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ADULT PROTECTIVE SERVICES BASIC
SKILLS TRAINING
MODULE IDAY ONE
Presented By:North Carolina Department of Health & Human
ServicesDivision of Aging and Adult Services
Goals of the APS Basic Skills Training
◦ Enable county staff to better understand and use the statutory requirements, state policies and practice guidelines in APS.
◦ Promote consistent implementation of statutory requirements, state policies and guidelines.
◦ Improve service delivery to APS clients through the introduction of knowledge, skills and values useful in APS practice.
◦ Develop basic skills in screening, assessment and evaluation; case decision making; assessment of capacity; service authorization, planning and provision; and case documentation.
◦ Establish and promote a statewide philosophical framework which emphasizes social work values critical to APS casework.
◦ Clarify the role of APS social workers to enable them to operate with confidence in a complex program area
Adult Protective Services
services provided to ensure the safety and well-being of elders and adults with disabilities who are in danger of being mistreated or neglected, are unable to take care of themselves or protect themselves from harm, and have no one to assist them.
INTRO TO APS
NC had the first Elder Abuse Law
APS Laws Vary from state to state
Mandatory vs. Involuntary Reporting
Elderly vs. disabled adult population
Definitions of abuse, neglect and exploitation
Whether DSS or the aging system handles reports and provide protective services
VULNERABLE ADULT
PROTECTION SYSTEM (VAPS)
PATH
STRENGTHENING APS
AS WE KNOW IT PATHVAPS
& APS
AS WE KNOW ITPATH~ Pursuing Grants
~ North Carolina Study Commission On Aging
~Stakeholders’ Support
• Area Agencies On Aging
• Senior Tarheel Legislature
• North Carolina Association of County Directors of Social Services
VERSUS
~Sharing and Promoting Best Practices~Dialogue with Adult Services Committee &Stakeholders ~Utilize Research~Utilize Data from APS Survey~APS Training for Supervisors~Development of Multi Disciplinary Teams in Each County~Reviews of Case Confirmation and Substantiation Rates~Review and Make Changes to APS Training to Reflect Helping Nature of Adult Protective Services~Revised & Automated APS Tools~Target & Identify Potential Reporter Groups Encountering Frail Adults & Provide Outreach~Review & Make Changes to APS Manual~Review and Make Changes to APS Register Report(s)
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
DYNAMICS THAT FOSTER MISTREATMENT
› Demographics “The Graying of America”
Current Medical Science
› Societal AttitudesRespect for people of advanced ageLack of financial resources
› Family DynamicsLoss of Income or Pressures on the jobMarital Tensions, problems with children“Sandwich generation”Pattern of past family violence
Basic Principles for Adult Protective Services
◦ #1-The right to self-determination is a basic tenet of adult protective services.
◦ #2- Clients should be treated with honesty, caring and respect.
◦ #3- The least restrictive alternative should be used whenever possible.
◦ #4- Give highest priority to the family and other normal support systems as resources when appropriate.
◦ #5- Inadequate or inappropriate intervention can be more harmful than none at all.
◦ #6- Protection of disabled adults is a shared community responsibility.
◦ #7- The emphasis in APS is always on the need for protective services rather than investigation of incidents.
◦ #8- The client’s confidentiality and right to privacy should always be respected.
Family Assessment & Change Process
◦Systematic Approach to APS
◦Focus of the Model
Functioning of the Adult Preventing New Losses in Functioning Maintaining Current Abilities Improvements Family Interaction Values Manners Roles
Family Assessment & Change Process for Adult Services
Mobilizing Services
Termination
Reassessment
Implementing Plan
Adult/Family Service Plan
Setting Function-Oriented Goals
Checklist for Change
Comprehensive Functional Assessment(Strengths/Perceptions/Domains)
Emergency Intervention(if needed)
Screening/Intake
Close APS Case Evaluate Need for APS & Make Case Decision
Planning Services
Receive & ScreenAPS Referral
Support, Enable, & Empower
Families
Obtain ServiceAuthorization
Core Activities
Family Assessment and Change Process as Used in Adult Protective Service
→Receive and Screen Referral
→Evaluate the Need for Protective Services
→Obtain Service Authorization
→Plan and Mobilize Essential Services
→Close Protective Services Case
Duty to Report
Any person having reasonable
cause to believe a disabled adult
is in need of protective services shall report
such information. [NC G.S. 108A]
Required Information on an Adult Protective Services
Report
! Name and address of the adult
! Name and address of the caretaker (or where he can be found)
! Age (or approximate age) of the adult
! Nature and extent of disabled adult’s injury or condition resulting from abuse, neglect or exploitation
! Other pertinent information (e.g., why in need of PS)
Receive and Screen Referral
Does Not Meet Criteria
Meets Criteria
Assign for Evaluation
Apply Screening Criteria
Make Appropriate Referrals within DSS and Community
Accept as APS Report
APS Report
↔ the person is a disabled adult
↔ who has been abused, neglected or exploited; and
↔ is in need of protective services.
A referral is appropriate for APS and becomes a report when it alleges:
Disabled Adult
◦18 or Over
◦Present in North Carolina
◦Physically or Mentally Incapacitated
Abuse
◦Willful infliction of pain, injury, anguish, or
◦Willful deprivation of needed services, or
◦Unreasonable confinement◦By caretaker
Caretaker
Has Responsibility for the
Disabled Adult’s
Day-to-Day Well Being
NeglectSELF NEGLECT
Not able to provide services to maintain physical or mental health
CARETAKER NEGLECTNot receiving services from caretaker
to maintain physical or mental health
Exploitation
Illegal or improper use
of a disabled adult
OR
his resources
for another’s profit or advantage
In Need of Protective Services
Unable to perform or obtain
essential services
AND
Without able, responsible and
willing persons to obtain
essential services
Adult Protective ServicesScreening Decision Criteria
◦Disabled Adult
◦Abused, Neglected or Exploited
◦In Need of Protective Services
EmergencyDanger of Death or Irreparable Harm if Protective Services are not provided immediately
The Evaluation must be initiated:
immediately if a danger of death is alleged in an emergency
within 24 hours if a danger of irreparable harm is alleged in an emergency
Screening Practice Issues
◦Obtaining information from the reporter
◦Clarifying the reporter’s expectations
◦Maintaining an attitude of helpfulness
◦Explaining confidentiality
THANK YOU FOR ATTENDING!
COMMENTS/QUESTIONS?
Presented By:North Carolina Department of Health &
Human ServicesDivision of Aging and Adult Services