Office of Adult Abuse Prevention Investigations OAAPI

Office of Adult Abuse Prevention & Investigations (OAAPI) No Excuse for Adult Abuse 3 rd Annual Adult Abuse Conference Marie Cervantes Director, OAAPI 5/7/2014 1

Topics for Today • • A message from our DHS Director Mission & Main Responsibilities Service & Support Investments: Protective & Preventative Services • Spotlight on Financial Abuse • What’s New? • Q&A 5/7/2014 2

A Message from Erinn Kelley-Siel Director, Dept. of Human Services • The safety of vulnerable populations is one of our most critical functions. • Government cannot do it alone. • You are all key players! By being here you are expressing your desire to make a difference. • This conference is important to build collaboration and awareness on this important issue. 5/7/2014 3

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Our Mission: Partnering to achieve service equity by preventing abuse, protecting people in need, engaging our communities, valuing those who do the work and committing to quality in all we do. Main Responsibilities: • Responding to health and safety needs • Developing and implementing policies, rules, legislative concepts and programs • Developing and implementing abuse prevention strategies • Engaging partners and stakeholders • Providing data analysis and research 5/7/2014 5

Office of Adult Abuse Prevention & Investigations (OAAPI) Structure Research & Prevention Policy, Program & Training 5/7/2014 Operations & Program Support Investigations 6

OAAPI: Who We Serve 9, 050 Allegations = 65. 6% 2, 478 Allegations = 17. 9% Adults Over the Age of 65 Adults with Physical Disabilities Adults with Developmental Disabilities Adults with Mental Illness Children in Residential Treatment 212 Allegations = 1. 5% 1, 493 Allegations = 10. 8% 553 Allegations = 4. 0% Numbers are based on 2013 investigations and involve allegations of financial exploitation, physical abuse, sexual abuse, neglect, wrongful restraint, verbal/emotional abuse, involuntary seclusion, abandonment, and self neglect. 5/7/2014 7

OAAPI analysts, trainers and administrative staff support approximately 215 state/county/AAA abuse investigators and 80 managers who receive over 35, 000 reports of abuse every year. (2013 data) 25 County MH Investigators Who We Support Research & Prevention Operations/ Program Support Policy, Program & Training Investigations 30 County DD Investigators OAAPI provides: • in-house investigations • program development and standards • policy development and analysis • legislative activities • abuse prevention and grant activities • data trending and research • core competency training 5/7/2014 160 APD Investigators (State/AAA) 8

Investment in Protective and Preventive Services Response Vulnerable Populations Health Prevention Education Research Safety Independence Savings When people live free from abuse, their medical, physical and psychological treatment needs are reduced, and they are able to live independent, productive lives in the community. 5/7/2014 9

What is Abuse Prevention? • Primary: Activities that decrease the likelihood of abuse from happening in the first instance. Ex: Education, empowerment, supports to family, training • Secondary: Activities that reduce the likelihood that abuse will continue or reoccur. Ex: Criminal/civil laws as deterrents to future abuse, referrals to licensing boards, training mandated reporters • Tertiary: Activities that seek over time to lessen the harm already done. Ex: Medical/social supports, legal recourse, peer counseling 5/7/2014 10

Abuse Prevention Strategies • Collaborate with DHS partners to “connect the dots“ and hold known abusers accountable, improve quality of care and reduce rate of abuse. • Develop public outreach and communication tools to strengthen prevention awareness. • Promote and seek opportunities to participate in research and seek grants to inform abuse prevention activities/efforts. • Identify and develop risk reduction methodologies to address abuse of at-risk adults and children in CCPs. 5/7/2014 11

Spotlight on Financial Abuse • Estimated yearly loss in 2009 was $2. 9 billion dollars • 70% of the nation’s wealth is held by people 65+ • 1950’s retire at age 62, life expectancy age 68; save for 6 years of retirement • Our financial literacy and savvy declines no matter how well educated you are • Cost to Oregon Shortened lives, cost of care, loss of tax revenue, increase in healthcare costs, early entry to Medicaid 5/7/2014 12

Complicated Problem • Large group aging at the same time • Living longer • Saving money to last 20 to 30 years, not 6 • Declining ability to manage finances 5/7/2014 13

Oregon Elders The Oregon Office of Economic Analysis predicts: • 2015: 645, 031 seniors • 2020: 787, 927 seniors • 2030: 1, 021, 190 seniors • Projected growth of Oregon’s senior population between 2012 and 2030 is 175%. In the past five years, there has been a 27% increase in reports of financial exploitation of the elderly.

Financial Abuse in Oregon Communities • The OAAPI Financial Exploitation Data Book: A Retrospective look at Community based Financial Exploitation in 2011. • This study is an analysis of 419 investigative reports written in 2011. Each report was thoroughly read and the data reflected in the study gleaned from the report. • The results can be applied with 95% accuracy to the larger pool of 2782 investigations. 5/7/2014 15

Financial Exploitation of Elders Increasing numbers 16

Money Is Not the Only Thing Taken 17

Family Relationships When combined, these 9 categories account for 55% of alleged perpetrators.

Local Law Enforcement • More likely to become involved when alleged perpetrators were acquaintances or non-related caregivers rather than sons or daughters. • Most likely to become involved in thefts of Jewelry, Credit Cards, and Food Stamps (in descending order) and least likely to become involved in real estate transfers, “free rent”, estate plan changes and vehicle theft. • Law enforcement was involved in cases approximately 24. 1% of the time. • When LE was involved, it made a difference!

What’s New • HB 4151 • Safe Line (855 -503 -7233/SAFE) • National APS Conference 5/7/2014 20

HB 4151 Six new provisions which direct DHS to: 1. Develop standardized database of reports and investigations of abuse. 2. Standardize procedures and protocols for reports and investigations of abuse, including communications and information sharing with law enforcement agencies. 3. Set 120 days as standard to complete investigation and report for both community and facility cases. 4. Change the definition of neglect and sexual abuse. 5/7/2014 21

HB 4151 continued 5. Provide a regularly-updated registry of persons working in, or seeking to work in facilities providing care to vulnerable persons and as home care workers. 6. Notify adult foster home if person applying for admission is on probation, parole or post-prison supervision after being convicted of sex crime, and allow adult foster home to refuse admission to person, or to transfer or discharge resident on probation, parole or post-prison supervision after being convicted of sex crime. *HB 4151 was effective on passage. 5/7/2014 22

Safe-Line—NEW 1 -855 -503 -SAFE (7233) • Statewide abuse reporting telephone, • Does not replace existing abuse reporting systems, but creates another resource. • Roll-out began last week in all Oregon counties. • System uses call-tree and directs callers to local programs to report abuse of either a child or an adult. • Default for calls related to abuse of children goes to Multnomah County CW hotline, and default for calls related to abuse of adult (APS, I/DD, MH) goes to centralized screener at OAAPI. 5/7/2014 23

2014 National APS Conference • Oregon will host the 2014 NAPSA (National Adult Protective Services Association) 25 th annual conference! • October 29 & 30 at the Marriott Downtown Waterfront Hotel in Portland. • First time Oregon has hosted this major national conference, which brings together the most up to date and best knowledge from many disciplines on protecting all vulnerable adults. Facebook page—be sure and Like us! More info: http: //www. napsa-now. org/about-napsa/annual-conference/ https: //www. facebook. com/events/1422753064643585/ 5/7/2014 24

OAAPI Resources State of Oregon – Abuse and Neglect Information http: //www. oregon. gov/dhs/abuse/Pages/index. aspx OAAPI 2012 Annual Report http: //www. oregon. gov/dhs/abuse/Documents/OAAPI%20 A nnual%20 Report%202012. pdf OAAPI 2012 Financial Exploitation Data Book http: //www. oregon. gov/dhs/abuse/Documents/2012_OAAPI _Financial_Exploitation_Data_Book. pdf 5/7/2014 25

Thank-you! Marie Cervantes, Director, OAAPI (503)-945 -9491 OAAPI: (503) 945 -9495 5/7/2014 26