Georgia Abuse, Neglect, and Exploitation App GANE App Georgia Abuse, Neglect, and Exploitation App Welcome folks to the session. Mention co-presenters. Ask that they hold questions to the end.

GEORGIA ABUSE NEGLECT EXPLOITATION APP GANE App The GANE App was developed through a collaboration between the GA Dept. of Human Services DAS, the Georgia Chapter of the Alzheimer’s Association, and the GBI DAS partners included staff from Adult Protective Services, Forensics, and Livable Communities section. A number of factors came together at one time (some would call that a perfect storm), culminating in the development of this app. Ginny Helms will talk more about some of those factors in a few minutes. Some of them include: Funding from Administration for Community Living for the Part B Systems Integration Grant. That grant focused on dementia capability of the states: does your work force, whether social services, mental health, or law enforcement, know how to identify persons with cognitive impairments, and where to turn for services? Simultaneously, Georgia began work on the Alzheimer’s State Plan. The Advisory Committee that put this plan together identified a couple of critical issues facing health care professionals dealing with persons with dementia. They made recommendations to the Georgia General Assembly, and funding was received. Ginny Helms will provided details. When over 70 experts from around the state prioritized several key issues, that conveyed a powerful message to the General Assembly. GEORGIA ABUSE NEGLECT EXPLOITATION APP

Georgia Abuse Neglect Exploitation (GANE) App Law enforcement/Adult Protective Services frequently encounter situations where someone appears to have been abused, neglected, or exploited Where persons with diminished cognitive capacity appear to be wandering and/or lost GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP GANE App (cont.) When a vulnerable adult is deemed to be unsafe, e.g. removed from an unlicensed personal care home/caregiver is arrested Options available to place them temporarily to ensure their safety are limited Situations often occur in the middle of the night GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP GANE App (cont.) Law enforcement/professionals need quick access to information, screening tools, and resources GANE App has special features only available to law enforcement, social services & regulatory agencies GEORGIA ABUSE NEGLECT EXPLOITATION APP

App features (general public) Social service, regulatory and other agencies contact and reporting information Georgia laws relating to abuse, neglect, and exploitation Reporting Agencies- --DAS --APS --Heath Facilities Regulation --LTCO --DBHDD --Food Stamp Fraud --Social Security Frau Resource Agencies --Veterans Affairs --Georgia Map to Cares (how to find assisted living, nursing homes) --Georgia Legal Hotline --Georgia Cares --Alzheimer’s Association --ADRCs --AARP GEORGIA ABUSE NEGLECT EXPLOITATION APP

Special features for professionals Screening questions & algorithm for cognitive functioning Screening questions & algorithm for determining abuse, neglect, and exploitation Screening questions & algorithm for determining financial capacity Cognitive Questions Three questions, from Dr. Larry Tune, Emory University School of Medicine. One or more wrong answers prompts officer to look for phone number for family, or refer to the Alzheimer’s Association. ANE Questions- 7 questions re abuse; 6 for neglect, and 5 or exploitation (from EEDS Assessment—out of Chicago. Now in the public domain. Based on answer, an algorithm prompts a referral to APS. Financial Exploitation 3 questions. Developed by Dr. Daniel Marson, Universty of Alabama at Birmingham. One wrong answer triggers a referral to APS, for them to conduct a full assessment on financial capacity. GEORGIA ABUSE NEGLECT EXPLOITATION APP

Special features (cont.) Emergency placement places by zip code Mattie’s Call (receive and send alerts) Push notifications of latest scams TERF (temporary emergency relocation fund) Emergency Placements Mattie’s Call—a protocol that alerts law enforcement if someone with dementia has wandered away. TERF—Ginny Helms discussed this earlier. DAS has a contract with an entity that maintains a list /data base of licensed personal care homes and assisted living facilities that would take a person for several days. If law enforcement determines that person should not be sent on their way, they can call a number on the app. The organization called will locate the nearest facility and communicate its location to the officer. GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP GANE Android phones/tablets only (IOS/Windows versions available later in 2015) Free download from Google Play Store Activation code required to access special features GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP GANE APP Home Page Tap here and type the activation code: ****** Law enforcement may request an activation code from: David.Blake@dhs.ga.gov or Amanda.Carter@dhs.ga.gov GEORGIA ABUSE NEGLECT EXPLOITATION APP

Reporting Agencies Tab This tab contains a list of social service & regulatory agencies to report suspected abuse, neglect, and exploitation of an at-risk adult O.C.G.A. § 30-5-4 requires mandated reporting to both social services/regulatory agencies and law enforcement GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP Resource Agencies Tab This is the Resource Agencies tab. These agencies provide a variety of services to at-risk adults Touching the agency name opens a new page that describes the agency and provides contact information GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP Laws Tab The Laws tab provides a list of crimes specifically related to at-risk adults and identifies crimes with enhanced penalties Touching on specific laws will open a copy of the O.C.G.A. § code section GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP Placement Tab The “Care Facilities” Tab opens the GAMap2Care Website. This function is useful for detailed follow up investigations This site is easier to use with a tablet or computer GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP Placement Tag (cont.) The TERF tab provides the criteria for using the TERF program and allows the user to call TERF directly from the app TERF is only available to law enforcement, Adult Protective Services, & Healthcare Facility Regulation GEORGIA ABUSE NEGLECT EXPLOITATION APP

Temporary Emergency Relocation Funds (TERF) Is a resource only for law enforcement, social services and regulatory agencies to assist in the emergency placement, for up to four (4) consecutive days, of abused, neglected and exploited at-risk adults whose caregivers have been removed because of illness, arrest, or other reasons TERF is available 24 hours a day 7 days a week GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP TERF requirements At-risk adults lacking the ability to independently provide for their own basic necessities of life due to disease, disability or cognitive impairment Without family or friends to become involved in the care and decision making of the adult; and at imminent risk of harm/threat to health and safety if placement is not provided GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP TERF TERF is not intended to resolve issues of chronic homelessness and/or issues of cognitive impairment due to use of alcohol or narcotics Mental health crises should be addressed through the Department of Behavioral Health and Developmental Disabilities Scenario: 3 AM. Officer finds someone wandering. Administers 3 cognitive screening questions, and determines this person should not be release, sue to harm to themselves. Cannot identify family (remember, only other options used to be letting someone go, jail, or hospital) . Procedures: --Law Enforcement places a call to number on their app for emergency placement --provides information bout demographic information about the individual being admitted for care, if known, including the general condition of the adult . --TERF intake calls the offer back, with the nearest location, and officer transports individual. GEORGIA ABUSE NEGLECT EXPLOITATION APP

Emergency medical/psychiatric Any adult who needs emergency medical or psychiatric treatment should not be processed for TERF placement. Calling emergency responders or transporting to the Emergency Room is appropriate in that circumstance GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP Report Missing Adult This tab allows for the initiation of a Mattie’s Call for disabled adults or a Safe Return Program directly through the GANE App GEORGIA ABUSE NEGLECT EXPLOITATION APP

GEORGIA ABUSE NEGLECT EXPLOITATION APP Screenings Tab Each tab under the Screening tab opens to screening forms The GANE App processes the answers and makes a determination as to whether or not the case should be referred to the appropriate state agency GEORGIA ABUSE NEGLECT EXPLOITATION APP