Services Committee June 13, 2019 ARC Technology Transition to DDS - - PowerPoint PPT Presentation

Aging & Independence Services Committee

June 13, 2019

ARC Technology Transition to DDS

Program/Function Date of Transition Comments Reimbursement requests to DAS ✓ January 2019 Nursing Home Transition services (including Money Follows the Person) ✓ March 1 Information and Referral (ADRC) ✓ April 1 Medicaid/CCSP Intake ✓ April 1 Options Counseling ✓ April 1 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

• http://eagle.trea.usc.edu/roll-call-training-videos/

Case from DeKalb County

Ge Georgia Dep ia Departme tment of t of Hu Huma man S Service vices

Division of Aging Services

(MDTs)

Multidisciplinary Teams

Anna Thomas | Division of Aging

June 13, 2019

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

6

Division of Aging Services | FSIU June 13, 2019

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

7

O.C.G.A.§ 30-5-11

• Passed July 2018
• Form under the

authority of the DA

• r his/her designee
• Teams meet at

least 4 times per year

• Submit a yearly

report to DHS and GBI in March

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

8

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 |

9

Share Information Identify Gaps Serve more people

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

10

Active MDTs

• Cobb County
• Cherokee County (Blue Ridge Judicial Circuit)
• Augusta Judicial Circuit
• Rockdale County

Division of Aging Services | FSIU June 13, 2019

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

11

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 |

12

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

Division of Aging Services | FSIU June 13, 2019

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

13

Division of Aging Services | FSIU June 13, 2019

Specific Findings

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

14

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

Division of Aging Services | FSIU June 13, 2019

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

15

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

Division of Aging Services | FSIU June 13, 2019

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

16

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 |

17

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

Division of Aging Services | FSIU June 13, 2019

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

18

Rockdale County

Division of Aging Services | FSIU June 13, 2019

• Established by Detective and

Probate Court Judge

• Working informally – 5

meetings

• MOU recently signed
• 1st formal MDT meeting soon

Geor Georgia gia Depar Department of tment of Human Human Ser Services vices |

19

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 |

20

Contact Information

Anna Thomas Division of Aging Services Forensic Unit Anna.Thomas1@dhs.ga.gov

Division of Aging Services | FSIU June 13, 2019

Becky A. Kurtz Director, Area Agency on Aging Manager, Aging & Independence Services Atlanta Regional Commission Prosecuting Attorneys’ Council of Georgia March 28, 2019

Community Resources for At-Risk or Victimized Adults:

Area Agencies on Aging

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
• ther 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!