Current through Register Vol. 47, No. 5, March 10, 2024
A. The
county department shall determine a time frame response to the case based upon
the reported level of risk.
B. When
factors present indicate the client is in clear and immediate danger or urgent
and significant risk of harm due to the severity of the mistreatment or
self-neglect, or due to the vulnerability or physical frailty of the client,
the county department shall:
1. Determine the
case to be an emergency;
2. Call
911, if appropriate based on the circumstances of the report; and,
3. For counties participating in the
Alternative Response pilot, allegations of mistreatment meeting this emergency
criteria shall be assigned to the traditional response track.
4. Make an initial response as soon as
possible, but no later than twenty-four (24) hours including non-business days,
after the receipt of the report. An initial response shall be:
a. An in-person visit with the client;
or,
b. An attempted in-person visit
with the client; or,
c. An outreach
to another professional who is not alleged to be the perpetrator, who can
evaluate the client's immediate safety when conducting an in-person visit would
be detrimental to the client and/or unsafe to the client and/or the county
department.
5. If the
initial response was not an in-person contact with the client and the county
department was unable to ascertain the client's safety, the county department
shall attempt an in-person client contact each day following the initial
attempt at contact, including non-business days.
a. A law enforcement welfare check may be
substituted for attempts at contact during non-business days. The county
department shall follow up on the next working day.
b. If the county department has confirmed the
client to be unavailable or safe, such as in the intensive care unit (ICU), the
reason for delayed response shall be documented.
c. Initial and subsequent attempts at contact
shall begin immediately when the client becomes or is expected to become
available.
d. Following the third
day of unsuccessful attempts at contact, the county department may choose to
call, email, text, or send a letter requesting an appointment with the
client.
e. If attempts at contact
remain unsuccessful, the county department shall close the case no later than
thirty-five (35) calendar days after the last attempt at contact.
f. The county department shall document all
attempts to contact the client.
6. If the initial response was not an
in-person contact with the client but the county department was able to
ascertain safety, it shall make an in-person client contact on the first
working day following the report.
a. If the
county department has confirmed the client to be unavailable, such as in the
intensive care unit (ICU), the reason shall be documented.
b. Initial and subsequent attempts at contact
shall begin immediately when the client becomes or is expected to become
available.
c. Following the third
day of unsuccessful attempts at contact, the county department may choose to
call, email, text, or send a letter requesting an appointment with the
client.
d. If attempts at contact
remain unsuccessful, the county department shall close the case no later
thirty-five (35) calendar days after the last attempt at contact.
e. The county department shall document all
attempts to contact the client.
C. When the report and subsequent supervisory
review and/or RED Team process indicate the client is not in immediate danger
or urgent risk of harm the county department shall:
1. Determine the case to be a
non-emergency.
2. For counties
participating in the alternative response pilot, determine a track assignment
for each allegation according to the requirements set forth in Section
30.440.
3. Make an initial response
no later than three (3) working days beginning the day after the county
department's receipt of the report. An initial response shall be:
a. An in-person visit with the client; or i.
For allegations assigned to the traditional response track, initial in-person
visits shall be unannounced and in private whenever possible.
ii. For allegations assigned to the
alternative response track, initial visits may be scheduled at the discretion
of the county.
iii. If the initial
report has multiple allegations and one or more allegations can be tracked to
the alternative response track and one or more allegations must be tracked to
the traditional response track, the initial response shall be conducted
pursuant to Subsection (i) above
b. An attempted in-person visit with the
client;
c. An outreach to another
professional who can evaluate the client's immediate safety when conducting an
in-person visit would be detrimental to the client and/or unsafe to the client
and/or the county department. For allegations assigned to the traditional
response track, the county shall ensure the outreach is made to a professional
who is not alleged to be the perpetrator.
4. When the initial response was not an
in-person contact with the client or the county department was unable to
ascertain the client's safety, the county department shall attempt an in-person
client contact every other working day for a minimum of three attempts.
a. A law enforcement welfare check may be
substituted for one attempt at contact and qualifies as one of the three
required attempts at contact.
b. If
the county department has confirmed the client to be unavailable or safe, the
reason for delayed response shall be documented.
c. Initial and subsequent attempts at contact
shall begin immediately when the client becomes or is expected to become
available.
d. For traditional
response track investigations, the county department may attempt to schedule an
appointment with the client following the third unsuccessful attempt at
contact.
e. If attempts at contact
remain unsuccessful, the county department shall close the case no later than
thirty-five (35) calendar days after the last attempted contact.
f. The county department shall document all
attempts to contact the client.
5. If the county department was able to
ascertain safety,
a. The county department
shall attempt an in-person client contact within the response time frame or
beginning on the first working day after ascertaining safety if safety were
ascertained on the last day of the response time frame. Attempts at contact
shall continue every other working day for a minimum of three
attempts.
b. If the county
department has confirmed the client to be unavailable, the reason shall be
documented.
c. Initial and
subsequent attempts at contact shall begin immediately when the client becomes
or is expected to become available.
d. Following the third unsuccessful attempt
at contact, the county department may choose to call, email, text, or send a
letter requesting an appointment with the client.
e. If attempts at contact remain
unsuccessful, the county department shall close the case no later than
thirty-five (35) calendar days after the last attempt at contact.
f. The county department shall document all
attempts to contact the client.
D. Prior to the initial in-person client
contact visit, the county department shall determine whether:
1. The visit and investigation should be made
in conjunction with law enforcement and/or personnel from other agencies in
accordance with the county department's cooperative agreements;
2. The client is in CAPS and/or is otherwise
known to the county department;
3.
Safety concerns exist, based on historical data and information provided in the
report, requiring the caseworker to be accompanied by:
a. Law enforcement;
b. The supervisor;
c. Another case worker; or,
d. Emergency, medical, and/or mental health
personnel, if known or suspected medical or psychiatric conditions
exist.