Posted by: Adam McCann

Abuse happens every day and takes many forms. But vulnerable older Americans are among the easiest targets for this misconduct, especially those who are women, have disabilities and rely on others for care. By one estimate, elder abuse affects as much as ten percent of the population older than 60, and many cases go unreported – as many as 13 of every 14 instances.

Unless states take action to prevent further abuse, the problem will grow as America becomes an increasingly aging nation. The U.S. Census Bureau expects the population aged 65 years and older to nearly double from 43.1 million in 2012 to 85.7 million in 2050, much to the credit of aging Baby Boomers who began turning 65 in 2011. And by just 2030, 1 in 5 U.S. residents will be retirement age.

Fortunately, states recognize that elder abuse is a real and growing issue. But sadly, only some are fighting hard enough to stop it. WalletHub compared the 50 states and the District of Columbia based on 16 key indicators of elder-abuse protection in 3 overall categories. Our data set ranges from “share of elder-abuse, gross-neglect and exploitation complaints” to “financial elder-abuse laws.” Continue reading below for our findings, expert commentary and a full description of our methodology.

1. Main Findings
2. Ask the Experts
3. Methodology

Main Findings Embed on your website<iframe src="//d2e70e9yced57e.cloudfront.net/wallethub/embed/28754/geochart.html" width="556" height="347" frameBorder="0" scrolling="no"></iframe> <div style="width:556px;font-size:12px;color:#888;">Source: <a href="https://ift.tt/2EeTGBx>

States with the Best Elder-Abuse Protections

Overall Rank (1=Best)	State	Total Score	‘Prevalence’ Rank	‘Resources’ Rank	‘Protection’ Rank
1	Massachusetts	59.91	13	5	14
2	Wisconsin	58.38	21	3	38
3	Rhode Island	56.15	41	1	18
4	Michigan	55.37	5	9	35
5	Iowa	54.34	2	28	12
6	Vermont	52.72	9	10	36
7	Pennsylvania	52.57	6	26	16
8	Louisiana	52.28	1	44	23
8	North Carolina	52.28	20	29	1
10	West Virginia	51.72	16	11	24
11	Alaska	51.36	30	7	13
12	Texas	51.19	7	41	10
13	Maryland	51.08	27	12	4
14	Ohio	50.79	23	14	8
15	Virginia	50.03	26	6	26
16	Kansas	48.73	12	43	15
17	Wyoming	48.30	8	20	42
18	Illinois	47.09	24	23	11
19	Florida	46.95	4	50	31
20	Washington	46.81	31	40	2
21	Oklahoma	46.69	39	18	5
22	New York	46.12	17	45	21
23	New Hampshire	45.78	11	34	41
24	Mississippi	45.69	10	27	45
25	Indiana	45.17	3	49	48
26	Maine	45.06	36	13	28
27	Kentucky	44.80	28	21	19
28	Connecticut	44.70	14	19	50
29	District of Columbia	44.64	47	2	34
30	Minnesota	44.28	29	32	17
31	Alabama	44.23	15	33	46
32	Georgia	43.52	22	39	30
33	North Dakota	43.26	37	17	32
34	Colorado	42.62	43	15	7
35	Missouri	42.32	19	46	37
36	Utah	41.41	35	38	22
37	Hawaii	40.47	18	51	47
38	Idaho	39.46	33	31	44
39	New Mexico	39.18	32	42	39
40	Delaware	39.11	38	22	40
41	Oregon	39.00	34	37	43
42	Arkansas	38.25	40	35	25
43	Arizona	37.37	42	47	9
44	Tennessee	37.02	46	24	6
45	Nebraska	37.02	25	48	49
46	South Dakota	36.96	44	16	29
47	Nevada	35.86	51	4	27
48	Montana	32.46	45	8	51
49	California	29.92	50	30	3
50	South Carolina	29.35	49	25	20
51	New Jersey	28.05	48	36	33

 

Ask the Experts

There are ways for families, organizations and lawmakers to protect America’s elderly population. We consulted a panel of experts in fields such as social welfare and aging for insight and advice. Read about the panelists and their thoughts on the following key questions below:

1. What are the most common types of elder abuse?
2. How can policymakers protect the elderly from abuse, financial or otherwise?
3. Should a caregiver be legally allowed to financially benefit from the death of the person he or she was caring for?
4. What can families do to protect elderly family members from financial abuse?

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• Julie L. Masters Ph.D. – Professor and Chair, Terry Haney Chair of Gerontology, Department of Gerontology, University of Nebraska Omaha
• Tasha R. Howe Ph.D. – Professor and Chair of Psychology Department, Humboldt State University
• Karen Magruder LCSW – Assistant Professor in Practice, The University of Texas at Arlington - School of Social Work
• David Hage MSW, LSW, C-ASWCM – Assistant Professor of Social Work/Field Director, Misericordia University

Methodology

In order to determine the states with the best protection against elder abuse, WalletHub compared the 50 states and the District of Columbia across three key dimensions: 1) Prevalence, 2) Resources and 3) Protection.

We evaluated these dimensions using 16 relevant metrics, which are listed below with their corresponding weights. Each metric was scored on a 100-point scale, with 100 representing the “best protection against elder abuse.”

Finally, we determined each state’s weighted average across all metrics to calculate its overall score and used the resulting scores to rank-order our sample.

Prevalence – Total Points: 40

• Share of Elder-Abuse, Gross-Neglect and Exploitation Complaints: Triple Weight (~24.00 Points)Note: This metric was calculated by dividing the number of elder-abuse, gross-neglect and exploitation complaints by the number of residents aged 65 years and older. “Complaints” include those made to the Office of the State Long-Term Care Ombudsman.
• Estimated Elder Fraud Rate: Full Weight (~8.00 Points)Note: This metric was calculated by dividing the number of elder fraud reports by the number of elderly residents. “Elder fraud”, also called “elder financial abuse” or “elder financial exploitation”, is defined as the misappropriation or abuse of financial control in a relationship where there is an expectation of trust, resulting in harm to the elderly victim.
• Elder Fraud Loss Amount per Reported Frauds: Full Weight (~8.00 Points)

Resources – Total Points: 30

• Total Expenditures on Elder-Abuse Prevention per Resident Aged 65 & Older: Full Weight (~10.00 Points)Note: This metric was calculated by dividing the total dollars spent on elder-abuse prevention by the number of residents aged 65 years and older.
• Total Expenditures on Legal-Assistance Development per Resident Aged 65 & Older: Full Weight (~10.00 Points)Note: This metric was calculated by dividing the total dollars spent on legal assistance development by the number of residents aged 65 years and older.
• Total Long-Term Care Ombudsman Program Funding per Resident Aged 65 & Older: Full Weight (~10.00 Points)Note: This metric was calculated by dividing the total dollars spent on long-term ombudsman program funding by the number of residents aged 65 years and older.

Protection – Total Points: 30

• Financial Elderly-Abuse Laws: Full Weight (~3.00 Points)Note: This is a binary metric that considers the presence or absence of such legislation.
• Eldercare Organizations & Services per Resident Aged 65 Years & Older: Full Weight (~3.00 Points)
• Presence of Elder-Abuse Forensic Centers: Full Weight (~3.00 Points)Note: This binary metric considers the presence or absence of Elder Abuse Forensic Centers in a state.
• Presence of Elder Abuse Working Groups: Full Weight (~3.00 Points)Note: An “Elder-Abuse Working Group” is defined by the National Long-Term Care Ombudsman Resource Center as “an entity such as a task force, council, commission, or non-profit organization, convened to address elder abuse issues at the state level.”
• Certified Volunteer Ombudsmen per Resident Aged 65 Years & Older: Full Weight (~3.00 Points)
• Frequency of Assisted-Living Facilities Inspections: Full Weight (~3.00 Points)
• Quality of Nursing Homes: Full Weight (~3.00 Points)Note: This metric measures the share of certified nursing-home beds rated 4 or 5 stars.
• Presence of Laws Allowing Surveillance Cams in Nursing Homes: Full Weight (~3.00 Points)Note: This binary metric measures the presence or absence of state laws allowing surveillance cameras in nursing homes.
• Presence of Elder Justice Task Forces: Full Weight (~3.00 Points)Note: This binary metric measures the presence or absence of an Elder Justice Task Force in a state.
• Presence of Elder-Abuse Shelters: Full Weight (~3.00 Points)Note: This binary metrics measures the presence or absence of elder-abuse shelters in a state.

 

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Sources: Data used to create this ranking were collected from the U.S. Census Bureau, Aging Integrated Database, National Conference of State Legislatures, Administration on Aging - U.S. Department of Health and Human Services, California State Association of Public Administrators, Public Guardians & Public Conservators, National Center on Elder Abuse, National Consumer Voice, U.S. Department of Justice, Comparitech, The Elder Law Journal and United Health Foundation.

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