A Day in the Life of Adult Protective Services - Final Report ... - CWDA

Appendix-Sample Interventions
Disclaimer
APS interventions will vary depending on the client’s circumstances, the
resources available within the community and the resources available
within the APS agency.
Intervention 1
(Vignette 211)
Situation:
The victim is an elderly woman with senile dementia whose husband
and sole caregiver had just committed suicide by shooting himself in
their home. The victim was unable to care for herself. She did not
know when to take her own medications and has no family in the area.
Immediate response by APS was requested.
Intervention:
APS coordinated with the victim’s friend for bio-hazard clean up. The
victim was taken by APS for psychiatric and medical evaluation but
was returned home by doctors. One of her relatives provided shortterm
24-hour care. The victim was also referred to the Public
Guardian’s office and was conserved. The victim was referred to the
Public Administrator for her husband’s funeral arrangements. There
were multiple guns in the victim’s home that she threatened to use on
herself and others, so the guns were removed. The victim was referred
to Meals on Wheels and provided an emergency response button.
Intervention 2
(Vignette 148)
Situation:
A 74 year old man was found by his caregiver after being on the floor
of the home for two to three days. The paramedics were called. The
victim was dehydrated and transported to the hospital.
Intervention:
APS conducted a case conference with the client and his home health
care manager to discuss his increased care needs and encourage
consideration of assisted living, to which he agreed. Note: APS had a
prior report regarding another fall, but at that time the client refused to
consider placement and was competent to make the decision. With the
client's consent, APS contacted family members who agreed to
investigate appropriate placement and monitor his care. APS provided
them with referrals. Unfortunately, the client died in the hospital.
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