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Appendix XVII: Assessments Policy and Procedures Overview

APS IH November 2017

 

Safety Assessment

Risk of Recidivism Assessment (RORA)

Strengths and Needs Assessment (SNA)

Who

The assigned APS specialist.

The assigned APS specialist. The supervisor may complete historical items related to the recidivism review if one is performed during an investigation.

The assigned APS specialist.

Which Cases

Required in all open investigations. It is also used for subsequent assessments as needed. 

All validated investigations for abuse, neglect, or financial exploitation.

All cases progressed to Intensive Case Services (ICS).

When

Section 1 is completed only once: at the time of case initiation.

Sections 2-5 are completed at the first successful face-to-face contact with the alleged victim and may be re-assessed at any subsequent time during the case.

At the end of the investigation, after the overall disposition is set and one allegation is valid. Complete before submitting investigation for supervisor approval.

The initial SNA, including the service plan, is completed as soon as possible, but no later than 14 calendar days after progressing to ICS. A new SNA may be completed any time after the original SNA.

Decision

The SA provides structured information concerning the current threat of injury or death to an alleged victim. This information guides the decision about whether the alleged victim is safe in his or her current environment, conditionally safe with an immediate intervention agreement in place, or unsafe because the alleged victim does not accept recommended interventions.

Whether the case should progress to Intensive Case Services (ICS), Maintenance, or be closed after the Investigation stage. The final risk level also informs the minimum contact standards for ICS.

  •   Low risk: Close case unless progressing to Maintenance.

  •   Moderate risk: Case can be submitted for closure unless the APS specialist recommends otherwise or the client has capacity and refuses services.

  •   High risk: Case progresses to ICS unless the client has capacity and refuses services.

Note: The APS specialist may determine that a low or moderate risk case needs to progress to Maintenance. See 3300 Maintenance Cases.

The SNA is used to identify client and/or primary caretaker strengths and needs that should be addressed in the APS Service Plan.

Minimum Contact Standards

Based on the safety decision from the SA:

  •   Safe: At least one safety contact with the alleged victim or a credible collateral is required every 30 calendar days following completion of the SA.

  •   Conditionally Safe: The frequency of contact is determined by the monitoring agreed upon in the immediate intervention agreement, but at least one face-to-face safety contact with the alleged victim is required every 30 calendar days after completion of the SA

  •   Unsafe: The APS specialist consults the APS supervisor and agrees to appropriate contact standards. The contact standards should consider progress toward legal action, any findings of professional assessment of capacity, and the likelihood of preserving rapport. More than one face-to-face safety contact with the alleged victim is required every 30 calendar days following completion of the SA.

These contact standards apply to the case through completion of the Investigation stage.

Based on the final risk level assigned on the RORA:

  •   Low risk: Close the case or progress to Maintenance, if appropriate.

  •   Moderate risk: Two service contacts with the client or credible collateral every 30 calendar days, one of which must be face-to-face with the client following progression to ICS.

  •   High risk: Three service contacts with the client or credible collateral every 30 calendar days, two of which must be face-to-face with the client following progression to ICS.

  •   Cases progressing to Maintenance: One service contact with the client or a credible collateral by phone or face-to-face every 30 calendar days following progression to Maintenance.

 

•   Low risk cases progressing from Maintenance to ICS: One face-to-face service contact with the client every 30 calendar days following progression to ICS.

During ICS:

Risk-based contact standards apply (see minimum contact standards under RORA). The minimum contact standards may be increased or decreased from the risk-based contact standards through the SNA or review of the service plan, but must include at least one service contact with the client or credible collateral every 30 calendar days.

Supervisory consult is required if the new contact standards do not meet the minimum risk-based standards (e.g., if it does not require two face-to-face contacts for high risk cases or requires less frequent contact).

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