The Lichtenberg Financial Decision Screening Scale (LFDSS): A new tool for assessing financial decision making and preventing financial exploitation

ABSTRACT

One of the challenges in preventing the financial exploitation of older adults is that neither criminal justice nor noncriminal justice professionals are equipped to detect capacity deficits. Because decision-making capacity is a cornerstone assessment in cases of financial exploitation, effective instruments for measuring this capacity are essential. We introduce a new screening scale for financial decision making that can be administered to older adults. To explore the scale’s implementation and assess construct validity, we conducted a pilot study of 29 older adults seen by APS (Adult Protective Services) workers and 79 seen by other professionals. Case examples are included.     

Does Home- and Community-Based Care Affect Nursing Home Use?

A study was conducted to assess change in numbers, expenditures, and case mix of nursing home residents as Medicaid investment in home- and community-based services (HCBS) 1915(c) waivers increased in seven states. The seven states provided Medicaid expenditure and utilization data from 2001 to 2005, including waiver and state plan utilization. The Minimum Data Set was used for nursing home residents. For three states, community assessment data were also used. In six states, the number of nursing home clients decreased as the numbers of HCBS clients grew. However, in most states, the number of additional waiver clients often greatly exceeded reductions in nursing home residents. Nursing home payments decreased moderately, but this decrease was offset by increases in HCBS waiver and state plan expenditures, leading to a net increase in long-term support services (LTSS) expenditures from 2001 to 2005. Increases in waiver expenditures outpaced increases in waiver clients, indicating expansion of services on top of expansion in clients. States that showed substantial increases in HCBS showed only modest increases in nursing home case mix. The case mix for nursing home residents was more acute than that for HCBS users. The expectation that greater HCBS use would siphon off less severe LTSS users and hence lead to a higher case mix in nursing homes was partially met. The more acute case mix in nursing homes suggests that HCBS serves some individuals who were previously cared for in nursing homes but many who were not. Efforts to promote substitution of HCBS for institutional care will require more proactive strategies such as diversion.     

The Growth of Internet Research Methods and the Reluctant Sociologist*

Between 1999 and 2004 only one article appeared in the American Sociological Review, the American Journal of Sociology, or Social Forces using primary data collected with Web‐based research techniques. Since then there have been only a handful of studies published in these core sociology journals drawing on Web‐based surveys or other forms of Web‐based data. The use of Internet‐based data has become widespread in many academic fields, especially health research and education; Web‐based techniques are becoming routine in the practice and study of politics; and online commercial and market research has become a billion dollar industry. At the same time, the utility of random digit dialing surveys has eroded considerably owing to declining contact rates, increased use of technologies to screen unwanted telephone calls, and the replacement of landline telephones with cell phones. There is increasing evidence that Internet research can produce representative data. Although Web‐based surveys may overrepresent some populations, Internet usage in the general population is now well over 75 per cent and is especially strong among some hard to reach populations. Internet surveys have the potential to reduce measurement error, missing data, and respondent attrition. Sociologists must overcome their fear of participation in stigmatized Internet research and actively engage in the development of techniques and refinements that will increase the utility and validity of Internet‐based data collection.     

Measurement of Dating Aggression During Middle School: Structure,Measurement Invariance,and Distinction From General Aggression

Two studies examined the factor structure of a modified version of the Safe Dates dating aggression scale and evaluated whether dating aggression is distinct from general aggression during early adolescence. Analyses were conducted on a derivation sample of 3,894 adolescents from 37 schools (Study 1) and an independent cross‐validation sample of 938 middle school youth (Study 2). Categorical confirmatory factor analyses supported a two‐factor model (perpetration and victimization) over models differentiating psychological and physical forms of aggression. The model was invariant across time, sex, grade, and season. Study 2 also supported dating aggression as distinct from general aggression. Results supported measuring dating aggression perpetration and victimization as latent constructs represented by ordered categorical indicators that capture item severity and frequency.     

Sports Involvement as Protection against Depressed Mood

Working within a risk and protection framework, this research brief examines the protective inà uence of team sports involvement on adolescent depressed mood. The objective was to understand whether sports involvement positively contributes to mental health independent of the effects of other known protective factors (parental and peer support); and whether it moderates the depressive effects of family, peer, and school‐based risk factors. Analyses focused on 1,036 high school‐aged youth interviewed at two time points. Regression analysis results indicated a signià cant association between team sports involvement and depressed mood among both males and females, which was reduced to insignià cance after controlling for the other protective factors. One interaction effect was observed: for females, but not males, team sports involvement was shown to protect against depressed mood associated with poor school performance (low grade point average). Thus, the role of sports involvement as a positive instrumental activity for females is discussed.     

The Demand for Lotto: The Role of Conscious Selection

This article presents estimates of the elasticity of demand for lottery tickets using time series data in which there is variation in the expected value of a lottery ticket induced by rollovers. An important feature of our data is that there are far more rollovers than expected given the lottery design. We find strong evidence that individuals do not choose their lottery numbers uniformly from a uniform distribution—that is, conscious selection. We use our estimates to derive the inverse supply function for the industry, and this enables us to identify the demand elasticity. We find the price elasticity to be close to unity, which implies that the operator is revenue maximizing—which is the regulator's objective.     

Formalization,collectivization, and the demand for union services

Formalized collective bargaining rather than individual employer-employee negotiation is the fundamental characteristic of a unionized labor market. Formalization involves the substitution of rules for employer discretion. Collectivization substitutes simultaneous decision making on behalf of all workers in a unit for a set of individual employee decisions. Formalization and collectivization are present in nonunion as well as union labor markets and their extent varies within as well as between these two sectors. In particular, individuals may negotiate where they belong in a union environment, and the presence of rules invites negotiation over their interpretation. Nevertheless, because formalization and collectivization are obvious concomitants of trade union organization, their costs to both employers and employees should explain the probability of union organization, as well as the incidence of such antecedents of the modern trade union as the Italian padrone who acted as foreman, pay-master, and employment agency for newly-arrived immigrants to the United States; and the Indianjamdar, a construction industry recruiter-foreman. Our occasional observations of union-induced costreductions may appear to counter the implicit assumption in much of the trade union literature that unions always induce suboptimal combinations of factor inputs and factor payments (nonunion firms could choose union-induced parameters on their own and do not). Because these cost reductions may be accompanied by increased costs imposed by unions, however, the cost reductions discussed below imply nothing about overall effects of unions on employers or employees. I wish to thank John Pencavel for helpful comments on earlier versions of this paper. For further analysis of these points, see Flanders (1968). See Epstein and Monat (1973) for a discussion of the services provided by labor contractors.