Health: Adult Protective and Supportive Services Program (5720P)

Program Outcome Statement

Protect and support seniors and people with disabilities from abuse, neglect or financial exploitation and remain safely in the community.

Program Services

  • Adult Abuse and Neglect Investigations
  • Conservatorship Investigations
  • In-Home Supportive Services
  • Financial Management Assistance
  • Community Support Services
  • Care Coordination Services

Overview

The Adult Protective and Supportive Services Program includes several types of services. Adult Protective Services (APS) responds to over 1,300 cases of abuse or neglect annually. Conservatorship Investigations investigates over 100 cases annually of adults who are deemed unable to make personal and financial decisions for themselves. In-Home Supportive Services (IHSS) serves over  5,000 Medi-Cal eligible aged, blind, and disabled individuals so they can remain living at home and out of institutional care. The Multipurpose Senior Services Program (MSSP) serves  150 seniors who would otherwise be placed in skilled nursing facilities. Representative Payee and Trust Accounting staff assist over 500 clients with financial management. Aging and Adult Services (AAS) also contracts with community providers to provide safety net services that help individuals remain safely in the community.

Percent of Adult Protective Services Cases that are Resolved and Stabilized for at least 12 Months - Target Increased

Percent of IHSS Clients Receiving an In-Home Assessment within 30 Days of Referral Below Target

Percent of IHSS Clients Receiving At Least One Home Visit Annually Below Target

FY 2018-19 Mid-Year Story Behind Performance

Percent of APS Cases that are Resolved and Stabilized for at least 12 months

We are pleased that we are continuing to meet the performance target. APS social workers work diligently to resolve and stabilize cases to prevent them from being re-opened within 12 months. We have increased our target for FY 2018-19 to 90 percent.

Percent of IHSS Clients Receiving an In-Home Assessment within 30 Days of Referral

Ongoing difficulties scheduling home visits between social workers, clients, and their advocates continues to impact the results for this performance measure. We have been behind in our IHSS screenings from last fiscal year and are catching up. We have re-allocated office support staff to assist with screening to work on improving performance. We are also working toward filling our social worker vacancies and turnover, which have led to uncovered caseloads in the last several months. We are currently addressing these challenges and hope to be able to be closer to the target by the end of FY 2018-19.

Percent of IHSS Clients Receiving at least One Home Visit Annually

IHSS works diligently to meet the required State Quality Assurance (QA) regulation mandating annual reassessments for clients. Caseload increases and social worker position vacancies have resulted in decreased performance in IHSS clients receiving annual re-assessments on time. We did not meet the performance measure target this fiscal year but are seeing some improvement. We aim to be at 90% by the end of FY 2018-19


Future Priorities

  • Maintain regular visits with IHSS clients.
  • Ensure that APS cases are resolved and stabilized as quickly as possible.

Author: Gina Wilson, Chief Financial Officer, Health System     Contact Email: gwilson@smcgov.org    
Last Updated: 01-20-2019