References to -- The toll on families

[Marina]

The toll on families

The toll that CPS takes on families can be compared to elder abuse and in some states can fall under the category of adult abuse.

http://www.preventelderabuse.org/eldera ... glect.html

What are the indicators?

Indicators are signs or clues that neglect has occurred.

Some of the indicators listed below may not signal neglect but rather reflect lifestyle choices, lack of resources, or mental health problems, etc. add CPS involvement to the list

Signs of neglect observed in the home

Physical indicators

Behavioral indicators

Observed in the victim

Exhibits emotional distress such as crying, depression, or despair
Has nightmares or difficulty sleeping
Has had a sudden loss of appetite that is unrelated to a medical condition
Is confused and disoriented (this may be the result of malnutrition)
Is emotionally numb, withdrawn, or detached
Exhibits regressive behavior
Exhibits self-destructive behavior
Exhibits fear toward the caregiver
Expresses unrealistic expectations about their care (e.g. claiming that their care is adequate when it is not or insisting that the situation will improve)

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Psychological Abuse

http://www.preventelderabuse.org/eldera ... gical.html

Perpetrators may be family members, caregivers, or acquaintances.

Persons who are isolated and lack social or emotional support are particularly vulnerable.

Physical indicators

Significant weight loss or gain that is not attributed to other causes
Stress-related conditions, including elevated blood pressure

Behavioral indicators

Has problems sleeping
Exhibits depression and confusion
Cowers in the presence of abuser
Is emotionally upset, agitated, withdrawn, and non responsive
Exhibits unusual behavior usually attributed to dementia

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Federal Adult Protective Services

http://www.elderabusecenter.org/default.cfm?p=aps.cfm

Laws related to elder abuse

http://www.elderabusecenter.org/default ... awstoc.cfm

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The Basics

http://www.elderabusecenter.org/default ... basics.cfm

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http://www.dss.virginia.gov/policymanual/as/chap_b.pdf

page 155 Code of Ethics

The Adult Protective Services Social Worker is committed to the preservation of the
older/incapacitated adult’s rights, safety, and life style to the greatest degree possible.
The Adult Protective Services Social Worker accepts the older/incapacitated adult’s
right to make decisions until he/she delegates that right to another person or a court
grants that right to another.
The Adult Protective Services Social Worker will respect the privacy of the
older/incapacitated adult and hold in confidence all information obtained in the course of
providing services, following law and Department policy.
The Adult Protective Services Social Worker will represent the interest of the
older/incapacitated adult when the interest of family, community and others compete.

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http://www.dss.virginia.gov/policymanual/as/chap_c.pdf

Adult Services Case Management

page 6
Physical Environment
Functional Status
Physical Health Assessment
Psychosocial
Support Systems