State Fiscal Year 2011 Division of Aging and Adult Services Adult Protective Services Annual Activity Report Clarence H. Carter, Director December 2011 Division of Aging and Adult Services Adult Protective Services Annual Activity Report Table of Contents Page Executive Summary…………………………………………………………................ 3 Program Background and Service Delivery……………………………................. 4 Partnerships…………………………………………………………………………….. 6 Summary of Data……………………………………………………………................. 8 Statewide Report Statistics…………………………………………………………… 8 Reports…………………………………………………………………………………… 9 Clients…………………………………………………………………………................. 11 Alleged Perpetrators…………………………………………………………………… 19 Reporting Sources……………………………………………………………………... 22 Appendix………………………………………………………………………................ 26 SFY Activity Summary/Statistics by County………………………………….. APS Annual Activity Report SFY 2011 2 1-16 EXECUTIVE SUMMARY We are pleased to present you with the Adult Protective Services (APS) Annual Report which covers the period of July 1, 2010 – June 30, 2011. The APS Annual Report is produced to inform state government officials, the general public, and other agencies and organizations about the various types of abuse experienced by vulnerable adults in Arizona. A few highlights from this year’s report include the following: • There were 6,889 reports of vulnerable adult mistreatment investigated; • Family members make up 31 percent of the alleged perpetrators; • Females make up 62 percent of clients who are mistreated; • A typical APS client is a Caucasian female, 85 years of age or older; • Neglect by self (32 percent) and neglect by family members (31 percent) continue to be the leading causes for protective services investigations; and • The top two reporting sources are social services (27 percent) and medical services (15 percent). To report the neglect, abuse, or exploitation of a vulnerable adult Call 1-877-SOS-ADULT (1-877-767-2385) Fax at (602) 277-4984 On-line at www.azdes.gov/reportadultabuse As always, APS stands ready to assist vulnerable adults. Thank you for your interest in Adult Protective Services. APS Annual Activity Report SFY 2011 3 PROGRAM BACKGROUND AND SERVICE DELIVERY Adult Protective Services (APS) is part of the Division of Aging and Adult Services (DAAS) within the Arizona Department of Economic Security (DES). APS is required by law to receive and evaluate reports of abuse, neglect, or exploitation of vulnerable and/or incapacitated adults and to offer those vulnerable adults services based on need and acceptance. APS assists clients in alleviating mistreatment, preventing further harm, and seeking community resources. APS conducts investigations throughout the state; however, reports about allegations of abuse, neglect and exploitation are made to one central location. Reports are received through the APS Central Intake Hotline at 1-877-767-2385 (1-877-SOS-ADULT) or via fax at (602) 277-4984. The Central Intake Hotline is available Monday through Friday from 7:00 a.m. to 7:00 p.m. and Saturday and Sunday from 10:00 a.m. to 6:00 p.m. Reports can be submitted on-line 24 hours per day, 7 days a week at www.azdes.gov/reportadultabuse. Statutory Authority – The first APS statutes were enacted in 1980 giving APS the authority to receive and investigate reports of abuse, neglect and exploitation of vulnerable or incapacitated adults. A.R.S. § 46-451 and 452 established the roles and responsibilities of an APS worker. Investigations are conducted in private residences and in facilities. For the purpose of the APS program, clients must be: Eighteen years of age or older; Vulnerable or incapacitated; Abused, neglected, or exploited; and Reside within the State of Arizona (excluding Native American reservations). Under state law, a vulnerable adult has a physical or mental impairment and is unable to protect him/herself. An incapacitated adult is considered unable to make or communicate informed decisions. Many of these individuals are elderly or disabled and many may simply be neglecting themselves. Others are being abused, neglected, or financially exploited by others in a position of trust. Reporting and Investigation Process – When a contact is made from any community source through the toll-free APS Hotline, an APS Hotline professional is responsible for assessing the information provided by the caller and determining whether the information meets the criteria necessary to file a report. APS Hotline staff will ask the caller for basic information, such as date of birth, address, and telephone number. In addition to this information, the Hotline employee will ask for information about the type of mistreatment, the time the alleged incident occurred, the adult’s physical, functional, and cognitive status, potential health and safety concerns, and the individuals involved. APS Annual Activity Report SFY 2011 4 Once it is determined that a report needs to be investigated, then an APS case is established. The case is routed to the appropriate district office for assignment to a caseworker and a field evaluation is subsequently conducted. The caseworker assesses whether or not there is a factual basis for the allegation(s) of abuse, neglect, or exploitation, and then they work to ameliorate the condition of the client and remedy the situation according to the case plan. During the evaluation process, APS staff have the authority to obtain medical and financial records without consent from the client. APS staff work to develop a plan of action and then offer appropriate services based on individual need and acceptance provided the client has the capacity to make or communicate informed decisions. If the client has been evaluated by a physician and determined that he/she can no longer make decisions, APS will file for the appointment of a guardian/conservator if one has not already been appointed or if there is no one else who is willing or able to serve. A public or a private fiduciary may be appointed by the court. APS does not have the authority to take custody of an individual. While APS will attempt to assist the client to alleviate mistreatment, prevent further harm, and seek community resources, APS does not have the authority to take custody of an adult or his/her finances, remove the adult from his/her home against his/her will, or require the adult to accept services, including Adult Protective Services. After a case is investigated and certain conditions are met, the case is closed. All cases are reviewed to evaluate the quality of the casework. Quality Assurance – The method of determining if the staff are conforming to APS policies and procedures (DES 5-56) consists of reviewing closed APS cases, with a focus on intake, case management, and supervisory functions. Ongoing supervisory and random case reviews are conducted throughout the year. In addition, annual comparisons are made to the baseline data. For an investigated report to be considered a quality report it must meet at least 18 of 20 criteria. Two quality assurance instruments are used to obtain raw data. One instrument measures the intake function and the other measures the casework and supervision functions of APS workers. The APS District Program Managers are responsible for conducting the reviews, excluding the intake function, which is conducted by the APS Operations Manager. Regular monitoring of performance standards statewide will continue to ensure that the program remains at acceptable levels of compliance. Technical assistance and training are developed and provided to field staff as needed. Substantiation and Appeals Rights – The rights of APS clients are protected by policies that ensure and guarantee competent adults their personal choices concerning their independence and lifestyle. Strict laws are in effect requiring respect for confidentiality of names and details surrounding all APS investigations. APS Annual Activity Report SFY 2011 5 Beginning July 1, 2007, aside from criminal and civil penalties, any perpetrator with a substantiated case of mistreatment may have their name placed on the state’s APS Registry. The law requires that APS notify the accused that APS is proposing to substantiate the allegations against them and provide due process for the accused. This means the case may go before an Administrative Law Judge for a determination. As per A.R.S. § 46-458 Hearing Process, APS must meet the Preponderance of Evidence burden of proof when submitting a case for an Administrative Hearing. If the substantiation is affirmed, the accused person’s name will be placed on the APS Registry for ten years. The APS Registry is open to the general public upon written request for the information. Potential employers may request information about an individual they are considering for hire. PARTNERSHIPS APS works closely with a variety of agencies statewide to conduct investigations, make referrals for services, and to provide community awareness and education. Attorney General’s Office (AG) – The APS program works closely with the Attorney General’s Office as legal counsel for the APS program as it pertains to casework activities that require legal advice/intervention, such as petitioning for appointment of guardians and conservators for APS clients. The AG’s office also represents the APS program in cases that go before an Administrative Law Judge as part of the APS Appeals Process. Law Enforcement – APS works jointly with law enforcement by referring cases to them for investigation into the criminal activity of the alleged perpetrators. When required, APS and law enforcement will conduct joint investigations. Arizona Department of Health Services (ADHS) – The Department of Economic Security (DES) has an Agreement of Cooperation (AOC) with ADHS which outlines the roles and responsibilities of each agency as it pertains to incidents of mistreatment of residents in facilities licensed by ADHS. Arizona Department of Economic Security, Division of Developmental Disabilities (DDD) – The Division of Aging and Adult Services (DAAS) has an agreement with DDD that outlines the roles and responsibilities of each division as it pertains to incidents of mistreatment of vulnerable adults receiving DDD services or eligible for DDD services. The Agreement also outlines the process for information sharing. Joint investigations are conducted when necessary. Area Agencies on Aging (AAA) – DAAS/APS works jointly with the Area Agencies on Aging to promote the safety and well-being of mutual clients. Each AAA provides services through the Long Term Care Ombudsman Program and the Home and Community Based Services Program. The primary purpose of the Long Term Care Ombudsman Program is to identify, investigate, and resolve complaints made by, or on APS Annual Activity Report SFY 2011 6 behalf of residents of long-term care facilities. APS refers cases to the Long Term Care Ombudsman Program when resident situations do not rise to the level of an APS investigation and when the situation deals more with resident rights issues. APS and the Long Term Care Ombudsman Program also work closely together during facility closures when residents need to be relocated. Home and Community Based Services are provided to individuals who are functionally impaired and unable to perform activities of daily living. The intended purpose of the services is to provide assistance to individuals to maintain their independence and remain in the least restrictive setting for as long as possible. Coordination between APS, the Area Agency on Aging and Home and Community Based Services has significantly decreased the APS recidivism rate in Maricopa County. Elder Abuse Coalitions and Task Forces - The Arizona Elder Abuse Coalition is an organization of state and local governmental and non-profit agencies working cooperatively to increase awareness, recognition and prosecution of elder abuse and fraud through coordination, advocacy, education, and support of local elder abuse task forces. Members of the coalitions and task forces include representatives of Adult Protective Services, the local police department and/or sheriff’s department, the county public fiduciary, the county attorney’s office, health care professionals, Area Agencies on Aging, as well as the local Bar Associations. APS will continue to be an active participant in the Arizona Elder Abuse Coalition as caseloads and time allow. Disaster Preparedness – APS created the Client Identification Program, also known as the Medallion Program, which allows at-risk and older adults to obtain a client identification pendant that helps ensure their safety and protection in case of an emergency or disaster. At-risk and older adults can voluntarily receive a client identification pendant from APS that contains non-personally identifiable information which helps first responders in emergencies or situations that require evacuations. The client identification pendant contains the individual’s APS case number so that first responders can call the APS Hotline to quickly obtain information about the individual and instructions about any special needs or medical conditions. Individuals can wear the identification pendant on a neck chain. Individuals will also be provided an identification card for their wallet and a magnetic card to place on their refrigerator. Participation in the Medallion Program is voluntary. APS Annual Activity Report SFY 2011 7 SUMMARY OF DATA The Arizona Adult Protective Services System, or AZAPSS, provides case management and tracking of APS clients from intake to closure. AZAPSS provides a consistent retrieval of APS records and data for statistical reports at the district level. The system is structured to meet the legislative mandate of a central APS registry. Equally important, AZAPSS is used to track vulnerable APS clients during local or statewide emergencies. AZAPSS’ simplicity allows for ease in navigating case information and program reports. APS received 10,695 inquiries for the period of July 1, 2010 – June 30, 2011 (SFY 2011). Of those inquiries, 3,806 were information and referral inquiries and 6,889 were reports. The APS investigation rate remains at 100 percent for this period. The following chart identifies the number of reports received by district and the type of allegation for the reports: Allegations District I II III IV V VI Statewide Number of Reports 3,492 1,285 606 571 512 423 6,889 Abuse 1,036 311 106 109 115 78 1,755 Neglect 2,426 965 477 409 362 325 4,964 Exploitation 979 372 144 174 148 114 1,931 (Note: Reports may have more than one allegation.) STATEWIDE REPORT STATISTICS In SFY 2011, substantiation rates for the allegations were five percent for abuse, 13 percent for neglect, and two percent for exploitation. Seventy-five percent of APS clients were over the age of 60, while 25 percent are clients 18-59 years of age. Sixty-eight percent of APS clients identified themselves as Caucasian and 12 percent identified themselves as Hispanic. Two-thirds of the APS clients were female, while one-third were male. Twenty-seven percent of APS clients live with family, while 18 percent of APS clients live alone with little to no assistance. Alleged perpetrators who are family members accounted for 31 percent; self neglect accounted for 32 percent; and paid caregivers/residential management accounted for 19 percent. Forty-nine percent of the reporting sources are personnel from social services, medical services, and other public services. Family members are reporting sources 13 percent of the time. APS Annual Activity Report SFY 2011 8 County specific activity summaries and client demographics for SFY 2011 are located in the Appendix (Note: the activity summaries totals may round plus or minus 100 percent.) REPORTS This section of the report provides information on APS statistics and trends from SFY 2002-2011. The following graph depicts the trend in investigated reports for SFY 2002-2011. Total Number of Reports Investigated 10,000 8,000 6,000 4,000 2,000 0 9,592 8,119 FY 02 8,041 FY 03 7,368 7,246 7,697 FY 04 FY 05 FY 06 8,261 7,900 6,488 FY 07 FY 08 6,889 FY 09 FY 10 FY 11 Percentage of Reports Investigated 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% 79.89% 78.27% 73.63% 83.30% FY 02 FY 03 FY 04 FY 05 87.20% FY 06 95.54% 100% 100% 100% 100% FY 07 FY 08 FY 09 FY 10 FY 11 The following graphs depict the trends in reports in relation to the type of allegation (abuse, neglect, and/or exploitation) from SFY 2002-2011. Total Number of Reports of Abuse Received 2,500 2,000 2,203 1,853 1,661 1,583 1,510 1,558 1,626 FY 04 FY 05 FY 06 FY 07 2,000 1,699 1,755 FY 10 FY 11 1,500 1,000 500 0 FY 02 FY 03 APS Annual Activity Report SFY 2011 9 FY 08 FY 09 Percentage of Total Reports Received with Allegation of Abuse 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 23.04% 20.46% FY 02 FY 03 25.33% 26.19% FY 09 FY 10 25.48% 22.97% 21.48% FY 04 20.84% 20.24% 19.68% FY 05 FY 06 FY 07 FY 08 FY 11 Total Number of Reports of Neglect Received 10,000 8,000 6,000 7,802 5,706 5,386 4,915 5,363 FY 04 FY 05 5,961 6,246 5,902 4,964 4,881 4,000 2,000 0 FY 02 FY 03 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 Percentage of Total Reports Received with Allegation of Neglect 100.0% 80.0% 70.28% 66.98% 66.71% FY 03 FY 04 74.01% 77.45% 75.61% 81.34% FY 05 FY 06 FY 07 FY 08 74.72% 75.23% 72.06% FY 09 FY 10 FY 11 1,804 1,839 1,931 FY 09 FY 10 FY 11 60.0% 40.0% 20.0% 0.0% FY 02 Total Number of Reports of Exploitation Received 2,282 2,500 2,000 1,728 1,719 1,581 1,485 1,439 1,774 FY 05 FY 06 FY 07 1,500 1,000 500 0 FY 02 FY 03 FY 04 APS Annual Activity Report SFY 2011 10 FY 08 Percentage of Total Reports Received with Allegation of Exploitation 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 21.28% 21.38% 21.46% 20.49% 21.47% 23.79% 22.87% FY 07 FY 08 FY 09 28.35% 28.03% FY 10 FY 11 18.70% FY 02 FY 03 FY 04 FY 05 FY 06 CLIENTS APS client demographics have remained fairly consistent over the years. The following graphs depict the trends in age, gender, race, and living arrangements for the APS clients between SFY 2002-2011. Total Number of Clients Age 18-59 3,000 2,500 2,000 1,500 1,000 500 0 2,312 2,577 2,654 2,337 2,448 2,432 2,387 1,937 1,508 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 1,718 FY 09 FY 10 FY 11 24.6% 24.08% 23.24% 24.94% FY 08 FY 09 FY 10 FY 11 Percentage of Clients Age 18-59 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 25.7% 22.7% 22.2% FY 02 FY 03 FY 04 APS Annual Activity Report SFY 2011 26.1% FY 05 26.9% FY 06 11 27.16% FY 07 Total Number of Clients Age 60-64 600 500 400 300 200 100 0 560 419 FY 02 FY 03 456 415 354 FY 04 345 358 368 FY 05 FY 06 FY 07 493 310 FY 08 FY 09 FY 10 FY 11 7.08% 6.99% 7.03% 7.16% FY 08 FY 09 FY 10 FY 11 1,145 1,261 FY 09 FY 10 FY 11 Percentage of Clients Age 60-64 10.0% 8.0% 6.0% 5.3% 5.3% FY 02 FY 03 5.7% 6.3% 6.3% FY 04 FY 05 FY 06 6.60% 4.0% 2.0% 0.0% FY 07 Total Number of Clients Age 65-74 2,000 1,761 1,782 1,756 1,539 1,470 1,500 1,421 1,627 1,356 1,000 500 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 Percentage of Clients Age 65-74 25.0% 20.0% 17.7% 17.3% 17.3% 17.2% FY 02 FY 03 FY 04 16.44% 16.97% 16.91% 17.65% 18.3% FY 07 FY 08 FY 09 FY 10 FY 11 16.7% 15.0% 10.0% 5.0% 0.0% APS Annual Activity Report SFY 2011 FY 05 FY 06 12 Total Number of Clients Age 75-84 3,500 3,000 2,500 2,000 1,500 1,000 500 0 3,235 3,055 3,019 2,608 2,580 FY 02 FY 03 FY 04 FY 05 2,564 FY 06 2,437 FY 07 FY 08 2,145 1,805 1,868 FY 09 FY 10 FY 11 Percentage of Clients Age 75-84 40.0% 30.0% 31.8% 31.8% 30.2% 29.7% 29.0% 28.18% 27.19% 26.83% 27.83% 27.12% FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 1,873 1,553 20.0% 10.0% 0.0% FY 02 FY 03 FY 04 FY 05 Total Number of Clients Age 85+ 2,500 2,321 2,291 2,278 2,011 2,000 1,697 1,791 1,786 FY 05 FY 06 FY 07 1,529 1,500 1,000 500 0 FY 02 FY 03 FY 04 FY 08 FY 09 FY 10 FY 11 23.86% 24.82% 23.94% 22.20% FY 08 FY 09 FY 10 FY 11 Percentage of Clients Age 85+ 40.0% 30.0% 22.9% 22.9% FY 02 FY 03 20.0% 20.1% 19.4% 20.3% 20.65% FY 04 FY 05 FY 06 FY 07 10.0% 0.0% Although APS serves individuals 18 years of age or older, the majority of APS services are provided to individuals 75 and above with the largest proportionate category being those identified as 85 years of age or older. APS Annual Activity Report SFY 2011 13 Females were the majority of APS clients between SFY 2002-2011. Females have a longer life expectancy than males which may contribute to this particular statistic. Total Number of Male Clients 4,000 3,752 3,789 3,732 3,345 3,382 3,285 3,580 3,048 3,000 2,395 2,592 FY 10 FY 11 36.91% 37.63% FY 10 FY 11 4,047 4,241 FY 10 FY 11 62.38% 61.56% FY 10 FY 11 2,000 1,000 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 Percentage of Male Clients 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 38.58% 36.9% 36.9% 37.3% 38.5% 38.3% 38.0% 37.3% FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 Total Number of Female Clients 8,000 6,370 6,462 6,235 6,000 5,443 5,358 5,954 4,791 5,348 4,000 2,000 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 Percentage of Female Clients 100.0% 80.0% 62.7% 62.7% 62.3% 61.4% 61.7% 62.0% 62.1% 60.65% 60.0% 40.0% 20.0% 0.0% FY 02 FY 03 FY 04 APS Annual Activity Report SFY 2011 FY 05 FY 06 14 FY 07 FY 08 FY 09 APS clients that identified their ethnicity as Hispanic or Latino accounted for 12 percent of those served in SFY 2011. Total Number of Clients Identifying as Hispanic or Latino 1,500 1,201 1,043 1,154 1,055 1,109 1,082 1,039 1,000 845 787 803 FY 09 FY 10 FY 11 500 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 Percentage of Clients Identifying as Hispanic or Latino 15.0% 10.0% 10.3% 10.3% FY 02 FY 03 11.5% 12.1% 12.6% FY 04 FY 05 FY 06 12.13% 12.5% 10.8% 10.7% FY 07 FY 08 FY 09 11.66% 5.0% 0.0% FY 10 FY 11 APS client demographic specific to race is consistent with the overall Arizona population. Although there has been a nine percent decrease in the number of APS clients identifying themselves as White since SFY 2002, this race category remains proportionately higher than the other race categories. Total Number of Clients Identifying as White 10,000 7,878 7,882 7,578 8,000 6,000 6,779 6,792 6,686 6,626 5,517 4,500 4,713 FY 09 FY 10 FY 11 69.1% 69.87% 69.36% 68.41% FY 08 FY 09 FY 10 FY 11 4,000 2,000 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 Percentage of Clients Identifying as White 100.0% 80.0% 77.5% 77.5% 75.7% 78.0% 76.9% 77.3% 60.0% 40.0% 20.0% 0.0% FY 02 FY 03 FY 04 APS Annual Activity Report SFY 2011 FY 05 FY 06 15 FY 07 APS clients identifying themselves as Black or African American account for slightly less than five percent of all APS clients. Total Number of Clients Identifying as Black or African American 500 405 400 374 357 315 336 354 FY 05 FY 06 FY 07 378 297 306 304 FY 09 FY 10 FY 11 300 200 100 0 FY 02 FY 03 FY 04 FY 08 Percentage of Clients Identifying as Black or African American 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% 4.0% FY 02 4.0% FY 03 4.1% 3.6% 3.6% FY 04 FY 05 3.8% FY 06 FY 07 4.72% 3.9% 3.76% FY 08 FY 09 FY 10 4.41% FY 11 APS clients identifying themselves as American Indian or Alaska Native are clients who primarily live off-reservation. APS participates in a very small number of on-reservation cases and will only do so at the invitation of the tribal council seeking their assistance. Total Number of Clients Identifying as American Indian or Alaskan Native 250 200 232 224 186 165 196 186 146 135 126 150 97 100 50 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 Percentage of Clients Identifying as American Indian or Alaskan Native 2.5% 2.0% 2.2% 1.8% 1.8% FY 02 FY 03 1.9% 2.1% 2.0% 1.60% 1.7% 1.96% 1.50% 1.5% 1.0% 0.5% 0.0% FY 04 APS Annual Activity Report SFY 2011 FY 05 FY 06 16 FY 07 FY 08 FY 09 FY 10 FY 11 Cultural diversity may also contribute to the smaller number of cases for the majority of racial groups. Familial obligations, religious beliefs, and various perceptions on the kinds of information to be shared with non-family members, as well as a lack of awareness, may lead to the reluctance of certain groups to make contact with APS. Total Number of Clients Identifying as Asian 80 69 69 51 60 62 48 49 FY 05 FY 06 64 59 41 45 40 20 0 FY 02 FY 03 FY 04 FY 07 FY 08 FY 09 FY 10 FY 11 Percentage of Clients Identifying as Asian 0.75% 1.0% 0.8% 0.7% 0.6% 0.7% 0.7% 0.6% 0.6% FY 05 FY 06 0.7% 0.7% FY 07 FY 08 0.63% 0.65% FY 10 FY 11 0.4% 0.2% 0.0% FY 02 FY 03 FY 04 FY 09 The following graphs depict the trends in APS client living arrangements for SFY 2002-2011. The largest categories of APS client demographics in relation to living arrangements are clients who reside with family, followed by clients in licensed or unlicensed care facilities, followed by clients living alone with little or no assistance. Total Number of Clients Living in Licensed/Unlicensed Care Facility 3,000 2,500 2,000 1,500 1,000 500 0 2,717 2,600 2,458 1,845 1,995 2,258 1,884 1,843 1,407 FY 02 FY 03 FY 04 APS Annual Activity Report SFY 2011 FY 05 FY 06 17 FY 07 FY 08 FY 09 FY 10 1,531 FY 11 Percentage of Clients Living in Licensed/Unlicensed Care Facility 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 23.38% 26.3% FY 02 25.0% FY 03 24.2% FY 04 20.9% 22.4% 21.6% FY 05 FY 06 FY 07 21.69% 23.3% FY 08 FY 09 FY 10 1,544 1,620 FY 09 FY 10 22.2% FY 11 Total Number of Clients Residing with Family 3,000 2,500 2,000 1,500 1,000 500 0 2,721 2,803 2,778 2,507 2,598 2,598 2,241 1,839 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 11 Percentage of Clients Residing with Family 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 27.8% 26.8% 28.8% 29.4% 30.1% 26.8% 26.7% 24.91% 23.4% 19.68% FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 Total Number of Clients Residing with Non-Family 1,000 842 800 600 861 730 841 642 598 445 400 303 320 FY 09 FY 10 298 200 0 FY 02 FY 03 FY 04 APS Annual Activity Report SFY 2011 FY 05 FY 06 18 FY 07 FY 08 FY 11 Percentage of Clients Residing with Non-Family 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% 9.9% 5.9% 9.7% 8.3% 6.4% 4.93% 5.9% 4.6% FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 4.33% 3.85% FY 09 FY 10 FY 11 138 108 123 FY 09 FY 10 FY 11 Total Number of Clients Living Alone with Some Assistance 700 600 500 400 300 200 100 0 638 658 563 375 423 396 281 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 Percentage of Clients Living Alone with Some Assistance 7.0% 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% 6.3% 6.3% 5.6% 4.3% 4.8% 4.6% 2.9% 1.72% FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 1.67% FY 10 1.79% FY 11 Clients residing alone, with some assistance have decreased by 4.5 percent since 2002. ALLEGED PERPETRATORS The following graphs depict the trends in alleged perpetrators between SFY 2002-2011. Neglect continues to be the leading cause for protective services investigations although the alleged perpetrator identified as “self” has decreased by six percent since SFY 2002. The leveling out of cases beginning in SFY 2005 may be a result of the partnership developed with the Area Agencies on Aging to coordinate emergency placements and in-home supports for APS clients. APS Annual Activity Report SFY 2011 19 Total Number of Alleged Perpetrators Identified as Self 5,000 4,000 3,000 3,991 3,971 3,953 3,435 3,457 3,386 3,452 2,828 2,351 2,096 2,000 1,000 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 Percentage of Alleged Perpetrators Identified as Self 50.0% 40.0% 38.3% 36.3% 37.5% 37.1% 36.3% 36.1% 32.9% 31.57% 32.09% 28.24% 30.0% 20.0% 10.0% 0.0% FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 Total Number of Alleged Perpetrators Identified as Family Members 4,000 3,020 3,055 3,000 2,767 2,654 2,756 2,839 2,946 2,713 2,420 2,236 2,000 1,000 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 Percentage of Alleged Perpetrators Identified as Family Members 50.0% 40.0% 30.0% 30.38% 27.5% 27.5% 26.2% 28.6% 29.0% FY 02 FY 03 FY 04 FY 05 FY 06 30.2% 28.1% FY 07 FY 08 32.60% 30.52% 20.0% 10.0% 0.0% APS Annual Activity Report SFY 2011 20 FY 09 FY 10 FY 11 Family members or neighbors identified as the alleged perpetrator has increased three percent from SFY 2002 to SFY 2011. Total Number of Alleged Perpetrators Identified as Friend or Neighbor 1,000 847 737 800 870 722 734 647 576 600 514 501 448 FY 09 FY 10 FY 11 400 200 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 Percentage of Alleged Perpetrators Identified as Friend or Neighbor 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% 9.1% 6.7% FY 02 6.7% FY 03 6.8% FY 04 7.8% 7.0% FY 05 FY 06 FY 07 5.5% 5.73% FY 08 FY 09 6.75% 6.12% FY 10 FY 11 Total Number of Alleged Perpetrators Identified as Caregiver or Residential Management 2,500 2,000 1,888 1,953 1,633 1,888 1,466 1,586 1,543 FY 05 FY 06 FY 07 1,706 1,500 1,367 1,370 FY 10 FY 11 1,000 500 0 FY 02 FY 03 FY 04 FY 08 FY 09 Percentage of Alleged Perpetrators Identified as Caregiver or Residential Management 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 19.09% 17.2% 17.2% 15.8% 16.7% 16.4% 18.0% FY 05 FY 06 FY 07 FY 08 18.42% 18.70% FY 10 FY 11 15.5% FY 02 FY 03 FY 04 FY 09 There is an increase of 1.5 percent in alleged perpetrators identified as paid caregivers or residential management employees since SFY 2002. APS Annual Activity Report SFY 2011 21 REPORTING SOURCES The following graphs depict the trends in reporting sources between SFY 2002-2011. As mandatory reporters, medical services, social services, and public services consistently make up the largest portions of reporting sources. Total Number of Reporting Sources Identified as Medical Services 2,000 1,500 1,408 1,590 1,489 1,594 1,301 1,136 1,450 988 1,087 FY 10 FY 11 972 1,000 500 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 Percentage of Reporting Sources Identified as Medical Services 25.0% 16.5% 20.0% 15.0% 10.0% 13.6% 13.6% 14.6% 14.8% 17.92% 12.7% 14.16% 14.63% FY 10 FY 11 11.1% 5.0% 0.0% FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 Total Number of Reporting Sources Identified as Social Services 4,000 3,319 3,288 2,968 3,000 2,969 3,036 2,455 2,105 1,911 1,962 2,000 1,089 1,000 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 Percentage of Reporting Sources Identified as Social Services 40.0% 30.0% 34.8% 28.11% 23.66% 21.7% FY 03 FY 04 33.4% 27.9% 29.3% FY 07 FY 08 32.2% 32.2% 26.69% 20.0% 10.0% 0.0% FY 02 APS Annual Activity Report SFY 2011 FY 05 FY 06 22 FY 09 FY 10 FY 11 Total Number of Reporting Sources Identified as Other Public Services 2,500 2,000 1,500 1,000 500 0 2,273 1,802 1,747 1,813 1,736 1,741 1,324 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 577 561 583 FY 09 FY 10 FY 11 Percentage of Reporting Sources Identified as Other Public Services 25.0% 20.0% 23.5% 19.7% 17.4% 17.4% 17.8% 19.5% 15.1% 15.0% 10.0% 7.14% 8.04% 7.83% FY 10 FY 11 5.0% 0.0% FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 Note: In SFY 2009, the category of public services was separated into several categories that more accurately illustrate the relationship to the client, thus reflecting a decrease that is namely due to the expanded category options. Public Services as a reporting source increased by eight percent between SFY 2007 and SFY 2008, most likely due to efforts by APS supervisors and managers to conduct in-service public awareness presentations locally with public services such as utility companies, Postal Services, Public Housing, Law Enforcement, Fire Department, Court System, Conservators, Financial Services, Guardians, Legal Services, and Payees. Those efforts were not sustainable after SFY 2008 due to reduced staffing as a result of the state’s economic downturn. Total Number of Reporting Sources Identified as Family Member 1,500 1,111 1,128 1,144 FY 02 FY 03 FY 04 1,233 956 917 1,041 FY 05 FY 06 FY 07 1,000 949 891 954 FY 09 FY 10 FY 11 500 0 APS Annual Activity Report SFY 2011 23 FY 08 Percentage of Reporting Sources Identified as Family Member 20.0% 12.7% 15.0% 11.9% 10.7% 10.7% 11.3% 10.8% 10.3% FY 02 FY 03 FY 04 FY 05 FY 06 10.0% 11.74% 12.77% 12.81% 5.0% 0.0% FY 07 FY 08 FY 09 FY 10 FY 11 Since SFY 2002, reporting sources identified as “friend and neighbor” have decreased by seven percent. Total Number of Reporting Sources Identified as Friend or Neighbor 1,500 1,425 1,325 1,251 1,170 906 1,000 920 833 532 509 500 482 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 Percentage of Reporting Sources Identified as Friend or Neighbor 15.0% 13.8% 13.8% 13.0% 13.3% 10.0% 10.2% 10.6% 7.15% 8.6% 6.31% 6.91% 5.0% 0.0% FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 Reporting sources identified as “other” have decreased by ten percent since SFY 2002. This is primarily due to improved and more consistent categorization of reporting sources identified under the category of “other.” APS Annual Activity Report SFY 2011 24 Total Number of Reporting Sources Identified as Other 1,500 1,284 955 1,021 1,018 1,000 847 993 1,112 657 542 570 FY 10 FY 11 7.14% 8.04% 7.66% FY 09 FY 10 FY 11 500 0 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 Percentage of Reporting Sources Identified as Other 15.0% 10.0% 17.4% 17.4% 17.8% FY 02 FY 03 FY 04 19.7% FY 05 19.5% 15.1% 23.5% 5.0% 0.0% FY 06 FY 07 FY 08 CONCLUSION Thank you for your interest in Arizona Adult Protective Services and the report of APS client and service trends from 2002-2011. For SFY 2011 county-level data for the information presented throughout this report, please see the Appendix. We hope you found the report useful and will turn to it as a reference when in need of statistical information about APS in Arizona. To report the neglect, abuse, or exploitation of a vulnerable adult Call 1-877-SOS-ADULT (1-877-767-2385) Fax at (602) 277-4984 On-line at www.azdes.gov/reportadultabuse APS Annual Activity Report SFY 2011 25 Appendix APS Annual Activity Report SFY 2011 26