Aging & Independence Services Committee June 13, 2019
ARC Technology Transition to DDS Program/Function Date of Transition Comments ✓ January 2019 Reimbursement requests to DAS ✓ March 1 Nursing Home Transition services (including Money Follows the Person) ✓ April 1 Information and Referral (ADRC) ✓ April 1 Medicaid/CCSP Intake ✓ April 1 Options Counseling Non-Medicaid HCBS Intake July 1 Training in May - June Aging Services Provider Network Partners July 1 Training in May - June Other (non-DAS-funded) functions TBD Evaluating whether to use the DAS system or not
June 15
Case from DeKalb County • http://eagle.trea.usc.edu/roll-call-training-videos/
Ge Georgia Dep ia Departme tment of t of Hu Huma man S Service vices Division of Aging Services Multidisciplinary Teams (MDTs) Anna Thomas | Division of Aging June 13, 2019
Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | Division of Aging Services | FSIU 6 June 13, 2019
• Passed July 2018 • Form under the authority of the DA or his/her designee • Teams meet at least 4 times per year • Submit a yearly O.C.G.A. § 30-5-11 report to DHS and GBI in March Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | 7
Team Members • Office of the District Attorney • Local law enforcement • GBI • Adult Protective Services • Healthcare Facility Regulation • Medical Examiner/Coroner • Non-profits • Victim Services June 13, 2019 Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | 8
Share Information Identify Gaps Serve more people Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | 9
Active MDTs • Cobb County • Cherokee County (Blue Ridge Judicial Circuit) • Augusta Judicial Circuit • Rockdale County Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | Division of Aging Services | FSIU 10 June 13, 2019
Current MDT Map • Blue – Formal MDTs • Teal – Informal Meetings/Lunches • Purple – Interested • Grey - Null June 13, 2019 Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | 11
Key Report Findings in General ✓ Increase in cases reviewed ✓ More collaboration between agencies ✓ State agencies ✓ Law enforcement ✓ Service providers ✓ Rise in arrests ✓ Noted gaps and plans to fill those gaps ✓ Increase in community buy-in Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | Division of Aging Services | FSIU 12 June 13, 2019
Specific Findings Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | Division of Aging Services | FSIU 13 June 13, 2019
Cherokee County • 228 cases reviewed, 54 were recommended for prosecution • Divided into: • Abuse by Caregiver • Abuse by Person Other than Caregiver or Relative • Exploitation (Theft) by Caregiver or Relative • Exploitation (Theft) by Person Other than Caregiver or Relative • Exploitation (Scam) by Person Other than Caregiver or Relative • Neglect by Caregiver or Relative • Self Neglect Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | Division of Aging Services | FSIU 14 June 13, 2019
Cobb County • Met 8 times • First 5 meetings not able to openly discuss cases (gap) • Members • APS • Marietta Fire • Cobb DA • Division of Aging • County law enforcement • Various city law enforcement agencies • Atlanta Regional Commission Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | Division of Aging Services | FSIU 15 June 13, 2019
Augusta • Focus on Unlicensed Personal Care Homes • 28 exploiters arrested • 3 Homicide • 10 Exploitation • 3 Neglect • 12 Unlicensed Personal Care Home • 101 victims relocated Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | 16
Gwinnett County • Working informally- 15 meetings • Only 2 detectives • About 900 APS reports per year • 8 times the caseload of the average SVU detective • 25% are strictly financial exploitation • The other 75% are a combination of abuse, neglect, and exploitation Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | Division of Aging Services | FSIU 17 June 13, 2019
Rockdale County • Established by Detective and Probate Court Judge • Working informally – 5 meetings • MOU recently signed • 1 st formal MDT meeting soon Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | Division of Aging Services | FSIU 18 June 13, 2019
Getting Started • District Attorney selects his/her designee • DHS/PAC tool kit • MOU (sample in tool kit) • Contact Anna Thomas June 13, 2019 Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | 19
Contact Information Anna Thomas Division of Aging Services Forensic Unit Anna.Thomas1@dhs.ga.gov Geor Georgia gia Depar Department of tment of Human Human Ser Services vices | Division of Aging Services | FSIU 20 June 13, 2019
Community Resources for At-Risk or Victimized Adults: Area Agencies on Aging Becky A. Kurtz Director, Area Agency on Aging Manager, Aging & Independence Services Atlanta Regional Commission Prosecuting Attorneys’ Council of Georgia March 28, 2019
Cobb County example: The Case of Mr. and Mrs. M • A couple in crisis • The MDT’s response • How the AAA is working to make a difference for the clients
MDTs in the ARC Region Cobb County (JEDI) Gwinnett Cherokee Rockdale
Messages to Prosecutors: When You Contact a Georgia AAA . . . • We will not investigate whether abuse/exploitation occurred • We will connect victims/survivors and care partners to services and supports to address risk factors for abuse/exploitation: • Isolation: in-home supports or social engagement • Neglect: access to (and coordination of) services • Legal problems: • legal action against financial exploiter • authorize a trusted decision-maker • Caregiver stress: • caregiver supports (e.g., respite, care consultations, Powerful Tools for Caregivers education) • information for “financial caregivers” • AAAs provide these services directly or . . . • fund service providers/trusted partners in our region • connect to other publicly-funded or private-pay services
Examples of AAA initiatives related to elder abuse/financial exploitation • Elder abuse prevention • Public education and outreach: elder abuse prevention/reporting • Partnering with law enforcement and prosecutors • Multidisciplinary Teams (MDTs) • Participation in MDTs to help connect abuse survivors to social services • Advocacy for state and local MDT development • AAA representative housed in prosecutors’ office • Seattle/King County • Immediate access to services for adult protective services (APS) substantiated abuse cases • Georgia pilot (Victims of Crime Act funding)
Ideas for working with GA AAAs . . . • Refer older adults, individuals with disabilities, their families and caregivers to the ADRC • Add ADRC contact information to your websites or other publicity • Include AAAs on your MDTs • Develop an MOU so we can work together on cases • Ask your AAA if they have an Elder Rights Council • Ask to join! • Example: CSRA (Augusta) is part of CAVE and has an active Taking Elder Abuse Seriously (TEAS) Team. • Consider ways we can train your colleagues – invite us to present! • Thanks, PAC!
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