Showing posts with label broken conservatorship system. Show all posts
Showing posts with label broken conservatorship system. Show all posts

Saturday, September 17, 2022

How do we fix California's broken conservatorship system?

New legislation aims to provide more rights to people with disabilities who are in conservatorships.

 
Author: Andie Judson

SACRAMENTO, Calif. — “I was totally trapped,” said Marie Bergum. From age 21 to 36, Marie was conserved by her parents.

“I acted like I was happy…but I wasn’t,” said Marie.

We wanted to hear about her experience of what being under a conservatorship was like. She said her father, as conservator, was controlling.

“It was kind of sad,” said Marie. “He saw me as a ‘disability daughter.’”

She said, as an adult, she wanted freedom. Instead, she had to get permission for things like leaving the house or seeing friends because she was conserved.

“It made me uncomfortable,” said Marie.

Because of a brain injury, Marie has a developmental disability, according to court documents. She requires “adult guidance” in making many decisions.

That is why her father and stepmother believed being under their conservatorships was in Marie’s best interest – so they could protect and assist her, court documents show.

We reached out to Marie’s father. While he expressed wanting what was best for Marie as the reason behind the conservatorship, he declined our request for an on-camera interview.

Marie said more and more restrictions under the conservatorship added to her frustration. Under the conservatorship, she said she couldn’t have a job or be responsible for her finances, cook, or ride the bus alone.

So, she decided to take life into her own hands.

“I had to do some research,” said Marie.

She found something called a “self-advocacy group” and began trying to reach out. She made calls in her room discreetly.

“I was really scared because I was doing it walking around at my stepmoms,” said Marie. “Walking around trying not to get caught.”

Eventually, Marie got in touch with Suzanne Bennett Francisco, an advocate and disability expert who has become well-versed with those dealing with conservatorships.

“A lot of those cases come to me. Most attorneys won’t take the cases,” said Francisco. “They consider it a conflict of interest because they also set people up in conservatorships.”

Francisco said she and others began helping Marie navigate California’s complex conservatorship system, including helping her request an investigation from the court.

“(They helped me) step-by-step, what to do,” said Marie.

With assistance, Marie was able to launch several actions for her conservatorship case, including the regional center writing an assessment.

Regional Centers are state-funded facilities under the Department of Developmental Services. In limited conservatorships – or conservatorships for those with disabilities – a regional center service coordinator must write an “assessment” or evaluation of the person being conserved. This assessment is submitted to the court for the judge to review before appointing a conservatorship.

But Marie had never had an assessment prior to her conservatorship because she was placed under a general conservatorship. General conservatorships are more restricting, stripping someone of all civil rights – unlike limited ones which have seven specific powers that can be taken away and given to the individual acting as conservator.

In getting an assessment done for Marie, it revealed she should have more of her rights than she did.

“That assessment did recommend she have some of her rights – and if she had certain supports then she could have some of those rights back,” said Francisco. “Because she was under a general conservatorship where all of her rights were taken.”

Those with disabilities being placed under a general conservatorship is a problem that happens often – something we’ve uncovered in previous episodes of this investigation.

The regional center assessment motivated Marie, even more, to get out of her conservatorship.

“I felt like it just makes me cut myself down,” said Marie. “It cuts me down to make me feel like I’m low functioning.”

But the process to get out and terminate the conservatorship proved extremely difficult.

“So, a public defender was assigned. The public defender spoke to the conservator – Marie’s father – and wasn’t speaking to Marie,” said Francisco. “The judge never heard her voice.”

As Marie navigated this complicated and flawed system, she added more and more people she trusted to her “team.” This was one of the first times she experienced supported decision-making.

“Supported decision making is what we do every day actually,” said Francisco. “If we need help or if there’s something we feel like we need more information about, then we go to trusted, chosen people.”

For example, think of a car mechanic or doctor; both experts who explain complicated processes to their clients to help them make decisions.

“They get information that they need and they’re seen as wise. People with disabilities, when they ask for help – they’re seen as weak,” said Francisco. “So this is just offering people with disabilities the same choice – to choose people they trust, family members, friends, professionals, to help them make choices where and how they want and need support.”

Francisco said supported decision-making is a shift in our culture to empower people with disabilities. And we’re seeing this shift for the first time in California legislation.

AB 1663 is a conservatorship reform bill proposed by California Assemblymember Brian Maienschein.

“At heart, this is really a human rights bill. What it’s going to do is it’s going to put a concept called 'supported decision-making' into law,” said Maienschein. “This will be the first time this will ever be written into law. It’s really groundbreaking – and it changes the whole dynamic when it comes to conservatorships.”

But the bill is also in part thanks to the Free Britney movement.

“We think it makes sense,” said Matthew Rosengart, Britney Spears’ attorney during a rally in front of the Stanley Mosk Los Angeles Courthouse. “We support it. We’re glad Britney shined a light on some of the problems systemically.”

“The main organizers of the Free Britney movement have been incredible civil rights leaders throughout this whole process,” said Judy Marks.

Marks is the President of Disability Voices United, a statewide organization directed by people with disabilities and their family members. The Free Britney movement brought Marks and other advocates to rallies when Spears was still under conservatorship.

“And put us out front to say, ‘This has got to change. The entire conservatorship system has got to change and Britney is just one example,’” said Marks.

Marks and the Free Britney movement have worked with Assemblymember Maienschein to help create and get AB 1663 through the many steps of making it law.

“We call this the last civil rights movement,” said Marks. “Because you’d never say a person should have all their rights taken away because of their race, because of the language they speak, because of their gender. But now we’re seeing people can have all their rights taken away just because they have a disability.”

AB 1663 aims to change California’s conservatorship system in four main ways. In addition to supported decision-making, the bill would require California probate courts to prove conservatorship is truly the last resort.

“The bottom line for AB 1663 is that it makes it harder to get into conservatorships and easier to get out of them,” said Marks.

Right now, experts say other options are not being considered.

“Across the nation, conservatorship is supposed to be the last most restrictive option,” said Francisco. “If parents are given one choice, one option, how is that a choice? Because a choice has at least two options.”

The bill aims at making conservatorships easier to terminate.

“The individual will know there may come a time when it is no longer necessary, and they have the right to ask to have their conservatorship removed,” said Maienschein. “It will also make sure a hearing is required at that time on the request of the conservatee.”

AB 1663 also would try to ensure the person's conserved desires are upheld.

“A judge will have to make sure the individual has been advised of their rights,” said Maienschein.

Since being introduced in January 2022, AB 1663 has moved through the complicated process of becoming law.

[ABC10’s] investigation’s timing could not have been better for getting AB 1663 passed,” credited Marks. “Your investigation delved into limited conservatorships, you found they were anything but limited.”

At our time of reporting, AB 1663 was sitting on Governor Newsom’s desk. If passed, it will go into effect on January 1, 2023.

“Our bill, AB 1663, will definitely hold DDS (Department of Development Services) more accountable for the 413 people they conserve,” said Marks. “But overall, it means that between your investigation and AB 1663 it means people are watching. People are saying to DDS, ‘Why are you conserving these people?’”

Marks said ABC10’s investigation, The Price of Care: Taken by the State, has already held DDS more accountable because just two days before episode one aired, DDS announced steps they’re taking to reform their conservatorship system, such as creating a panel to review the 413 people DDS acts as conservator to.

“That was all prompted by your investigation,” said Marks. “But these efforts have just begun because they’re being done in private and advocates like myself who’ve been working on this issue for years were not invited to be involved. So, we hope there’s some light that’s going to be shined on these conservatorships and these investigations soon.”

The California State Auditor has also released a number of audits into the Department of Developmental Services – including one in June 2022. In this audit, they said several times that DDS is aware of flaws in their system as past audits have pointed this out – yet DDS has failed to make changes.

That’s why people like the Schutte family, who we introduced in episode one, are not sold on DDS’ new promises or AB 1663.

“Organizations that are supposed to be monitoring, managing, and making sure people do the proper things – and following the current laws – frankly, no one cares. No one is doing those things,” said Russell Schutte. “So, I’m excited there’s a new assembly bill moving forward, but if current laws aren’t working – I don’t expect that to either.”

Meanwhile, the impact of a broken system and laws not being followed will continue to cause harm – like it already has to people like Marie.

“When you conserve someone, you’re basically signing a piece of paper… and saying goodbye,” said Marie.

After a lengthy legal battle to get out of her general conservatorship, Marie was placed under a limited one, court documents show…the type of conservatorship she should’ve been under initially.

Marie and Francisco said the limited conservatorship was not less restrictive in any way.

“Nothing changed. It was just called limited,” said Francisco. “So, it was very hard, and she went back and she had another court hearing. We just kept at it.”

They continued to fight – and while they could not get Marie out of her conservatorship, they came to an agreement: Marie could choose new conservators.

“They had to be approved by me,” said Marie. “And my supportive team.”

Marie chose her aunt as well as an advocate that was close to her.

The court agreed Marie must remain under this conservatorship with new conservators for a year, then could re-apply to terminate it.

It’s the only conservatorship Francisco has seen in all her years that has gotten this close to being terminated.

“Man, we’re going to have a party,” Marie said when asked about what she planned on doing if and when the conservatorship was officially terminated.

Throughout two years of investigating California’s conservatorship system, we’ve spoken with experts, and system insiders, and stood in empty homes, hearing the stories of those heartbroken having their loved ones taken from them - all because of a broken system.

Broken on multiple levels – but especially at the top; the state agency in charge of ensuring people with disabilities receive fair treatment and have equal rights – California’s Department of Developmental Services (DDS).

So, we’ll end this investigation where we began, with the Schutte family, and their message for DDS.

“Clearly the system is broken,” said Russell. “And parts of this system can be fixed here and now. (It) doesn’t require additional law, they just require people to do the right thing. Please do so.”

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Resource guide for Californians dealing with conservatorships

For two years, ABC10 has been investigating California’s conservatorship system. Compiled is information to help you understand, navigate and change the system.

Credit: ABC10/KXTV

Author: Andie Judson

SACRAMENTO, Calif. — ABC10 has been investigating California’s conservatorship system for two years.

In season one, we dug into general conservatorships in a five-part investigative series. In our second five-part series, we focused on limited conservatorships for those with disabilities.

This complex system is filled with complicated legal processes, jargon and questionable practices.
 

Here at ABC10, we stand for you, and we wanted to ensure anyone watching our reporting could thoroughly understand this complicated system. In the aftermath of our reporting, we want to make sure viewers are connected to resources that could help anyone navigate a conservatorship or get involved to push for change.

RELATED: Watch all five episodes of Season I of "The Price of Care: Investigating California Conservatorships"

With the help of system insiders, experts and advocates, we have gathered the information below for the past two years while investigating conservatorships and compiled the following resources for you.

Below you’ll find an index of terminology, the agencies, experts and those impacted by this system that we featured in season two of our investigation, The Price of Care: Taken by the State

We also provided contact information to the many agencies entrusted with this system to reach out, and provide feedback, and any concerns sparked from our investigation.

Terminology:

Conservatorship: Known as guardianship in states outside California, a conservatorship is a legal arrangement where someone assumes rights and responsibilities over another person who is unable to care for themselves. Conservatorships are a tool to help protect and provide assistance to our most vulnerable populations. Conservatorships must be approved through the probate court. While there are different types of conservatorships in California, limited and general, both have two main ways of taking control - when someone assumes responsibility over another person’s finances, it’s called “conservatorship of the estate.” If someone takes responsibility for an individual’s personal life, decisions and health choices it’s known as “conservatorship of the person.” Often, conservatorship over the person and their estate occur together and are very powerful as the person acting as a conservator can make all choices for the person who is conserved.

General conservatorship: A general conservatorship strips someone completely of their civil rights and gives them to another person. These types of conservatorships are often for the elderly or those with dementia. Conservators in general conservatorships are often family members or professional fiduciaries.

Limited conservatorships: A limited conservatorship gives a conservator specific authority over another person’s life, i.e. “the conservatee.” These conservatorships are specifically tailored to those with disabilities and are called “limited” because they’re supposed to be unique to the individual being conserved. The conservatorship is supposed to limit the powers and civil rights taken from a person to only seven specific items they need assistance with. Conservators in limited conservatorships are often parents, however, the Department of Developmental Services can be appointed as conservators in some cases where other potential conservators are “deemed inappropriate.”

7 powers of limited conservatorship:

  • Power over the conservatee’s residence or place of living

  • Access to the conservatee’s confidential records

  • Give or withhold consent over the conservatee’s marriage

  • The ability to enter into contracts on behalf of the conservatee

  • Power over medical decisions

  • Power over educational decisions

  • Power over the conservatee’s social and sexual relationships

Lanterman Act: Passed in 1969, this California law ensures people with disabilities have equal rights. To uphold this law, the Department of Developmental Services (DDS) was established as a service system to meet the individual needs of Californians with disabilities. This state agency oversees regional centers which directly provide services to people with disabilities as well as their families. The Lanterman Act is codified in the California Welfare and Institutions Code.

Service coordinator: Service coordinators play an important role in each regional center as they have “cases” or people with disabilities assigned to them. The coordinators are entrusted to conduct an Individualized Program Plan (IPP) that’s unique to the individual. With their IPP plan, the person can get specific services they need that help enable them.

Regional Center Assessment: When a limited conservatorship is petitioned for in probate court, an assessment must be done by the proposed conservatee’s regional center. Service coordinators are responsible for doing this assessment, which is an evaluation of the person that may be conserved. The assessment evaluates the person’s specific needs, and capacity and recommends which of the seven powers should be taken and given to a conservator. It also includes an overall recommendation of whether or not the conservatorship is appointed. The assessment goes to a probate court judge to help them decide whether or not the conservatorship petition should be approved.

Petition: This is the first legal step in conservatorship proceedings. A petition is a legal request, filed in court, to do something. When a conservatorship petition is filed with the probate court, it’s requesting the judicial action of starting conservatorship proceedings, which would lead to the approval of the conservatorship.

Court-appointed attorney: After a conservatorship petition is filed, California law requires the court to appoint/assign a lawyer for the person that may be conserved. This attorney is supposed to be a third party, stand for what the individual wants - like if they want to be conserved or not - and represent their voice and desires in a court of law.

Court investigator: Another action required after a conservatorship petition is filed is for an investigator from the court conduct a review of the person being conserved and the circumstances of their life. Their investigation findings are submitted to the court for the judge to review. If a conservatorship is appointed, the court investigator is also supposed to do annual or bi-annual check-ins of the conserved individual.

Visitation: For general conservatorships and limited conservatorships that have power over social and sexual contacts, restrictions over who the conserved person can and cannot see can be implemented. Many conservatorships we reviewed in our investigation had “visitation,” of loved ones, where family members had to get approval from the conservator and abide by a strict time frame and setting they were allowed to visit the conserved individual within.

Agencies/Organizations:

Department of Developmental Services (DDS): This is the overarching state agency responsible, by law, for overseeing the coordination and delivery of services and support to 400,000-plus (by 2023) Californians with developmental disabilities. DDS has a $12-billion+ budget funded by tax-payers to execute their responsibilities and ensure Californians with disabilities “have the opportunity to make choices and lead independent, productive lives as members of their communities in the least restrictive setting possible.” DDS also serves as a conservator to 400+ individuals.

Regional Centers: There are 21 regional centers throughout the Golden State that execute DDS’ responsibilities of ensuring people with disabilities have equal opportunities. These centers provide an array of services from arranging transportation to speech therapy to adult daycare classes to in-home caregiving.

Probate Court: The probate branch of court falls under each county’s superior court. This segment of the judicial system primarily handles matters such as wills, estates and conservatorships.

California Attorney General: As the state’s chief law officer, the California Attorney General is responsible for ensuring the laws of the state are enforced and safeguarding Californians from harm. This state entity has three main legal services divisions to uphold these responsibilities: Division of Civil Law, Division of Criminal Law, and Division of Public Rights. The California Attorney General is also responsible for representing state agencies and officials in a court of law.

Disability Rights California (DRC): This non-profit agency is designated under federal law to protect and advocate for the rights of Californians with disabilities. The organization has a number of programs and branches including litigation, legal representation, advocacy services, investigations and public policy and provides information to those with disabilities.

DRC Office of Clients Rights Advocacy (OCRA): This is a branch within Disability Rights California funded by the Department of Developmental Services, OCRA was created in the late nineties by the state legislature for “independent client rights advocacy by people who are not employed by regional centers (or) the Department of Developmental Services.” OCRA has at least one “advocate” assigned to support the clients of each of California’s 21 regional centers.

California Auditor: The California Auditor’s Office is our state’s “in-house watchdog” that’s independent of the executive branch and legislative control. Their work primarily comes from the legislature by joint way of the legislative audit committee. This state agency conducts a variety of audits including financial audits, compliance audits, performance audits and audits mandated by state law. The auditor’s goal is to determine whether or not government agencies are effective in fulfilling their missions and compiling with the law.

Spectrum Institute: A non-profit organization founded in 1987 by attorney Tom Coleman. The organization engages in research projects and educational programs on a wide range of human rights issues involving adults with mental or developmental disabilities. Spectrum Institute has published a number of detailed articles on how and why California’s conservatorship system is broken as well as solutions and steps to reform it.

Disability Voices United: A statewide organization directed by and for individuals with disabilities and their families that focuses on advocating for “choice and control, equity and accountability and meaningful outcomes.”

TASH: An “international leader in disability advocacy” founded in 1975, TASH advocates for human rights and inclusion for people with significant disabilities and support needs.

Free Britney: Sparked by the conservatorship of Britney Spears, the Free Britney movement has stood to ensure the superstar was released from her conservatorship and received justice for mistreatment. The movement is credited for both putting pressure on the judicial process in getting Spears free from conservatorship as well as transitioning to a civil rights movement for all those under conservatorship.

Association of Regional Center Agencies (ARCA): As the representative and “trade union” for California’s 21 regional centers, the Association of Regional Center Agencies’ mission is to promote and advance regional centers in upholding their duties designated by DDS and the Lanterman Act.

Adult Protective Services: Each California county has an Adult Protective Services (APS) division to help elder, dependent or vulnerable adults who are unable to meet their own needs. APS is entrusted to conduct investigations/reviews and work with law enforcement agencies to protect adults who need their services. 

Contact information:

Department of Developmental Services:

Physical Address: 1215 O Street, Sacramento, California 95814

Mailing Address: P.O. Box 944202, Sacramento, California 94244-2020

Phone number: 916-654-1690

General Information line: 833-421-0061, TTY: 711

Click here for DDS’ contact page to report a concern

Nancy Bargmann, DDS Director:

  • Email: Nancy.Bargmann@dds.ca.gov

Maria Nunez, DDS Conservatorship Liaison:

  • Email: Maria.Nunez@dds.ca.gov
  • Phone: 916-639-4724
  • Office Phone: 951-554-1080

Brian Winfield, DDS Chief Deputy Director of Program Services:

  • Email: brian.winfield@dds.ca.gov             
  • Phone: 916-654-1569

California Department of Health and Human Services

Physical Address: 1600 9th Street #460, Sacramento, California 95814

Phone number: 916-654-3454

Click here for information on how to schedule a meeting with a member of the California Health and Human Services Department

Dr. Mark Ghaly, California Health and Human Services Secretary

  • Email: mark.ghaly@chhs.ca.gov

California Attorney General

Physical Address: 1300 I Street, Sacramento, California 95814

Mailing Address: P.O. Box 944255, Sacramento, California 94244-2550

Phone number: 916-445-9555

Click here for information on contacting a specific person or program at the California Attorney General’s office

Judicial Council of California

Physical Address: 455 Golden Gate Avenue, San Francisco, CA 94102

Phone number: 415-865-4200

Cathal Conneely, Public Information Officer

Disability Rights California

Physical Address: 1831 K Street, Sacramento, CA 95811-4114

Phone number: 916-504-5800

Disability Rights California has a number of offices throughout the state, for their contact information click here

Disability Rights California OCRA:

Northern California Office: 1-800-390-7032

Southern California Office: 1-866-833-6712

To contact OCRA, file a grievance or find your OCRA contact, click here

Regional Centers:

Click here for a full list of all California’s 21 regional centers and their contact information as well as executive director’s contact information

California State Auditor:

Physical Address: 621 Capitol Mall, Suite 1200, Sacramento, California 95814

Phone: 916-445-0255

Whistleblower Hotline: 800-952-5665

File a complaint with the California Auditor’s office by clicking here, by calling the whistleblower hotline above or mailing your complaint to: Investigations California State Auditor, P.O. Box 1019, Sacramento, CA 95812

You can download a PDF complaint report by clicking here

Legislative Contact: 916-45-0255

Accessibility Contact: 916-445-0255

Your Elected Leaders:

Look up your California State Assemblymember and Senator by clicking here

Look up your Congressional Representative by clicking here

Loop up your U.S. Senators here

 
Full Article & Source:
 

Tuesday, August 3, 2021

‘We don’t know how many people are being held captive against their will’— can we fix America’s broken conservatorship system?

 By Chris Farrell

The pressure for change is building; these are some of the reform ideas being discussed and ways to protect yourself

Protesters in Los Angeles call for an end to the 13-year conservatorship of Britney Spears. Getty Images

This article is reprinted by permission from 
NextAvenue.org.

Britney Spears’ newsy and disheartening conservatorship nightmare has brought to public consciousness the immense power that court-ordered guardians wield over their charges and raised alarms about the potential for abuse. And now—finallythanks to the sad story of the 39-year-old pop star, efforts are under way to tackle the longstanding problems with conservatorships and guardianships across the country, generally controlling lives of older adults deemed incapable to manage their affairs.

The public policy concern is particularly acute with the aging of the population, since America’s oldest elders may be especially vulnerable to abuse and exploitation when they can no longer handle their finances or their medical issues. (The words “conservatorship” and “guardianship” are often used interchangeably. In general, a legal guardian has the power to make a wide range of personal and medical decisions while conservatorship is often limited to financial matters.)

“Whenever you have money being contracted in third-party hands, there is a potential for abuse,” says Katherine Pearson, a professor at Dickinson Law at Penn State University.

Adds Pamela Teaster, director of the Center for Gerontology at Virginia Tech University, guardianship represents “a loss of civil rights.”

Washington is looking into conservatorship

The experience of Britney Spears with her 13-year conservatorship has disturbed Congressional lawmakers from both sides of the political aisle, including unlikely political bedfellows, Senators Elizabeth Warren (D-Mass.) and Ted Cruz (R-Texas).

Warren and Sen. Bob Casey (D-Pa.) want the Biden administration to investigate the sorry state of conservatorship in America. And Representatives Charlie Crist (D-Fla.) and Nancy Mace (R-S.C.) just introduced the bipartisan “Free Britney Act,” also known as the Freedom and Right to Emancipate from Exploitation Act.

That bill would: give people under guardianship the right to ask that a court-appointed private guardian be replaced with a public guardian; assign an independent caseworker to those in conservatorship or guardianship and mandate states to update their databases on how many people are in conservatorship. Records about conservatorship are pretty scarce.

“Abusive conservatorships can be an unending nightmare, and tragically we don’t know how many people are being held captive against their will under the broken guardianship system,” said Crist in a statement. “We do know, however, that we need federal safeguards to protect persons under guardianship from abuse and exploitation.”

The pressure for change is building, and not just in the Capitol.

Many of the reforms under discussion largely focus on improving the existing court-centered infrastructure, although there is also backing for alternative approaches to guardianship. (One example of that: a novel process known as eldercare coordination that is being tried in a few states; the Next Avenue article, “Could Eldercaring Coordination Be the Answer to Guardianship Problems?” describes it.)

Among the conservatorship reform ideas circulating are national standards for conservators; improved training of guardians; better legal representation for those unable to afford their own counsel; constant monitoring of conservatorships so rights of people being protected can be restored quickly when necessary and better data collection.

What reforming conservatorship will take

Taken altogether, changes like these require more money and, equally important, greater attention paid to the flawed system, where some conservators take advantage of people they’re supposed to be assisting and even steal from them.

“The problems lie in the implementation of the laws and in whether they create the right systems to encourage desired behavior,” Teaster said in testimony before the Senate Special Committee on Aging in 2018. (Little has changed to improve the system since then.)

To be sure, guardianship is complicated, and the process involves difficult, nuanced judgments between supporting individual autonomy and protecting the vulnerable.

State and local courts are generally responsible for the guardianship system. Guardians are often family members, but state courts also appoint private guardians for people with assets and public professionals for lower-income individuals. Guardianships include many older people, as well as younger children and adults dealing with intellectual or developmental disabilities or both.

Once a guardian is appointed, it can be difficult to end the arrangement, as we’ve seen in Spears’ case.

Guardianships and conservatorships can be extremely beneficial for families, when handled properly.

“Often, guardianships go well. The people who are managing the money are committed to doing the right thing,” says Pearson. “You never hear about the cases that go well.”

The troubled history of guardianship in America

That said, the guardianship system has a troubled history. And when abuses happen, the stories are chilling.

A 1987 yearlong Associated Press investigative report into guardianship practices nationwide highlighted the system’s deep flaws. “The nation’s guardianship system, a crucial last line of protection for the ailing elderly, is failing many of those it is designed to protect,” the report noted. The investigation “found a dangerously burdened and troubled system that regularly puts elderly lives in the hands of others with little or no evidence of necessity, then fails to guard against abuse, theft and neglect.”

The searing investigation spurred a string of reforms among state legislators in the 1990s, with the American Bar Association, AARP and other organizations weighing in with ideas.

Language evolved, and terms like “ward” were retired; terms like “competency” replaced “capacity.” The courts also took a somewhat more active role monitoring guardians.

“This legal momentum brought guardianship law to the fore as one of the leading issues in the developing field of elder law in the U.S.,” wrote Israel Issi Doran, a gerontology professor at the University of Haifa.

There’s also been a growing desire to bring the person under conservatorship into the process more, to involve them as much as possible in their guardianship arrangements.

“Over the last decade, the trend has been toward giving the protected person as much autonomy as possible, more of a joint process,” says Pearson. “Most states haven’t moved in this direction as a matter of law, but are taking important steps to encourage this as best practices.”

Troubles continue to erupt, however.

The data is spotty

Take a 2016 report from the Government Accountability Office (GAO). In “Elder Abuse: The Extent of Abuse by Guardians is Unknown, but Some Measures Exist to Help Protect Older Adults,” the GAO documented how little was known about elder abuse by guardians.

The agency identified hundreds of allegations of abuse, neglect and exploitation between 1990 and 2010 and, after scrutinizing 20 of the cases, found guardians had stolen or otherwise improperly obtained $5.4 million from 158 incapacitated victims, “many of whom were older adults.”

A frightening 2017 article by Rachel Aviv in the New Yorker powerfully showed how private guardians in Clark County, Nevada took financial advantage of vulnerable older adults.  

There is an agreement about one needed reform: Data. As public policy wonks like to say, we can’t understand what we don’t measure.

According to the U.S. Department of Justice, there are some 1.3 million adults with guardians who control about $50 billion in assets. But the national data likely understates the enormity of system as well as its problems, experts say.

In the 2017 New Yorker article, Teaster called the guardianship system “‘a morass, a total mess,” adding that “it is unconscionable that we don’t have any data, when you think about the vast power given to a guardian.”

Asked over Zoom ZM, +0.23% earlier this week whether she still held that judgment, Teaster responded, “The guardianship system is still a morass. We don’t know the people under guardianship in any systematic way.”

How to protect yourself against conservatorship fraud

Until the conservatorship system’s problems are addressed, how can you and your loved ones protect yourself from potential abuse?

There are critical steps individuals can take to minimize the odds of ending up in conservatorship.

For example, get a durable power of attorney drawn up to assign someone the authority to manage your finances if you become unable. Similarly, get a health care directive so someone can make health decisions for you if you can’t. A 2019 Merrill Lynch and Age Wave survey found that only 18% of Americans 55 years and older had a will, health care directive and durable power of attorney.

Next Avenue recently created a free online resource to help you do things like this with checklists and resources. It’s called “Fast-Forward: Take Control of the Rest of Your Life.”

With proper estate planning documents in place, “if someone loses capacity, they have set up a mechanism to manage the estate,” says Kate Wilbur, a gerontology professor at the Leonard Davis School of Gerontology at USC. “Talk with family members about your wishes. Especially if you want a family member to act as your agent.”

Britney Spears has brought welcome attention to America’s inadequate guardianship system. She is hardly representative of the typical conservatorship situation, with her fame and her wealth, of course.

But interest in her situation may be what’s needed to push legislators to better fund the system and to back needed reforms, especially selecting, training and monitoring guardians.

A comprehensive national database would help, too. After all, does it really make any sense that you can go online and easily track an online package, yet the information to track the safety of vulnerable Americans under guardianship is sparse?

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