Roughly five years ago, the state Supreme Court realized that
Pennsylvania's expanding aging population would likely create a major
increase in court cases dealing with the protection of the elderly.
At
the time, Pennsylvania ranked fourth in the nation in the percentage of
residents 60 and older, and the number was only expected to increase.
So
the court created an Elder Law Task Force in 2013 made up of 38
representatives to examine the current system, identify concerns and
find ways to improve practices to best protect against elder abuse.
The
task force released a list of 130 recommendations in November 2014,
many of which addressed the guardianship system. The suggestions
included the need for a statewide management system to track cases and
identify problems; better training for judges ruling in guardianship
hearings; and amendments to require background checks for guardians and
representation for incapacitated individuals.
Some of those issues are being addressed and a statewide tracking
system is expected to be in place by the end of the year, but those
within the system agree there are still other aspects that can be fixed
to best protect the rights and lives of the elderly.
In the works
One
of the biggest criticisms of the guardianship system is the lack of an
organized statewide method to maintain and monitor the data, making it
nearly impossible to screen for potential issues.
In Berks
County, cases are maintained by the county Orphans Court staff by hand
in a desk ledger, but practices vary from county to county. With that
setup, there's no way to know even how many adults are under
guardianship.
Guardians, both family and professional, are
directed to submit annual reports for the courts to review to ensure
they are doing their job properly, but those filings also are not
tracked.
To address those issues, the Information Technology
Department for the Administrative Office of Pennsylvania Courts created a
Guardian Tracking System to track compliance in mandatory guardian
reporting and to provide statewide statistics.
Paul Stengle, CEO
of The Arc Alliance, which provides services including guardianship,
said the system will cause more work for his staff, but they fully
support it.
"They worked hard on this, and from what I've seen, it looks very good," he said.
State
Rep. Mark Gillen is taking the lead on another key concern regarding
the lack of statutory standards for guardians. The Robeson Township
Republican introduced legislation in March to require background checks
for individuals seeking to be guardians.
The bill came shortly
after a three-day Reading Eagle series that analyzed the guardianship
system and found courts in Philadelphia and Montgomery counties
appointed a professional guardian who had a 2005 felony theft conviction
to manage the estates of more than 75 incapacitated adults.
Gillen's
bill would disqualify convicted felons from guardianships and require
federal and state criminal background checks. It's garnered bipartisan
support and is one of the first steps to establish a set of standards
for guardians as suggested by the Elder Law Task Force and other groups.
However,
advocates such as senior attorney Sam Brooks from Community Legal
Services in Philadelphia, believe the bill needs to be amended so it
doesn't blindly bar willing family members. Brooks believes family
guardians are almost always a better fit than professional guardians,
claiming professionals' large caseloads keep them from giving adequate
attention and care to their wards.
Ongoing concerns
However,
Brooks' biggest concern stems from the incapacitation hearings at the
start of the guardianship process. According to the current state
statute, a potential ward does not have to be present for the hearing if
a physician testifies it would be harmful for him or her. There's also
no requirement that potential wards be represented by counsel.
Brooks
said there is legislation in the works to require counsel in all cases,
but he said that doesn't fully address the problem. In his experience
in Philadelphia courts, Brooks said he too often sees court-appointed
counsel present evidence against his or her client and give his or her
own opinion on the case. He said that determination needs to be made by
the judge.
"There should be a mandate that court-appointed counsel
zealously represent the wishes of the alleged incapacitated," Brooks
said.
Stengle said Arc, which becomes involved after the
hearings, also prefers individuals to have representation, noting that
Berks is better at that than other counties.
"We would like to see
more representation for those people to make sure they're represented
and their rights are protected," he said.
Stengle said Arc also
has been lobbying for legislation for more limited guardianships,
instead of the usual plenary appointments. While the state statute says
limited guardianship should be considered, Stengle said too often
individuals are found completely incompetent and stripped of their full
rights.
"We would love to see the court utilize more judgment in
giving limited guardianship," he said, adding that would allow wards to
choose where they live and spend their time but not manage financial
accounts.
Stengle also took issue with the way the current setup
rewards guardians who place individuals in a nursing home with a monthly
$100 reimbursement from Social Security. He said it costs much more to
keep individuals in the community because most wards don't have funds.
"It seems like they should reinforce you to keep them in the community instead of a nursing home," he said.
Full Article & Source:
Pennsylvania's guardianship system has room for improvement, some in the field say