2
|
|
- Augustine Bruno McKinney
- 5 years ago
- Views:
Transcription
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 Abuse in care facilities is a problem occurring around the world, with negative effects. Elderly, disabled, and cognitively impaired residents are the most vulnerable. It is the duty of direct caregivers to ensure that their residents are protected from danger and harm. This educational program will discuss various types of resident mistreatment and the psychological, physical, and financial effects. It will also discuss ways that employees can prevent, report, and cope with abuse cases in a senior living community. 8
9 Residents in senior living communities are at risk for various forms of theft. Some residents are alert and oriented but physically disabled. Some are physically capable but cognitively challenged. This puts them at risk for identify theft, embezzlement, petty thefts and other forms for stealing. In addition they can be teased by staff. They may be treated in a manner that is not respectful of who they once were when they were fully functioning. It is hard to imagine that a person who was once high functioning in society may find themselves stranded in a room calling for assistance to go to the toilet with no one to help. 9
10 In the United States the definition of abuse can vary. Abuse includes emotional abuse, neglect, exploitation, abandonment and self-neglect. Laws protect the general population, regardless of the victim s age. For example, criminal laws related to murder, assault, battery, rape or sexual assault do in fact protect older adults. Individuals can be arrested for a wide variety of illegal acts related to resident abuse. Direct caregivers must maintain a safe environment for the residents. 10
11 The most common form of elderly abuse is financial exploitation. In New York it was found that financial exploitation was related to cognitive deficits, home ownership, advanced age, and an inability to manage finances. In these cases, the abusive individual is typically a nonrelative who has known the elderly person for a short amount of time. Most cases are scam phone calls instructing the elderly person to reveal their bank account and social security numbers in order to receive their lottery winnings. This can cause financial loss and also identity theft. 11
12 With financial abuse, the best place to start is to observe behavior. There are certain warning signs that residents are vulnerable: poor physical health, cognitive impairment, difficulty with daily activities, and social isolation. Those with poor physical health are less likely to focus on financial matters, whereas those with cognitive impairment struggle to read banking statements. If an individual has difficulty with daily functions, they may also have trouble handling money. Lastly, if a person lacks a network of peers, they are more prone to money scams. Often the abusers are people who have developed a trusting relationship with residents. This makes elders easier to manipulate, even if they are mentally competent. Abusers may see themselves as deserving of rewards, and coerce victims into financial support. A resident s family and social network involved can help curb financial abuse. It is important to be aware if a resident comes across scams masquerading as unique investment opportunities, or if they have made suspicious, new friends. Remind employees to observe patients when they visit with friends and family. 12
13 It is important to differentiate various forms of elderly maltreatment and their respective risk factors. There are several risk factors that make residents susceptible to non-physical abuse. The evidence supports that social isolation and dementia put residents at the highest risk of non-physical abuse. Elderly residents who don t have children or significant others, and are mentally/physically dependent on staff are more prone to abuse. These residents may be unable to manage their own finances and are thus vulnerable to nonphysical abuse. 13
14 The psychological effects of resident abuse are numerous. There is documentation that residents who suffer physical abuse are at risk of cardiac issues, such as Broken Heart Syndrome. It is possible that there are physical and psychological ramifications to nonphysical abuse. When the expectation of trust is broken between caregivers and residents, residents may experience psychological effects including depression, anxiety, disorientation, and fear of caregiver. 14
15 While necessary to understand the various forms of resident maltreatment and their respective risk factors, it is also important to be aware of common abuser characteristics. In circumstances of financial exploitation, abusive individuals are non-relatives who have known the elderly person for a short period of time, and are less likely to have children. Caregivers who are economically troubled can become financially dependent on residents who have dementia or are advanced in age. In the case of neglect, abusive individuals may be overburdened by the support required of them to care for residents. Caregivers can become overwhelmed by work stress and develop abusive characteristics when they are unable to handle geriatric care. Staff risk factors include: staffing shortage, poor training and supervision, and poor working conditions. Studies have shown that educational support group intervention is effective in reducing negative psychological behavior and increasing geriatric knowledge in caregivers. These groups function as both a mutual support group which also incorporate knowledge in geriatric care. Continuous ongoing training for staff in the care of the residents is necessitated to curb elder abuse. 15
16 Elder maltreatment is a phenomenon that effects care facilities across the country. However, there are certain demographics of people that are at higher risk of nonphysical resident abuse. According to the Adult Protective Services database, nonphysical abuse victims, were on average 78.6 years of age. Additionally, 66.5% were female and 66.5% were White. Over half of the victims were widowed, and had known their abusers for an average time of 22 years. Women with advanced age are at a higher risk of financial exploitation and neglect. It is also possible that without the support of a partner, individuals are more vulnerable to financial scams and social isolation. Additionally, victims know their abusers for a long enough time to establish a trusting relationship. In other words, a long standing relationship does not necessarily mean there aren t cases of elderly maltreatment. 16
17 Direct caregivers at a care facility must be aware of risk factors for different forms of abuse, so that they may protect residents. They need to understand the available demographic data about abusive individuals. According to the Adult Protective Services database, the majority of nonphysical abusive individuals are white and male, and more likely to be a nonrelative. These individuals are also more likely to feel exhausted and underpaid at work. Since many victims of financial exploitation are elderly with few relatives, the risk of the abuser being caught and prosecuted is diminished. This data shows that employees are more likely to financially take advantage of or neglect residents if they fit this description. If employees are becoming abusive due to work stress and inability to cope with geriatric care, they need a more dynamic support system for employees. 17
18 18
19 Social isolation in a home environment has a strong correlation to abuse by a trusted caregiver especially if there are limited family or friends to supervise care. People in this situation are dependent on caregivers and may tolerate inappropriate behavior in order to have their primary needs met. It is important to note that social isolation can occur in a senior living community as well. In senior living communities direct caregivers should function as an advocate for residents and be alert to signs of people who may be taking advantage of or mistreating residents. Senior living communities can offer support and protection to residents that they lack in a home setting. The experience of living with others can in fact increase social opportunities for the resident which in turn may help them to resist or report abuse. 19
20 A 2013 survey categorized residential or in-home services settings as follows: Family Home: A residence of person(s) with IDD which is also the home of related family members in which the person(s) with IDD and/or their family members receive supportive services (e.g. respite care, homemaker services, personal assistance). Host home/foster Family: A home owned or rented by an individual or family service provider in which they live and provide care for one or more unrelated persons with IDD. Group Home: A residence of any size owned, rented or managed by the residential services provider, or the provider s agent, to provide housing for persons with IDD in which staff provide care, instruction, supervision, and other support for residents with IDD. Psychiatric Facilities: state residential facilities designed for persons with a primary diagnosis of a psychiatric disabilities, (for example a mental health facility) in which one or more residents with a primary or dual diagnosis of IDD lives. Other state-operated settings: state-operated facilities or units within facilities that are specifically designated to serve people with IDD that are funded with resources other than the ICF/IID or the Medicaid HCBS Waiver programs. 20
21 Intermediate Care Facilities for individuals with Intellectual Disability (ICF/IID): an optional institutional Medicaid benefit that enables States to provide comprehensive and individualized health care and rehabilitation services to individuals to promote their functional status and independence. Although it is an optional benefit, all States offer it, if only as an alternative to home and community-based services waivers for individuals at the ICF/IID level of care (Medicaid.gov). Nursing home: A Medicaid-funded institutional setting offering skilled nursing or medical care and related services; rehabilitation supports needed due to injury, disability, or illness; and/or long-term care including healthrelated care and services (above the level of room and board) not available in the community, needed regularly due to a mental or physical condition. Own home: A home owned or rented by one or more persons with IDD as the person(s) own home in which personal assistance, instruction, supervision and other support is provided as needed. In settings classified as Own Home, the service recipient is able to remain in the home if the provider of services changes whereas in provider owned or operated facilities, changing the service provider requires the recipient to move to a new setting. 21
22 There are several ways to assess resident abuse in a care-taking facility. It is the responsibility of the direct caregivers to be aware of the resident s baseline condition in order to take note of unusual circumstances. If the resident is a perceived victim of abuse, the employee s role is to report the incident to their manager. All states have an agency tasked with investigating reports of suspected elder abuse. For more information, refer to the National Center of Elder Abuse s website. In elder abuse cases, prosecution is rare for many reasons. Reporting to the Adult Protective Services increases chances of legal cases being filed at a defense attorney s office. Financial exploitation cases have the highest rates of prosecution. However, criminal prosecution should be the last resort when dealing with nonphysical abuse cases. Criminal prosecutions also occur less often due to the victim s inability to testify. A more psychosocial approach, such as a support group, may serve victims better overall and save them from legal fees. 22
23 Direct caregivers should recognize different theories of abuse and understand why elderly people are particularly vulnerable. These theories are based on multiple disciplines, such as psychology, biology, and sociology. Social Exchange Theory: Resident abuse may occur because of the victim s dependence on the abuser and vice versa. An abuser might financially exploit a victim who is physically or mentally dependent on the abusive individual Feminist Theory: Focus mainly on spousal elder abuse. Elderly women are particularly vulnerable to their partners because men tend to have more social and financial resources. Psychopathology of the caregiver theory: Caregivers who have mental illness, a family history of abuse, or abuse alcohol are more likely to be abusive towards residents. Role Accumulation Theory: Elderly residents may be abused by family members with conflicting role obligations, who are unable to cope well with stress management. 23
24 A continuation of discussing theories of abuse, based on psychology, biology and sociology: Situational Theory: One of the earliest and most widely accepted theories of elder abuse. This theory concerns the everyday stress of caregiving. An overwhelmed caregiver who cannot cope with such a stressful work environment may become abusive towards vulnerable residents. Social Learning Theory: States that violence is a learned behavior passed on between generations. If an individual has a family history of violence, they may think violent behavior is acceptable. The abused individual might continue the cycle of violence in a care home facility. Stratification Theory: This form of abuse is particularly found in caregivers. When a caregiver receives low pay and little recognition, they may abuse residents as a need to gain control and compensate for low status. 24
25 Direct caregivers should regularly review with managers proper procedures for reporting suspected abuse. Senior living facilities should have facility specific policies and procedures for reporting elder abuse that align with the state mandated elder abuse reporting laws. Those references should be easily available and accessible. If a resident s life is in danger, this should be reported to immediately. If a non-life-threatening situation of elder abuse is suspected, the facility should contact Adult Protective Services (APS) within 24 hours, the long-term care ombudsman, and/or the local police department. Most states have 24- hour hotlines available for elder abuse reporting. Adult Protective Services keeps a permanent record of employees who have been charged with elderly maltreatment. Whether an incident against a nurse is determined to be founded or unfounded, the Board of Nursing is notified. 25
26 Each state has specific laws addressing elder abuse. As a direct caregiver in a senior living facility, you should know about regulations in your state. Additionally, employees need to be aware of potential barriers to abuse reporting. The prosecution requires many public resources from the district attorney s office, Adult Protective Services, and law enforcement. This puts a budgetary strain on the court system. Secondly, there are individual ramifications for reporting elder abuse. Victims may experience a fear of retaliation, and/or the feeling that nothing will be done if the abuse or misconduct is reported. These anxieties are exacerbated if the staff lacks knowledge about identifying signs and symptoms of abuse. There is also a fear that the staff employee reporter may feel that the abuse happened on their watch, thereby resulting in employee discipline or suspension. 26
27 Suspected misconduct must be reported to the appropriate Adult Protective Services agency as identified by individual state laws (usually within 24 hours). As soon as elder abuse is suspected, the employee must first make sure the resident is safe. Contact local police if the resident suffered serious physical injury or theft. Do not handle any evidence until after law enforcement arrives and conducts their investigation. The employee identifying the abuse situation should notify the charge nurse and/or middle manager so that the resident can be properly assessed for trauma. This assessment should include detailed documentation of any abnormal behavior and injuries. A facility incident report should be completed by the middle manager. They must interview the resident, eye-witnesses and suspected abuser separately. The facility supervisor or senior manager should then perform follow-up interviews with the resident and suspected abuser. A standard protocol must be set so that the facility has a familiar and exact procedure to follow in each report of abuse. All staff should be continually educated and familiar with this exact procedure. 27
28 Direct caregivers should immediately report suspected resident maltreatment to senior management because managers can help prevent resident abuse by reviewing paperwork for all newly hired employees. Background checks should include abuse registries as well as criminal background. Older adults who reside in senior living facilities should be encouraged to have advance directives, living wills, and limited power of attorney designations for financial and healthcare decisions. They must be mentally able to understand and sign these legal documents. These few steps can help reduce the risk of staff personnel exploiting or abusing residents. Furthermore, it is important to account for which residents are at highest risk of nonphysical abuse. Residents who have dementia, physical disability, advanced age, and/or are without a close network of friends or family are at the highest risk of abuse. 28
29 Not only does filing criminal charges for abuse pose a series of financial and logistical barriers, but it s also unclear if this avenue is the most psychologically helpful for victims and abusive individuals. Alternative efforts to prevent or remedy the abuse case early are preferable to criminal prosecution. Studies show that educational support group intervention is effective in reducing negative psychological behavior in caregivers while also increasing their geriatric knowledge. When organized carefully, educational support groups have important implications for caregivers. Studies have shown that many caregivers neglect residents because they are overwhelmed by their work environment and illequipped to deal with vulnerable populations. Individuals who participated in a group which incorporated both mutual support and geriatric education experienced a decrease in psychological elder abusive behaviors. 29
30 30
31 31
32 32
33 33
34 34
35 35
CHAPTER 411 DIVISION 20 ADULT PROTECTIVE SERVICES -- GENERAL
CHAPTER 411 DIVISION 20 ADULT PROTECTIVE SERVICES -- GENERAL 411-020-0000 Purpose and Scope of Program (Amended 11/15/1994) (1) The Seniors and People with Disabilities Division (SDSD) has responsibility
More informationAdult Protection 101. Introduction. Introduction (continued) Categorical Vulnerable Adult
Introduction Adult Protection 101 Jennifer Kirchen, LSW and Deb Siebenaler Aging & Adult Services Minnesota Department of Human Services In 1980, the MN legislature passed MS 626.557, which declared the
More informationSAFETY/SELF PRESERVATION
SAFETY/SELF PRESERVATION About this Domain (Safety/Self Preservation) Assessment Domains The purpose of this domain is to assess the person's ability in identifying and responding to potential or existing
More informationMandatory Reporting Requirements: The Elderly Rhode Island
Mandatory Reporting Requirements: The Elderly Rhode Island Question Who is required to report? When is a report required and where does it go? Answer Any person. Any physician, medical intern, registered
More informationAnaheim Police Department Anaheim PD Policy Manual
Policy 326 Anaheim Police Department 326.1 PURPOSE AND SCOPE The purpose of this policy is to provide guidelines for the investigation and reporting of suspected abuse of certain adults who may be more
More informationADULT LONG-TERM CARE SERVICES
ADULT LONG-TERM CARE SERVICES Long-term care is a broad range of supportive medical, personal, and social services needed by people who are unable to meet their basic living needs for an extended period
More informationHome & Community Based Services Waiver Member Handbook
Home & Community Based Services Waiver Member Handbook For Members Enrolled in the MyCare Ohio Home and Community Based Services Waiver H2531_160714_124129 Approved 1 WELCOME Welcome! This handbook was
More informationOffice of Long-Term Living Individual Support Forum Place 555 Walnut Street Harrisburg, PA 17101
Pennsylvania DEPARTMENT OF PUBLIC WELFARE DEPARTMENT OF AGING www.dpw.state.pa.us/about/oltl OFFICE OF LONG-TERM LIVING BULLETIN ISSUE DATE 04/09/10 EFFECTIVE DATE 04/09/10 NUMBER 05-10-01, 51-10-01, 52-10-01,
More informationCITY OF LOS ANGELES DEPARTMENT OF AGING POLICIES AND PROCEDURES RELATED TO MANDATED ELDER ABUSE REPORTER
Page1_of 8 POLICIES AND PROCEDURES RELATED TO MANDATED ELDER ABUSE REPORTER POLICY The California Welfare & Institutions Code Section 15630 requires that certain employees must report suspected abuse of
More informationLSU Health Sciences Center New Orleans Workplace Violence Prevention Plan
LSU Health Sciences Center New Orleans Workplace Violence Prevention Plan Effective January 1, 1998 Governor Mike J. Foster, Jr., of the State of Louisiana issued Executive Order MJF 97-15 effective March
More informationElder mistreatment and dementia
Elder mistreatment and dementia Thomas Price, MD Assistant Professor of Medicine, Emory University SOM Director, Taskforce Against the Mistreatment of Elders Chief of Medicine, Wesley Woods Objectives
More informationDocumenting and Reporting
Duty: Communicate Client Information to Authorized Persons Task : E.01 Report abuse of client E.02 Report client s unusual behavior E.03 Complete incident report E.05 Respond to authorized persons request
More informationCenter for Medicaid, CHIP, and Survey & Certification/Survey & Certification Group
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop 02 02 38 Baltimore, Maryland 21244 1850 Center for Medicaid, CHIP, and Survey & Certification/Survey
More informationMandatory Reporting Requirements: The Elderly California
Mandatory Reporting Requirements: The Elderly California Question Who is required to report? Last Updated:December 2016 Answer Any person who has assumed full or intermittent responsibility for the care
More informationSequel Youth and Family Services POLICY AND PROCEDURE. Domain: Administration and Leadership
Sequel Youth and Family Services POLICY AND PROCEDURE Subject: PREA Domain: Administration and Leadership Objective: To establish a process where Sequel Youth and Family Services employees have zero tolerance
More informationThe following are clues for recognizing signs of physical elder abuse. It is not intended to be exhaustive.
Updated 4/30/17 Recognizing and Reporting Elder Abuse FACT SHEET CANHR is a private, nonprofit 501(c)(3) organization dedicated to improving the quality of care and the quality of life for long term care
More information3/1/2017. FINANCIAL EXPLOITATION March Prepared for the San Antonio Estate Planners Council
FINANCIAL EXPLOITATION March 07 Prepared for the San Antonio Estate Planners Council 3 Objectives Describe Adult Protective Services (APS) and the definition of financial exploitation Understand the legislative
More informationAbuse, Neglect, and Exploitation. Division of Nursing Homes
Abuse, Neglect, and Exploitation Division of Nursing Homes Overview of 42 CFR 483.12 F600 Abuse and Neglect F602 -Misappropriation of Resident Property and Exploitation F603 Involuntary Seclusion F604
More informationAdverse Incident Reporting Form Provider Instructions and Definitions
Adverse Incident Reporting Form Provider Instructions and Definitions Please use the following instructions when reporting Adverse Incidents to the health plans. Providers are required to notify the health
More informationCHAPTER 411 DIVISION 020 ADULT PROTECTIVE SERVICES GENERAL
CHAPTER 411 DIVISION 020 ADULT PROTECTIVE SERVICES GENERAL 411-020-0000 Purpose and Scope of Program (Amended 7/1/2005) (1) Responsibility: The Department of Human Services (DHS) Seniors and People with
More informationEthical and Legal Issues
8 2 Ethical and Legal Issues 1. Define important words in this chapter 2. Define the terms law, ethics, and etiquette 3. Discuss examples of ethical and professional behavior 4. Describe a nursing assistant
More informationA GUIDE TO HOSPICE SERVICES
A GUIDE TO HOSPICE SERVICES PURPOSE: Minnesota Rules 4664.0140, subpart 1 states: "Every individual applicant for a license, and every person who provides direct care, supervision of direct care, or management
More informationLegal Issues facing Healthcare Employees. Medical Therapeutics Gibson County High School
Legal Issues facing Healthcare Employees Medical Therapeutics Gibson County High School Learning Objectives for Standard 2 Compare and contrast the specific laws and ethical issues that impact relationships
More informationVolunteer Policies & Procedures Manual
CASA of East Tennessee, Inc. Volunteer Policies & Procedures Manual Revised 2016 Funded Partner Agency This project is partially funded under an agreement with the State of Tennessee. Welcome The CASA
More informationThis policy should be read in conjunction with all related policies and procedures. See the separate list in the Policies and Procedures file.
Safeguarding Adults Policy and Procedure Related policies and procedures This policy should be read in conjunction with all related policies and procedures. See the separate list in the Policies and Procedures
More informationMassachusetts Nurses Association Congress on Health and Safety And Workplace Violence and Abuse Prevention Task Force
Massachusetts Nurses Association Congress on Health and Safety And Workplace Violence and Abuse Prevention Task Force 24 Survey on Workplace Violence Summary of Results Released on August 24, 25 Prepared
More informationSTATE OF FLORIDA DEPARTMENT OF. NO TALLAHASSEE, April 1, Safety INCIDENT REPORTING AND ANALYSIS SYSTEM (IRAS)
CFOP 215-6 STATE OF FLORIDA DEPARTMENT OF CF OPERATING PROCEDURE CHILDREN AND FAMILIES NO. 215-6 TALLAHASSEE, April 1, 2013 Safety INCIDENT REPORTING AND ANALYSIS SYSTEM (IRAS) 1. Purpose. This operating
More informationUnderstanding the MUI/UI Reporting System
Ohio Department of Developmental Disabilities Office of MUI/Registry Unit John R. Kasich, Governor John L. Martin, Director Addressing Major Unusual Incidents and Unusual Incidents to ensure health, welfare,
More informationNational Indigenous Elder Justice Initiative. Tribal Elder Protection Team- Toolkit
National Indigenous Elder Justice Initiative Tribal Elder Protection Team- Toolkit Sloan M. Henry- Project Coordinator Wilson Wewa- CTWS Title VI program Director 2017 Title VI Conference Mystic Lake,
More informationAdult Abuse, Neglect and Exploitation. What you need to know
Adult Abuse, Neglect and Exploitation What you need to know Let Me Introduce you to Andy O Andy is an older gentleman who was incredibly successful in his chosen career. O Andy made a lot of money. O When
More informationCORE COMPETENCIES FOR APS CASEWORKERS
NCEA/NAPSA Training Resources Development Project November 2005 CORE COMPETENCIES FOR APS CASEWORKERS MODULE 1 APS OVERVIEW Background Information History of APS National issues in APS Federal legislation
More information2012 Report. Client Satisfaction Survey PSA 9 RICK SCOTT. Program Services, Direct Service Workers, and. Impact of Programs on Lives of Clients
RICK SCOTT GOVERNOR 2012 Report CHARLES T. CORLEY SECRETARY Client Satisfaction Survey Program Services, Direct Service Workers, and Impact of Programs on Lives of Clients PSA 9 elderaffairs.state.fl.us
More informationLong-Term Services & Supports Feasibility Policy Note
Long-Term Services and Supports Feasibility Study Department of Political Science, College of Social Sciences University of Hawai i - Mānoa Policy Note 7 Long-Term Services & Supports Feasibility Policy
More informationFrequently Asked Questions
450 Simmons Way #700, Kaysville, UT 84037 (801) 547-9947 unar@davistech.edu www.utahcna.com Frequently Asked Questions UNAR stands for the Utah Nursing Assistant Registry, the agency in charge of the registry
More informationTo establish procedural guidelines governing the functions and responsibilities of the department s Crisis Intervention Team.
Crestwood Police General Order Crisis Intervention Teams CIT Purpose: To establish procedural guidelines governing the functions and responsibilities of the department s Crisis Intervention Team. Policy:
More informationDepartment of Defense MANUAL
Department of Defense MANUAL NUMBER 6400.01, Volume 1 March 3, 2015 Incorporating Change 1, April 5, 2017 USD(P&R) SUBJECT: Family Advocacy Program (FAP): FAP Standards References: See Enclosure 1 1. PURPOSE
More informationInformation in State statutes and regulations relevant to the National Background Check Program: Washington
Information in State statutes and regulations relevant to the National Background Check Program: Washington This document describes what was included as of February 2011 in Washington statutes and regulations
More informationMULTIDISCIPLINARY TEAMS AUTHORIZATIONS OR MANDATES: PROVISIONS AND CITATIONS IN ADULT PROTECTIVE SERVICES LAWS, BY STATE
MULTIDISCIPLINARY TEAMS AUTHORIZATIONS OR MANDATES: PROVISIONS AND CITATIONS IN ADULT PROTECTIVE SERVICES LAWS, BY STATE (Laws current as of 12/31/06) Prepared by Lori Stiegel and Ellen Klem of the American
More informationDrafting, Implementing, and Enforcing No Contact Orders for Sexual Violence Victims on College Campuses
1 Where to Start: Drafting, Implementing, and Enforcing No Contact Orders for Sexual Violence Victims on College Campuses The Victim Rights Law Center s Where to Start series is a resource for administrators
More informationSOCIAL WORKER III. Merit System Services CLASSIFICATION DEFINITION
CLASSIFICATION DEFINITION SOCIAL WORKER III Under general direction, the Social Worker III carries a difficult caseload involving the determination of need for basic social services functions for applicants
More informationCrime Identification Bureau (CIB) Background Checks. Bureau for Children and Families. Policy Manual. Chapter December 2005
Crime Identification Bureau (CIB) Background Checks Bureau for Children and Families Policy Manual Chapter 2000 December 2005 Table of Contents 1. Introduction... 2 2. Definitions... 3 3. Persons Required
More informationCLACKAMAS COUNTY MULTI-DISCIPLINARY TEAM VULNERABLE ADULT ABUSE PROTOCOL
CLACKAMAS COUNTY MULTI-DISCIPLINARY TEAM VULNERABLE ADULT ABUSE PROTOCOL 1 TABLE OF CONTENTS Section Page I. Protocol Statement 5-6 A. Mission Statement 5 B. Purpose Statement 5 C. Composition of Multidisciplinary
More informationRule definitions OAR (d) OAR (a)
Rule definitions OAR 411-020-002 (d) OAR 411-020-002 (a) Statute Definitions ORS 124.050 (b) ORS 124.050 (c) ORS 163.200-205 Application Neglect and Abandonment Neglect means the failure (whether intentional,
More informationPREVENTION OF VIOLENCE IN THE WORKPLACE
POLICY STATEMENT: PREVENTION OF VIOLENCE IN THE WORKPLACE The Canadian Red Cross Society (Society) is committed to providing a safe work environment and recognizes that workplace violence is a health and
More informationUnderstanding the Impact of the Prison Rape Elimination Act (PREA) Standards on Facilities That House Youth
QUICK REFERENCE Understanding the Impact of the Prison Rape Elimination Act (PREA) Standards on Facilities That House Youth Passed in 2003, the Prison Rape Elimination Act (PREA) is the first federal civil
More informationRules of Participation, Phase 1 Review
1 Rules of Participation, Phase 1 Review A Foundation check to launch Phase 2 from Presented by: Anabelle Locsin, RN, Ed.D., RAC-CT, LNC Quality Improvement Consultant PROGRAM OVERVIEW 2 This program was
More informationWashington State LTSS System, History and Vision
Washington State LTSS System, History and Vision Bea Rector, Director, Home and Services Aging and Long Term Support Administration Washington State Department of Social and Health Services For Northwest
More informationPREA AUDIT: AUDITOR S SUMMARY REPORT 1 COMMUNITY CONFINEMENT FACILITIES
PREA AUDIT: AUDITOR S SUMMARY REPORT COMMUNITY CONFINEMENT FACILITIES Name of facility: OhioLink-Lima Physical address: 517 S. Main Street, Lima, Ohio 45801 Date report submitted: Auditor Information Address:
More informationSuburban Cook County Area Hospital DV Protocol (2010)
Suburban Cook County Area Hospital DV Protocol (2010) This policy is currently in use at a suburban Cook County hospital. Permission to reprint this document has been approved by the hospital s leadership
More informationDOMESTIC VIOLENCE ACCOUNTABILITY PROGRAM (DVAP) 16-Week Program Guidelines Adopted February 16, 2016
INTRODUCTION DOMESTIC VIOLENCE ACCOUNTABILITY PROGRAM (DVAP) 16-Week Program Guidelines Adopted February 16, 2016 Domestic Violence Accountability Programs (formerly known as CAP, Conflict Accountability
More informationRELEVANT STATE STANDARDS OF CARE AND SERVICES AND PROCESSES TO ENSURE STANDARDS ARE MET 1
Appendix D RELEVANT STATE STANDARDS OF CARE AND SERVICES AND PROCESSES TO ENSURE STANDARDS ARE MET 1 I. STATE STANDARDS OF CARE AND SERVICES Excerpts From RSA 171-A 171-A:1 Purpose and Policy. The purpose
More informationChristopher Newport University
Christopher Newport University Policy: Campus Violence Prevention Policy Policy Number: 1055 Executive Oversight: President s Office, Chief of Staff Contact Office: Director of Human Resources Vice President
More informationSection 10: Guidance on risk assessment and risk management within the Adult Safeguarding process
Section 10: Guidance on risk assessment and risk management within the Adult Safeguarding process 10.1 Definition Risk is the likelihood that a person may be harmed or suffers adverse effects if exposed
More informationMeasure #181: Elder Maltreatment Screen and Follow-Up Plan National Quality Strategy Domain: Patient Safety
Measure #181: Elder Maltreatment Screen and Follow-Up Plan National Quality Strategy Domain: Patient Safety 2016 PQRS OPTIONS F INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION: Percentage of patients
More informationOUTPATIENT SERVICES CONTRACT 2018
1308 23 rd Street S Fargo, ND 58103 Phone: 701-297-7540 Fax: 701-297-6439 OUTPATIENT SERVICES CONTRACT 2018 Welcome to Benson Psychological Services, PC. This document contains important information about
More informationDEPARTMENT OF ELDER AFFAIRS PROGRAMS AND SERVICES HANDBOOK Chapter 5: Community Care for the Elderly Program CHAPTER 5
CHAPTER 5 Administration of the Community Care for the Elderly (CCE) Program July 2011 5-1 Table of Contents TABLE OF CONTENTS Section: Topic Page I. Purpose of the CCE Program 5-3 II. Legal Basis and
More informationRiverside County CA Dept. of Public Social Services Adult Services Division. Lisa Shiner, MSW Jennifer Claar, MSW, PhD
Riverside County CA Dept. of Public Social Services Adult Services Division Lisa Shiner, MSW Jennifer Claar, MSW, PhD Framework for Leading Organizational Change Background and Development of Enhanced
More informationAppendix A: Requirements and Best Practices for Reportable Incidents
Appendix A: Requirements and Best Practices for Reportable Incidents Reporting Incidents The table below shows what events must and must not be reported to achieve compliance with 55 Pa.Code 2600.16(c).
More informationINFORMED CONSENT FOR TREATMENT
INFORMED CONSENT FOR TREATMENT I (name of patient), agree and consent to participate in behavioral health care services offered and provided at/by Children s Respite Care Center, a behavioral health care
More informationRisk Assessment in Safeguarding Adults
Risk Assessment in Safeguarding Adults The primary aim of the Safeguarding Risk Assessment is to assess: Individuals for the current risks that they face Potential risks they may face The secondary aim
More informationCHILD AND FAMILY DEVELOPMENT SERVICE STANDARDS. Caregiver Support Service Standards
CHILD AND FAMILY DEVELOPMENT SERVICE STANDARDS Caregiver Support Service Standards Effective Date: December 4, 2006 CONTENTS INTRODUCTION 1 GLOSSARY 5 Standard 1: Recruitment and Retention 10 Standard
More informationAdult Protective Services
Adult Protective Services 4/8/2015 www.dhs.state.pa.us 1 Adult Protective Services History The Adult Protective Services (APS) Law (Act 70 of 2010) was enacted to provide protective services to adults
More informationReminders for you as you come in for your first appointment
Reminders for you as you come in for your first appointment * Please complete this paperwork and bring it to your first appointment If you are unable to complete this paperwork prior to your appointment,
More informationFamily & Children s Services. Center
Family & Children s Services CrisisCare Center When severe psychiatric crisis makes daily life seem impossible, Family & Children s Services new CrisisCare Center can help. Services are available around
More informationDIVISION OF DISABILITY AND AGING SERVICES BACKGROUND CHECK POLICY (Draft 11/01/05)
I. Introduction DIVISION OF DISABILITY AND AGING SERVICES BACKGROUND CHECK POLICY (Draft 11/01/05) Background checks of individuals who work with vulnerable people is a component of preventing abuse, neglect
More informationPosition Number(s) Community Division/Region(s) Inuvik
IDENTIFICATION Department Northwest Territories Health and Social Services Authority Position Title Child, Youth and Family Counsellor Position Number(s) Community Division/Region(s) 47-90057 Inuvik Inuvik
More informationPOLICY & PROCEDURE FOR THE PROTECTION OF VULNERABLE ADULTS (POVA) IN RELATION TO STUDENTS ATTENDING PRACTICE PLACEMENT
School of Health, Community and Education Studies Practice Placements POLICY & PROCEDURE FOR THE PROTECTION OF VULNERABLE ADULTS (POVA) IN RELATION TO STUDENTS ATTENDING PRACTICE PLACEMENT Everyone has
More informationSAFEGUARDING OF VULNERABLE ADULTS POLICY
SAFEGUARDING OF VULNERABLE ADULTS POLICY Practice lead: Dr Tim Sephton INTRODUCTION The purpose of this document is to set out the policy of the Practice in relation to the protection of vulnerable adults.
More informationMandatory Reporting Requirements: The Elderly Oklahoma
Mandatory Reporting Requirements: The Elderly Oklahoma Question Who is required to report? When is a report required and where does it go? What definitions are important to know? Answer Any person. Persons
More informationWelcome to the Webinar!
Welcome to the Webinar! We will begin the presentation shortly. Thank you for your patience. Attendees can access the presentation slides now at: http://www.mctac.org/page/events A recording of the event
More informationNASSAU COUNTY SINGLE POINT OF ACCESS (SPOA) CHILDREN S INTENSIVE MENTAL HEALTH PROGRAMS
NASSAU COUNTY SINGLE POINT OF ACCESS (SPOA) CHILDREN S INTENSIVE MENTAL HEALTH PROGRAMS Date of Referral: Child s Name: Date of Birth: Gender: Social Security Number: Age: Address: Town: Zip: Phone: Legal
More informationPOSITION ANNOUNCEMENT
POSITION ANNOUNCEMENT POSITION TITLE: Police Officer HOURLY RATE: $19.00 - $27.76 New officers start at the lower end of the range but consideration may be given for years of experience on a case-by-case
More informationPATIENT BILL OF RIGHTS & NOTICE OF PRIVACY PRACTICES
Helping People Perform Their Best PRIVACY, RIGHTS AND RESPONSIBILITIES NOTICE PATIENT BILL OF RIGHTS & NOTICE OF PRIVACY PRACTICES Request Additional Information or to Report a Problem If you have questions
More informationSTANDARDS OF PRACTICE January 2005
*** See document entitled SART Standards of Practice on template.doc for page 1 instead of this page 1. Use this for pages 2-17. *** STANDARDS OF PRACTICE January 2005 Vision: Individuals who have been
More informationCHILDREN S ADVOCACY CENTER, INC. CRAWFORD COUNTY PROTOCOL OF SERVICES
CHILDREN S ADVOCACY CENTER, INC. CRAWFORD COUNTY PROTOCOL OF SERVICES I. OVERVIEW A. INTRODUCTION This Protocol of Services for the Children s Advocacy Center, Inc. (CAC) was developed as a cooperative
More informationSafeguarding Vulnerable Adults Policy
POLICY & PROCEDURES PROTECTION OF VULNERABLE ADULTS This policy was written in conjunction with the Multi-Agency Safeguarding of Vulnerable Adults in Lincolnshire Policy STATEMENT The welfare of all vulnerable
More informationCHILDREN'S MENTAL HEALTH ACT
40 MINNESOTA STATUTES 2013 245.487 CHILDREN'S MENTAL HEALTH ACT 245.487 CITATION; DECLARATION OF POLICY; MISSION. Subdivision 1. Citation. Sections 245.487 to 245.4889 may be cited as the "Minnesota Comprehensive
More informationLou Eckart, Ph.D. and Associates Licensed Clinical Psychologists 22 Mill St. Suite 305 Arlington, MA
Lou Eckart, Ph.D. and Associates Licensed Clinical Psychologists 22 Mill St. Suite 305 Arlington, MA 02476 781-646-6306 Lou@Eckart-PhD.com PSYCHOLOGIST - PATIENT SERVICES AGREEMENT Welcome to our practice.
More informationTag Description Page. F607 Policies to Prohibit and Prevent Abuse, Neglect, Exploitation 125. F622 Transfer & Discharge 155
Tag Description Page F607 Policies to Prohibit and Prevent Abuse, Neglect, Exploitation 125 F622 Transfer & Discharge 155 F626 Permitting Residents to Return to Facility 170 F656 Comprehensive Care Plans
More informationIN HAND An Ethical Decision-Making Framework
IN HAND IN HAND An Ethical Decision-Making Framework This framework has been developed from research results in clinical settings to support psychosocial practitioners in their ethical reflection leading
More informationOHIO ELDER ABUSE TASK FORCE REPORT
OHIO ELDER ABUSE TASK FORCE REPORT January 12, 2005 The Honorable Bob Taft Governor Riffe Center 77 S. High Street Columbus, Ohio 43215 Dear Governor Taft: As a follow-up to the Ohio Post-National Policy
More informationAddressing Elder Abuse in Minnesota Long-Term Care Settings
Addressing Elder Abuse in Minnesota Long-Term Care Settings Public Policy Actions Necessary to Prevent and Deter Abuse January 29, 2018 1 Executive Summary Elder abuse is intolerable and an affront to
More informationCOUNTY DETENTION CENTER POLICIES AND PROCEDURES. Chapter 15 IPREA Policy # 15.4 Subject 4 Training and Education
COUNTY DETENTION CENTER POLICIES AND PROCEDURES Chapter 15 IPREA Policy # 15.4 Subject 4 Training and Education Effective Date: Sheriff s Approval: Revision Date: Policy: The County Detention Center shall
More information5. Name: Last First MI. Street Number and Name or P.O Box. City State ZIPCODE. City State ZIPCODE
508 - ILLINOIS CERTIFIED DOMESTIC VIOLENCE PROFESSIONAL CERTIFICATION EXAMINATION APPLICATION PLEASE PRINT IN INK 1. Exam Date Applying For: 2. Exam Location 3. Fee: $175.00 February Chicago Area Certified
More informationChild and Family Development and Support Services
Child and Services DEFINITION Child and Services address the needs of the family as a whole and are based in the homes, neighbourhoods, and communities of families who need help promoting positive development,
More informationGERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS
GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS Table of Contents Introduction... 2 Purpose... 2 Serving Senior Medicare-Medicaid Enrollees... 2 How to Use This Tool... 2
More informationDEPARTMENT OF ELDER AFFAIRS PROGRAMS AND SERVICES HANDBOOK. Chapter 5. Administration of the Community Care for the Elderly (CCE) Program
Chapter 5 Administration of the Community Care for the Elderly (CCE) Program Table of Contents TABLE OF CONTENTS Section: Topic Page I. Purpose of the CCE Program 5-3 II. Legal Basis and Specific Legal
More informationRoger A. Olsen, Psy.D., L.P Slater Road, Suite 210 Eagan, MN Phone: FAX:
Roger A. Olsen, Psy.D., L.P. 4660 Slater Road, Suite 210 Eagan, MN 55122 Phone: 651-882-6299 FAX: 651-683-0057 INFORMATION FOR NEW CLIENTS Welcome to my practice. This document contains important information
More informationZERO TOLERANCE. Boundaries, Abuse, Neglect & Exploitation
ZERO TOLERANCE Boundaries, Abuse, Neglect & Exploitation 2016 DEFINITIONS ZERO TOLERANCE The policy and practice of not tolerating undesirable behavior. BOUNDARIES Rules which govern the relationship that
More informationAn overview of the support given by and to informal carers in 2007
Informal care An overview of the support given by and to informal carers in 2007 This report describes a study of the help provided by and to informal carers in the Netherlands in 2007. The study was commissioned
More informationNOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES Effective Date: July 12, 2017 THIS NOTICE OF PRIVACY PRACTICES ( NOTICE ) DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO
More informationHow the Coordinated Care Initiative Inspired Opportunities to Improve Adult Protective Services Enhanced Care Management
Riverside County CA Dept. of Public Social Services Adult Services Division Lisa Shiner, MSW Jennifer Claar, MSW, PhD How the Coordinated Care Initiative Inspired Opportunities to Improve Adult Protective
More informationFAMILY PHARMACEUTICAL SERVICES NOTICE OF PRIVACY PRACTICES effective 9/23/2013
FAMILY PHARMACEUTICAL SERVICES NOTICE OF PRIVACY PRACTICES effective 9/23/2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
More informationResident/Fellow Training Orientation Policies
Resident/Fellow Training Orientation Policies Restraint or Seclusion: Violent Behavior Prevention and Reporting of Patient Abuse Blood Component Indications & Critical Tests HIPAA Privacy and Security
More informationA FRAMEWORK FOR MAKING HOSPITALS A SAFER WORKPLACE FREE FROM WORKPLACE VIOLENCE
A FRAMEWORK FOR MAKING HOSPITALS A SAFER WORKPLACE FREE FROM WORKPLACE VIOLENCE Health care workers have the right to do their jobs in a safe environment free of violence. Hospitals that are safer workplaces
More informationTraining Bulletin: When to Conduct an Exam or Interview Why Are We Prodding Victims to Keep Them Awake?
We often receive questions from health care providers, law enforcement officers, and victim advocates about when they should conduct an exam or detailed interview with a victim of a sexual assault. In
More informationReporting Elder Financial Abuse & Misappropriation
Reporting Elder Financial Abuse & Misappropriation Presented by: Sara M. Donnersbach, Esq. Weltman, Weinberg & Reis Co., LPA August 24, 2017 Today s Agenda Introductions/WWR Overview What is elder abuse?
More informationKANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. HCBS Autism Waiver
KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL HCBS Autism Waiver Introduction Section 7000 7010 8100 8300 8400 BILLING INSTRUCTIONS HCBS Autism Waiver Billing Instructions... Submission of Claim...
More informationPrepublication Requirements
Prepublication Requirements Standards Revisions for Swing Bed Final Rule in Critical Access Hospitals The Joint Commission has approved the following revisions for prepublication. While revised requirements
More informationLong-Term Services and Support (LTSS) Handbook. Blue Cross Community ICPSM
Blue Cross Community ICPSM Long-Term Services and Support (LTSS) Handbook Effective March 2014 www.bcbsilcommunityicp.com Call Toll Free: 1-888-657-1211 TTY/TDD 711. We are open between 8 a.m. to 8 p.m.
More information