1. Adult Protective Services Basic Skills Training
Module II
Day Two
Presented by:
North Carolina Department of Health and Human Services
Division of Aging and Adult Services

2. Family Assessment and Change Process
Receive and Screen Referral
Evaluate the Need for Protective Services
Obtain Service Authorization
Plan and Mobilize Essential Services
Close Protective Services Case

3. Service Authorization
Obtain Service Authorization
Determine Adult’s Capacity to Consent to Protective Services
Adult has capacity Adult lacks capacity
Refuses to Consents to Obtain legal authorization
consent to protective for services
protective services
services
Plan and mobilize essential
Document Document
offer of P.S. consent
and adult’s
refusal
Make Plan and mobilize
appropriate essential services
referrals
Close P.S. case

4. Lack of Capacity to Consent
Definition:
Lacks sufficient understanding or capacity to make or communicate responsible decisions concerning his person, including, but not limited to, provision for: health or mental health care, food, clothing or shelter, because of physical or mental incapacity.

5. Capacity to Consent
Assessment:
Is the adult aware of the limitations or deficiencies in his surroundings?
Is the adult aware of his own mental or physical limitations?
Is the adult aware of resources available to assist in meeting his needs?
Is the adult aware of the consequences to himself if nothing is done to improve or remedy his situation?

6. Capacity vs. Competency
Decision used for provision of Protective Services.
Often temporary.
Decision made by DSS or District Court Judge.
Defined in G.S. 108A.
Decision used for appointment of Guardian.
Usually long term.
Decision made by Clerk of Superior Court or Jury.
Defined in G.S. 35A.

7. Service Authorization
Disabled adult has capacity to consent and agrees to protective services: Agency immediately provides or arranges for services.
Disabled adult has capacity to consent and refuses protective services: Services are not provided and contact is terminated.
Disabled adult lacks capacity to consent: Legal authorization is obtained before services are provided.

8. Capacity vs. Competency
Lacks Capacity to Consent (APS)
Incompetent Adult (Guardianship)
Lacks sufficient under-standing or capacity
Lacks sufficient capacity
To make or communicate responsible decisions
To manage his own affairs, or to make or communicate important decisions
Concerning his health, mental health, food, clothing or shelter.
Concerning his person, family or property.

9. Family Assessment and Change Process
Receive and Screen Referral
Evaluate the Need for Protective Services
Obtain Service Authorization
Plan and Mobilize Essential Services
Close Protective Services Case

10. Plan and Mobilize Essential Services
Develop service plan
Implement service plan
Monitor implementation
Modify plan as needed
Reassess need for protective services

11. Planning Essential Services
Guidelines:
Plan should flow from the evaluation
Plan should be developed with client and family.
Plan should be goal-oriented and time-limited.
A wide range of services should be considered.
APS should be a shared community responsibility
Important values include:
Use of the least restrictive alternative;
respect for the client’s right to self-determination;
and non-maleficence.

12. Characteristics of Well Formulated Goals
“SMART” Acronym:
S = SPECIFIC
M = MEASURABLE
A = ACHIEVABLE
R = REALISTIC
T = TIME LIMITED

13. Service Plans should include:
Checklist for change identified from the evaluation.
Goals for each need/problem area.
List of activities to reach goals.
Identification of person responsible for completing each activity.
Time frame for completion of each activity.