Standards for public agencies

2020 Edition

Adult Protective Services (PA-APS) 7: Intervention

The agency 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




Adult Protective Services protect vulnerable adults from exploitation, neglect, and abuse.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
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

PA-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.


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

PA-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

PA-APS 7.03

The agency 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.


PA-APS 7.04

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


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

Fundamental Practice

PA-APS 7.05

The agency 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.


Visits may be planned or unannounced.