Elders Age 60 and over Suspected victim of abuse neglect or self neglect Lives in Contra Costa County Dependent Adults Age 1859 Who has physical or mental limitations Unable to perform ADLs ID: 1032288
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1. APS Programs Overview
2. What is APS?EldersAge 60 and over*Suspected victim of abuse, neglect or self neglectLives in Contra Costa CountyDependent AdultsAge 18-59*Who has physical or mental limitations Unable to perform ADLsUnable to protect own rights Adult Protective Services are provided to reduce or prevent danger to dependent adults and the elderly who are at risk for abuse or neglect.
3. Legal BasisState mandatedElder Abuse and Dependent Adult Civil Protection Act (SB2199)Report or referral driven (SOC341)Penal Code 368
4. Principles of APS InterventionSelf-Determination Least restrictiveAPS CANNOT…Force services on a person who has the capacity to consentInvoluntarily remove someone from their homeProvide services for which there are no available resourcesEnforce the lawReveal the identity of a reporter
5. Range of Services24-Hour ResponseInvestigationLimited Case ManagementEmergency Shelter/In Home ProtectionDirect Tangible and Intangible ServicesEmergency Shelter Care Multi Disciplinary Teams (MDT)
6. Roles and Responsibilities Preliminary investigation/researchUnannounced home visitSafety assessmentInterviews and investigationCross ReportingService PlanningLinkage to ServicesAdvocacyReferrals for ConservatorshipCourt Testimony
7. AllegationsNeglectPhysicalSexualAbandonment Abduction Financial Isolation Psychological/MentalSelf Neglect
8. Self-NeglectPhysical CareMedical CareHealth & Safety HazardFinancial Self-Neglect
9. Physical Abuse IndicatorsUnder or over-medicating the victimInadequately explained fractures, bruises, welts, cuts, sores and burnsBruise or burn patterns inconsistent with explanationBruises and injuries in different stages of healingMedication used to restrain victimFearful reaction to specific individual or situation
10. Sexual Abuse IndicatorsTouchingFondlingIntercourseSexual activity when:Adult is unable to understand Unwilling to consentThreatened Physically forced
11. Neglect IndicatorsBed soresUnsanitary environmentSmells of urine and/or fecesUnkempt appearancePoor personal hygieneUntreated medical conditionMisuse of medications
12. Financial IndicatorsSudden, unjustified selling of propertyMissing/stolen money or propertyDisparity between assets/living conditionsIncreased or unusual withdrawals from liquid assetsChanges in legal documentsDisconnected utilitiesExtraordinary interest by family or friends in personal assetsUse of Power of Attorney, Conservatorship or other legal means to control assetsPersonal belongings missingBanking problems, unnecessary loans & mortgagesNew lines of creditMissing or redirected mail
13. Top 10 Elderly Financial ScamsMedicare/Health Insurance scamsCounterfeit prescription drugsFuneral & Cemetery scamsFraudulent anti-aging productsTelemarketing/ phone scamsInternet FraudInvestment schemesHomeowner/reverse mortgage scamsSweepstakes & lottery scamsThe grandparent scam
14. Psychological/MentalVerbal assaultsThreats of abuseHarassmentIntimidationIgnoring Belittling Infantilizing the needs of adults. Neglecting or discounting emotional well being
15. AbandonmentLeaving alone and unable to care for selfDropping off at the hospital without providing basic informationLeaving alone when supervision is neededFailing to provide care without making other arrangements for an alternate caregiver
16. IsolationPreventing the elder or dependent adult from having contact with family, friends, or concerned personsRestricting MailRestricting CallsTurning Away VisitorsLocking the elder or dependent adult in a room or home
17. AbductionRemoval from CaliforniaRestraint from ReturningLacks capacity to consent to removal or restraint
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19. Abuser Statistics
20. Supportive Programs
21. Home Safe ProgramSafety and housing stability of elders and dependent adultsExperiencing or at risk of homelessnessRange of support strategiesShort-term financial assistance Legal services Heavy cleaning, etcHealth, Housing & Homeless Services (H3)/HUME Center
22. Cal OESCoordination and collaboration with county service organizationsOperational Agreements Elder Abuse Prevention Project (EAPP)Multidisciplinary Teams (MDT): Financial Abuse Strike (FAST), Elder Death ReviewElder Abuse Victim SpecialistAd campaigns
23. Elder Abuse Prevention Project (EAPP)Meals on Wheels Senior Legal ServicesFamily Justice AllianceForensic AccountantDistrict AttorneyDiablo Valley Foundation for the AgingEmpowered Aging
24. Working with APSImmediate safety issuesMaintain confidentialityRealistic expectationsInformation sharing
25. Mandated Reporting
26. When to Report?Any mandated reporter, who in his or her professional capacity, or within the scope of his or her employment, has observed or has knowledge of an incident that reasonably appears to be abuse or neglect, or is told by an elder or dependent adult that he or she has experienced behavior constituting abuse or neglect, or reasonably suspects that abuse, shall report the known or suspected instance of abuse. By telephone or through a confidential internet reporting toolimmediately or as soon as practicably possible If making a report via telephone, follow-up with a written-reportwithin two working days
27. Key Information to Provide on ReportsYour NameThe name and age of the elder or dependent adult Suspected Abuser’s name and informationThe present location of the elder or dependent adult Family Member names and addressesOthers parties responsible for the elder's or dependent adult's care The nature and extent of the elder's or dependent adult's condition Date & location of the incident Any other information
28. Failure to ReportLegal Consequences:Up to Six Months in County Jail$1000 FineBoth Jail & FineIf Abuse Results in Death or Great Bodily Harm:Up to One Year in County Jail$5000 FineBoth Jail and FineFailure to report can result in a misdemeanor
29. To Make a Verbal Report* * * 24 hours / 7 days / week * * *Toll -Free (925) 602-4179OR –1-877-839-4347Then fax the 341/342 written report at 925-602-4195
30. APS Intake NarrativeParticipants:Alleged Victim (AV) was (Allegation) by Suspected Abuser (SA). SA’s Relationship to AV.Key information: Relation between AV and SA: History, Current situationAPS Criteria:AV is an Elder/Dependent Adult. Description of adult that qualifies AV to be an Elder/Dependent Adult.Key information: Age, Disabilities/ Impairments / Capacity Allegation:On (alleged incident date)… (Description of alleged incident/allegation).Key information: details, witnesses, law enforcement or other providers’ involvement. Reporting Party:Witness to allegation or was verbally informed? Expectations.Other:Safety concerns for initial contact (please provide details):Law Enforcement Activities:Other Service Providers:COVID-19 Screening:Intake provided resources or referrals:Additional information provided:
31. Example of NarrativeJane Miller (AV) was allegedly physically abused by Scott Summers (SA). SA is the spouse of AV.AV is an Elder Adult. AV is an 89-year-old female currently living in her own home. AV has difficulties with mobility, dressing, and toileting. AV has an IHSS caregiver and it is reported AV and SA’s daughter has DPOA.It was reported on 4/13/2022 AV was sitting on the couch and started yelling at SA. SA then proceeded to get up and hit AV in the mouth. Reporter witnessed this incident and separated AV and SA immediately. AV was reported to have a bloody mouth and was very upset SA made her bleed.Local Law Enforcement was contacted, came to the home but SA was not taken into custody. Safety Concerns: Unstable behavior (SA)Law Enforcement Activity: Yes, LE report # UH-187007Other Service Providers: IHSS #873293COVID-19 Screening: No concernsAdditional Information: It’s reported AV and SA have a history of domestic violence against each other. SA is an Elder Adult and may have cognitive capacity issues.
32. To Make an Online Report for Mandated ReportersTo fill out the SOC 341 form via online, make the report at www.reporttoaps.orgSelect Contra Costa County Intake Form
33. SOC341
34. Reporting To Law EnforcementIf the suspected abuse results in serious bodily injury, a telephone report shall be made to the local law enforcement agency immediately, but also no later than within two (2) hoursThen report to APS and inform the APS worker that you made a police report
35. Empowered Aging/Long Term Care OmbudsmanInvestigates complaints of physical and/or financial abuse or neglect involving residents of assisted living facilities, licensed Residential Care Facilities for the Elderly (RCFE) and nursing homes.(925) 685-2070