Current through Register Vol. 46, No. 39, September 25, 2024
(a) Protective
services for adults is a State-mandated service. The provisions of Parts 400
through 407 of this Title apply in general to this service. The following
factors relate specifically to protective services for adults, hereinafter
referred to as PSA.
(b)
Definitions. When used in this Part unless otherwise expressly stated or unless
the context or subject matter requires a different interpretation:
(1) Physical abuse means the nonaccidental
use of force that results in bodily injury, pain or impairment, including but
not limited to, being slapped, burned, cut, bruised or improperly physically
restrained.
(2) Sexual abuse means
nonconsensual sexual contact of any kind, including but not limited to, forcing
sexual contact or forcing sex with a third party.
(3) Emotional abuse means wilful infliction
of mental or emotional anguish by threat, humiliation, intimidation or other
abusive conduct, including but not limited to, frightening or isolating an
adult.
(4) Active neglect means
willful failure by the caregiver to fulfill the care-taking functions and
responsibilities assumed by the caregiver, including but not limited to,
abandonment, willful deprivation of food, water, heat, clean clothing and
bedding, eyeglasses or dentures, or health related services.
(5) Passive neglect means nonwillful failure
of a caregiver to fulfill care-taking functions and responsibilities assumed by
the caregiver, including but not limited to, abandonment or denial of food or
health related services because of inadequate caregiver knowledge, infirmity,
or disputing the value of prescribed services.
(6) Self neglect means an adult's inability,
due to physical and/or mental impairments to perform tasks essential to caring
for oneself, including but not limited to, providing essential food, clothing,
shelter and medical care, obtaining goods and services necessary to maintain
physical health, mental health, emotional well-being and general safety; or
managing financial affairs.
(7)
Financial exploitation means improper use of an adult's funds, property or
resources by another individual, including but not limited to, fraud, false
pretenses, embezzlement, conspiracy, forgery, falsifying records, coerced
property transfers or denial of access to assets.
(c) Client characteristics. Protective
services for adults are provided to individuals 18 years of age or older who,
because of mental or physical impairments:
(1) are unable to meet their essential needs
for food, shelter, clothing or medical care, secure entitlements due them or
protect themselves from physical, sexual or emotional abuse, active, passive of
self neglect, or financial exploitation; and
(2) are in need of protection from actual or
threatened harm due to physical, sexual or emotional abuse, or active, passive
or self neglect, or financial exploitation or by hazardous conditions caused by
the action or inaction of either themselves or other individuals; and
(3) have no one available who is willing and
able to assist them responsibly.
(d) Services. PSA services are limited as
appropriate to:
(1) identifying such adults
who need assistance or who have no one willing and able to assist them
responsibly;
(2) providing prompt
response and investigation upon request of adults at risk or other persons
acting on their behalf. At the time of referral, the local district shall make
a determination as to whether a life-threatening situation exists. If a
situation is designated as life-threatening, the district shall commence an
investigation as soon as possible but not later than 24 hours after receipt of
the referral. For potential PSA cases not designated as life-threatening
situations, the district shall commence an investigation within 72 hours of
receipt of the referral and shall make a visit to the client within three
working days of the referral. For the purposes of this Part, a referral is
defined as any written or verbal information provided to a district in which a
specific person is identified as apparently in need of PSA, or any verbal or
written information provided to a district on behalf of an adult for whom the
district determines that a PSA investigation and assessment is
necessary;
(3) assessing the
individual's situation and service needs;
(4) providing counseling to such adults,
their families, other responsible persons or to fiduciaries such as
representative payees, on handling the affairs of such adults;
(5) arranging for appropriate alternative
living arrangements in the community or in an institution providing room and
board as an integral but subordinate part of the provision of PSA for a period
not to exceed 30 days;
(6)
assisting in the location of social services, medical care and other resources
in the community, including arrangement for day care in a protective
setting;
(7) arranging for
guardianship, commitment or other protective placements as needed;
(8) providing advocacy and assistance in
arranging for legal services to assure receipt of rights and entitlements due
to adults at risk;
(9) functioning
as a guardian, representative payee, or protective payee where it is determined
such services are needed and there is no one else available or capable of
acting in this capacity;
(10)
providing homemaker and housekeeper/chore services when provided as an integral
but subordinate part in the provision of PSA to meet the goal of protection for
adults who demonstrate specified functional deficits. The provision of such
services shall be limited to six months when provided without regard to
financial criteria. When such services are available through other public or
private community resources, these should be utilized. The provision of these
services beyond six months may be authorized on a case-by-case basis under the
following conditions:
(i) guardianship or
other financial management proceedings have been started within the first 60
days of the provision of PSA services; and
(ii) the local district must accept the
responsibility to function as a guardian, representative payee or protective
payee on behalf of a PSA client if no other resources are available within 45
days of a determination by either:
(a) a
court that a guardian is required;
(b) an office of the Federal Social Security
Administration or the Railroad Retirement System that a representative payee is
required; or
(c) the social
services district that a protective payee is required.
Under these conditions, the provision of homemaker and
housekeeper/chore services without regard to financial criteria may be
continued beyond six months until the guardianship or other financial
management proceedings are completed, except in no case will such services be
authorized to continue for a period of more than three months subject to one
reauthorization not to exceed an additional three months; and
(11) other components
of PSA included in the State's Consolidated Services Plan (CSP), as required by
section 34-a of the Social Services Law and Part
407 of this Title.