Standards for private organizations

2020 Edition

Adult Protective Services (APS) 7: Intervention

The organization works with the person to identify problems leading to the report of abuse, neglect, or exploitation, and provides services, directly or by referral, that help alleviate those problems.
2020 Edition

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Purpose

Adult Protective Services protect vulnerable adults from exploitation, neglect, and abuse.
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
3
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for establishing voluntary agreements and submitting court petitions
  • Removal procedures
  • Procedures for referring individuals to services
  • Home visit procedures
  • Home visit data
  • Community resource and referral list
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

 
Fundamental Practice

APS 7.01

The adult protection services worker establishes a voluntary agreement, or petitions a court of proper jurisdiction, to obtain appropriate care when the individual is unable to care for or protect himself/herself.

Interpretation

Adult protective service workers should be mindful of an individual’s right to refuse treatment and respectful of the individual’s wishes should they not be a danger to themselves or others.

 
Fundamental Practice

APS 7.02

When removal of the individual from the home is necessary, negative effects are reduced by:
  1. providing information about the removal process;
  2. identifying personal items the individual will bring, including medication and medical equipment, as necessary;
  3. obtaining information about the individual's daily routine, preferred foods and activities, and needed therapeutic or medical care; and
  4. discussing continued contact with family and friends.

 
Fundamental Practice

APS 7.03

The organization provides, either directly or by referral:
  1. health services;
  2. substance use and mental health services;
  3. victim support groups;
  4. financial assistance and money management;
  5. legal services;
  6. home care;
  7. nutritional services; and
  8. other community support services.

 

APS 7.04

The organization maintains a written list or file of community resources with experience responding to the needs of neglected, abused, or exploited adults.

Interpretation

The organization should have readily available contacts with law enforcement agencies, providers of legal, medical, and mental health services, domestic violence organizations, financial institutions, and community organizations.

 
Fundamental Practice

APS 7.05

The organization conducts in-person visits once a month, at a minimum, or more frequently depending on the needs of and risk to the individual to:
  1. assess safety and well-being;
  2. monitor service delivery; and
  3. support the achievement of agreed upon goals.

Interpretation

Visits may be planned or unannounced.