*GAO Investigates Elder Care: As Many as 1 in 10 Older US Adults are Abused Each Year with Physical, Sexual, or Emotional Abuse, Financial Scams and Neglect

Researchers estimate that as many as 1 in 10 older US adults are abused each year. This includes physical, sexual, or emotional abuse, financial scams, and neglect. It can occur at the hands of family, guardians, caregivers, or others.

The Department of Justice has investigated and prosecuted cases of elder abuse, provided training and grants, and taken other actions to combat it. However, DOJ has not developed goals that could help guide these efforts.

The GAO recommended that DOJ develop and document elder justice goals and outcome measures to better guide its elder justice efforts.

Examples of Scams Commonly Committed Against Older Adults in the US

A graphic showing different types of scams and fraud

What GAO Found

The Department of Justice (DOJ) has established several efforts to address elder abuse, including neglect and exploitation, but its planning and assessment of its elder justice efforts are limited. For example, DOJ has established several working groups and in accordance with the Elder Abuse Prevention and Prosecution Act (EAPPA)—enacted in October 2017—designated an elder justice coordinator in each of its 94 U.S. Attorneys' Offices. In addition, DOJ provides training and educational materials on elder justice topics for its own staff, as well as state and local officials, and also offers grants to state and local entities that can be used to address elder abuse.

Despite these efforts, DOJ has not developed and documented goals (e.g., enhancing coordination with state and local officials) that articulate the common outcomes it seeks to achieve through its elder justice work. DOJ also has not developed outcome measures that track the agency's progress on its overall elder justice efforts, for example, a means to measure if its coordination practices have been useful and relevant over time to state and local officials. DOJ officials stated that they do have goals, and noted that one of them is to comply with EAPPA. However, implementing the requirements outlined in EAPPA is not a goal that articulates a common outcome that the agency is seeking to achieve through its efforts. Developing and documenting goals and outcome measures, which is consistent with both leading practices and internal control standards, would assist with DOJ's planning—providing direction for what it seeks to achieve—and its assessment of overall effectiveness.

The Department of State has a number of policies and procedures to assist all US citizens arrested abroad, including older US citizens, and the Department of Homeland Security conducts some arrest investigations abroad. For example, trained Department of State staff at overseas posts and in Washington, DC provide emergency and non-emergency services to US citizens arrested abroad, such as visits to the place of detention and medical assistance. They also take actions to ensure that US citizens arrested abroad are treated humanely and fairly. In December 2018, the Department of State revised its policies by adding “elderly prisoners” to the list of special arrest cases, or cases that may require additional attention. The Department of Homeland Security investigates arrests in foreign countries of US citizens, including older US citizens, who were tricked into smuggling drugs by international criminal enterprises.

Why GAO Did This Study

Researchers estimate that as many as 1 in 10 older adults in the United States — age 60 or older — experience abuse each year. Elder abuse may involve physical, sexual, emotional, or financial abuse or neglect. It can occur by family, guardians, or caregivers as well as by strangers and international criminal enterprises, which operate schemes for monetary gain or to facilitate other criminal activities. According to media reports and congressional testimony, some older US citizens who have traveled abroad have unwittingly participated in illicit activities, and in some cases, have been arrested in foreign countries.

EAPPA included a provision for GAO to review elder justice efforts in the federal criminal justice system. This report examines (1) the ways DOJ works to address crimes against older adults, and to what extent DOJ is planning for and assessing its efforts; and (2) how the Departments of State and Homeland Security address the arrest of older US citizens abroad, including arrests involving international criminal enterprises. GAO reviewed agency policy documents, and interviewed agency officials, as well as a non-generalizable sample of elder abuse stakeholders and state and local officials selected for their experience in this area.

What GAO Recommends

GAO made two recommendations related to developing and documenting goals and outcome measures for DOJs elder justice work. In its response, the agency outlined steps to address the recommendations.

For more information, contact Gretta L. Goodwin, (202) 512-8777 or goodwing@gao.gov or Jenny Grover at (202) 512-7141 or groverj@gao.gov.

Editor's Note:

We've included pages of Elder Abuse Summary by the GAO (seen below) as well as Guardianships: Cases of Financial Exploitation, Neglect, and Abuse of Seniors: GAO-10-1046: Published: Sep 30, 2010. Publicly Released: Oct 27, 2010.

https://www.gao.gov/key_issues/elder_abuse/issue_summary

*The US Government Accountability Office (GAO) is an independent, nonpartisan agency that works for Congress. Often called the "congressional watchdog," GAO examines how taxpayer dollars are spent and provides Congress and federal agencies with objective, reliable information to help the government save money and work more efficiently. For example, we identified $73.9 billion in financial benefits in fiscal year 2017 — a return of about $128 for every $1 invested in us. We also identified 1,280 other benefits that led to program and operational improvements across the government.

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