer company will reexamine who they choose to write their advertising. “I am sure that they are clueless about how people would react. I bet you this is the last time that Anheuser-Busch uses radio advertising to take jabs at vulnerable seniors,” he says.

“It is clear that the combination of senior advocates and the use of the Internet to spark an e-mail writing campaign nipped Bud in the Bud,” Benson said.

The Best of…Elder Abuse and Neglect on the Increase

Published June 25, 2001, Pawtucket Times

Although numerous federal studies and Congressional hearings have put the public spotlight on elder abuse and neglect over the years, a Special Senate on Aging panel calls for the nation to get serious to tackle this all-to-common tragedy, called by some “the dark side” of aging.

“With the senior population skyrocketing, incidents of elder abuse will only continue to rise,” warned Democratic Chairman John Breaux of Louisianato his panel colleagues at the June 14th hearing.   At the hearing Senator Breaux took over the reins of the Aging  Committee from the former Chairman Republican Larry Craig ofIdaho, with the Senate majority tipping to the Democrats.  Initially it was Senator Senator Craig who had planned and put the hearing on the Senate schedule.

At the  hearing, Chairman Breaux estimated that more than 820,000 older and developmentally disabled individuals are subjected to abuse, neglect and exploitation.  Meanwhile, throughout  the hearing “Elder Abuse, Neglect, and Exploitation: A Hidden National Tragedy,” several witnesses testified that this number is too low because of underreporting and there are no universal definitions of what is elder abuse and neglect.  To combat abuse, Chairman Breaux and the witnesses called for more funding to be provided to adult protective services, better training for medical personnel to identify the problem early and more resources for caregivers to help them with their caregiving responsibilities.

Despite the fact that many believe that elder abuse and neglect take place in nursing facilities and assisted living facilities, most often times it occurs in a person’s home where nearly 95 percent of all domestic long-term care is being informally provided by family members and community-based caregivers, noted Chairman Breaux.

Summing up testimony from hearing witnesses, a Senate Aging Committee staffer told The Times that elder abuse can be caused by social, medical and legal factors.

“We are expecting families to provide a large amount of long-term care and we give only minimal assistance and support to them,” the Senate staffer said.  To deal with social factors causing elder abuse and neglect, “we need more respite care and training in care giving skills.” he added.

As to medical factors, the Senate staffer added, “it is crucial that better training be made available to physicians and nurses to recognize the early signs of elder abuse itself.”  If this occurred there could be much quicker interventions, he said.

Finally, legal factors, specifically the lack of funding for elder protective services, reduce the effectiveness of prosecuting persons who financially exploit elderly.

So what’s happening inRhode Island?

According to Wayne Farrington, Chief of Facilities Regulation,Rhode Island’s Department of Health, elder abuse is on the increase in nursing facilities and assisted living facilities across the state.  “This year we have had about a 15 percent increase in reports of abuse, neglect or mistreatment,” he says.  Farrington speculates that the rise in reporting is a result of a better informed public who know where to register complaints combined with increased publicity over the staffing shortage in nursing facilities and community-based provider agencies.  The shortage of nursing assistants, who provide most of the direct patient care, along with nurses oftentimes results in the facility not being able to provide the needed care.

“Because neglect abuse and mistreatment are criminal matters they are turned over to the Rhode Island Office of the Attorney General for further investigation and prosecution, Farrington says.  “If we find that facilities have violated regulations that have resulted in the abuse or neglect we will cite the facility with deficiencies that may be tied to civil monetary penalties.

According to Medicaid Fraud Unit Chief Bruce Todesco, of the state’s Office of the Attorney General, there are really no accurate statistics or numbers that tell the incidence of elder abuse and neglect inRhode Island.  “A lot of information comes from different sources,” he said, stressing that it would take a lot of work to pull together meaningful statistics.

Adds, Genevieve  Allair-Johnson, Special Assistant Attorney General who serves as Elderly Affairs Liaison for Criminal Division, in the Attorney General’s Office, elder abuse and neglect cases may be under reported because the elderly person does not want to proceed against the child and competency issues often times come into play.

“We work closely with the Department of Elderly Affairs and local police departments and provide them with legal assistance in their investigations, Allair-Johnson says.  “When discussing a case sometimes it comes up that additional inquiries will have to be made to bring about charges.”

Allair-Johnson states “Many times criminal charges will not be filed in cases because high standards must be met.”   Rather than filing criminal charges for elder abuse or neglect other options are in place like removing the elderly person from a home, or seeking a court ordered guardianship.

Over the last few years the Office of the Attorney General has developed effective partnerships with the local police departments, Department of Elderly Affairs, and the Alliancefor Better Long-Term Care,” Allair-Johnson says.  “There are a host of state agencies and resources that are beginning to pull together to resolve this elder abuse issue. We’re going in the right direction.”

To obtain materials on elder abuse, including the pamphlet “The Elder Victims Guide to the Criminal Justice System,” or to seek information about consumer issues or to report elder abuse, neglect and financial exploitation, call the Attorney General’s Senior Line at 888-621-1112.

If one has a reasonable knowledge and suspects an elderly person has been abused neglected or mistreated in a nursing facility call the Division of Facility Regulation at 222-2566.

Herbert P. Weiss is a Pawtucket, Rhode Island-based  free lance writer covering aging, health and medical care issues,  This article appeared in the June 25, 2001 in the Pawtucket Times.   He can be reached at hweissri@aol.com.