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Adult Safety and Protection Team Final Recommendations

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Most Critical

Adult Safety and Protection Team top recommendations
Following - not in priority order - are the ten recommendations that the Adult Safety and Protection Team believes are most critical for improving the safety and protection of individuals in licensed long-term care settings:

  • A Statewide (preferred) or locally-based Call Center(s) should be established to handle the wide variety of calls now handled by the local APS Offices. The role and resources of the local APS Offices should be re-focused on the conduct of investigations. There should be an emphasis on maintaining strong relationships between central office and local offices and there should be a single statewide phone number. 211 should be researched as possible system to address the issue.
  • The State shall develop or secure a competency-based training program with basic standards for investigations of abuse cases.
  • The state should develop an abuse screening, prevention/early detection accessible training program utilizing a variety of modalities appropriate for the following audiences: employees, residents, and their families.
  • Public Education, transparency, and accountability through processes such as: A) Central Office should periodically issue press releases on the more serious abuse and licensure cases that have been substantiated. Establishing a target of six - eight such releases over a calendar year is recommended. B) Central Office should consider issuing a brief annual report highlighting residential facilities/programs' rates and severity of substantiated abuse reports. This report should be issued with a press release to the local media. The report should highlight the BEST performers. The State may even want to issue some sort of award certificates. The release of these statistics publicly is likely to be a more effective "sanction" than those now used by the State.
  • Improved relationship with law enforcement: The State should assure an established relationship in each county and point of contact and regular communication between local APS staff, the police/sheriff, and the DAs office, and others as appropriate.
  • Improved relationship with law enforcement: The State should establish a phase-in goal for an adult Multi-Disciplinary Team in each county along the lines of the Clackamas protocol, and in small counties explore a combined child and adult MDT that can do both.
  • The State should create a basic two week training course taught at DPSST to include interviewing, report writing, evidence collection, and sexual assault investigations.
  • As of 1/1/2012 (or as soon as practicable once the training is established), local APS Offices shall assign (whenever possible) investigators who completed this program to investigate allegations of sexual abuse.
  • The State should develop a registry of all substantiated abuse perpetrators and the severity of their abuse. It should be available on the State's web site and all providers should be required to check the registry prior to hiring. The recommendation is predicated on appropriate due process protections being in place.
  • The time frame for the completion of abuse investigations by Local APS Offices should be shortened to 30 days (from 60 days) and Central Office should ensure effective monitoring and intervention of timeliness standards. [A benchmark of 90% timely would be a reasonable standard.] This process recommendation should be further explored recognizing that it is unrealistic with the current staffing levels. DHS should continue conversations with the legislature around funding for increased staffing levels. Additionally, the whole investigation and corrective action timeline should be looked at for efficiencies.