title: Enduring powers of attorney: promoting attorneys' accountability as substitute decision makers.
abstract: OBJECTIVE
  The misuse and abuse of Enduring Powers of Attorney (EPAs) by attorneys, particularly in relation to financial decision-making, is a growing concern. This paper explores the opportunities to enhance accountability of attorneys at the time of the execution of the document in Queensland.
  
  
  METHODS
  A four-stage multi-method design comprised a critical reference group; semi-structured interviews with 32 principals or potential principals, attorneys and witnesses; two focus groups with service providers and a state-wide survey of 76 principals, attorneys and witnesses.
  
  
  RESULTS
  Across all methods and user groups, understanding the role and obligations of the attorney in an EPA was consistently identified as problematic.
  
  
  CONCLUSIONS
  Promoting accountability and understanding can be addressed by greater attention to the role of the attorney in the forms/ guidelines and in the structure and witnessing of the forms, increased direction about record keeping and access to appropriate advice and support.
authors: School of Social Work and Human Services, The University of Queensland, Brisbane, Queensland, Australia.
authors: Cheryl
authors: C
authors: Tilse
authors: Jill
authors: J
authors: Wilson
authors: Ben
authors: B
authors: White
authors: Lindy
authors: L
authors: Willmott
authors: Anne-Louise
authors: AL
authors: McCawley
mesh_terms: D016223:Advance Directives / Q000191:economics / Q000941:ethics* / Q000523:psychology*; D003657:Decision Making / Q000941:ethics*; D005382:Financing, Personal / Q000191:economics / Q000941:ethics; D017144:Focus Groups; D005568:Forms and Records Control / Q000191:economics / Q000941:ethics; D017408:Guidelines as Topic; D017048:Health Care Costs / Q000941:ethics; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D007407:Interviews as Topic; D033241:Lawyers / Q000523:psychology* / Q000592:standards; D028743:Professional Misconduct / Q000941:ethics / Q000523:psychology; D024382:Professional Role / Q000523:psychology; D019727:Proxy / Q000523:psychology*; D011793:Queensland; D012941:Social Responsibility; D011795:Surveys and Questionnaires; D020458:Third-Party Consent; D035502:Trust
keywords: enduring powers of attorney; substitute decision making