Adult Protective Services Annual Activity Report for State Fiscal Year 2013 Division of Aging and Adult Services Clarence H. Carter, Director March 2014 Arizona Department of Economic Security Division of Aging and Adult Services Adult Protective Services Annual Activity Report for State Fiscal Year 2013 Table of Contents Page Executive Summary…………………………………………………………................ 2 Program Background and Service Delivery……………………………................. 3 Partnerships…………………………………………………………………………….. 5 Summary of Data……………………………………………………………................. 6 Statewide Report Statistics…………………………………………………………… 7 Inquiries, Reports, and Allegations ………………………………………………… 8 Clients…………………………………………………………………………................. 9 Alleged Perpetrators…………………………………………………………………… 13 Reporting Sources……………………………………………………………………... 15 Conclusion……………………………………………………………………………….. 16 Appendix………………………………………………………………………................ 17 SFY Activity Summary/Statistics by County 1 Arizona Adult Protective Services Annual Activity Report SYF 2013 EXECUTIVE SUMMARY We are pleased to present you with the Arizona Adult Protective Services (APS) Annual Report for State Fiscal Year 2013, which covers the period of July 1, 2012 – June 30, 2013. 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 11,161 reports of vulnerable adult mistreatment investigated. This represents an all-time historic high for the program; • Family members make up 34 percent of the alleged perpetrators; • Females make up 60 percent of clients who are mistreated; • A “typical” APS client is a Caucasian female, 85 years of age or older; • Neglect by self (33 percent) and neglect by family members (34 percent) continue to be the leading causes for protective services investigations; and • The top two reporting sources are professionals from social services (22 percent) and medical services (17 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 Arizona Adult Protective Services. 2 Arizona Adult Protective Services Annual Activity Report SYF 2013 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 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 of 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 also 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 § 46-452 established the roles and responsibilities of an APS worker. Investigations are conducted in both private residences and in facilities. All staff working in APS have a Level 1 Fingerprint Clearance Card issued after successfully clearing both state and federal background checks. To be eligible for the APS program services, clients must be: • • • • Eighteen years of age or older; Vulnerable; Abused, neglected, or exploited; and Residing within the State of Arizona (excluding Tribal Communities). 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 have disabilities 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 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 the vulnerable adult’s basic information, such as date of birth, address, and telephone number. In addition to this information, the Hotline staff 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 any known information on the individuals involved. 3 Arizona Adult Protective Services Annual Activity Report SYF 2013 Once it is determined that a report needs to be investigated, an APS case is established. The case is routed to the appropriate district office for assignment to an investigator and a field evaluation is subsequently conducted. The investigator 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 has 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 and 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. 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. Caseload Growth – Every year, Adult Protective Services (APS) assesses thousands of reports of abuse, neglect, and exploitation of vulnerable adults. In State Fiscal Year (SFY) 2013, there has been a 27 percent increase in the total number of cases and a 24 percent increase in the number of APS inquiries over the same time last year. This has led to significantly higher than recommended caseloads for APS investigators. In SFY 2013, APS created the Financial Exploitation Unit (FEU) to focus specifically on the financial exploitation cases. The unit, which commenced in July 2012, consists of one supervisor and four investigators, who provide specialized analysis and focus for more complex financial exploitation cases. Quality Assurance – The method of determining if 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 supervisory functions of APS workers. The five 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. 4 Arizona Adult Protective Services Annual Activity Report SYF 2013 Substantiation and Appeals Rights – The rights of APS clients are protected by statutes and 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. Beginning July 1, 2007, aside from criminal and civil penalties, any perpetrator with a substantiated case of mistreatment of a vulnerable adult 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 final 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 also request information about an individual they are considering for hire. Written requests may be submitted to the Arizona Department of Economic Security or directly to APS by letter, fax, or email. 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’s) – 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. 5 Arizona Adult Protective Services Annual Activity Report SYF 2013 Area Agencies on Aging (AAA) – DAAS/APS works jointly with the AAA 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 Programs. The primary purpose of the Long Term Care Ombudsman Program is to identify, investigate, and resolve complaints made by, or on behalf of residents of longterm 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 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 and the Area Agency on Aging for 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. SUMMARY OF DATA The Arizona Adult Protective Services System, or AZAPSS, is a web-based computerized system that provides information management and tracking of APS client cases from intake to closure. AZAPSS provides for a consistent retrieval of APS records and data for statistical reports. The system is also structured to meet the legislative mandate of a central APS registry. Equally important, AZAPSS is used to 6 Arizona Adult Protective Services Annual Activity Report SYF 2013 track vulnerable APS clients during local or statewide emergencies. The simplicity of AZAPSS allows for ease in navigating case information and program reports. APS received 16,635 inquiries for the period of July 1, 2012 – June 30, 2013 State Fiscal Year (SFY 2013). Of those inquiries, 5,474 were information and referral inquiries and 11,161 were reports. The APS investigation rate remains at 100 percent for this period. The following table identifies the number of reports received by district and the type of allegation for the reports: District I II III IV V VI Statewide Arizona Adult Protective Services Reports Received by District State Fiscal Year 2013 Allegations Number of Reports* Abuse Neglect 5,650 1,577 3,802 2,248 493 1,575 989 192 709 947 193 691 720 166 513 607 113 438 11,161 2,734 7,728 Exploitation 1,531 644 273 302 213 175 3,138 (*Note: Reports may have more than one allegation.) STATEWIDE REPORT STATISTICS In SFY 2013, substantiation rates for the allegations were three percent for abuse, ten percent for neglect, and one percent for exploitation.        Seventy-four percent of APS clients were over the age of 60, while 26 percent are clients 18-59 years of age. Sixty-four percent of APS clients identified themselves as Caucasian and 12 percent identified themselves as Hispanic. Nearly two-thirds of the APS clients were female, while just over one-third were male. Twenty-nine percent of APS clients live with family, while 21 percent of APS clients live alone with little to no assistance. Alleged perpetrators who are family members accounted for 34 percent; self neglect accounted for 33 percent; and paid caregivers/residential management accounted for 16 percent. Forty-five percent of the reporting sources are personnel from social services, medical services, and other public services. Family members are reporting sources 15 percent of the time. County specific activity summaries and client demographics for SFY 2013 are located in the Appendix (Note: the activity summaries totals may not total to 100 percent due to rounding.) 7 Arizona Adult Protective Services Annual Activity Report SYF 2013 INQUIRIES, REPORTS, AND ALLEGATIONS This section of the report provides information on APS statistics and trends from SFYs 2009 through 2013. The graph below displays the multi-year trend in the number of inquiries and investigated reports. The chart below and the graphs on the following page display the multi-year trend in the types of allegations being reported: abuse, neglect, and/or exploitation. State Fiscal Year 2009 2010 2011 2012 2013 Arizona Adult Protective Services Types of Allegations Number and Percent of Abuse, Neglect, & Exploitation* State Fiscal Years 2009-2013 Abuse Neglect Exploitation Number Percent Number Percent Number Percent 2,000 25.3% 5,902 74.7% 1,804 22.9% 1,699 26.2% 4,881 75.2% 1,839 28.4% 1,755 25.5% 4,964 72.1% 1,931 28% 2,049 23.3% 6,060 69% 2,486 28.3% 2,734 24.5% 7,728 69.2% 3,138 28.1% * Yearly totals exceed 100% as a case may have multiple allegations 8 Arizona Adult Protective Services Annual Activity Report SYF 2013 CLIENTS The following graphs depict the trends in age, gender, race, and living arrangements for the APS clients between SFYs 2009-2013. 9 Arizona Adult Protective Services Annual Activity Report SYF 2013 Client demographics have remained fairly consistent over the years, with a slow, steady growth in the number of 60-64 year old clients. Although APS serves individuals 18 years of age or older, the majority of APS services are provided to individuals 65 and above. 10 Arizona Adult Protective Services Annual Activity Report SYF 2013 Between SFYs 2009 and 2013, females have remained the majority of APS clients by approximately a two to one margin. Females have a longer life expectancy than males which may contribute to this particular statistic. APS clients that identified their ethnicity as Hispanic or Latino totaled 1,318, or 11.8 percent of those served in SFY 2013. APS clients identifying themselves as American Indian or Alaska Native are clients who primarily reside off the reservation. APS participates in a very small number of on-reservation cases and will only do so at the invitation of the tribal council. The racial composition of APS clients is similar to the overall Arizona population. There has been a 29 percent increase in the number of APS clients identifying themselves as White since SFY 2009. APS clients identifying themselves as black or African American account for nearly five percent of all APS clients in SFY 2013. Arizona Adult Protective Services Number of Clients by Race State Fiscal Years 2009-2013 State Fiscal Year Race/ Ethnicity 2009 2010 2011 2012 Am Indian/Alaskan Native 126 97 135 136 Asian 59 41 45 72 Black/African American 297 306 304 446 Caucasian/White 5,517 4,500 4,713 6,035 Hispanic 845 787 803 1,074 Pacific Islander 5 13 8 11 Unknown / Other 1,051 744 881 1,007 2013 198 107 464 7,129 1,318 12 1,933 11 Arizona Adult Protective Services Annual Activity Report SYF 2013 Cultural diversity may also contribute to the smaller number of cases for the majority of racial minority 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 minority groups to make contact with APS. The graphs below depict the trends in APS client living arrangements for State Fiscal Years 2009-2013. The largest categories of APS client demographics in relation to living arrangements in 2013 are clients who reside with family or others followed by clients living alone, followed by clients in licensed and unlicensed care facilities respectively. Clients living with family or others increased by 1,140, or 45 percent, between SFY 2012 and SFY 2013. Clients living alone increased by 693, or 42 percent, in the same time period. 12 Arizona Adult Protective Services Annual Activity Report SYF 2013 ALLEGED PERPETRATORS The following graph depicts the trend of alleged perpetrators and their relationships with clients between SFYs 2009 and 2013. 13 Arizona Adult Protective Services Annual Activity Report SYF 2013 Arizona Adult Protective Services Number of Alleged Perpetrators by Relationship to Client State Fiscal Years 2009-2013 State Fiscal Year Relationship of Alleged Perpetrator to Client 2009 2010 2011 2012 Self 2,828 2,096 2,351 3,106 Family Member 2,713 2,420 2,236 2,770 Friend / Neighbor 514 501 448 552 Caregiver / Residential Management 1,706 1,367 1,370 1,560 Other 1,188 1,039 921 1,126 2013 3,918 3,952 663 1,909 1,326 In SFY 2013, a family member is reported as the alleged perpetrator in 34 percent of cases, an increase of three percent over the proportion reported in SFY 2012. Self is the second most common perpetrator category reported in 33 percent of cases. This is a decrease of one percent compared to the proportion reported in SFY 2012. In comparison to SFY 2012, the proportion where a caregiver or residential manager is the alleged perpetrator decreased one percent in SFY 2013, while the proportion where a friend/neighbor is the alleged perpetrator decreased half of one percent. REPORTING SOURCES The following graph depicts the trend in reporting sources between SFYs 2009-2013. As mandatory reporters, medical services, social services, and other public services consistently make up the largest block of reporting sources. Arizona Adult Protective Services Number of Reporting Sources by Relationship to Client State Fiscal Years 2009-2013 State Fiscal Year Relationship of Reporting Source to Client 2009 2010 2011 2012 Caregiver/Res Mgr. 937 632 671 832 Family Member 949 891 954 1,303 Financial Service 273 361 406 598 Friend or Neighbor 509 482 532 779 Law Enforcement 416 304 346 472 Medical Service 1,450 988 1,089 1,577 Other Public Service 577 561 583 828 Self 206 128 170 211 Social Service 1,911 1,962 1,987 2,239 Other* 855 671 707 940 2013 1,293 1,966 788 914 621 2,256 773 360 2,879 1,247 *Other also includes Conservator/Guardian; Legal Service; and Unknown. 14 Arizona Adult Protective Services Annual Activity Report SYF 2013 * Due to rounding, some years total more than 100% ** Other also includes Conservator/Guardian; Legal Service; and Unknown. Arizona Adult Protective Services Annual Activity Report SYF 2013 15 CONCLUSION Thank you for your interest in Arizona Adult Protective Services and the report of APS clients and service trends from 2009-2013. For SFY 2013 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 16 Arizona Adult Protective Services Annual Activity Report SYF 2013 Appendix 17 Arizona Adult Protective Services Annual Activity Report SYF 2013 ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - ARIZONA ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 2,734 24.50% Not Substantiated 2,641 96.60% Substantiated 93 3.40% NEGLECT 7,728 69.24% Not Substantiated 6,965 90.13% 763 9.87% EXPLOITATION 3,138 28.12% Not Substantiated 3,099 98.76% 39 1.24% Substantiated Substantiated TOTAL CASES 11,161 DEMOGRAPHICS CLIENT AGE GROUP CLIENT LIVING ARRANGEMENT 18 - 29 671 6.01% Alone-No Assistance 30 - 39 389 3.49% Alone-Some Asst 40 - 49 572 5.13% With Family 50 - 59 1,227 10.99% 60 - 64 927 8.31% With Non Family 2,161 19.36% 193 1.73% 3,202 28.69% 496 4.44% CLIENT DWELLING / FACILITY TYPE 65 - 69 986 8.83% Private Residence 1,160 10.39% 70 - 74 1,154 10.34% Adult Foster Care 34 0.31% 75 - 79 1,301 11.66% Assisted Living 669 5.99% 80 - 84 1,559 13.97% Board & Care 35 0.31% 85+ 2,372 21.25% DDD Placement 188 1.68% 3 0.03% Nursing Facility 775 6.94% Residential Care 270 2.42% Am Ind/Ak Native 198 1.77% Supervisory Care 73 0.65% Asian 107 0.96% Unlicensed Black/African Amer 464 4.16% VA Caucasian/White 7,129 63.87% Hispanic 1,318 11.81% Unknown CLIENT RACE 5 0.05% 19 0.17% Unknown 1,881 16.85% RELATION TO CLIENT Rptg Source Perpetrator Pacific Islander 12 0.11% Caregiver/Res Mgr 1,293 9.87% 1,909 16.22% Unknown/Other 1,933 17.32% Conserv/Guardian 54 0.41% 138 1.17% CLIENT MONTHLY INCOME 1,966 15.01% 3,952 33.58% 7 0.06% Financial Service 788 6.02% 31 0.26% $301 - $500 29 0.26% Friend/Neighbor 914 6.98% 663 5.63% $501 - $750 238 2.13% Law Enforcement 621 4.74% 1 0.01% $751 - $1,000 182 1.63% Legal Service 49 0.37% 5 0.04% Over $1,000 551 4.94% Medical Service 2,256 17.23% 115 0.98% 10,154 90.98% Other 1,027 7.84% 950 8.07% 773 5.90% 22 0.19% 360 2.75% 3,918 33.29% 2,879 21.98% 20 0.17% $300 or Less Unknown CLIENT GENDER Family Member Other Public Service Female 6,672 59.78% Self Male 4,311 38.63% Social Service 178 1.60% Unknown Unknown TOTAL Page 1 of 16 117 0.89% 44 0.37% 13,097 100.00% 11,769 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - APACHE ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 5 11.11% Not Substantiated 5 100.00% Substantiated 0 0.00% NEGLECT 39 86.67% Not Substantiated 30 76.92% Substantiated 9 23.08% EXPLOITATION 8 17.78% Not Substantiated 8 100.00% 0 0.00% Substantiated TOTAL CASES 45 DEMOGRAPHICS CLIENT AGE GROUP 18 - 29 2 30 - 39 40 - 49 CLIENT LIVING ARRANGEMENT 4.44% Alone-No Assistance 1 2.22% Alone-Some Asst 5 11.11% With Family 50 - 59 5 11.11% With Non Family 60 - 64 2 4.44% 12 26.67% 1 2.22% 15 33.33% 0 0.00% CLIENT DWELLING / FACILITY TYPE 65 - 69 4 8.89% Private Residence 7 15.56% 70 - 74 11 24.44% Adult Foster Care 0 0.00% 75 - 79 4 8.89% Assisted Living 2 4.44% 80 - 84 7 15.56% Board & Care 0 0.00% 85+ 4 8.89% DDD Placement 0 0.00% Unknown 0 0.00% Nursing Facility 0 0.00% Residential Care 2 4.44% Am Ind/Ak Native 2 4.44% Supervisory Care 0 0.00% Asian 0 0.00% Unlicensed 0 0.00% Black/African Amer 2 4.44% VA 0 0.00% 6 13.33% CLIENT RACE Caucasian/White 32 71.11% Hispanic 2 4.44% RELATION TO CLIENT Pacific Islander 0 0.00% Caregiver/Res Mgr 4 7.55% 3 6.00% Unknown/Other 7 15.56% Conserv/Guardian 0 0.00% 1 2.00% CLIENT MONTHLY INCOME Unknown Perpetrator 12 22.64% 17 34.00% $300 or Less 0 0.00% Financial Service 0 0.00% 0 0.00% $301 - $500 0 0.00% Friend/Neighbor 5 9.43% 1 2.00% $501 - $750 0 0.00% Law Enforcement 3 5.66% 0 0.00% $751 - $1,000 1 2.22% Legal Service 0 0.00% 0 0.00% Over $1,000 4 8.89% Medical Service 9 16.98% 0 0.00% 40 88.89% Other 2 3.77% 2 4.00% Other Public Service 3 5.66% 0 0.00% 5 9.43% 26 52.00% 10 18.87% 0 0.00% Unknown CLIENT GENDER Family Member Rptg Source Female 25 55.56% Self Male 20 44.44% Social Service 0 0.00% Unknown Unknown TOTAL Page 2 of 16 0 0.00% 0 0.00% 53 100.00% 50 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - COCHISE ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 85 18.28% Not Substantiated 82 96.47% Substantiated 3 3.53% NEGLECT 345 74.19% Not Substantiated 274 79.42% 71 20.58% Substantiated EXPLOITATION 127 27.31% Not Substantiated 127 100.00% 0 0.00% Substantiated TOTAL CASES 465 DEMOGRAPHICS CLIENT AGE GROUP 18 - 29 CLIENT LIVING ARRANGEMENT 22 4.73% Alone-No Assistance 30 - 39 9 1.94% Alone-Some Asst 40 - 49 20 4.30% With Family 50 - 59 50 10.75% 60 - 64 41 8.82% 65 - 69 40 8.60% Private Residence 57 12.26% 70 - 74 51 10.97% Adult Foster Care 0 0.00% 75 - 79 49 10.54% Assisted Living 19 4.09% 80 - 84 63 13.55% Board & Care 1 0.22% 120 25.81% DDD Placement 2 0.43% 0 0.00% Nursing Facility 20 4.30% Residential Care 8 1.72% 4 0.86% Supervisory Care 1 0.22% 85+ Unknown CLIENT RACE Am Ind/Ak Native Asian Black/African Amer Caucasian/White Hispanic With Non Family 136 29.25% 6 1.29% 107 23.01% 22 4.73% CLIENT DWELLING / FACILITY TYPE 2 0.43% Unlicensed 0 0.00% 11 2.37% VA 0 0.00% 310 66.67% Unknown 86 18.50% 56 12.04% RELATION TO CLIENT Rptg Source Perpetrator Pacific Islander 0 0.00% Caregiver/Res Mgr 55 9.77% 66 13.42% Unknown/Other 82 17.63% Conserv/Guardian 2 0.36% 7 1.42% CLIENT MONTHLY INCOME Family Member 84 14.92% 150 30.49% 2 0.43% Financial Service 25 4.44% 1 0.20% $301 - $500 1 0.22% Friend/Neighbor 37 6.57% 24 4.88% $501 - $750 23 4.95% Law Enforcement 47 8.35% 0 0.00% $751 - $1,000 11 2.37% Legal Service Over $1,000 40 8.60% Medical Service 388 83.44% $300 or Less Unknown CLIENT GENDER 1 0.18% 0 0.00% 108 19.18% 1 0.20% Other 47 8.35% 37 7.52% Other Public Service 43 7.64% 3 0.61% Female 282 60.65% Self 21 3.73% 202 41.06% Male 180 38.71% Social Service 87 15.45% 1 0.20% 3 0.65% Unknown Unknown TOTAL Page 3 of 16 6 1.07% 0 0.00% 563 100.00% 492 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - COCONINO ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 38 30.89% Not Substantiated 38 100.00% Substantiated 0 0.00% NEGLECT 76 61.79% Not Substantiated 55 72.37% Substantiated 21 27.63% EXPLOITATION 31 25.20% Not Substantiated 31 100.00% 0 0.00% Substantiated TOTAL CASES 123 DEMOGRAPHICS CLIENT AGE GROUP CLIENT LIVING ARRANGEMENT 18 - 29 5 4.07% Alone-No Assistance 30 - 39 12 9.76% Alone-Some Asst 40 - 49 9 7.32% With Family 50 - 59 16 13.01% 60 - 64 8 6.50% 65 - 69 9 7.32% Private Residence 16 13.01% 70 - 74 12 9.76% Adult Foster Care 1 0.81% 75 - 79 19 15.45% Assisted Living 2 1.63% 80 - 84 11 8.94% Board & Care 0 0.00% 85+ 22 17.89% DDD Placement 6 4.88% 0 0.00% Nursing Facility 4 3.25% Residential Care 6 4.88% 10 8.13% Supervisory Care 1 0.81% Asian 0 0.00% Unlicensed 0 0.00% Black/African Amer 1 0.81% VA 0 0.00% Caucasian/White 77 62.60% Unknown 26 21.14% Hispanic 17 13.82% RELATION TO CLIENT Unknown CLIENT RACE Am Ind/Ak Native With Non Family 23 18.70% 3 2.44% 31 25.20% 4 3.25% CLIENT DWELLING / FACILITY TYPE Rptg Source Perpetrator Pacific Islander 0 0.00% Caregiver/Res Mgr 10 7.25% 21 16.41% Unknown/Other 18 14.63% Conserv/Guardian 1 0.73% 4 3.13% 16 11.59% 43 33.59% $300 or Less CLIENT MONTHLY INCOME 0 0.00% Financial Service 8 5.80% 0 0.00% $301 - $500 0 0.00% Friend/Neighbor 7 5.07% 5 3.91% $501 - $750 4 3.25% Law Enforcement 9 6.52% 0 0.00% Legal Service $751 - $1,000 Family Member 6 4.88% 1 0.73% 0 0.00% Over $1,000 17 13.82% Medical Service 28 20.29% 1 0.78% Unknown 96 78.05% Other 16 11.59% 10 7.81% 8 5.80% 1 0.78% 4 2.90% 42 32.81% 29 21.01% 1 0.78% CLIENT GENDER Other Public Service Female 67 54.47% Self Male 54 43.90% Social Service 2 1.63% Unknown Unknown TOTAL Page 4 of 16 1 0.73% 0 0.00% 138 100.00% 128 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - GILA ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 31 23.13% Not Substantiated 31 100.00% Substantiated 0 0.00% NEGLECT 98 73.13% Not Substantiated 94 95.92% 4 4.08% Substantiated EXPLOITATION 38 28.36% Not Substantiated 38 100.00% 0 0.00% Substantiated TOTAL CASES 134 DEMOGRAPHICS CLIENT AGE GROUP CLIENT LIVING ARRANGEMENT 18 - 29 7 5.22% Alone-No Assistance 30 - 39 5 3.73% Alone-Some Asst 40 - 49 6 4.48% With Family 50 - 59 13 9.70% With Non Family 60 - 64 10 7.46% 65 - 69 17 12.69% Private Residence 21 15.67% 70 - 74 12 8.96% Adult Foster Care 0 0.00% 75 - 79 17 12.69% Assisted Living 3 2.24% 80 - 84 20 14.93% Board & Care 0 0.00% 85+ 27 20.15% DDD Placement 5 3.73% 0 0.00% Nursing Facility 6 4.48% Residential Care 4 2.99% Am Ind/Ak Native 7 5.22% Supervisory Care 0 0.00% Asian 0 0.00% Unlicensed 0 0.00% Black/African Amer 0 0.00% VA 0 0.00% Caucasian/White 99 73.88% 16 11.94% Hispanic 12 8.96% RELATION TO CLIENT Unknown CLIENT RACE 34 25.37% 4 2.99% 37 27.61% 4 2.99% CLIENT DWELLING / FACILITY TYPE Unknown Rptg Source Perpetrator Pacific Islander 0 0.00% Caregiver/Res Mgr 13 9.22% 19 13.67% Unknown/Other 16 11.94% Conserv/Guardian 0 0.00% 1 0.72% 22 15.60% 49 35.25% $300 or Less CLIENT MONTHLY INCOME 0 0.00% Financial Service 9 6.38% 0 0.00% $301 - $500 0 0.00% Friend/Neighbor 10 7.09% 5 3.60% $501 - $750 0 0.00% Law Enforcement 9 6.38% 0 0.00% $751 - $1,000 0 0.00% Legal Service Over $1,000 2 1.49% Medical Service 132 98.51% Unknown CLIENT GENDER Family Member 2 1.42% 0 0.00% 21 14.89% 0 0.00% Other 9 6.38% 11 7.91% Other Public Service 7 4.97% 0 0.00% 5 3.55% 53 38.13% 32 22.70% 0 0.00% Female 85 63.43% Self Male 48 35.82% Social Service 1 0.75% Unknown Unknown TOTAL Page 5 of 16 2 1.42% 0 0.00% 141 100.00% 139 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - GRAHAM ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 13 22.41% Not Substantiated 13 100.00% Substantiated 0 0.00% NEGLECT 35 60.35% Not Substantiated 26 74.29% 9 25.71% EXPLOITATION 20 34.48% Not Substantiated 19 95.00% 1 5.00% Substantiated Substantiated TOTAL CASES 58 DEMOGRAPHICS CLIENT AGE GROUP 18 - 29 4 30 - 39 40 - 49 CLIENT LIVING ARRANGEMENT 6.90% Alone-No Assistance 2 3.45% Alone-Some Asst 6 10.35% 50 - 59 5 8.62% 60 - 64 5 8.62% 65 - 69 4 6.90% Private Residence 3 5.17% 70 - 74 7 12.07% Adult Foster Care 0 0.00% 75 - 79 8 13.79% Assisted Living 1 1.72% 80 - 84 5 8.62% Board & Care 0 0.00% 12 20.69% DDD Placement 2 3.45% 0 0.00% Nursing Facility 1 1.72% Residential Care 0 0.00% Am Ind/Ak Native 3 5.17% Supervisory Care 0 0.00% Asian 0 0.00% Unlicensed 0 0.00% Black/African Amer 0 0.00% VA 0 0.00% Caucasian/White 37 63.79% Unknown 8 13.79% Hispanic 12 20.69% RELATION TO CLIENT 85+ Unknown CLIENT RACE With Family With Non Family 11 18.97% 1 1.72% 30 51.72% 1 1.72% CLIENT DWELLING / FACILITY TYPE Rptg Source Perpetrator Pacific Islander 0 0.00% Caregiver/Res Mgr 5 7.46% 3 4.92% Unknown/Other 6 10.35% Conserv/Guardian 0 0.00% 1 1.64% Family Member 8 11.94% 30 49.18% $300 or Less CLIENT MONTHLY INCOME 0 0.00% Financial Service 6 8.96% 0 0.00% $301 - $500 0 0.00% Friend/Neighbor 6 8.96% 0 0.00% $501 - $750 0 0.00% Law Enforcement 5 7.46% 0 0.00% $751 - $1,000 0 0.00% Legal Service 1 1.49% 0 0.00% Over $1,000 3 5.17% Medical Service 8 11.94% 0 0.00% 55 94.83% Other 8 11.94% 7 11.48% Other Public Service 6 8.96% 0 0.00% 4 5.97% 20 32.79% 10 14.93% 0 0.00% Unknown CLIENT GENDER Female 38 65.52% Self Male 20 34.48% Social Service 0 0.00% Unknown Unknown TOTAL Page 6 of 16 0 0.00% 0 0.00% 67 100.00% 61 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - GREENLEE ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 5 29.41% Not Substantiated 5 100.00% Substantiated 0 0.00% NEGLECT 13 76.47% Not Substantiated 11 84.62% Substantiated 2 15.39% EXPLOITATION 4 23.53% Not Substantiated 4 100.00% 0 0.00% Substantiated TOTAL CASES 17 DEMOGRAPHICS CLIENT AGE GROUP 18 - 29 1 30 - 39 40 - 49 CLIENT LIVING ARRANGEMENT 5.88% Alone-No Assistance 4 0 0.00% Alone-Some Asst 0 0.00% 2 11.77% With Family 7 41.18% 50 - 59 3 17.65% With Non Family 1 5.88% 60 - 64 1 5.88% 65 - 69 1 5.88% Private Residence 4 23.53% 70 - 74 0 0.00% Adult Foster Care 0 0.00% 75 - 79 5 29.41% Assisted Living 1 5.88% 80 - 84 3 17.65% Board & Care 0 0.00% 85+ 1 5.88% DDD Placement 0 0.00% Unknown 0 0.00% Nursing Facility 0 0.00% Residential Care 0 0.00% Am Ind/Ak Native 0 0.00% Supervisory Care 0 0.00% Asian 0 0.00% Unlicensed 0 0.00% Black/African Amer 0 0.00% VA 0 0.00% 0 0.00% CLIENT RACE Caucasian/White 23.53% CLIENT DWELLING / FACILITY TYPE 11 64.71% Unknown Hispanic 6 35.29% RELATION TO CLIENT Pacific Islander 0 0.00% Caregiver/Res Mgr 2 10.53% 0 0.00% Unknown/Other 0 0.00% Conserv/Guardian 0 0.00% 1 5.26% CLIENT MONTHLY INCOME Rptg Source Perpetrator Family Member 3 15.79% 4 21.05% $300 or Less 0 0.00% Financial Service 0 0.00% 0 0.00% $301 - $500 0 0.00% Friend/Neighbor 2 10.53% 2 10.53% $501 - $750 1 5.88% Law Enforcement 3 15.79% 0 0.00% $751 - $1,000 0 0.00% Legal Service 0 0.00% 0 0.00% Over $1,000 4 23.53% Medical Service 2 10.53% 0 0.00% 12 70.59% Other 0 0.00% 0 0.00% Other Public Service 3 15.79% 0 0.00% Unknown CLIENT GENDER Female 9 52.94% Self 0 0.00% 12 63.16% Male 8 47.06% Social Service 4 21.05% 0 0.00% Unknown 0 0.00% Unknown TOTAL Page 7 of 16 0 0.00% 0 0.00% 19 100.00% 19 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - LA PAZ ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 3 5.66% Not Substantiated 3 100.00% Substantiated 0 0.00% NEGLECT 40 75.47% Not Substantiated 31 77.50% 9 22.50% EXPLOITATION 15 28.30% Not Substantiated 14 93.33% 1 6.67% Substantiated Substantiated TOTAL CASES 53 DEMOGRAPHICS CLIENT AGE GROUP CLIENT LIVING ARRANGEMENT 18 - 29 0 0.00% Alone-No Assistance 30 - 39 1 1.89% Alone-Some Asst 40 - 49 1 1.89% With Family 50 - 59 5 9.43% With Non Family 60 - 64 6 11.32% 17 32.08% 2 3.77% 10 18.87% 1 1.89% CLIENT DWELLING / FACILITY TYPE 65 - 69 2 3.77% Private Residence 11 20.76% 70 - 74 10 18.87% Adult Foster Care 0 0.00% 75 - 79 12 22.64% Assisted Living 1 1.89% 80 - 84 9 16.98% Board & Care 0 0.00% 85+ 7 13.21% DDD Placement 0 0.00% Unknown 0 0.00% Nursing Facility 0 0.00% Residential Care 0 0.00% Am Ind/Ak Native 2 3.77% Supervisory Care 0 0.00% Asian 0 0.00% Unlicensed 0 0.00% Black/African Amer 0 0.00% VA 0 0.00% 38 71.70% 11 20.76% 1 1.89% RELATION TO CLIENT CLIENT RACE Caucasian/White Hispanic Unknown Rptg Source Perpetrator Pacific Islander 0 0.00% Caregiver/Res Mgr 5 7.69% 2 3.70% Unknown/Other 12 22.64% Conserv/Guardian 0 0.00% 1 1.85% 10 15.39% 14 25.93% $300 or Less CLIENT MONTHLY INCOME 0 0.00% Financial Service 4 6.15% 0 0.00% $301 - $500 0 0.00% Friend/Neighbor 6 9.23% 2 3.70% $501 - $750 0 0.00% Law Enforcement 7 10.77% 0 0.00% $751 - $1,000 0 0.00% Legal Service 1 1.54% 0 0.00% Over $1,000 0 0.00% Medical Service 9 13.85% 0 0.00% 53 100.00% Other 8 12.31% 4 7.41% Other Public Service 5 7.69% 0 0.00% Unknown CLIENT GENDER Family Member Female 26 49.06% Self 2 3.08% 29 53.70% Male 26 49.06% Social Service 8 12.31% 0 0.00% 1 1.89% Unknown Unknown TOTAL Page 8 of 16 0 0.00% 2 3.70% 65 100.00% 54 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - MARICOPA ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 1,577 27.91% Not Substantiated 1,532 97.15% Substantiated 45 2.85% NEGLECT 3,802 67.29% Not Substantiated 3,541 93.14% 261 6.87% EXPLOITATION 1,531 27.10% Not Substantiated 1,522 99.41% 9 0.59% Substantiated Substantiated TOTAL CASES 5,650 DEMOGRAPHICS CLIENT AGE GROUP CLIENT LIVING ARRANGEMENT 18 - 29 353 6.25% Alone-No Assistance 30 - 39 219 3.88% Alone-Some Asst 40 - 49 277 4.90% With Family 50 - 59 643 11.38% 60 - 64 453 8.02% 65 - 69 492 8.71% Private Residence 531 9.40% 70 - 74 570 10.09% Adult Foster Care 20 0.35% 75 - 79 656 11.61% Assisted Living 417 7.38% 80 - 84 768 13.59% Board & Care 13 0.23% 1,219 21.58% DDD Placement 104 1.84% 0 0.00% Nursing Facility 453 8.02% Residential Care 173 3.06% 84 1.49% Supervisory Care 54 0.96% 85+ Unknown CLIENT RACE Am Ind/Ak Native Asian Black/African Amer Caucasian/White Hispanic With Non Family 969 17.15% 102 1.81% 1,611 28.51% 251 4.44% CLIENT DWELLING / FACILITY TYPE 67 1.19% Unlicensed 334 5.91% VA 3,563 63.06% Unknown 609 10.78% RELATION TO CLIENT 1 0.02% 11 0.20% 940 16.64% Rptg Source Perpetrator Pacific Islander 8 0.14% Caregiver/Res Mgr 681 10.18% 1,127 18.88% Unknown/Other 985 17.43% Conserv/Guardian 32 0.48% 72 1.21% Family Member 973 14.55% 1,979 33.16% $300 or Less CLIENT MONTHLY INCOME 2 0.04% Financial Service 404 6.04% 17 0.29% $301 - $500 11 0.20% Friend/Neighbor 426 6.37% 339 5.68% $501 - $750 82 1.45% Law Enforcement 201 3.01% 0 0.00% $751 - $1,000 Over $1,000 Unknown 73 1.29% Legal Service 184 3.26% Medical Service 5,298 93.77% CLIENT GENDER 18 0.27% 2 0.03% 1,181 17.66% 80 1.34% Other 501 7.49% 510 8.55% Other Public Service 370 5.53% 11 0.18% 163 2.44% 1,797 30.11% 1,693 25.31% 14 0.24% Female 3,431 60.73% Self Male 2,129 37.68% Social Service 90 1.59% Unknown Unknown TOTAL Page 9 of 16 46 0.69% 20 0.34% 6,689 100.00% 5,968 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - MOHAVE ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 125 20.43% Not Substantiated 116 92.80% Substantiated 9 7.20% NEGLECT 459 75.00% Not Substantiated 378 82.35% 81 17.65% EXPLOITATION 199 32.52% Not Substantiated 196 98.49% 3 1.51% Substantiated Substantiated TOTAL CASES 612 DEMOGRAPHICS CLIENT AGE GROUP CLIENT LIVING ARRANGEMENT 18 - 29 24 3.92% Alone-No Assistance 30 - 39 11 1.80% Alone-Some Asst 40 - 49 33 5.39% With Family 50 - 59 56 9.15% With Non Family 60 - 64 51 8.33% 65 - 69 65 10.62% Private Residence 63 10.29% 70 - 74 75 12.26% Adult Foster Care 1 0.16% 75 - 79 87 14.22% Assisted Living 32 5.23% 80 - 84 97 15.85% Board & Care 2 0.33% 113 18.46% DDD Placement 2 0.33% 0 0.00% Nursing Facility 39 6.37% Residential Care 12 1.96% Am Ind/Ak Native 9 1.47% Supervisory Care 1 0.16% Asian 3 0.49% Unlicensed 0 0.00% Black/African Amer 3 0.49% VA 2 0.33% 474 77.45% 106 17.32% 20 3.27% RELATION TO CLIENT 85+ Unknown CLIENT RACE Caucasian/White Hispanic 130 21.24% 7 1.14% 185 30.23% 30 4.90% CLIENT DWELLING / FACILITY TYPE Unknown Rptg Source Perpetrator Pacific Islander 0 0.00% Caregiver/Res Mgr 66 9.42% 73 11.34% Unknown/Other 103 16.83% Conserv/Guardian 1 0.14% 3 0.47% 116 16.55% 217 33.70% $300 or Less CLIENT MONTHLY INCOME 0 0.00% Financial Service 51 7.28% 0 0.00% $301 - $500 0 0.00% Friend/Neighbor 58 8.27% 39 6.06% $501 - $750 0 0.00% Law Enforcement 41 5.85% 0 0.00% $751 - $1,000 2 0.33% Legal Service Over $1,000 5 0.82% Medical Service 605 98.86% Unknown CLIENT GENDER Family Member 4 0.57% 0 0.00% 136 19.40% 0 0.00% Other 58 8.27% 51 7.92% Other Public Service 33 4.71% 1 0.16% 26 3.71% 257 39.91% 101 14.41% 0 0.00% Female 373 60.95% Self Male 228 37.26% Social Service 11 1.80% Unknown Unknown TOTAL Page 10 of 16 10 1.43% 3 0.47% 701 100.00% 644 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - NAVAJO ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 33 20.37% Not Substantiated 31 93.94% Substantiated 2 6.06% 119 73.46% Not Substantiated 88 73.95% Substantiated 31 26.05% EXPLOITATION 36 22.22% Not Substantiated 36 100.00% 0 0.00% NEGLECT Substantiated TOTAL CASES 162 DEMOGRAPHICS CLIENT AGE GROUP 18 - 29 CLIENT LIVING ARRANGEMENT 13 8.03% Alone-No Assistance 30 - 39 6 3.70% Alone-Some Asst 40 - 49 12 7.41% With Family 50 - 59 16 9.88% With Non Family 60 - 64 13 8.03% 65 - 69 8 4.94% Private Residence 16 9.88% 70 - 74 13 8.03% Adult Foster Care 0 0.00% 75 - 79 25 15.43% Assisted Living 4 2.47% 80 - 84 23 14.20% Board & Care 0 0.00% 85+ 32 19.75% DDD Placement 1 0.62% 1 0.62% Nursing Facility 11 6.79% Residential Care 0 0.00% 18 11.11% Supervisory Care 0 0.00% Asian 0 0.00% Unlicensed 2 1.24% Black/African Amer 7 4.32% VA 0 0.00% 89 54.94% 40 24.69% 9 5.56% RELATION TO CLIENT Unknown CLIENT RACE Am Ind/Ak Native Caucasian/White Hispanic 37 22.84% 1 0.62% 42 25.93% 8 4.94% CLIENT DWELLING / FACILITY TYPE Unknown Rptg Source Perpetrator Pacific Islander 0 0.00% Caregiver/Res Mgr 21 11.11% 19 10.98% Unknown/Other 39 24.07% Conserv/Guardian 1 0.53% 1 0.58% 32 16.93% 60 34.68% $300 or Less CLIENT MONTHLY INCOME 1 0.62% Financial Service 8 4.23% 1 0.58% $301 - $500 1 0.62% Friend/Neighbor 15 7.94% 4 2.31% $501 - $750 0 0.00% Law Enforcement 6 3.18% 0 0.00% $751 - $1,000 1 0.62% Legal Service 2 1.06% 0 0.00% Over $1,000 3 1.85% Medical Service 31 16.40% 0 0.00% 156 96.30% Other 16 8.47% 11 6.36% Other Public Service 13 6.88% 0 0.00% 6 3.18% 75 43.35% 34 17.99% 0 0.00% Unknown CLIENT GENDER Family Member Female 97 59.88% Self Male 61 37.65% Social Service 4 2.47% Unknown Unknown TOTAL Page 11 of 16 4 2.12% 2 1.16% 189 100.00% 173 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - PIMA ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 493 21.93% Not Substantiated 472 95.74% Substantiated 21 4.26% NEGLECT 1,575 70.06% Not Substantiated 1,396 88.64% Substantiated 179 11.37% EXPLOITATION 644 28.65% Not Substantiated 624 96.89% 20 3.11% Substantiated TOTAL CASES 2,248 DEMOGRAPHICS CLIENT AGE GROUP 18 - 29 CLIENT LIVING ARRANGEMENT 158 7.03% Alone-No Assistance 30 - 39 83 3.69% Alone-Some Asst 40 - 49 135 6.01% With Family 50 - 59 269 11.97% 60 - 64 214 9.52% 65 - 69 202 8.99% Private Residence 217 9.65% 70 - 74 208 9.25% Adult Foster Care 11 0.49% 75 - 79 246 10.94% Assisted Living 121 5.38% 80 - 84 284 12.63% Board & Care 14 0.62% 85+ 448 19.93% DDD Placement 42 1.87% 1 0.04% Nursing Facility 153 6.81% Residential Care 42 1.87% Am Ind/Ak Native 37 1.65% Supervisory Care 10 0.45% Asian 29 1.29% Unlicensed 1 0.04% Black/African Amer 75 3.34% VA 5 0.22% 1,311 58.32% Unknown 384 17.08% 379 16.86% RELATION TO CLIENT Unknown CLIENT RACE Caucasian/White Hispanic With Non Family 458 20.37% 43 1.91% 655 29.14% 92 4.09% CLIENT DWELLING / FACILITY TYPE Rptg Source Perpetrator Pacific Islander 2 0.09% Caregiver/Res Mgr 239 9.16% 371 15.66% Unknown/Other 415 18.46% Conserv/Guardian 5 0.19% 31 1.31% CLIENT MONTHLY INCOME Family Member 371 14.22% 800 33.77% 1 0.04% Financial Service 140 5.37% 8 0.34% $301 - $500 11 0.49% Friend/Neighbor 178 6.82% 137 5.78% $501 - $750 109 4.85% Law Enforcement 191 7.32% 0 0.00% $300 or Less $751 - $1,000 Over $1,000 Unknown 61 2.71% Legal Service 14 0.54% 3 0.13% 224 9.96% Medical Service 411 15.75% 21 0.89% 1,842 81.94% Other 212 8.13% 174 7.35% Other Public Service 189 7.24% 3 0.13% 76 2.91% 806 34.02% 557 21.35% 4 0.17% CLIENT GENDER Female Male Unknown 1,347 59.92% Self 861 38.30% Social Service 40 1.78% Unknown TOTAL Page 12 of 16 26 1.00% 11 0.46% 2,609 100.00% 2,369 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - PINAL ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 135 23.04% Not Substantiated 135 100.00% Substantiated 0 0.00% NEGLECT 415 70.82% Not Substantiated 396 95.42% 19 4.58% Substantiated EXPLOITATION 175 29.86% Not Substantiated 175 100.00% 0 0.00% Substantiated TOTAL CASES 586 DEMOGRAPHICS CLIENT AGE GROUP CLIENT LIVING ARRANGEMENT 18 - 29 39 6.66% Alone-No Assistance 95 16.21% 30 - 39 23 3.93% Alone-Some Asst 40 - 49 29 4.95% With Family 50 - 59 54 9.22% With Non Family 60 - 64 46 7.85% 65 - 69 52 8.87% Private Residence 97 16.55% 70 - 74 68 11.60% Adult Foster Care 1 0.17% 31 5.29% 3 0.51% 10 1.71% 210 35.84% 25 4.27% CLIENT DWELLING / FACILITY TYPE 75 - 79 53 9.04% 80 - 84 107 18.26% Board & Care 85+ 114 19.45% DDD Placement 13 2.22% 1 0.17% Nursing Facility 14 2.39% Residential Care 14 2.39% 11 1.88% Supervisory Care 4 0.68% Unknown CLIENT RACE Am Ind/Ak Native Asian Black/African Amer Caucasian/White Hispanic Assisted Living 1 0.17% Unlicensed 0 0.00% 24 4.10% VA 0 0.00% 404 68.94% Unknown 69 11.78% 69 11.78% RELATION TO CLIENT Rptg Source Perpetrator Pacific Islander 0 0.00% Caregiver/Res Mgr 62 9.08% 67 10.98% Unknown/Other 77 13.14% Conserv/Guardian 4 0.59% 7 1.15% 123 18.01% 237 38.85% $300 or Less CLIENT MONTHLY INCOME 0 0.00% Financial Service 52 7.61% 2 0.33% $301 - $500 0 0.00% Friend/Neighbor 46 6.74% 31 5.08% $501 - $750 2 0.34% Law Enforcement 47 6.88% 0 0.00% $751 - $1,000 4 0.68% Legal Service Over $1,000 9 1.54% Medical Service 571 97.44% Unknown CLIENT GENDER Family Member 1 0.15% 0 0.00% 122 17.86% 5 0.82% Other 38 5.56% 63 10.33% Other Public Service 35 5.12% 1 0.16% 17 2.49% 195 31.97% 126 18.45% 0 0.00% Female 348 59.39% Self Male 229 39.08% Social Service 9 1.54% Unknown Unknown TOTAL Page 13 of 16 10 1.46% 2 0.33% 683 100.00% 610 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - SANTA CRUZ ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 10 14.93% Not Substantiated 10 100.00% Substantiated 0 0.00% NEGLECT 45 67.16% Not Substantiated 30 66.67% Substantiated 15 33.33% EXPLOITATION 24 35.82% Not Substantiated 24 100.00% 0 0.00% Substantiated TOTAL CASES 67 DEMOGRAPHICS CLIENT AGE GROUP CLIENT LIVING ARRANGEMENT 18 - 29 2 2.99% Alone-No Assistance 30 - 39 0 0.00% Alone-Some Asst 40 - 49 2 2.99% With Family 50 - 59 5 7.46% With Non Family 60 - 64 0 0.00% 65 - 69 8 11.94% Private Residence 9 13.43% 70 - 74 6 8.96% Adult Foster Care 0 0.00% 75 - 79 10 14.93% Assisted Living 1 1.49% 80 - 84 16 23.88% Board & Care 0 0.00% 85+ 18 26.87% DDD Placement 1 1.49% 0 0.00% Nursing Facility 0 0.00% Residential Care 0 0.00% Am Ind/Ak Native 1 1.49% Supervisory Care 0 0.00% Asian 0 0.00% Unlicensed 0 0.00% Black/African Amer 0 0.00% VA 0 0.00% Caucasian/White 19 28.36% Unknown 14 20.90% Hispanic 39 58.21% RELATION TO CLIENT Unknown CLIENT RACE 11 16.42% 4 5.97% 22 32.84% 5 7.46% CLIENT DWELLING / FACILITY TYPE Rptg Source Perpetrator Pacific Islander 0 0.00% Caregiver/Res Mgr 2 2.70% 8 11.77% Unknown/Other 8 11.94% Conserv/Guardian 0 0.00% 0 0.00% 11 14.87% 24 35.29% $300 or Less CLIENT MONTHLY INCOME 0 0.00% Financial Service 7 9.46% 0 0.00% $301 - $500 0 0.00% Friend/Neighbor 3 4.05% 3 4.41% $501 - $750 4 5.97% Law Enforcement 1 1.35% 0 0.00% $751 - $1,000 4 5.97% Legal Service Over $1,000 5 7.46% Medical Service 54 80.60% Unknown CLIENT GENDER Family Member 0 0.00% 0 0.00% 16 21.62% 0 0.00% Other 6 8.11% 0 0.00% Other Public Service 1 1.35% 0 0.00% 0 0.00% 31 45.59% 27 36.49% 0 0.00% Female 32 47.76% Self Male 35 52.24% Social Service 0 0.00% Unknown Unknown TOTAL Page 14 of 16 0 0.00% 2 2.94% 74 100.00% 68 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - YAVAPAI ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 116 17.60% Not Substantiated 114 98.28% Substantiated 2 1.72% NEGLECT 475 72.08% Not Substantiated 445 93.68% 30 6.32% EXPLOITATION 198 30.05% Not Substantiated 195 98.49% 3 1.52% Substantiated Substantiated TOTAL CASES 659 DEMOGRAPHICS CLIENT AGE GROUP CLIENT LIVING ARRANGEMENT 18 - 29 27 4.10% Alone-No Assistance 30 - 39 10 1.52% Alone-Some Asst 40 - 49 24 3.64% With Family 50 - 59 58 8.80% With Non Family 60 - 64 56 8.50% 65 - 69 52 7.89% Private Residence 62 9.41% 70 - 74 76 11.53% Adult Foster Care 0 0.00% 75 - 79 79 11.99% Assisted Living 19 2.88% 80 - 84 101 15.33% Board & Care 2 0.30% 85+ 176 26.71% DDD Placement 5 0.76% 0 0.00% Nursing Facility 40 6.07% Residential Care 6 0.91% Am Ind/Ak Native 8 1.21% Supervisory Care 1 0.15% Asian 1 0.15% Unlicensed 1 0.15% Black/African Amer 1 0.15% VA 1 0.15% 487 73.90% 150 22.76% 12 1.82% RELATION TO CLIENT Unknown CLIENT RACE Caucasian/White Hispanic 169 25.65% 8 1.21% 158 23.98% 37 5.62% CLIENT DWELLING / FACILITY TYPE Unknown Rptg Source Perpetrator Pacific Islander 2 0.30% Caregiver/Res Mgr 88 11.08% 86 12.16% Unknown/Other 148 22.46% Conserv/Guardian 7 0.88% 4 0.57% 125 15.74% 216 30.55% $300 or Less CLIENT MONTHLY INCOME 0 0.00% Financial Service 57 7.18% 2 0.28% $301 - $500 3 0.46% Friend/Neighbor 89 11.21% 46 6.51% $501 - $750 0 0.00% Law Enforcement 46 5.79% 0 0.00% $751 - $1,000 Over $1,000 Unknown Family Member 7 1.06% Legal Service 10 1.52% Medical Service 639 96.97% CLIENT GENDER 2 0.25% 0 0.00% 119 14.99% 5 0.71% Other 71 8.94% 50 7.07% Other Public Service 41 5.16% 1 0.14% 24 3.02% 295 41.73% 118 14.86% 0 0.00% Female 360 54.63% Self Male 287 43.55% Social Service 12 1.82% Unknown Unknown TOTAL Page 15 of 16 7 0.88% 2 0.28% 794 100.00% 707 100.00% ADULT PROTECTIVE SERVICES 7/1/2012 thru 6/30/2013 Generated 7/1/2013 10:59 AM ACTIVITY SUMMARY - YUMA ALLEGATIONS INVESTIGATED a case may have multiple allegations ABUSE 65 23.05% Not Substantiated 54 83.08% Substantiated 11 16.92% NEGLECT 192 68.09% Not Substantiated 170 88.54% Substantiated 22 11.46% EXPLOITATION 88 31.21% Not Substantiated 86 97.73% 2 2.27% Substantiated TOTAL CASES 282 DEMOGRAPHICS CLIENT AGE GROUP 18 - 29 CLIENT LIVING ARRANGEMENT 14 4.97% Alone-No Assistance 30 - 39 7 2.48% Alone-Some Asst 1 0.36% 40 - 49 11 3.90% With Family 82 29.08% 50 - 59 29 10.28% With Non Family 15 5.32% 60 - 64 21 7.45% 65 - 69 30 10.64% Private Residence 46 16.31% 70 - 74 35 12.41% Adult Foster Care 0 0.00% 75 - 79 31 10.99% Assisted Living 15 5.32% 80 - 84 45 15.96% Board & Care 0 0.00% 85+ 59 20.92% DDD Placement 5 1.77% 0 0.00% Nursing Facility 34 12.06% Residential Care 3 1.06% Am Ind/Ak Native 2 0.71% Supervisory Care 1 0.36% Asian 4 1.42% Unlicensed 0 0.00% Black/African Amer 6 2.13% VA 0 0.00% 178 63.12% Unknown 25 8.87% 75 26.60% RELATION TO CLIENT Pacific Islander 0 0.00% Caregiver/Res Mgr 40 12.82% 44 15.33% Unknown/Other 17 6.03% Conserv/Guardian 1 0.32% 4 1.39% Unknown CLIENT RACE Caucasian/White Hispanic CLIENT MONTHLY INCOME 55 19.50% CLIENT DWELLING / FACILITY TYPE Rptg Source Perpetrator Family Member 60 19.23% 112 39.02% 1 0.36% Financial Service 17 5.45% 0 0.00% $301 - $500 2 0.71% Friend/Neighbor 26 8.33% 25 8.71% $501 - $750 13 4.61% Law Enforcement 5 1.60% 1 0.35% $751 - $1,000 12 4.26% Legal Service 2 0.64% 0 0.00% Over $1,000 41 14.54% Medical Service 55 17.63% 2 0.70% 213 75.53% Other 35 11.22% 20 6.97% Other Public Service 16 5.13% 1 0.35% 7 2.24% 78 27.18% 43 13.78% 0 0.00% $300 or Less Unknown CLIENT GENDER Female 152 53.90% Self Male 125 44.33% Social Service 5 1.77% Unknown Unknown TOTAL Page 16 of 16 5 1.60% 0 0.00% 312 100.00% 287 100.00%