Division of Aging and Adult Services Adult Protective Services Annual Report for the period of July 1, 2014 – June 30, 2015 Timothy Jeffries, Director November 1, 2015 TABLE OF CONTENTS Executive Summary ...................................................................................................... 1 Program Background and Service Delivery ................................................................ 2 Partnerships .................................................................................................................. 5 Strategic Planning ......................................................................................................... 7 Summary of APS Statistics .......................................................................................... 9 Inquiries, Reports, and Allegations .......................................................................................... 9 Client Demographics ............................................................................................................. 12 Alleged Perpetrators .............................................................................................................. 15 Reporting Sources ................................................................................................................. 16 Conclusion ................................................................................................................... 18 Appendix: State Fiscal Year Activity Summary/Statistics by County..................... 19 EXECUTIVE SUMMARY The Arizona Department of Economic Security (DES) is pleased to present the Arizona Adult Protective Services (APS) Annual Report for State Fiscal Year (SFY) 2015, which covers the period of July 1, 2014 – June 30, 2015. The APS Annual Report is produced to inform state government officials, community stakeholders, and the general public about program statistics, client outcomes, and progress made to strengthen the program to best serve the vulnerable adults in Arizona. Since Fiscal Year 2012, APS has seen a staggering 57 percent growth in the number of new reports received for investigation. The Department has worked diligently over the past several years to address and create solutions to provide additional resources to the APS program. Specifically, over the past year, the Department has examined the APS process, resource allocation, and trends among the Arizona aging population. Through this analysis, the Department has developed a two-pronged approach to the success of the APS program. Through the engagement of temporary staffing with the purposeful action of closing outstanding cases that were in various stages of the investigative process, APS Investigators successfully reduced the number of open cases by 19 percent (12,676 in March 2015 to 10,325 by the end of June 2015) and successfully reduced by 23 percent the number of cases open for over six months from 8,284 in March 2015 to 6,371 by the end of June 2015. As the Department continues to work through these older cases, a need to develop a comprehensive and targeted approach to case management was apparent. In 2015, the Department implemented the Four Disciplines of Execution (4DX) to improve performance and facilitate efficiencies during the investigative process. 4DX also aims to maximize team efficiencies, while ensuring APS client safety and security, to increase the rate of closures. A few highlights from this year’s report include the following: • Investigated 13,793 reports of vulnerable adult abuse, neglect, or financial exploitation, representing a 19 percent increase from SFY 2014. • Closed 13,394 cases, a 61 percent increase from SFY 2014. • Increased the rate of calls answered from 48 percent in April 2015 to over 70 percent in June 2015. • Implemented an on-line APS Registry in accordance with House Bill (HB) 2021. Vulnerable adults have the right to live a life free from abuse, neglect, and exploitation. When they lack the capacity to meet their basic needs, they should be provided assistance to ensure their safety and well-being. It takes collaborative partnerships between APS, families, and community stakeholders to ensure vulnerable adults are protected and their needs are met. The Department is thankful for the continued support and partnerships to improve outcomes for vulnerable adults and their families. Arizona Adult Protective Services Annual Report SFY 2015 1 PROGRAM BACKGROUND AND SERVICE DELIVERY Adult Protective Services is part of the Division of Aging and Adult Services (DAAS) within the Arizona Department of Economic Security. 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 maltreatment, preventing further harm, and seeking community resources. To report the abuse, neglect, or exploitation of vulnerable adults, individuals contact the toll-free APS Central Intake Hotline at 1-877-SOS-Adult (1-877-767-2385). The Central Intake Hotline is available Monday through Friday from 7:00 a.m. to 7:00 p.m., Saturday and Sunday from 10:00 a.m. to 6:00 p.m., and State service holidays from 10:00 a.m. to 6:00 p.m. Concerns can also be submitted on-line 24 hours a day, seven days a week at www.azdes.gov/reportadultabuse. Arizona’s Adult Protective Services program is state administered and includes a statewide Central Intake Hotline, Financial Exploitation Unit, and Appeals Specialist. The program is managed through six districts in the respective counties in 23 offices: District I: Maricopa District II: Pima District III: Apache, Coconino, Navajo, and Yavapai District IV: Mojave, La Paz, and Yuma District V: Gila and Pinal District VI: Cochise, Graham, Greenlee, and Santa Cruz Arizona Adult Protective Services Annual Report SFY 2015 2 The APS program is comprised of just over 200 full time positions: • • • • • • • • • • Program Administration - 2 Central Intake Unit – 2 Supervisors, 14 Intake Specialists Financial Exploitation Unit – 1 Manager, 4 Investigators District Program Managers – 6 Supervisors – 14 Investigators – 108 (senior), 18 (entry level), 3 (dedicated to persons with developmental disabilities) Case Aides – 16 Appeals Specialist – 1 Quality Assurance – 3 Administrative Support Staff – 10 APS’ case management system is the Arizona Adult Protective Services System (AZAPSS), which is a web-based computerized program 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 track vulnerable APS clients during local or statewide emergencies. The data source for all data presented in this report is AZAPSS. Statutory Authority The first APS statutes were enacted in 1980, giving APS the authority to receive and assess 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 professional. Investigations are conducted in both private residences and in facilities. All APS professionals are issued a Level 1 Fingerprint Clearance Card after successfully clearing both state and federal background checks. To be eligible for 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” is an individual who is eighteen years of age or older and who is unable to protect him/herself from abuse, neglect, or exploitation by others because of a physical or mental impairment. Vulnerable adult includes an incapacitated person, as defined in A.R.S. § 14-5101, who has a physical or mental impairment and is unable to protect him/herself. An "incapacitated person" is any person who is impaired by reason of mental illness, mental deficiency, mental disorder, physical illness or disability, chronic use of drugs, chronic intoxication or other cause, to the extent that the person lacks sufficient understanding or capacity to make or communicate responsible decisions concerning her/his person. Arizona Adult Protective Services Annual Report SFY 2015 3 Reporting Process When contact is made from any community source through the APS Central Intake Hotline, an APS Intake Specialist is responsible for assessing the information provided by the reporting source and determining whether the information meets the criteria necessary to file a report. The APS Intake Specialist will ask the reporting source for the vulnerable adult’s identifying information, such as date of birth, address, and telephone number. In addition to this information, the APS Intake Specialist will ask for information about the type of maltreatment, 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. Once it is determined that the information gathered meets report criteria, an APS case is established. The case is routed to the appropriate district office for assignment to an APS Investigator and a field evaluation is subsequently conducted. Investigation Process The APS Investigator assesses whether or not there is a factual basis for the allegation(s) of abuse, neglect, or exploitation of a vulnerable adult, and then develops a case plan and works to provide protective services based on 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 it is 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 private fiduciary may be appointed by the court. Per statute, APS professionals are not allowed to serve as guardians for APS clients [A.R.S. § 46-452 (B)]. While APS will attempt to assist the client to alleviate maltreatment, prevent further harm, and seek community resources, APS does not have the authority to take custody of an adult or their finances, remove an adult from their home against their will, or require an 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 by an APS Supervisor to evaluate the quality of the casework. Administrative Appeals In December 2014, a full time dedicated Appeals Specialist was added to the APS team. The Appeals Specialist is responsible for coordinating the submission of proposed to substantiate cases of abuse, neglect, or exploitation from APS districts, as well as, reviewing and maintaining the records of these cases. After completing a quality review of the case to ensure the alleged perpetrator is positively identified and the evidence meets the preponderance of the evidence minimum threshold, the Appeals Specialist may work with the APS Investigator to gather additional information or clarify supporting documentation. Subsequently, the file is submitted to the Arizona Attorney General’s (AAG’s) Office for review and approval. If the case is approved for substantiation by the AAG’s Office, the Appeals Specialist notifies the alleged perpetrator that their name will appear in the APS Registry unless they exercise their right to an administrative hearing (if they qualify for an administrative hearing), in a Arizona Adult Protective Services Annual Report SFY 2015 4 timely manner. If the alleged perpetrator is determined to be ineligible for a hearing, the Appeals Specialist notifies the alleged perpetrator of the Registry entry. If the alleged perpetrator requests a hearing, the Appeals Specialist coordinates the hearing scheduling with the Arizona Office of Administrative Hearings and the Arizona Attorney General’s Office. From December 2014 through June 2015, 75 cases were proposed to substantiate for abuse, neglect, or exploitation by APS Investigators. During the same period, 33 perpetrator names were added to the APS Registry. House Bill (HB) 2021, signed by the Governor on April 1, 2015, provides that the APS Registry is available to the public online. The APS Registry is posted and updated weekly on the Department’s website. HB 2021 also provides that the names in the APS Registry appear for a period of 25 years, formerly ten years in the prior legislation. Quality Assurance In February 2015, two full time dedicated Quality Assurance (QA) Specialists were added to the APS team. With the addition of the QA Specialists, APS is able to improve upon the QA review process with the goal of strengthening the APS program to improve outcomes for vulnerable adults. The method of determining if APS professionals are conforming to APS policies and procedures (DES Policy Manual 5-56) consists of reviewing a relevant sampling of closed APS cases using 46 compliance measurements in the areas of intake, case management, and supervision. A particular function is considered to be in need of improvement if deficient scores total ten percent or more. Six APS District Program Managers are responsible for conducting the case reviews for their respective service areas by confirming that protocols were followed, actions completed, information included, or steps were documented to address the allegation(s). The intake function was conducted by the APS Central Intake Unit Supervisor, however, as of February 2015, the intake function review was shifted to the Quality Assurance (QA) Specialists. The QA Specialists were impactful in the analysis of Central Intake Hotline’s call center data resulting in staffing and scheduling changes to meet demand and improve customer service and the development and implementation of standardized screening tools for the APS Intake Specialists to deliver consistent reports to the APS districts. In response to an audit conducted by the DES Audit and Management Services in 2014, several adjustments were made in the case sampling selection process. First, the number of closed cases allotted for each district to review is now proportional to the number of reports filed in each district during the previous month. Consequently, the number of cases each district will review may fluctuate slightly based on the recent inflow of reports. Second, beginning in SFY 2016, a separate sample of cases for review will be drawn for determining intake compliance, thus a random distribution among APS Intake Specialists will be assured. PARTNERSHIPS It takes active cooperation and collaboration with community stakeholders to serve and protect Arizona’s most vulnerable adults. APS works closely with a variety of agencies Arizona Adult Protective Services Annual Report SFY 2015 5 statewide to conduct investigations, make referrals for services, and to provide community awareness and education. Area Agencies on Aging APS works jointly with the Area Agencies on Aging (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 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 involves resident rights issues. APS and the Long-Term Care Ombudsman Program also collaborate 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. Close coordination between APS and the AAA for Home and Community Based Services has significantly decreased the APS recidivism rate in Maricopa County. Arizona Attorney General’s Office The APS program works closely with the Arizona Attorney General’s Office as legal counsel for the APS program as it pertains to casework activities that require legal advice or intervention, such as petitioning for appointment of guardians and conservators for APS clients. The AAG’s office also represents the APS program in cases that go before an Administrative Law Judge as part of the APS Appeals Process. APS also participates in the AAG’s Office Taskforce Against Senior Abuse (TASA) by attending their meetings and referring criminal cases and cases involving Medicaid providers to the taskforce for review for prosecution. Arizona Department of Economic Security, Division of Developmental Disabilities The Division of Aging and Adult Services has an agreement with the Division of Developmental Disabilities (DDD) that outlines the roles and responsibilities of each Division as it pertains to incidents of maltreatment of vulnerable adults receiving DDD services or eligible for DDD services. The Agreement also outlines the process for information sharing. In March 2015, the agreement was modified to include three DDD funded APS Investigators to specialize in conducting abuse, neglect, and exploitation investigations involving DDD clients. Arizona Department of Health Services The Department of Economic Security has an Agreement of Cooperation with Arizona Department of Health Services (ADHS) which outlines the roles and responsibilities of each agency as it pertains to incidents of maltreatment of residents in facilities licensed by ADHS. Arizona Adult Protective Services Annual Report SFY 2015 6 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, local law enforcement agencies, the County Public Fiduciary, the County Attorney’s Office, health care professionals, Area Agencies on Aging, as well as the local Bar Associations. Law Enforcement Agencies APS works jointly with law enforcement agencies 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. Medallion Program 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 Central Intake 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. CONTINUOUS QUALITY IMPROVEMENT AND STRATEGIC PLANNING Years of sustained report growth has directly affected Investigator caseloads, with the average caseload reaching 116 in urban districts and 44 in rural districts at the end of fiscal year 2015. This burden has resulted in key quality assurance measures not being met, putting vulnerable adults at risk. The Department has worked diligently over the past several years to address and create solutions to provide additional resources to the APS program. Specifically, over the past year, the Department has evaluated the APS process, resource allocation, and trends among the Arizona aging population. The Office of Inspector General, Audit and Management Services (AMS) were requested by DES leadership to conduct an audit to assess APS’ effectiveness and efficiency in conducting its investigations. AMS completed its review of the APS investigative processes and submitted a report on October 9, 2014 that outlined the following three findings: Arizona Adult Protective Services Annual Report SFY 2015 7 Finding 1: APS should adopt controls to improve the consistency, compliance, effectiveness, and efficiency of intake and investigations. Finding 2: APS should improve methods for projecting caseloads and reporting key metrics and should develop additional program and individual performance measures. Finding 3: APS should revise internal polices and procedures. AMS also offered recommendations for each finding to strengthen the program and has worked with APS over the past year to implement the recommendations. Through continued analysis, the Department has developed and implemented a twopronged approach to ensure the success of the APS program: Approach 1: The average length of time an APS case is open is unmanageable. A complete re-focus of efforts to examine all cases that have been open for longer than six months began in early April 2015. The Department engaged temporary staff with the purposeful action of closing outstanding cases, using a client safety-focused assessment of the case, that were in various stages of the investigation process. Once closed, these cases were taken off of the investigators’ caseloads, allowing for the investigators and supervisors to focus their attention on the incoming cases, permitting them to maintain a tolerable caseload. Approach 2: As the Department continued to work through these older cases, the need to develop a comprehensive and targeted approach to case management was apparent. The thorough evaluation of APS policies and procedures has led to the development and enhancement of decision-making tools for various areas within the program. In 2015, the Department implemented 4DX by FranklinCovey to improve performance and facilitate efficiencies during the investigation process. With the implementation of 4DX, the number of days a case is open is targeted to decrease from 205 days to 90 days by April 2016. 4DX aims to maximize team efficiencies, while ensuring APS client safety and security, to increase the rate of case closures. Prioritizing caseloads and utilizing effective methods for locating, identifying, and interviewing APS clients and case related persons has contributed to positive outcomes for clients. Due to successfully increasing by 22 percent the number of answered calls at the Central Intake Hotline and reducing the number of open cases by 19 percent while maintaining client safety, 4DX has reinvigorated APS colleagues in many positive ways. This reinvigoration is being capitalized upon to continue to strengthen the APS program through the identification of several opportunities for improvement in client and program outcomes. The Department recognizes there are opportunities to strengthen its APS program and has begun to develop a road map to create long-term sustainable changes to transform the culture of adult protection and improve outcomes for vulnerable adults and their families building upon three fundamental tenets. The first tenet is people first, people always – all efforts to improve the APS program will be focused on the vulnerable adults and the people serving them. The second tenet is improved outcomes - it takes active collaboration between APS, the adult protective stakeholders, community partners, and the clients served to achieve these outcomes. The third tenet is strong commitment and Arizona Adult Protective Services Annual Report SFY 2015 8 engagement – from APS professionals and the Department’s Executive Leadership team will be necessary to move the program forward. The vision for Arizona’s APS program is to create a robust continuous quality improvement system to ensure fidelity of current practices and create a culture to support the development of future enhancements. The priorities will be to improve data collection to foster data driven and evidence-based decision making; provide APS professionals with the appropriate tools, training, and resources to strive for excellence; generate program development and process improvements to adopt best practices and to enhance efficiency; and support a learning culture. An additional assessment and analysis of the program began in June 2015 and is being conducted from a continuous quality perspective with the intent to identify: 1) strengths of the program, 2) opportunities to strengthen/improve practice and outcomes, and 3) interventions to implement with the goal to develop and formalize a strategic plan for APS that will outline goals, priorities, and objectives over the next five years. The assessment will include site visits and focus groups with all APS professionals at Central Intake Hotline, the six districts, and the administrative teams. In addition, focus groups will be held across the State with community stakeholders, clients, and their families. APS professionals, the community, and clients and their families will be asked to identify strengths of the APS program, along with providing suggestions on how to strengthen the program. The feedback gathered will be used in the development of the APS strategic plan which will be finalized by March 31, 2016. SUMMARY OF APS STATISTICS Arizona has seen a significant upward trend of inquiries received through the APS Central Intake Hotline involving concerns of vulnerable adults in Arizona that began in SYF 2012, which has resulted in an increase in the number of APS reports of vulnerable adult abuse, neglect, or exploitation. APS received a 19 percent increase in APS reports accepted for investigation in SFY 2015, which resulted in an all-time historic high for APS Investigators’ caseloads. In SFY 2015, statewide caseloads averaged 139 per APS Investigator (70 in rural settings and 172 in urban settings). The average number of days a case was open during SFY 2015 was 249, with a median of 128 days open. With the implementation of 4DX, the number of days a case is open is targeted to decrease to 90 days by April 2016. Details of the APS program statistics are outlined below. County specific activity summaries and client demographics for SFY 2015 are located in the Appendix. Inquiries, Reports, and Allegations For the period of July 1, 2014 to June 30, 2015, total inquiries regarding concerns for vulnerable adults received through the Central Intake Hotline decreased by one percent from the prior year; however; the total number of APS reports accepted for investigation increased by 19 percent. As indicated in Figure 1, a total of 18,373 inquiries were received at the Central Intake Hotline in SFY 2015, while in SFY 2014 a total of 18,576 were received. In SFY 2015, a total of 13,793 APS reports were received, while in SFY 2014, a total of 11,599 reports were received. As a result of efforts made through the Arizona Adult Protective Services Annual Report SFY 2015 9 implementation of 4DX, the June 2015 closure rate increased by 12 percent from March 2015. Figure 1: Inquiries and Reports for State Fiscal Years 2011-2015 As indicated in Figure 2 below, in SFY 2015, District I received 7,209 reports, which is 52 percent of the total reports received. District VI received 685 reports, which is five percent of the total reports received. Figure 2: Reports Received by District Arizona Adult Protective Services Reports Received by District SFY 2015 District I II III IV V VI Statewide Number of Reports* 7,209 2,653 1,254 1,130 862 685 13,793 Abuse 2,161 663 269 209 221 138 3,661 Allegations Neglect 4,767 1,802 908 803 618 510 9,408 Exploitation 2,154 830 386 387 268 218 4,243 *A report may have more than one type of allegation; therefore, the total number of allegations are higher than the number of reports. Data source: AZAPSS Arizona Adult Protective Services Annual Report SFY 2015 10 There are three allegation types designated for APS reports: abuse, neglect, and exploitation. As indicated in Figure 3, of the 13,793 reports received, there were 9,408 reports that contained an allegation of neglect, which is a total of 68.2 percent. Percentage of reports that contained an allegation of exploitation and abuse were 30.8 percent and 26.5 percent, respectively. In SFY 2015, the substantiation rate for neglect was 14 percent and the substantiation rates for abuse and exploitation were six and two percent, respectively. Figure 3: Number and Percent of Abuse, Neglect, & Exploitation Allegations Investigated for SFY 2015 Figure 4: Number and Percent of Abuse, Neglect, & Exploitation Allegations Investigated for SFYs 2011-2015 Arizona Adult Protective Services Number and Percent of Abuse, Neglect, & Exploitation Allegations Investigated* State Fiscal Years 2011-2015 State Abuse Fiscal Year Number Percent Neglect Exploitation Number Percent Number Percent 2011 1,755 25.5% 4,964 72.1% 1,931 28.0% 2012 2,049 23.3% 6,060 69.0% 2,486 28.3% 2013 2,734 24.5% 7,728 69.2% 3,138 28.1% 2014 3,308 28.5% 8,185 70.6% 3,426 29.5% 2015 3,661 26.5% 9,408 68.2% 4,243 30.8% * Yearly totals exceed 100 percent as a case may have multiple allegations. Data source: AZAPSS Arizona Adult Protective Services Annual Report SFY 2015 11 In analyzing the allegation types over the past five years, neglect continues to be the largest percentage of maltreatment. It should be noted that if a client is not able to meet their basic needs due to their vulnerability this is considered self-neglect and is captured within this neglect category. The percentage of exploitation allegations occurring has increased by 2.8 percent over the past five years, while abuse has increased between the years of SFY 2012 to 2014 and decreased by two percent in SFY 2015. Client Demographics The following graphs depict the trends in age, gender, race, and living arrangements for the APS clients between SFYs 2011-2015. Client demographic characteristics have remained fairly consistent over the years.  Age Although APS serves individuals 18 years of age or older, the majority of APS services are provided to individuals 60 and above. As indicated in Figure 5, in SFY 2015, 72 percent of APS clients were over the age of 60, while 28 percent were 18 to 59 years of age. Figure 5: Total Number of Clients by Age Group In analyzing the clients ages 60 and over, the different age categories have also remained fairly consistent over the past five years. As indicated in Figure 5, the largest age group over 60 is 75 to 84 years of age which is 23.6 percent of the total clients. The age group of 65 to 74 and over the age of 85 accounts for 20.5 percent and 20.1 percent of the clients, respectively. Arizona Adult Protective Services Annual Report SFY 2015 12 Figure 6: Percentage of Clients by Age Group  Gender As indicated in Figure 6, between SFYs 2011 and 2015, approximately six out of every ten clients have been female. Females have a longer life expectancy than males which may contribute to this particular statistic. Figure 7: Gender of Clients Arizona Adult Protective Services Annual Report SFY 2015 13  Race and Ethnicity In SFY 2015, 66 percent of APS clients identified themselves as Caucasian and 12 percent identified themselves as Hispanic. APS clients identifying themselves as American Indian or Alaskan 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. Figure 8: Number and Percentage of Clients by Race and Ethnicity Figure 9: Number of Clients by Race and Ethnicity Arizona Adult Protective Services Number of Clients by Race and Ethnicity State Fiscal Years 2011-2015 State Fiscal Year Race/Ethnicity 2011 2012 2013 2014 American Indian/Alaskan 135 136 198 211 Native Asian 45 72 107 81 Black/African American 304 446 464 485 Caucasian/White 4,713 6,035 7,129 7,342 Hispanic 803 1,074 1,318 1,412 Pacific Islander 8 11 12 17 Unknown/Other 881 1,007 1,933 2,051 Arizona Adult Protective Services Annual Report SFY 2015 2015 272 115 649 9,106 1,706 38 1,907 14 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.  Living Arrangements The trends in APS client living arrangements for SFYs 2011-2015 are indicated in Figure 9 below. In SFY 2015, the top three categories of living arrangements and dwelling type in numbers of clients are those who reside with family or others, clients who live alone, and clients in care facilities, respectively. In SFY 2015, 33 percent of APS clients lived with family, while 24 percent of APS clients lived alone with little to no assistance. Figure 10: Client Living Arrangements Alleged Perpetrators The trends of alleged perpetrators and their relationships with clients between SFYs 2011 and 2015 are indicated in Figure 10 and 11 below. In SFY 2015, alleged perpetrators who were family members accounted for 30 percent, self-neglect accounted for 35 percent, and paid caregivers or residential management accounted for 15 percent. Arizona Adult Protective Services Annual Report SFY 2015 15 Figure 11: Alleged Perpetrators by Relationship to Client Figure 12: Number of Alleged Perpetrators by Relationship to Client Arizona Adult Protective Services Number of Alleged Perpetrators by Relationship to Client State Fiscal Years 2011-2015 State Fiscal Year Relationship of Alleged Perpetrator to Client Self 2011 2,351 2012 3,106 2013 3,918 2014 4,460 2015 5,522 Family Member 2,236 2,770 3,952 4,037 4,602 448 552 663 837 1,041 1,370 1,560 1,909 2,082 2,370 921 1,126 1,326 1,493 2,024 Friend/Neighbor Caregiver/Residential Management Other Reporting Sources The trends in reporting sources between SFYs 2011-2015 are indicated in Figure 12 and 13. Mandatory reporters, medical services, social services, and other public services consistently make up the largest number of reporting sources. In SFY 2015, 47 percent of the reporting sources were personnel from medical services, social services, and other public services. Also in SFY 2015, family members were reporting sources 14 percent of the time. Arizona Adult Protective Services Annual Report SFY 2015 16 Figure 13: Percentages of Reporting Sources by Relationship to Client Figure 14: Number of Reporting Sources by Relationship to Client Arizona Adult Protective Services Number of Reporting Sources by Relationship to Client State Fiscal Years 2011-2015 State Fiscal Year Relationship of Reporting Source to Client 2011 2012 2013 2014 Caregiver/Residential 671 832 1,293 1,384 Manager Family Member 954 1,303 1,966 2,089 Financial Service 406 598 788 824 Friend or Neighbor 532 779 914 1,119 Law Enforcement 346 472 621 700 Medical Service 1,089 1,577 2,256 2,853 Other Public Service 583 828 773 717 Self 170 211 360 390 Social Service 1,987 2,239 2,879 3,004 Other* 707 940 1,247 1,412 2015 1,338 2,296 1,001 1,223 768 3,199 848 521 3,896 1,827 *Other also includes Conservator/Guardian; Legal Service; and Unknown Data source: AZAPSS Arizona Adult Protective Services Annual Report SFY 2015 17 CONCLUSION Vulnerable adults have the right to live a life free from abuse, neglect, and exploitation. When they lack the capacity to meet their basic needs, they should be provided assistance to ensure their safety and well-being. It takes collaborative partnerships between APS, families, and community stakeholders to ensure vulnerable adults are protected and their needs are met. Due to a combination of factors including decreased funding and increased demand, many AAAs have enacted waitlists for Home and Community Based Services (HCBS). The statewide waitlist was approximately 2,100 clients as of June 2015, which represents approximately 14 percent of total clients served in SFY 2015. Research has shown the correlation between waitlists and risk of institutionalization. According to a 2014 report from the U.S. Department of Health and Human Services, consumers who applied for HCBS when wait times were less than six months had a significantly lower risk of a long-term nursing home stay. Applicants who were on waitlists exceeding six months were 25 percent more likely to require nursing home care. During this past program year, APS has made significant strides in building a strong foundation upon which a strategic plan can be developed. Additional positions were allocated by the Arizona Legislature; the Department engaged temporary Investigators to assist with cases in various stages of the investigative process; an audit was conducted and recommendations were implemented; and a plan to execute change management techniques began with the application of 4DX. In this coming year, APS colleagues will continue in the pursuit of excellence to bring help and hope to the individuals served. APS Investigators are hopeful that caseloads will continue to decrease which will allow time to strengthen the quality of investigations and service interventions for clients. APS managers and administrators are hopeful that the development and execution of lean initiatives and a strategic plan will improve efficiencies and consistency in practice across the State, while defining future direction and initiatives. Community stakeholders are hopeful that increased awareness of APS roles and responsibilities will improve collaborative efforts and resulting outcomes for vulnerable adults. The Department is thankful for the sustained support and partnerships in its responsibility to conduct this valuable and rewarding work to serve vulnerable Arizonans and is committed to strengthening the APS program in the years to come to ensure improved outcomes for vulnerable adults and their families. Arizona Adult Protective Services Annual Activity Report SFY 2015 18 Appendix Arizona Adult Protective Services Annual Report SFY 2015 19 ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - ARIZONA REPORTED INVESTIGATIONS ABUSE 3,661 CLOSED INVESTIGATIONS 26.54% ABUSE Not Substantiated Substantiated NEGLECT 9,408 EXPLOITATION 4,243 68.21% 25.77% 3,251 94.18% 201 5.82% 9,531 71.16% Not Substantiated 8,177 85.79% Substantiated 1,354 14.21% 4,041 30.17% 3,949 97.72% 92 2.28% NEGLECT 30.76% 3,452 EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 17,312 CLOSED ALLEGATIONS 17,024 REPORTED CASES 13,793 CLOSED CASES 13,394 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 873 6.33% Alone - Little or No Assistance 30 - 39 years 557 4.04% Alone - Some Family Assistance With Family 3,280 23.78% 312 2.26% 4,563 33.08% 863 6.26% 831 6.02% 40 - 49 years 779 5.65% 50 - 59 years 1,600 11.60% 60 - 64 years 1,127 8.17% 65 - 69 years 1,320 9.57% 70 - 74 years 1,511 10.95% Adult Foster Care Home (4 or less residents) 66 0.48% 75 - 79 years 1,587 11.51% Assisted Living Home (10 or less residents) 514 3.73% 80 - 84 years 1,662 12.05% Assisted Living Center (11 or more residents) 563 4.08% 85 years and older 2,777 20.13% Immediate Care Facility (Intellectual Disability) 27 0.20% 0 0.00% Unknown CLIENT RACE With Non-Family CLIENT DWELLING / FACILITY TYPE Nursing Care Institution DDD Group Home for Adults (6 or less residents) 323 2.34% DDD Adult Dev Home (up to 3 adults in family home) 68 0.49% Amer Indian/AK Native 272 1.97% Veteran Based Facility 31 0.22% Asian 115 0.83% Arizona State Hospital 94 0.68% Unlicensed Facility Black/African Amer 649 4.71% Caucasian/White 9,106 66.02% Homeless Hispanic Unknown 1,706 12.37% Pacific Islander 38 0.28% RELATION TO CLIENT Unknown/Other 1,907 13.83% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source 33 0.24% 227 1.65% 1,998 14.49% Perpetrator 1,338 7.91% 2,370 15.23% 99 0.59% 267 1.72% $300 or Less 2 0.01% Family Member 2,296 13.57% 4,602 29.58% $301 - $500 9 0.07% Financial Service 1,001 5.92% 79 0.51% $501 - $750 122 0.88% Friend/Neighbor 1,223 7.23% 1,041 6.69% 96 0.70% Law Enforcement 768 4.54% 5 0.03% 311 2.25% Legal Service 13,253 96.08% $751 - $1,000 Over $1,000 Unknown CLIENT GENDER 56 0.33% 7 0.04% Medical Service 3,199 18.91% 164 1.05% Other 1,463 8.65% 1,359 8.73% 848 5.01% 57 0.37% 521 3.08% 5,522 35.49% 3,896 23.03% 41 0.26% Female 8,019 58.14% Other Public Service Male 5,546 40.21% Self 228 1.65% Unknown Social Service Unknown TOTAL Page 1 of 16 209 1.24% 45 0.29% 16,917 100.00% 15,559 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - APACHE REPORTED INVESTIGATIONS ABUSE 12 CLOSED INVESTIGATIONS 26.67% ABUSE Not Substantiated Substantiated NEGLECT 31 68.89% NEGLECT Not Substantiated Substantiated EXPLOITATION 18 40.00% EXPLOITATION Not Substantiated Substantiated 14 31.11% 14 100.00% 0 0.00% 28 62.22% 28 100.00% 0 0.00% 20 44.44% 20 100.00% 0 0.00% REPORTED ALLEGATIONS 61 CLOSED ALLEGATIONS 62 REPORTED CASES 45 CLOSED CASES 45 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 3 6.67% Alone - Little or No Assistance 30 - 39 years 3 6.67% Alone - Some Family Assistance 13 28.89% 1 2.22% 40 - 49 years 4 8.89% With Family 50 - 59 years 4 8.89% With Non-Family 18 40.00% 3 6.67% 60 - 64 years 1 2.22% 65 - 69 years 5 11.11% Nursing Care Institution 0 0.00% 70 - 74 years 8 75 - 79 years 6 17.78% Adult Foster Care Home (4 or less residents) 0 0.00% 13.33% Assisted Living Home (10 or less residents) 0 0.00% 80 - 84 years 85 years and older 5 11.11% Assisted Living Center (11 or more residents) 3 6.67% 6 13.33% Immediate Care Facility (Intellectual Disability) 0 0.00% Unknown 0 0.00% DDD Group Home for Adults (6 or less residents) 0 0.00% DDD Adult Dev Home (up to 3 adults in family home) 0 0.00% CLIENT RACE CLIENT DWELLING / FACILITY TYPE Amer Indian/AK Native 5 11.11% Veteran Based Facility 0 0.00% Asian 0 0.00% Arizona State Hospital 0 0.00% Black/African Amer 0 0.00% Unlicensed Facility 0 0.00% 27 60.00% Homeless 0 0.00% Hispanic 3 6.67% Unknown 7 15.56% Pacific Islander 0 0.00% RELATION TO CLIENT Unknown/Other 10 22.22% Caregiver/Resident Mgr 0 0.00% 4 8.00% Conservator/Guardian 0 0.00% 0 0.00% Caucasian/White CLIENT MONTHLY INCOME Reporting Source Perpetrator $300 or Less 0 0.00% Family Member 2 3.70% 22 44.00% $301 - $500 0 0.00% Financial Service 8 14.81% 0 0.00% $501 - $750 0 0.00% Friend/Neighbor 3 5.56% 1 2.00% $751 - $1,000 0 0.00% Law Enforcement 3 5.56% 0 0.00% 1 2.22% Legal Service 44 97.78% Over $1,000 Unknown CLIENT GENDER Medical Service 0 0.00% 0 0.00% 10 18.52% 1 2.00% Other 5 9.26% 5 10.00% Female 26 57.78% Other Public Service 1 1.85% 0 0.00% Male 18 40.00% Self 1 1.85% 17 34.00% 1 2.22% 17 31.48% 0 0.00% Unknown Social Service Unknown TOTAL Page 2 of 16 4 7.41% 0 0.00% 54 100.00% 50 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - COCHISE REPORTED INVESTIGATIONS ABUSE 110 CLOSED INVESTIGATIONS 19.40% ABUSE Not Substantiated 156 21.11% 143 91.67% Substantiated NEGLECT 417 EXPLOITATION 181 73.54% 13 8.33% 544 73.61% Not Substantiated 360 66.18% Substantiated 184 33.82% 245 33.15% 235 95.92% 10 4.08% NEGLECT 31.92% EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 708 CLOSED ALLEGATIONS 945 REPORTED CASES 567 CLOSED CASES 739 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 20 3.53% Alone - Little or No Assistance 30 - 39 years 9 1.59% Alone - Some Family Assistance 40 - 49 years 29 5.11% With Family 50 - 59 years 61 10.76% 60 - 64 years 43 7.58% 65 - 69 years 50 8.82% 70 - 74 years 65 11.46% Adult Foster Care Home (4 or less residents) 75 - 79 years 79 13.93% Assisted Living Home (10 or less residents) 80 - 84 years 85 years and older Hispanic 201 35.45% 30 5.29% 31 5.47% 2 0.35% 10 1.76% CLIENT DWELLING / FACILITY TYPE Nursing Care Institution 14.29% Assisted Living Center (11 or more residents) 19 3.35% 22.93% Immediate Care Facility (Intellectual Disability) 1 0.18% 0 0.00% Amer Indian/AK Native Caucasian/White 4.06% 81 CLIENT RACE Black/African Amer 29.63% 23 130 Unknown Asian With Non-Family 168 DDD Group Home for Adults (6 or less residents) 10 1.76% DDD Adult Dev Home (up to 3 adults in family home) 1 0.18% 3 0.53% Veteran Based Facility 2 0.35% 11 1.94% Arizona State Hospital 0 0.00% Unlicensed Facility 22 3.88% 396 69.84% Homeless Unknown 89 15.70% Pacific Islander 1 0.18% RELATION TO CLIENT Unknown/Other 45 7.94% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source 1 0.18% 12 2.12% 56 9.88% Perpetrator 61 9.00% 74 11.56% 4 0.59% 10 1.56% $300 or Less 0 0.00% Family Member 89 13.13% 177 27.66% $301 - $500 1 0.18% Financial Service 39 5.75% 1 0.16% $501 - $750 22 3.88% Friend/Neighbor 60 8.85% 36 5.63% 6 1.06% Law Enforcement 32 4.72% 0 0.00% 36 6.35% Legal Service 502 88.54% $751 - $1,000 Over $1,000 Unknown CLIENT GENDER Medical Service 1 0.15% 0 0.00% 133 19.62% 7 1.09% Other 73 10.77% 50 7.81% Female 326 57.50% Other Public Service 43 6.34% 4 0.63% Male 234 41.27% Self 16 2.36% 279 43.59% 7 1.23% 120 17.70% 1 0.16% Unknown Social Service Unknown TOTAL Page 3 of 16 7 1.03% 1 0.16% 678 100.00% 640 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - COCONINO REPORTED INVESTIGATIONS ABUSE 46 CLOSED INVESTIGATIONS 28.75% ABUSE Not Substantiated Substantiated NEGLECT 108 EXPLOITATION 38 67.50% 28.65% 51 100.00% 0 0.00% 121 67.98% Not Substantiated 94 77.69% Substantiated 27 22.31% 43 24.16% 42 97.67% 1 2.33% NEGLECT 23.75% 51 EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 192 CLOSED ALLEGATIONS 215 REPORTED CASES 160 CLOSED CASES 178 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 21 13.13% 30 - 39 years 12 7.50% Alone - Some Family Assistance 40 - 49 years 11 6.88% 50 - 59 years 20 12.50% 60 - 64 years 16 10.00% 65 - 69 years 15 9.38% 70 - 74 years 15 75 - 79 years 10 80 - 84 years 17 85 years and older 23 0 0.00% Unknown 31 19.38% 3 1.88% With Family 49 30.63% With Non-Family 10 6.25% Nursing Care Institution 2 1.25% 9.38% Adult Foster Care Home (4 or less residents) 2 1.25% 6.25% Assisted Living Home (10 or less residents) 6 3.75% 10.63% Assisted Living Center (11 or more residents) 4 2.50% 14.38% Immediate Care Facility (Intellectual Disability) 0 0.00% CLIENT RACE Amer Indian/AK Native DDD Group Home for Adults (6 or less residents) 19 11.88% DDD Adult Dev Home (up to 3 adults in family home) 1 0.63% 15.00% Veteran Based Facility 0 0.00% 0 0.00% Arizona State Hospital 0 0.00% Black/African Amer Hispanic CLIENT DWELLING / FACILITY TYPE 24 Asian Caucasian/White Alone - Little or No Assistance 5 3.13% Unlicensed Facility 0 0.00% 102 63.75% Homeless 9 5.63% 24 15.00% 12 7.50% Unknown Pacific Islander 1 0.63% RELATION TO CLIENT Unknown/Other 16 10.00% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source Perpetrator 14 7.49% 34 19.32% 0 0.00% 7 3.98% $300 or Less 0 0.00% Family Member 23 12.30% 40 22.73% $301 - $500 0 0.00% Financial Service 8 4.28% 1 0.57% $501 - $750 1 0.63% Friend/Neighbor 6 3.21% 7 3.98% $751 - $1,000 2 1.25% Law Enforcement 4 2.14% 0 0.00% 5 3.13% Legal Service 152 95.00% Over $1,000 Unknown CLIENT GENDER 0 0.00% 0 0.00% Medical Service 31 16.58% 0 0.00% Other 25 13.37% 12 6.82% Female 88 55.00% Other Public Service 17 9.09% 1 0.57% Male 68 42.50% Self 8 4.28% 73 41.48% 4 2.50% 49 26.20% 1 0.57% Unknown Social Service Unknown TOTAL Page 4 of 16 2 1.07% 0 0.00% 187 100.00% 176 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - GILA REPORTED INVESTIGATIONS ABUSE 39 CLOSED INVESTIGATIONS 27.66% ABUSE Not Substantiated Substantiated NEGLECT 108 EXPLOITATION 44 76.60% 24.17% 27 93.10% 2 6.90% 89 74.17% Not Substantiated 78 87.64% Substantiated 11 12.36% 37 30.83% 36 97.30% 1 2.70% NEGLECT 31.21% 29 EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 191 CLOSED ALLEGATIONS 155 REPORTED CASES 141 CLOSED CASES 120 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 6 4.26% Alone - Little or No Assistance 30 - 39 years 5 3.55% Alone - Some Family Assistance 44 31.21% 4 2.84% 40 - 49 years 12 8.51% With Family 50 - 59 years 19 13.48% 43 30.50% 9 6.38% 60 - 64 years 13 9.22% 65 - 69 years 16 11.35% Nursing Care Institution 9 6.38% 70 - 74 years 17 75 - 79 years 16 12.06% Adult Foster Care Home (4 or less residents) 0 0.00% 11.35% Assisted Living Home (10 or less residents) 1 0.71% 80 - 84 years 85 years and older 15 10.64% Assisted Living Center (11 or more residents) 2 1.42% 22 15.60% Immediate Care Facility (Intellectual Disability) 0 0.00% 0 0.00% DDD Group Home for Adults (6 or less residents) 3 2.13% DDD Adult Dev Home (up to 3 adults in family home) 0 0.00% Unknown CLIENT RACE With Non-Family CLIENT DWELLING / FACILITY TYPE Amer Indian/AK Native 6 4.26% Veteran Based Facility 0 0.00% Asian 3 2.13% Arizona State Hospital 0 0.00% Black/African Amer 0 0.00% Unlicensed Facility 0 0.00% Caucasian/White 91 64.54% Homeless 2 1.42% Hispanic Unknown 24 17.02% 17 12.06% Pacific Islander 0 0.00% RELATION TO CLIENT Unknown/Other 24 17.02% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source Perpetrator 15 9.04% 11 6.88% 0 0.00% 4 2.50% $300 or Less 0 0.00% Family Member 30 18.07% 52 32.50% $301 - $500 0 0.00% Financial Service 2 1.20% 0 0.00% $501 - $750 0 0.00% Friend/Neighbor 14 8.43% 13 8.13% $751 - $1,000 0 0.00% Law Enforcement 6 3.61% 0 0.00% 2 1.42% Legal Service 139 98.58% Over $1,000 Unknown CLIENT GENDER 0 0.00% 0 0.00% Medical Service 36 21.69% 1 0.63% Other 17 10.24% 14 8.75% 8 4.82% 0 0.00% 3 1.81% 63 39.38% 35 21.08% 2 1.25% Female 84 59.57% Other Public Service Male 55 39.01% Self 2 1.42% Unknown Social Service Unknown TOTAL Page 5 of 16 0 0.00% 0 0.00% 166 100.00% 160 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - GRAHAM REPORTED INVESTIGATIONS ABUSE 14 CLOSED INVESTIGATIONS 24.14% ABUSE Not Substantiated Substantiated NEGLECT 37 EXPLOITATION 20 63.79% 28.40% 21 91.30% 2 8.70% 51 62.96% Not Substantiated 32 62.75% Substantiated 19 37.25% 28 34.57% 24 85.71% 4 14.29% NEGLECT 34.48% 23 EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 71 CLOSED ALLEGATIONS REPORTED CASES 58 CLOSED CASES 102 81 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 1 1.72% Alone - Little or No Assistance 30 - 39 years 0 0.00% Alone - Some Family Assistance With Family 23 39.66% 1 1.72% 16 27.59% 3 5.17% 40 - 49 years 3 5.17% 50 - 59 years 14 24.14% 60 - 64 years 2 3.45% 65 - 69 years 4 6.90% Nursing Care Institution 4 6.90% With Non-Family CLIENT DWELLING / FACILITY TYPE 70 - 74 years 5 8.62% Adult Foster Care Home (4 or less residents) 0 0.00% 75 - 79 years 11 18.97% Assisted Living Home (10 or less residents) 1 1.72% 80 - 84 years 9 15.52% Assisted Living Center (11 or more residents) 4 6.90% 85 years and older 9 15.52% Immediate Care Facility (Intellectual Disability) 0 0.00% Unknown 0 0.00% DDD Group Home for Adults (6 or less residents) 2 3.45% DDD Adult Dev Home (up to 3 adults in family home) 1 1.72% CLIENT RACE Amer Indian/AK Native 0 0.00% Veteran Based Facility 0 0.00% Asian 0 0.00% Arizona State Hospital 0 0.00% Black/African Amer 1 1.72% Unlicensed Facility 0 0.00% Caucasian/White 45 77.59% Homeless 0 0.00% Hispanic Unknown 3 5.17% 11 18.97% Pacific Islander 0 0.00% RELATION TO CLIENT Unknown/Other 1 1.72% Caregiver/Resident Mgr 6 8.22% 8 13.33% Conservator/Guardian 1 1.37% 2 3.33% CLIENT MONTHLY INCOME Reporting Source Perpetrator $300 or Less 0 0.00% Family Member 14 19.18% 15 25.00% $301 - $500 0 0.00% Financial Service 1 1.37% 0 0.00% $501 - $750 1 1.72% Friend/Neighbor 11 15.07% 4 6.67% $751 - $1,000 0 0.00% Law Enforcement 5 6.85% 0 0.00% 1 1.72% Legal Service 56 96.55% Over $1,000 Unknown CLIENT GENDER Medical Service 0 0.00% 0 0.00% 15 20.55% 1 1.67% Other 4 5.48% 5 8.33% Female 35 60.34% Other Public Service 5 6.85% 0 0.00% Male 23 39.66% Self 1 1.37% 24 40.00% 0 0.00% Social Service 9 12.33% 0 0.00% Unknown Unknown TOTAL Page 6 of 16 1 1.37% 1 1.67% 73 100.00% 60 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - GREENLEE REPORTED INVESTIGATIONS ABUSE 3 CLOSED INVESTIGATIONS 30.00% ABUSE Not Substantiated Substantiated NEGLECT 7 EXPLOITATION 1 70.00% 37.50% 6 100.00% 0 0.00% 10 62.50% Not Substantiated 6 60.00% Substantiated 4 40.00% NEGLECT 10.00% 6 EXPLOITATION Not Substantiated Substantiated 2 12.50% 2 100.00% 0 0.00% REPORTED ALLEGATIONS 11 CLOSED ALLEGATIONS 18 REPORTED CASES 10 CLOSED CASES 16 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 2 20.00% 30 - 39 years 0 0.00% Alone - Little or No Assistance 3 30.00% Alone - Some Family Assistance 0 0.00% 40 - 49 years 1 50 - 59 years 1 10.00% With Family 6 60.00% 10.00% With Non-Family 0 0.00% 60 - 64 years 0 0.00% 65 - 69 years 0 0.00% Nursing Care Institution 0 0.00% 70 - 74 years 3 75 - 79 years 1 30.00% Adult Foster Care Home (4 or less residents) 0 0.00% 10.00% Assisted Living Home (10 or less residents) 0 0.00% 80 - 84 years 85 years and older 1 10.00% Assisted Living Center (11 or more residents) 0 0.00% 1 10.00% Immediate Care Facility (Intellectual Disability) 0 0.00% Unknown 0 0.00% DDD Group Home for Adults (6 or less residents) 0 0.00% DDD Adult Dev Home (up to 3 adults in family home) 0 0.00% CLIENT RACE CLIENT DWELLING / FACILITY TYPE Amer Indian/AK Native 0 0.00% Veteran Based Facility 0 0.00% Asian 0 0.00% Arizona State Hospital 0 0.00% Black/African Amer 0 0.00% Unlicensed Facility 0 0.00% Caucasian/White 8 80.00% Homeless 0 0.00% Hispanic 2 20.00% Unknown 1 10.00% Pacific Islander 0 0.00% RELATION TO CLIENT Unknown/Other 0 0.00% Caregiver/Resident Mgr 0 0.00% 1 10.00% Conservator/Guardian 0 0.00% 0 0.00% CLIENT MONTHLY INCOME Reporting Source Perpetrator $300 or Less 0 0.00% Family Member 0 0.00% 5 50.00% $301 - $500 0 0.00% Financial Service 1 9.09% 0 0.00% $501 - $750 0 0.00% Friend/Neighbor 0 0.00% 0 0.00% $751 - $1,000 0 0.00% Law Enforcement 2 18.18% 0 0.00% Over $1,000 1 10.00% Legal Service 0 0.00% 0 0.00% Unknown 9 90.00% Medical Service 2 18.18% 0 0.00% Other 3 27.27% 1 10.00% Female 6 60.00% Other Public Service 1 9.09% 0 0.00% Male 4 40.00% Self 0 0.00% 3 30.00% Unknown 0 0.00% Social Service 2 18.18% 0 0.00% CLIENT GENDER Unknown TOTAL Page 7 of 16 0 0.00% 0 0.00% 11 100.00% 10 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - LA PAZ REPORTED INVESTIGATIONS ABUSE 4 CLOSED INVESTIGATIONS 7.55% ABUSE Not Substantiated Substantiated NEGLECT 46 EXPLOITATION 9 86.79% 14.86% 11 100.00% 0 0.00% 68 91.89% Not Substantiated 48 70.59% Substantiated 20 29.41% 15 20.27% 14 93.33% 1 6.67% NEGLECT 16.98% 11 EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 59 CLOSED ALLEGATIONS 94 REPORTED CASES 53 CLOSED CASES 74 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 1 1.89% Alone - Little or No Assistance 30 - 39 years 0 0.00% Alone - Some Family Assistance 18 33.96% 1 1.89% 40 - 49 years 2 3.77% With Family 50 - 59 years 4 7.55% With Non-Family 21 39.62% 2 3.77% 60 - 64 years 4 7.55% 65 - 69 years 6 11.32% Nursing Care Institution 0 0.00% 70 - 74 years 8 75 - 79 years 7 15.09% Adult Foster Care Home (4 or less residents) 0 0.00% 13.21% Assisted Living Home (10 or less residents) 0 0.00% 80 - 84 years 85 years and older 11 20.75% Assisted Living Center (11 or more residents) 0 0.00% 10 18.87% Immediate Care Facility (Intellectual Disability) 0 0.00% 0 0.00% DDD Group Home for Adults (6 or less residents) 0 0.00% DDD Adult Dev Home (up to 3 adults in family home) 0 0.00% Unknown CLIENT RACE CLIENT DWELLING / FACILITY TYPE Amer Indian/AK Native 2 3.77% Veteran Based Facility 0 0.00% Asian 1 1.89% Arizona State Hospital 0 0.00% Black/African Amer 1 1.89% Unlicensed Facility 0 0.00% 42 79.25% Homeless 2 3.77% Hispanic 2 3.77% Unknown 9 16.98% Pacific Islander 0 0.00% RELATION TO CLIENT Unknown/Other 5 9.43% Caregiver/Resident Mgr 4 5.80% 2 3.51% Conservator/Guardian 0 0.00% 0 0.00% Caucasian/White CLIENT MONTHLY INCOME Reporting Source Perpetrator $300 or Less 0 0.00% Family Member 10 14.49% 15 26.32% $301 - $500 0 0.00% Financial Service 1 1.45% 0 0.00% $501 - $750 0 0.00% Friend/Neighbor 8 11.59% 4 7.02% $751 - $1,000 0 0.00% Law Enforcement 7 10.14% 0 0.00% 0 0.00% Legal Service 53 100.00% Over $1,000 Unknown CLIENT GENDER 0 0.00% 0 0.00% Medical Service 12 17.39% 1 1.75% Other 13 18.84% 2 3.51% Female 25 47.17% Other Public Service 2 2.90% 0 0.00% Male 28 52.83% Self 0 0.00% 33 57.89% 0 0.00% Social Service 8 11.59% 0 0.00% Unknown Unknown TOTAL Page 8 of 16 4 5.80% 0 0.00% 69 100.00% 57 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - MARICOPA REPORTED INVESTIGATIONS ABUSE 2,161 CLOSED INVESTIGATIONS 30.00% ABUSE Not Substantiated Substantiated NEGLECT 4,767 66.17% NEGLECT Not Substantiated Substantiated EXPLOITATION 2,154 29.90% EXPLOITATION Not Substantiated 1,915 29.25% 1,809 94.46% 106 5.54% 4,550 69.49% 4,123 90.62% 427 9.38% 1,913 29.22% 1,881 98.33% 32 1.67% Substantiated REPORTED ALLEGATIONS 9,082 CLOSED ALLEGATIONS 8,378 REPORTED CASES 7,204 CLOSED CASES 6,548 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 509 7.07% Alone - Little or No Assistance 30 - 39 years 321 4.46% Alone - Some Family Assistance 40 - 49 years 438 6.08% With Family 50 - 59 years 861 11.95% 60 - 64 years 593 8.23% 65 - 69 years 651 9.04% 70 - 74 years 775 10.76% Adult Foster Care Home (4 or less residents) 75 - 79 years 811 11.26% Assisted Living Home (10 or less residents) 80 - 84 years 85 years and older Black/African Amer Caucasian/White Hispanic 2.26% 2,349 32.61% 431 5.98% 526 7.30% 42 0.58% 349 4.84% CLIENT DWELLING / FACILITY TYPE Nursing Care Institution 796 11.05% Assisted Living Center (11 or more residents) 351 4.87% 20.11% Immediate Care Facility (Intellectual Disability) 16 0.22% 0 0.00% CLIENT RACE Asian 21.09% 163 1,449 Unknown Amer Indian/AK Native With Non-Family 1,519 DDD Group Home for Adults (6 or less residents) 192 2.67% DDD Adult Dev Home (up to 3 adults in family home) 34 0.47% 140 1.94% Veteran Based Facility 18 0.25% 55 0.76% Arizona State Hospital 94 1.30% 449 6.23% Unlicensed Facility 21 0.29% 4,706 65.32% Homeless 96 1.33% Unknown 1,003 13.92% 819 11.37% Pacific Islander 22 0.31% RELATION TO CLIENT Unknown/Other 1,013 14.06% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source Perpetrator 734 8.25% 1,439 17.67% 57 0.64% 131 1.61% $300 or Less 0 0.00% Family Member 1,203 13.52% 2,442 29.98% $301 - $500 3 0.04% Financial Service 540 6.07% 39 0.48% $501 - $750 42 0.58% Friend/Neighbor 642 7.22% 608 7.46% $751 - $1,000 34 0.47% Law Enforcement 270 3.04% 3 0.04% 112 1.55% Legal Service 7,013 97.35% Over $1,000 Unknown CLIENT GENDER Medical Service 29 0.33% 4 0.05% 1,748 19.65% 106 1.30% Other 683 7.68% 690 8.47% Female 4,186 58.11% Other Public Service 391 4.40% 41 0.50% Male 2,888 40.09% Self 264 2.97% 2,602 31.94% 130 1.80% 2,232 25.09% 26 0.32% Unknown Social Service Unknown TOTAL Page 9 of 16 103 1.16% 15 0.18% 8,896 100.00% 8,146 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - MOHAVE REPORTED INVESTIGATIONS ABUSE 150 CLOSED INVESTIGATIONS 19.58% ABUSE Not Substantiated 180 20.69% 176 97.78% Substantiated NEGLECT 553 EXPLOITATION 268 72.19% 4 2.22% 644 74.02% Not Substantiated 490 76.09% Substantiated 154 23.91% 307 35.29% 305 99.35% 2 0.65% NEGLECT 34.99% EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 971 CLOSED ALLEGATIONS REPORTED CASES 766 CLOSED CASES 1,131 870 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 34 4.44% Alone - Little or No Assistance 30 - 39 years 22 2.87% Alone - Some Family Assistance 40 - 49 years 30 3.92% With Family 50 - 59 years 81 10.57% 60 - 64 years 76 9.92% 65 - 69 years 74 9.66% 70 - 74 years 102 13.32% Adult Foster Care Home (4 or less residents) 75 - 79 years 98 12.79% Assisted Living Home (10 or less residents) 80 - 84 years 103 13.45% Assisted Living Center (11 or more residents) 23 3.00% 85 years and older 146 19.06% Immediate Care Facility (Intellectual Disability) 0 0.00% 0 0.00% DDD Group Home for Adults (6 or less residents) 3 0.39% DDD Adult Dev Home (up to 3 adults in family home) 1 0.13% Unknown CLIENT RACE With Non-Family 218 28.46% 21 2.74% 276 36.03% 64 8.36% 34 4.44% 1 0.13% 18 2.35% CLIENT DWELLING / FACILITY TYPE Nursing Care Institution Amer Indian/AK Native 7 0.91% Veteran Based Facility 1 0.13% Asian 4 0.52% Arizona State Hospital 0 0.00% Unlicensed Facility Black/African Amer Caucasian/White Hispanic 5 0.65% 644 84.07% Homeless 24 3.13% Unknown Pacific Islander 2 0.26% RELATION TO CLIENT Unknown/Other 80 10.44% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source 1 0.13% 16 2.09% 89 11.62% Perpetrator 78 8.13% 92 10.61% 3 0.31% 9 1.04% $300 or Less 0 0.00% Family Member 148 15.43% 277 31.95% $301 - $500 0 0.00% Financial Service 56 5.84% 7 0.81% $501 - $750 0 0.00% Friend/Neighbor 94 9.80% 46 5.31% $751 - $1,000 2 0.26% Law Enforcement 45 4.69% 0 0.00% 9 1.17% Legal Service 755 98.56% Over $1,000 Unknown CLIENT GENDER Medical Service 3 0.31% 0 0.00% 177 18.46% 6 0.69% Other 93 9.70% 77 8.88% Female 442 57.70% Other Public Service 64 6.67% 3 0.35% Male 314 40.99% Self 38 3.96% 344 39.68% 10 1.31% 145 15.12% 2 0.23% Unknown Social Service Unknown TOTAL Page 10 of 16 15 1.56% 4 0.46% 959 100.00% 867 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - NAVAJO REPORTED INVESTIGATIONS ABUSE 41 CLOSED INVESTIGATIONS 19.81% ABUSE Not Substantiated Substantiated NEGLECT 162 78.26% NEGLECT Not Substantiated 63 30.43% 20.65% 38 100.00% 0 0.00% 139 75.54% 129 92.81% 10 7.19% Substantiated EXPLOITATION 38 EXPLOITATION Not Substantiated Substantiated 62 33.70% 62 100.00% 0 0.00% REPORTED ALLEGATIONS 266 CLOSED ALLEGATIONS 239 REPORTED CASES 207 CLOSED CASES 184 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 12 5.80% Alone - Little or No Assistance 30 - 39 years 8 3.86% Alone - Some Family Assistance 64 30.92% 5 2.42% With Family 67 32.37% With Non-Family 13 6.28% 13 6.28% 40 - 49 years 7 3.38% 50 - 59 years 23 11.11% 60 - 64 years 18 8.70% 65 - 69 years 30 14.49% Nursing Care Institution 70 - 74 years 27 13.04% Adult Foster Care Home (4 or less residents) 0 0.00% 75 - 79 years 21 10.14% Assisted Living Home (10 or less residents) 4 1.93% 80 - 84 years 29 14.01% Assisted Living Center (11 or more residents) 4 1.93% 85 years and older 32 15.46% Immediate Care Facility (Intellectual Disability) 0 0.00% 0 0.00% DDD Group Home for Adults (6 or less residents) 0 0.00% DDD Adult Dev Home (up to 3 adults in family home) 1 0.48% Unknown CLIENT RACE Amer Indian/AK Native 17 8.21% Veteran Based Facility 0 0.00% 0 0.00% Arizona State Hospital 0 0.00% Asian Black/African Amer Caucasian/White Hispanic CLIENT DWELLING / FACILITY TYPE 3 1.45% Unlicensed Facility 0 0.00% 150 72.46% Homeless 7 3.38% 29 14.01% 15 7.25% Unknown Pacific Islander 0 0.00% RELATION TO CLIENT Unknown/Other 22 10.63% Caregiver/Resident Mgr 8 3.16% 16 6.69% Conservator/Guardian 1 0.40% 3 1.26% CLIENT MONTHLY INCOME Reporting Source Perpetrator $300 or Less 0 0.00% Family Member 38 15.02% 69 28.87% $301 - $500 0 0.00% Financial Service 9 3.56% 1 0.42% $501 - $750 0 0.00% Friend/Neighbor 18 7.11% 11 4.60% $751 - $1,000 0 0.00% Law Enforcement 15 5.93% 1 0.42% 1 0.48% Legal Service 206 99.52% Over $1,000 Unknown CLIENT GENDER Female Male Unknown 1 0.40% 0 0.00% Medical Service 50 19.76% 1 0.42% Other 27 10.67% 21 8.79% 122 58.94% Other Public Service 13 5.14% 0 0.00% 84 40.58% Self 11 4.35% 114 47.70% 1 0.48% Social Service 56 22.13% 1 0.42% Unknown TOTAL Page 11 of 16 6 2.37% 1 0.42% 253 100.00% 239 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - PIMA REPORTED INVESTIGATIONS ABUSE 663 CLOSED INVESTIGATIONS 25.06% ABUSE Not Substantiated 557 23.76% 505 90.66% Substantiated NEGLECT 1,802 68.10% NEGLECT Not Substantiated Substantiated EXPLOITATION 830 31.37% EXPLOITATION Not Substantiated 52 9.34% 1,700 72.53% 1,367 80.41% 333 19.59% 651 27.77% 621 95.39% 30 4.61% Substantiated REPORTED ALLEGATIONS 3,295 CLOSED ALLEGATIONS 2,908 REPORTED CASES 2,646 CLOSED CASES 2,344 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 149 5.63% Alone - Little or No Assistance 30 - 39 years 109 4.12% Alone - Some Family Assistance 40 - 49 years 156 5.90% 50 - 59 years 310 11.72% 60 - 64 years 214 8.09% 65 - 69 years 287 10.85% Nursing Care Institution 70 - 74 years 267 10.09% 75 - 79 years 294 11.11% 80 - 84 years 331 12.51% Assisted Living Center (11 or more residents) 85 years and older 529 19.99% Immediate Care Facility (Intellectual Disability) 0 0.00% Unknown CLIENT RACE 622 23.51% 49 1.85% With Family 860 32.50% With Non-Family 165 6.24% 141 5.33% Adult Foster Care Home (4 or less residents) 13 0.49% Assisted Living Home (10 or less residents) 88 3.33% 105 3.97% 4 0.15% DDD Group Home for Adults (6 or less residents) 50 1.89% DDD Adult Dev Home (up to 3 adults in family home) 15 0.57% CLIENT DWELLING / FACILITY TYPE Amer Indian/AK Native 41 1.55% Veteran Based Facility 8 0.30% Asian 30 1.13% Arizona State Hospital 0 0.00% Unlicensed Facility Black/African Amer Caucasian/White Hispanic 115 4.35% 1,580 59.71% Homeless Unknown 465 17.57% Pacific Islander 7 0.26% RELATION TO CLIENT Unknown/Other 408 15.42% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source 9 0.34% 44 1.66% 473 17.88% Perpetrator 249 7.61% 431 14.49% 15 0.46% 54 1.82% $300 or Less 2 0.08% Family Member 436 13.33% 857 28.82% $301 - $500 3 0.11% Financial Service 183 5.60% 23 0.77% $501 - $750 45 1.70% Friend/Neighbor 194 5.93% 191 6.42% $751 - $1,000 35 1.32% Law Enforcement 247 7.55% 1 0.03% 110 4.16% Legal Service 2,451 92.63% Over $1,000 Unknown CLIENT GENDER 13 0.40% 1 0.03% Medical Service 564 17.25% 26 0.87% Other 293 8.96% 276 9.28% Female 1,557 58.84% Other Public Service 182 5.57% 7 0.24% Male 1,045 39.49% Self 113 3.46% 1,089 36.62% 44 1.66% Social Service 745 22.78% 5 0.17% Unknown Unknown TOTAL Page 12 of 16 36 1.10% 13 0.44% 3,270 100.00% 2,974 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - PINAL REPORTED INVESTIGATIONS ABUSE 182 CLOSED INVESTIGATIONS 25.38% ABUSE Not Substantiated 206 23.73% 195 94.66% Substantiated NEGLECT 510 71.13% NEGLECT Not Substantiated 11 5.34% 646 74.42% 582 90.09% 64 9.91% 273 31.45% 269 98.53% 4 1.47% Substantiated EXPLOITATION 224 31.24% EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 916 CLOSED ALLEGATIONS REPORTED CASES 717 CLOSED CASES 1,125 868 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 55 7.67% Alone - Little or No Assistance 30 - 39 years 28 3.91% Alone - Some Family Assistance 40 - 49 years 44 6.14% With Family 50 - 59 years 91 12.69% 60 - 64 years 52 7.25% 65 - 69 years 75 10.46% Nursing Care Institution 70 - 74 years 85 11.85% Adult Foster Care Home (4 or less residents) 75 - 79 years 68 9.48% 80 - 84 years 85 years and older Hispanic 291 40.59% 44 6.14% 11 1.53% CLIENT DWELLING / FACILITY TYPE 5 0.70% Assisted Living Home (10 or less residents) 14 1.95% 11.30% Assisted Living Center (11 or more residents) 14 1.95% 19.25% Immediate Care Facility (Intellectual Disability) 6 0.84% 0 0.00% DDD Group Home for Adults (6 or less residents) 12 1.67% DDD Adult Dev Home (up to 3 adults in family home) 7 0.98% 13 1.81% Veteran Based Facility 0 0.00% 3 0.42% Arizona State Hospital 0 0.00% Unlicensed Facility Asian Caucasian/White 1.67% 81 CLIENT RACE Black/African Amer 24.97% 12 138 Unknown Amer Indian/AK Native With Non-Family 179 33 4.60% 474 66.11% Homeless Unknown 84 11.72% Pacific Islander 3 0.42% RELATION TO CLIENT Unknown/Other 107 14.92% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source 0 0.00% 13 1.81% 109 15.20% Perpetrator 40 4.67% 88 10.69% 6 0.70% 17 2.07% $300 or Less 0 0.00% Family Member 140 16.34% 277 33.66% $301 - $500 1 0.14% Financial Service 47 5.48% 3 0.36% 6 0.84% Friend/Neighbor 73 8.52% 43 5.22% 10 1.39% Law Enforcement 35 4.08% 0 0.00% 23 3.21% Legal Service 677 94.42% $501 - $750 $751 - $1,000 Over $1,000 Unknown CLIENT GENDER Medical Service 2 0.23% 0 0.00% 181 21.12% 9 1.09% Other 82 9.57% 71 8.63% Female 425 59.27% Other Public Service 35 4.08% 0 0.00% Male 281 39.19% Self 26 3.03% 308 37.42% 11 1.53% 180 21.00% 1 0.12% Unknown Social Service Unknown TOTAL Page 13 of 16 10 1.17% 6 0.73% 857 100.00% 823 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - SANTA CRUZ REPORTED INVESTIGATIONS ABUSE 11 CLOSED INVESTIGATIONS 18.97% ABUSE Not Substantiated Substantiated NEGLECT 49 EXPLOITATION 16 84.48% 13.33% 12 100.00% 0 0.00% 72 80.00% Not Substantiated 42 58.33% Substantiated 30 41.67% NEGLECT 27.59% 12 EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 76 CLOSED ALLEGATIONS REPORTED CASES 58 CLOSED CASES 31 34.44% 31 100.00% 0 0.00% 115 90 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 5 8.62% Alone - Little or No Assistance 30 - 39 years 3 5.17% Alone - Some Family Assistance 18 31.03% 4 6.90% 40 - 49 years 0 0.00% With Family 50 - 59 years 4 6.90% With Non-Family 30 51.72% 2 3.45% 60 - 64 years 5 8.62% 65 - 69 years 2 3.45% Nursing Care Institution 0 0.00% CLIENT DWELLING / FACILITY TYPE 70 - 74 years 5 8.62% Adult Foster Care Home (4 or less residents) 0 0.00% 75 - 79 years 14 24.14% Assisted Living Home (10 or less residents) 0 0.00% 80 - 84 years 85 years and older 6 10.34% Assisted Living Center (11 or more residents) 1 1.72% 14 24.14% Immediate Care Facility (Intellectual Disability) 0 0.00% 0 0.00% DDD Group Home for Adults (6 or less residents) 1 1.72% DDD Adult Dev Home (up to 3 adults in family home) 0 0.00% Unknown CLIENT RACE Amer Indian/AK Native 0 0.00% Veteran Based Facility 0 0.00% Asian 0 0.00% Arizona State Hospital 0 0.00% Black/African Amer 0 0.00% Unlicensed Facility 0 0.00% Caucasian/White 15 25.86% Homeless 0 0.00% Hispanic Unknown 2 3.45% 39 67.24% Pacific Islander 0 0.00% RELATION TO CLIENT Unknown/Other 4 6.90% Caregiver/Resident Mgr 3 4.76% 4 6.15% Conservator/Guardian 0 0.00% 1 1.54% CLIENT MONTHLY INCOME Reporting Source Perpetrator $300 or Less 0 0.00% Family Member 5 7.94% 22 33.85% $301 - $500 0 0.00% Financial Service 5 7.94% 0 0.00% $501 - $750 0 0.00% Friend/Neighbor 5 7.94% 3 4.62% $751 - $1,000 0 0.00% Law Enforcement 1 1.59% 0 0.00% 0 0.00% Legal Service 1 1.59% 0 0.00% 58 100.00% 10 15.87% 0 0.00% Over $1,000 Unknown CLIENT GENDER Medical Service Other 6 9.52% 4 6.15% Female 32 55.17% Other Public Service 9 14.29% 0 0.00% Male 26 44.83% Self 0 0.00% 30 46.15% 0 0.00% 18 28.57% 1 1.54% Unknown Social Service Unknown TOTAL Page 14 of 16 0 0.00% 0 0.00% 63 100.00% 65 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - YAVAPAI REPORTED INVESTIGATIONS ABUSE 170 CLOSED INVESTIGATIONS 20.05% ABUSE Not Substantiated 200 21.21% 193 96.50% Substantiated NEGLECT 607 71.58% NEGLECT Not Substantiated 7 3.50% 667 70.73% 643 96.40% 24 3.60% 323 34.25% 320 99.07% 3 0.93% Substantiated EXPLOITATION 267 31.49% EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 1,044 REPORTED CASES CLOSED ALLEGATIONS 848 CLOSED CASES 1,190 943 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 34 4.01% Alone - Little or No Assistance 30 - 39 years 33 3.89% Alone - Some Family Assistance 40 - 49 years 36 4.25% With Family 50 - 59 years 75 8.84% With Non-Family 60 - 64 years 61 7.19% 65 - 69 years 76 8.96% 70 - 74 years 98 11.56% Adult Foster Care Home (4 or less residents) 75 - 79 years 105 12.38% Assisted Living Home (10 or less residents) 80 - 84 years 133 15.68% Assisted Living Center (11 or more residents) 26 3.07% 85 years and older 197 23.23% Immediate Care Facility (Intellectual Disability) 0 0.00% 0 0.00% Unknown CLIENT RACE Amer Indian/AK Native 1.77% 226 26.65% 67 7.90% 40 4.72% 1 0.12% 16 1.89% CLIENT DWELLING / FACILITY TYPE Nursing Care Institution DDD Group Home for Adults (6 or less residents) 29 3.42% DDD Adult Dev Home (up to 3 adults in family home) 6 0.71% 1.53% Veteran Based Facility 2 0.24% 5 0.59% Arizona State Hospital 0 0.00% Unlicensed Facility Black/African Amer Hispanic 31.49% 15 13 Asian Caucasian/White 267 6 0.71% 641 75.59% Homeless 32 3.77% Unknown Pacific Islander 1 0.12% RELATION TO CLIENT Unknown/Other 150 17.69% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source 1 0.12% 20 2.36% 132 15.57% Perpetrator 101 9.91% 120 12.70% 9 0.88% 18 1.90% $300 or Less 0 0.00% Family Member 110 10.79% 231 24.44% $301 - $500 0 0.00% Financial Service 66 6.48% 3 0.32% $501 - $750 1 0.12% Friend/Neighbor 79 7.75% 56 5.93% $751 - $1,000 1 0.12% Law Enforcement 71 6.97% 0 0.00% 4 0.47% Legal Service 842 99.29% Over $1,000 Unknown CLIENT GENDER 5 0.49% 2 0.21% Medical Service 175 17.17% 5 0.53% Other 107 10.50% 92 9.74% 52 5.10% 1 0.11% 34 3.34% 412 43.60% 195 19.14% 1 0.11% Female 485 57.19% Other Public Service Male 351 41.39% Self 12 1.42% Unknown Social Service Unknown TOTAL Page 15 of 16 15 1.47% 4 0.42% 1,019 100.00% 945 100.00% ADULT PROTECTIVE SERVICES 7/1/2014 thru 6/30/2015 Generated 7/13/2015 2:58 PM ACTIVITY SUMMARY - YUMA REPORTED INVESTIGATIONS ABUSE 55 CLOSED INVESTIGATIONS 17.57% ABUSE Not Substantiated Substantiated NEGLECT 204 65.18% NEGLECT Not Substantiated 110 35.14% 18.37% 50 92.59% 4 7.41% 202 68.71% 155 76.73% 47 23.27% 91 30.95% 87 95.60% 4 4.40% Substantiated EXPLOITATION 54 EXPLOITATION Not Substantiated Substantiated REPORTED ALLEGATIONS 369 CLOSED ALLEGATIONS 347 REPORTED CASES 313 CLOSED CASES 294 DEMOGRAPHICS FOR REPORTED CASES CLIENT AGE GROUP CLIENT DWELLING / PRIVATE RESIDENCE 18 - 29 years 21 6.71% Alone - Little or No Assistance 93 29.71% 30 - 39 years 4 1.28% Alone - Some Family Assistance 10 3.19% With Family 110 35.14% 20 6.39% 20 6.39% 40 - 49 years 6 1.92% 50 - 59 years 32 10.22% 60 - 64 years 29 9.27% 65 - 69 years 29 9.27% Nursing Care Institution 70 - 74 years 31 9.90% Adult Foster Care Home (4 or less residents) 0 0.00% 75 - 79 years 46 14.70% Assisted Living Home (10 or less residents) 7 2.24% 80 - 84 years 44 14.06% Assisted Living Center (11 or more residents) 7 2.24% 85 years and older 71 22.68% Immediate Care Facility (Intellectual Disability) 0 0.00% 0 0.00% DDD Group Home for Adults (6 or less residents) 2 0.64% DDD Adult Dev Home (up to 3 adults in family home) 1 0.32% Unknown CLIENT RACE With Non-Family CLIENT DWELLING / FACILITY TYPE Amer Indian/AK Native 1 0.32% Veteran Based Facility 0 0.00% Asian 3 0.96% Arizona State Hospital 0 0.00% Black/African Amer Caucasian/White Hispanic 9 2.88% Unlicensed Facility 0 0.00% 185 59.11% Homeless 6 1.92% Unknown 37 11.82% 92 29.39% Pacific Islander 1 0.32% RELATION TO CLIENT Unknown/Other 22 7.03% Caregiver/Resident Mgr CLIENT MONTHLY INCOME Conservator/Guardian Reporting Source Perpetrator 25 6.91% 46 13.26% 3 0.83% 11 3.17% $300 or Less 0 0.00% Family Member 48 13.26% 101 29.11% $301 - $500 1 0.32% Financial Service 35 9.67% 1 0.29% $501 - $750 4 1.28% Friend/Neighbor 16 4.42% 18 5.19% $751 - $1,000 6 1.92% Law Enforcement 25 6.91% 0 0.00% 6 1.92% Legal Service 296 94.57% Over $1,000 Unknown CLIENT GENDER 1 0.28% 0 0.00% Medical Service 55 15.19% 0 0.00% Other 32 8.84% 39 11.24% Female 180 57.51% Other Public Service 25 6.91% 0 0.00% Male 127 40.58% Self 6 1.66% 131 37.75% 6 1.92% 85 23.48% 0 0.00% Unknown Social Service Unknown TOTAL Page 16 of 16 6 1.66% 0 0.00% 362 100.00% 347 100.00%