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Adult Protective Services Handbook

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Section 1000: Program Overview: Adult Protective Services (APS)

1000 Program Overview: Adult Protective Services (APS)

1100 APS Purpose and Objectives

1200 Adult Protective Services Clients' Rights

1210 Interpreter Services for Principals With Limited English Proficiency (LEP) or Impaired Sensory or Speaking Ability

1211 Documentation for LEP or Sensory or Speaking Impairments

1220 Cultural Sensitivity

1221 Procedure for Delivering Protective Services in a Culturally Competent Manner

1300 Scope and Eligibility

1310 APS Eligibility Criteria

1311 Substantial Impairment

1311.1 Disability Payments and APS Eligibility

1311.2 Chronic Substance Abuse and APS Eligibility

1311.3 Examples of What Is and Is Not Considered Substantial Impairment

1320 Procedure for Determining APS Eligibility

1330 Perpetrators of Abuse, Neglect, and Financial Exploitation

1331 Perpetrators of Abuse and Financial Exploitation

1331.1 Procedure for Establishing Perpetrators of Abuse and Financial Exploitation

1331.2 Examples of Ongoing Relationship

1331.3 Examples of What Is Not an Ongoing Relationship

1332 Perpetrators of Neglect

1332.1 Procedure for Establishing Perpetrators of Neglect

1332.2 Examples of Caretaker and Paid Caretaker Relationships

1332.3 Examples of What Is Not a Caretaker or Paid Caretaker Relationship

1333 Children as Perpetrators

1340 Allegations That APS Investigates

1341 Procedure for Assessing Allegations

1342 Neglect Allegations

1342.1 Procedure for Assessing Physical Neglect (PHNG) Allegations

1342.2 Procedure for Assessing Mental Health Neglect Allegations (MHNG)

1342.3 Procedure for Assessing Medical Neglect (MDNG) Allegations

1343 Emotional or Verbal Abuse (EMAB) Allegations

1343.1 Procedure for Assessing Emotional or Verbal Abuse (EMAB) Allegations

1344 Physical Abuse (PHAB) Allegations

1344.1 Procedure for Assessing Physical Abuse (PHAB) Allegations

1345 Sexual Abuse (SXAB) Allegations

1345.1 Procedure for Assessing Sexual Abuse (SXAB) Allegations

1346 Financial Exploitation (EXPL) Allegations

1346.1 Procedure for Assessing Financial Exploitation (EXPL) Allegations

1346.11 Assessing Financial Exploitation Allegations Involving Loans

1350 Family Violence Allegations

1351 Procedure for Assessing Family Violence Allegations

1352 The Texas Address Confidentiality Program (ACP)

1353 Procedure When an Alleged Victim’s Address Is Made Confidential Through the ACP

1354 Documenting a Confidential Address in IMPACT and Marking the Case as Sensitive

1354.1 Documenting a Nonconfidential Substitute Address

1360 Death Allegations

1361 Procedure for Death Allegations

1370 Do Not Resuscitate (DNR) and Removal of Life Support Allegations

1371 Procedure for Do Not Resuscitate (DNR) and Removal of Life Support Allegations

1380 Need for Consent to Medical Treatment Allegations

1381 Procedure for Need for Consent to Medical Treatment Allegations

1390 Allegations Involving Chronic Callers

1391 Criteria for Establishing a Pattern for Chronic Callers

1392 Notifying Statewide Intake (SWI) About Chronic Callers

1393 Procedures for Tracking the Chronic Caller List

1394 Procedures for Removing an Individual From the Chronic Caller List

1400 Allegations Involving Other DFPS Programs

1410 Procedure for Assessing Allegations Involving Other DFPS Programs

1420 Assessing Residential Child Care Facility Allegations

1421 Procedure for Assessing Residential Child Care Facility Allegations

1430 Assessing Allegations in Settings Investigated by HHSC Regulatory Services Division Provider Investigations

1500 Allegations in Facilities Investigated by Texas State Agencies Other Than DFPS

1510 Procedure for Allegations in Facilities Investigated by Texas State Agencies

1520 Examples of Allegations in Facilities Regulated by Other Texas State Agencies

1530 Procedure for Complaints That Do Not Allege Abuse, Neglect, or Financial Exploitation

1540 Allegations Involving HHSC Long-Term Care Regulatory Services

1541 Allegations in Facilities Requiring Licensure by HHSC Long-Term Care Regulatory Services

1541.1 Procedure for Assessing Allegations in Facilities Requiring Licensure by HHSC Long-Term Care Regulatory Services

1541.2 Procedure for Determining Whether an Assisted Living Facility Is Licensed or Should Be Licensed by HHSC Long-Term Care Regulatory Services

1541.21 Procedure for When a Facility's Licensure Status Is Unknown

1541.3 Procedure for Emergency Situations Involving Facilities Requiring Licensure by HHSC Long-Term Care Regulatory Services

1541.4 Procedure for Closure of Facilities Requiring Licensure by HHSC Long-Term Care Regulatory Services

1542 Allegations in Nursing Homes

1542.1 Procedure for Allegations in Nursing Homes

1542.2 Examples of Situations Appropriate for APS Investigation

1542.3 Examples of Situations Not Appropriate for APS Investigation

1543 Allegations in Assisted Living Facilities

1543.1 Procedure for Allegations in Assisted Living Facilities

1550 Allegations Involving Schools

1560 Allegations Involving the Texas Department of State Health Services (DSHS)

1561 Allegations in Hospitals and Hospices

1561.1 Procedure for Allegations in Hospitals

1561.2 Examples of Ongoing Protective Services Following Hospital Discharge

1561.3 Examples of Hospital Discharge Without a Need for Ongoing Protective Services

1570 Allegations Occurring on Indian Reservations

1571 Procedure for Allegations Involving Indian Nations

1600 Allegation Priorities

1610 Priority I Allegation: 24-Hour Face-to-Face

1611 Procedure for Priority I Allegations

1612 Examples of Priority I Allegations

1620 Priority II Allegation: Three-Day Face-to-Face Contact

1621 Procedure for Priority II Allegations

1622 Examples of Priority II Allegations

1630 Priority III Allegation: Seven-Day Face-to-Face Contact

1631 Procedure for Priority III Allegations

1632 Examples of Priority III Allegations

1640 Priority IV Allegations: 14-Day Face-to-Face

1641 Procedure for Priority IV Allegations

1642 Examples of Priority IV Allegations

1700 Case-Related Special Requests

1710 Types of APS Case-Related Special Requests

1720 Procedures for Handling CRSRs

1730 Documenting the CRSR

1740 Closing the CRSR

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