Financial Decision Making and Fraud in Older Age: Neuropsychology, Neuroimaging, and Policy Considerations

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Educational Objectives
  1. Describe the impact of cognitive impairment on financial exploitation risk in older age
  2. Explain the neurobiological mechanisms underlying financial decision making and fraud risk in older age
  3. Discuss the impact of available evidence on clinical practice and public policy

 

Course Information
Target Audience:Intermediate
Availability:Date Available: 2022-06-02
  You may obtain CE for this webinar at any time.
Offered for CE Yes
Cost Members $20
  Non-Members $30
Refund Policy This webinar is not eligible for refunds
CE Credits 1.0
Abstract
Financial exploitation of older adults is a significant public health concern. However, the reasons why certain older adults are susceptible to scam and fraud are poorly understood. This presentation will review neuropsychological, neuroimaging, and other scientific evidence focused on elucidating the underlying factors and neurobiological mechanisms associated with risk of financial exploitation in older age. Implications for clinical practice and public policy will also be discussed.
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References
  1. Lachs, M.S., & Han, S.D. (2015). Age associated financial vulnerability: an emerging public health issue. Annals of Internal Medicine, 163(11), 877-878.
  2. Han, S.D., Boyle, P.A., James, B.D., Yu, L., & Bennett, D.A. (2016). Mild cognitive impairment and susceptibility to scams in old age. Journal of Alzheimer’s Disease, 49,845-851.
  3. Han, S.D., Boyle, P.A., James, B.D., Yu, L., Barnes, L.L., & Bennett, D.A. (2016). Discrepancies between cognition and decision making in older adults. Aging Clinical and Experimental Research, 28, 99-108.
  4. Han, S.D., Boyle, P.A., Arfanakis, K., Fleischman, D.A., Yu, L., James, B.D., & Bennett, D.A. (2016). Financial literacy is associated with white matter integrity in old age. NeuroImage, 130, 223-229.
  5. Han, S.D., Boyle, P.A., Yu, L., Arfanakis, K., James, B.D., Fleischman, D.A., & Bennett, D.A. (2016). Grey matter correlates of susceptibility to scam in community-dwelling older adults. Brain Imaging and Behavior, 10(2), 524-532.
  6. Han, S.D., Arfanakis, K., Fleischman, D.A., Yu, L., Bennett, D.A., & Boyle, P.A. (2018). White matter correlates of temporal discounting in older adults. Brain Structure and Function, 223, 3653–3663.
  7. Weissberger, G.H.*, Mosqueda, L., Nguyen, A.L., Samek, A., Boyle, P.A., Nguyen, C.P., & Han, S.D. (2020). Physical and mental health correlates of perceived financial exploitation in older adults: Preliminary findings from the Finance, Cognition, and Health in Elders Study (FINCHES). Aging and Mental Health, 24(5), 740-746.
  8. Han, S.D., Barnes, L.L., Leurgans, S., Yu, L., Bennett, D.A., & Boyle, P.A. (2020). Literacy mediates racial differences in financial and healthcare decision making. Journal of the American Geriatrics Society, 68(6), 1279-1285.
  9. Lamar, M., Arfanakis, K., Yu, L., Zhang, S., Han, S.D., Fleischman, D.A., Bennett, D.A., & Boyle, P.A. (2020). White matter correlates of scam susceptibility in community-dwelling older adults. Brain Imaging and Behavior, 14(5), 1521-1530.
  10. Axelrod, J., Mosqueda, L., Weissberger, G.H., Nguyen, A.L., Boyle, P.A., Parunakian, E., & Han, S.D. (2020). Frailty and perceived financial exploitation: Findings from the Finance, Cognition, and Health in Elders Study. Gerontology and Geriatric Medicine, 6, 1-5.
  11. Weissberger, G.H., Mosqueda, L., Nguyen, A.L., Axelrod, J., Nguyen, C.P., Boyle, P.A., Spreng, N., & Han, S.D. (2020). Functional connectivity correlates of perceived financial exploitation in older adults. Frontiers in Aging Neuroscience, 12, 583433.
  12. Nguyen, A.L., Mosqueda, L., Windisch, N., Weissberger, G., Axelrod, J., & Han, S.D. (2021). Perceived causes, context, and consequences of financial exploitation: Narratives from older adults. Journal of Gerontology: Social Sciences, 76, 996-1004.
  13. Han, S.D., Lamar, M., Fleischman, D., Kim, N., Bennett, D.A., Lewis, T.T., Arfanakis, K., & Barnes, L.L. (2021). Self-reported experiences of discrimination in older Black adults are associated with insula functional connectivity. Brain Imaging and Behavior, 15, 1718-1727.
  14. Han, S.D., Barnes, L.L., Leurgans, S., Yu, L., Stewart, C.C., Lamar, M., Glover, C.M., Bennett, D.A., & Boyle, P.A. (2021). Susceptibility to scams in older Black and White adults. Frontiers in Psychology, 12, 685258.

Disclosures
Dr. Han has received a consulting fee and serves as a member of an advisory committee for The American Association of Retired Persons (AARP).

Author(s)
  • Duke Han, PhD is a diplomate of the American Board of Professional Psychology in clinical neuropsychology, Director of Neuropsychology in the Department of Family Medicine, and a tenured Full Professor of Family Medicine, Neurology, Psychology, and Gerontology at the Keck School of Medicine of the University of Southern California. He received his Bachelor of Science degree in psychology with a specialization in neuroscience from Duke University, and his doctorate in clinical psychology from the University of Massachusetts Boston. He received training in clinical neuropsychology and experimental neuroimaging techniques through various programs of Harvard Medical School's Brigham and Women's Hospital. He continued his clinical neuropsychology and neuroimaging activities during his internship and postdoctoral fellowship years at UCSD and the San Diego VA Healthcare System. He maintains an active research collaboration with the Rush Alzheimer's Disease Center of Rush University Medical Center in Chicago, where he was most recently a tenured faculty member and continues to retain visiting professor status. Dr. Han is interested in the factors that affect cognition and decision making in aging. He also has special interests in using novel neuroimaging and statistical approaches to better understand these factors. He was the recipient of the prestigious Paul B. Beeson Career Development Award in aging research, which is supported by the National Institute on Aging (NIA) of the National Institutes of Health (NIH) and the American Federation of Aging Research (AFAR). He is the primary investigator on numerous research grants extramurally funded by the NIH and private foundations. Dr. Han is actively involved in peer-review of aging and Alzheimer’s Disease research grants for the National Institutes of Health (NIH), and has served as the Chair of the NIA Clinical and Translational Research of Aging Review Committee (NIA-T) and the Neuroscience of Aging Review Committee (NIA-N). He reviews manuscripts for over 30 scientific journals and has served on the editorial board for the Journal of Alzheimer’s Disease and Archives of Clinical Neuropsychology. Dr. Han currently serves as an oral examiner for the clinical neuropsychology board certification process for the American Board of Clinical Neuropsychology (ABCN), and holds multiple service or mentorship roles in the International Neuropsychological Society (INS), the National Academy of Neuropsychology (NAN), the American Academy of Clinical Neuropsychology (AACN), and the Society for Clinical Neuropsychology (Division 40) of the American Psychological Association (APA). In 2021, he was elected a Fellow of the APA, a status conveyed for “evidence of unusual and outstanding contributions or performance in the field of psychology." His work has been featured in Reuters, CBS, PBS, Forbes, Fox Business News, and U.S. News and World Report.
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