	Adult Protective Services

Introduction

Administration and Management

Service Delivery Administration Standards

Service Standards

APS 5: Service Planning and Monitoring

Families participate in the development and ongoing review of a service plan that is the basis for delivery of appropriate services and support.

NA The organization does not facilitate or monitor service planning.

APS 5.01

Service planning includes, as appropriate:

the individual;
family members; and
additional service providers.

Interpretation: Individuals with limited ability to make independent choices receive help with making decisions and assuming more responsibility for making decisions.

Family members and significant others can be involved in service planning when appropriate and with the consent of the service recipient. The organization can facilitate their participation by, for example, helping arrange transportation and including them in scheduling decisions.

APS 5.02

The service plan is based on the assessment and includes:

goals and outcomes for personal safety, stability in living arrangements, and well-being;
services to improve care and avoid loss of independence;
formal and informal support systems that can aid in safe and appropriate caretaking;
how and by whom services will be provided; and
the signature of the person served and his or her guardian, as applicable.

APS 5.03

The service plan addresses, as appropriate and with the consent of the individual:

the family’s unmet service and support needs; and
possibilities for maintaining and strengthening family relationships.

APS 5.04

Service plans are completed within timeframes established by the organization.

APS 5.05

The worker and a supervisor, or a service or peer team, review the case at least quarterly to assess:

service plan implementation;
the appropriateness of safety plans;
progress toward achieving service goals and desired outcomes; and
the continuing appropriateness of the agreed upon service goals, and the need to keep the case open.

Interpretation: Workers should assess the individual’s progress following each visit and review the case when necessary. The case review is sometimes referred to as an administrative review, a supervisory review, a case conference, or a staffing.

Experienced workers may conduct reviews of their own cases. In such cases, the worker's supervisor reviews a sample of the worker's evaluations as per the requirements of the standard.

APS 5.06

The worker and individual or legal guardian regularly review progress toward achievement of agreed upon service goals and sign revisions to service goals and plans.

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	PURPOSE: Adult Protective Services protect vulnerable adults from exploitation, neglect, and abuse.

RELATED FILES


	SERVICE One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.


	SERVICE PLAN A written plan of action based on the assessment of consumer needs and strengths that identifies problems, sets goals, and describes a strategy for achieving those goals and engaging in joint problem solving with the consumer. Also known as a "treatment plan".


	PLANNING The process of specifying objectives, evaluating the means for their achievement, and exercising deliberate decision making about appropriate courses of action.


	FAMILY Two or more people who consider themselves family and who assume obligations, functions, and responsibilities generally essential to healthy family life. Child care and child socialization, income support, long-term care, and other caregiving are among the functions of family life. The definition of "family" will rest with an individual's indication of who plays a family member role, including current or former foster family, adoptive family, extended family members, fictive kin, or significant others. Organizations that believe family is the central constellation in a child's life, and that family attachments are of primary importance for human development, will strive to work with professional staff to develop a common understanding of "family."


	SERVICE RECIPIENT The individuals, groups, organizations, or communities that use, receive, or benefit from programs and services. Service recipients can include consumers, patients, family members, legal guardians, advocates, public/private organizations, employers, and purchasers. All are regarded as significant stakeholders served in a variety of agencies and practice settings.


	ASSESSMENT An evaluation, which utilizes professional expertise and skills in the collection and analysis of data to understand and describe the nature of service needs of an individual, family, or group. Assessment, as in needs assessment, is also used to determine priorities of program planning and service development for the organization as a whole. See also DIAGNOSIS.


	CASE A general term used to designate clients (including individuals, families, and groups) served by an organization for purposes of monitoring the provision of services. A foster care case is generally based on the placement of an individual child, although casework for the child may include services to the child's family. A child protective services case is based on an entire family household if a family assessment model is used; otherwise a case is defined as a child.


	APPROPRIATENESS The degree to which a particular service, placement, treatment, intervention, or activity is: best suited to an individual's needs; not excessive, unduly intrusive, or restrictive; anticipated to be effective in achieving the desired and specified outcomes; and adequate or sufficient in quantity to address the problem.


	SERVICE GOALS Broad, issue-oriented statements that reflect the realistic achievements to be accomplished in the short or long term. Goals are achieved through the accomplishment of specific quantifiable objectives.


	CASE REVIEW A regular and periodic examination of a consumer's service needs, service delivery goals and objectives, intervention plans, prognoses, and the timelines required to achieve them. The direct service provider and supervisor frequently conduct the case review, but it may also involve others, as in an interdisciplinary or inter-organizational case conference. The client, or the parent or legal guardian in the case of a minor, are included in his/her periodic case review by the team.


	SAMPLE A portion or representative percentage of a greater whole.


	EVALUATION The review and assessment of organizational operations, programs and services.


	LEGAL GUARDIAN A person who has legal responsibility for the care and management of a person incapable of administering his/her own affairs. In the case of a minor child, the guardian is charged with the legal responsibility for the care and management of the child and of the minor child's estate.