Providing assistance for older adult financial exploitation victims: implications for clinical gerontologists
Open accessAbstract
Background and Objective: Despite the growth of financial exploitation research in the past decade, almost none has focused on older urban adults, and especially urban African Americans. The Success After Financial Exploitation (SAFE) program provides individual financial coaching to older urban adults.Methods: We use community education, delivered separately to older adults and to the professionals who serve them, to raise awareness about financial exploitation (FE) and to motivate referrals for financial coaching. This paper describes the program and methodology, and uses case examples and preliminary research to investigate the intersection of FE and physical and mental health functioning.Results: SAFE participants were able to repair their credit scores, reduce new financial burdens, and even recover monies they had lost due to FE. Case examples illustrate how financial scams and identity theft impacts urban older adults. Participants were assessed prior to the provision of services, and SAFE participants performed poorer on executive functioning tasks than participants in the control group. They also reported more physical health problems and anxiety and depressive symptoms. SAFE participants also had significantly higher risk scores on a financial decision-making scale.Conclusion: Study findings advance our understanding of the impacts of FE on cognitive functioning, mental health, and financial decision-making.Clinical Implications: Clinicians need to be more attuned to the financial health of their older clients, who, if they are struggling with financial exploitation, may also be suffering from problems with cognitive functioning and physical and mental health.
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Clinical and practice-oriented literature emphasizes the need for greater recognition of the psychosocial needs of fraud victims, especially among older adults, while underscoring the limited integration of mental health perspectives into existing fraud response systems.
“clinical and practice-oriented literature emphasizes the need for greater recognition of the psychosocial needs of fraud victims, especially among older adults, while underscoring the limited integration of mental health perspectives into existing fraud response systems”
From Mental health and psychosocial sequelae of fraud victimization: a systematic review (2026) · cites this paper as Lichtenberg et al., 2019
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References 26 · Cited by 33
- Authors
- Lichtenberg, P. A., Hall, L., Gross, E., & Campbell, R.
- Affiliations
- Wayne State University (US)
- Corresponding author
- Lichtenberg, Peter A
- Venue
- Clinical Gerontologist
- Publisher
- Informa UK Limited
- Published
- 2019-01-29
- Volume
- 42
- Issue
- 4
- Pages
- 435-443
- ISSN
- 0731-7115 (ISSN-L)
- 1545-2301
- PMC
- PMC7123962
- OpenAlex
- W2913967178
- Cited by
- 33
- References
- 26
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 3 · 2023: 2 · 2022: 8 · 2021: 2 · 2020: 2 · 2019: 2
- FWCI
- 7.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Gerontologist (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Michigan Department of Health and Human Services
- Michigan Health Endowment Fund
- Topics
- Social Sciences › Demography › Elder Abuse and Neglect
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Social Sciences › Business, Management and Accounting › Accounting › Financial Literacy, Pension, Retirement Analysis
- Keywords
- economic violence, older adults, urban African Americans, financial coaching, credit repair, identity theft, financial scams, executive function, cognitive function, mental health, anxiety, depression, physical health, financial decision-making, community education, referral
- MeSH terms
- Geriatricians, Aged, Aging, Anxiety, Awareness, Black or African American, Cognition, Decision Making, Depression, Elder Abuse, Female, Humans, Male, Mental Health, Middle Aged, Case-Control Studies, Executive Function
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