218 R.I. Code R. 218-RICR-40-00-5.5

Current through December 3, 2024

Section 218-RICR-40-00-5.5 - Service Delivery of Adult Protective Services

5.5.1Intake and Assessment

A. The agency must utilize the current Division assessment tool(s) and Confidential Release of Information Form(s).

B. The agency must schedule the assessment of protective services clients referred by the Division in an unannounced face to face visit within the following time lines:

1. Priority 1 Cases. These cases may be characterized by physical abuse or active neglect, a victim in poor health, an unsafe environment, a perpetrator who is a substance abuser and/or co-resides with the victim, and/or a lack of necessary supports. (Priority 1 Cases, at times, may require a same day or within 24 hour response. Priority 1 Cases are to be assessed within one to two ( 1-2) business days).

2. Priority 2 Cases. These cases may be characterized by psychological abuse or financial exploitation, a victim of self-neglect in fair health living in a stable environment, a perpetrator who may be a substance abuser and/or may have access to the victim, and/or some necessary supports. (Priority 2 Cases are to be assessed within three to five ( 3-5) business days).

C. In the event that the agency is unable to meet one of the above time lines in a specific instance, the reasons shall be documented.

D. The agency must demonstrate how it will respond to urgent/crisis requests, including what constitutes a crisis and within what timeframes the agency will respond, schedule an assessment, and perform an assessment.

5.5.2Care and Service Coordination

A. The agency must provide these components of care/service coordination:

1. Information on services to meet consumer's needs;

2. Regular follow up contact with consumer, service and support providers, and others to ensure continued care per care plan, identification of problems and needs, working with health plans, and further coordination with state and local public agencies to support development of unified plan;

3. An attempt by telephone or in person to reach each consumer must be made by the consumer's case manager at least once each month or as otherwise directed by the Division;

4. Complete a care plan within five (5) working days after the initial home visit detailing the initial protective services assessment, findings, recommendations, and any actions taken.

5. For high risk active protective service cases, ongoing submission of progress notes, at least every 30 days to the Division.

6. Help consumers gain access to identified needed health and support services; and

7. Ensure services are delivered in timely fashion as determined by the service team, consumer and referring agency/agencies.

B. The agency must designate a case manager for each consumer. The case manager is responsible for at least:

1. Initial and monthly contact(s) with consumer;

2. Coordination of assessment;

3. Being available/accessible to be contacted by the consumer or his/her representative;

4. Implementation of the care plan;

5. Follow-up and re-evaluation:

a. When additional information is received on active protective service case management referrals, the Division caseworker will e-mail the case manager to advise on the additional information.

b. For self-neglect cases, case reviews are completed every two months with the designated agencies by the Division self-neglect caseworker and the case managers and case manager supervisors.

c. Inactivating or closing of protective service case management referrals:

(1) The case manager will initiate an e-mail to the Division protective services caseworker with a request to review progress notes for case inactivation/closure.

(2) It is the responsibility of the Division protective services caseworker to officially inactive/close the case by forwarding an e-mail to the case manager advising of the case disposition.

5.5.3Care Plan Development and Implementation

A. The agency must utilize the current Division care plan documents in the SAMS data system to develop a care plan in collaboration with the consumer and in coordination with existing community resources. (Case Management staff shall implement the protective services care plan and enter the progress notes within one (1) business day after contact or attempted contract with the client in the SAMS data system. The Case Management Staff will then notify the DEA APS designated caseworker by e-mail immediately advising the worker to review the notes).

B. The agency must:

1. Document the process for getting consumer input into his/her care plan;

2. Include in the care plan a listing of all services recommended for the consumer; and

3. Demonstrate that the plan development is done in conjunction with other agencies that provide services to the consumer.

C. Implementation of the care plan must begin immediately upon approval of the consumer.

5.5.4Care Plan Monitoring, Revision and Reassessment

A. The case manager must monitor the care plan according to the following schedule:

1. Self-Neglect monthly; Case Reviews every other month

B. The agency must track number of referrals, sources, and other information needed to report to the Division in the format and at intervals specified by the Division.

218 R.I. Code R. 218-RICR-40-00-5.5