Health System: 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 4,300 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 210 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 Meeting Target

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 Meeting Target

FY 2017-18 Year-End 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 will be increasing our target for fiscal year 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 continue to impact the results for this performance measure. We are continually experiencing challenges finding highly qualified social workers to fill vacancies, which have led to uncovered caseloads throughout the fiscal year. We are currently addressing these challenges and hope to meet the target by the end of fiscal year 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. We believe that it will take between six to eight months to return performance to the 90th percentile.

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: 08-20-2018