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Page 1: Adult Services. Vulnerable adults at risk or victim of abuse, neglect, or exploitation. Adults with disabilities who need assistance to remain in the

Adult Adult ServicesServices

Page 2: Adult Services. Vulnerable adults at risk or victim of abuse, neglect, or exploitation. Adults with disabilities who need assistance to remain in the

Vulnerable adults at risk or victim of abuse, neglect, or exploitation.

Adults with disabilities who need assistance to remain in the community.

Target Target PopulationsPopulations

Page 3: Adult Services. Vulnerable adults at risk or victim of abuse, neglect, or exploitation. Adults with disabilities who need assistance to remain in the

MissionMissionProtect vulnerable adults from further abuse, neglect, or exploitation, and enable disabled adults to remain in the community. VisionVisionInvestigations of abuse, neglect and exploitation will meet statutory requirements and quality assurance standards, and will be conducted in a timely manner by competently prepared and trained staff.

Vulnerable adults will have ready access to the emergency and ongoing services needed to protect them from further abuse, neglect or exploitation.

Each community will have a comprehensive continuum of services for disabled adults that meets their changing needs.

Page 4: Adult Services. Vulnerable adults at risk or victim of abuse, neglect, or exploitation. Adults with disabilities who need assistance to remain in the

Protective ServicesProtective Services Investigations:Investigations: 38,560 calls to Hotline FY 2000-2001 Frail elderly and disabled victims Risk assessment determines need for protection and additional services Emergency Placements Emergency services including medical assessments, nursing, counseling, medical treatment,

and chore services Referrals to community agencies for ongoing in-home services

Protective Supervision:Protective Supervision: 1,747 clients (425 placements) Short-term services designed to stabilize a situation and prevent further harm to victim Usually provided for up to 60 days, then case turned over to in-home community service

provider for ongoing services

Placement and Intervention:Placement and Intervention: 10,619 clients Short-term case management services such as assistance with nursing home and assisted

living facility placements and crisis intervention counseling Ongoing case management for elderly and disabled persons living in assisted living facilities

and adult family care homes Case management for frail elderly and disabled persons for whom contracted community

services may not be available, particularly in very rural areas

Page 5: Adult Services. Vulnerable adults at risk or victim of abuse, neglect, or exploitation. Adults with disabilities who need assistance to remain in the

InIn--Home Community Home Community ServicesServices

Community Care for Disabled Adults:Community Care for Disabled Adults: 1,535 clients Age 18-59 permanently and totally disabled Generally live in own home Need services such as homemaker, personal care, home delivered meals, and transportation No income or resource limitations Contracted servicesHome Care for Disabled Adults:Home Care for Disabled Adults: 1,592 clients Age 18-59 nursing home and income eligible Live with caregiver Receives monthly subsidy of approximately $100 per month Other services may be available depending on funding limitations; i.e., medical supplies, durable

medical equipment such as hospital beds and wheelchairs. Services provided by agency staffMedicaid Waiver Services:Medicaid Waiver Services: 1,445 clients Age 18-59 nursing home and income eligible Generally live in own home Need services such as homemaker, personal care, home delivered meals, and transportation Contracted servicesAdult Cystic Fibrosis:Adult Cystic Fibrosis: 170 clients Over age 18 Live in own home Need medical case management services, medical equipment, medications and caloric supplements Contracted services

Page 6: Adult Services. Vulnerable adults at risk or victim of abuse, neglect, or exploitation. Adults with disabilities who need assistance to remain in the

Adult Services Adult Services SystemSystem

2000/20012000/2001

HOTLINE

Inform ation andR eferra l

R eport A c c epted

R eportsInvestigated

38,560 Per Year209 Investigators

(386.50 Total FTE's)$16,940,095

ProtectiveSupervision1,747 Clients(Includes 425Placements)

68.00 Counselors(105.00 Total FTE's)

$4,602,096

TemporaryEmergency Services

789 Clients$248,527

Placement &Supportive Services

10,619 Clients50.50 Counselors

(80.50 Total FTE's)$3,528,273

Programs forPersons with

Disabilities4,742 Clients

14.00 Counselors(17.00 Total FTE's)

$15,326,604

ClientRefusesServices

C O MMU N IT YR E FE R R A L S

~P rotective S erv ices P rogram s~N urs ing H om es~H osp ita ls~H om e H ealth A genc ies~C om m unity R eferra ls~S elf-re ferra ls~D eve lopm enta l S erv ices~V ocationa l R ehab ilita tion~D iv is ion o f B lind S erv ices~C enters fo r Independent L iv ing~B ra in & S p ina l C ord In ju ry~M enta l H ealth

Referredto Other

Agencies

Page 7: Adult Services. Vulnerable adults at risk or victim of abuse, neglect, or exploitation. Adults with disabilities who need assistance to remain in the

Major InitiativesMajor Initiatives Update and standardize all Adult Services

policies and procedures.

Update Adult Protective Services training program and ensure that the provision of training is consistent statewide.

Collaborate with the Department of Elder Affairs for the provision of ongoing services to elderly victims of abuse, neglect, or exploitation.

Assess the availability of community services for persons with disabilities in each district and develop partnerships with related agencies.

Page 8: Adult Services. Vulnerable adults at risk or victim of abuse, neglect, or exploitation. Adults with disabilities who need assistance to remain in the

Performance Performance MeasuresMeasures

Office Population Measure Title MCode

FY 01-02 Performance

Based Budgeting

Federal (give reference)

Accreditation (give

reference)Comments

Program Office Inital

Recommendation

Adult Services

Adults with disabilities and frail elderly who are victims of abuse, neglect or exploitation

Percent of protective supervision cases in which no report alleging abuse, neglect, or exploitation is received while the case is open (from beginning of

protective supervision for a maximum of 1 year)

M0124 Yes NA NA

Recidivism of ANE has proven to be a good indicator of whether victims are protected

from further harm.

Continue Measure

Adult Services

Adults with disabilities and frail elderly who are victims of abuse, neglect or exploitation

Number of investigations M0127 Yes NA NA

APS has experienced a growth rate of 30% since

FY 99-00 and andticipates a continued

growth rate of 12.5%.

Continue Measure

Adult Services

Adults with disabilities and frail elderly who are victims of abuse, neglect or exploitation

Number of people receiving protective services

M0317 Yes NA NA No comments. Continue Measure

Adult Services

Adults with disabilities who need assistance

to remain in the community

Percent of adults with disabilities receiving services who are not

placed in a nursing home

M0151 Yes NA NA

Focus of measure is to maintain disabled adults in their own homes as

long as possible and this determines success.

Continue Measure