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STATE OF NEVADA
DIVISION FOR AGING SERVICES
SERVICE
SPECIFICATIONS
CASE
MANAGEMENT – ELDER PROTECTIVE SERVICES
(Revised
9/03)
Any exceptions to these Service
Specifications must be requested in advance in writing and approved by the
Administrator.
SERVICE DEFINITION:
This service is a process
by which victim needs and services are identified by the Division for Aging
Services, Elder Protective Services (EPS) staff during the course of an
investigation. The Case Management provider is to ensure that those identified
needs are managed and that the care is coordinated and monitored to promote
client safety and well being.
SERVICE
CATEGORIES AND UNIT MEASURES:
The following service
categories and unit measures established by the Administration on Aging (AoA)
must be used to document the amount of service provided:
Case
Management:
Short term assistance in the
form of an assessment of needs, or assistance with access to services, or care
coordination in circumstances where the older person and/or their caregivers are
in need of an ongoing protection that will require the provision of services by
designated service providers.
One
unit equals one hour of service.
GENERAL
REQUIREMENTS:
A.
Case managers are Licensed Social Workers (NRS Chapter 641B), Advanced
Registered Nurses (Possess a master’s degree as a clinical nurse specialist or
advanced practice RN) or fulfills criteria establishing case management
expertise (work history or national certification as case manager).
SPECIFICATIONS:
1.
Eligibility:
1.1
Client must be referred by the Elder Protective Services unit and be receiving
protective services from the Division for Aging Services.
1.2
Referrals from Clark County Social Services Adult Protective Services may also
be served under the grant.
1.3
The case management provider must indicate to the EPS investigator the
projected time frame for the start of services.
2.
Required Services:
2.1
A written referral from the EPS Investigator must be received by the
authorized provider prior to services being initiated. A transfer conference
by telephone or in person shall be held with EPS staff. The Division for Aging
Services EPS staff will provide a summary that will include: identifying
information, prior history, circumstances surrounding EPS involvement and
family support information and a request for service.
2.2
The case manager will advocate on behalf of the client and/or client’s
family to locate/follow-up with service providers and monitor service delivery
to ensure that the victim is not at risk of further abuse, neglect,
exploitation or isolation.
2.3
Cases may be re-opened (upon request from EPS) should the EPS unit receive
other allegations. An investigation will be completed and the case management
provider will be consulted.
2.4
Case management providers are mandated reporters of elder abuse, neglect,
exploitation or isolation, and must report any new allegations that may
surface during their involvement.
2.5
Transportation of victims to apply for needed services may be provided as part
of the case management service. The grantee must verify that caseworkers
maintain automobile insurance per NRS 485.185.
3.
Service Prohibitions:
3.1
Staff shall not accept tips, gifts, fees, loans or anything of value from
clients.
3.2
Staff shall not operate as the client’s legal guardian or executor.
3.3
Staff shall not investigate suspected elder abuse, neglect, exploitation or
isolation but must refer such allegations to the Division for Aging Services
within 24 hours.
4.
Case Record Requirements:
4.1
A case record must be maintained on each referral for case management services
and must contain the following:
4.1.a
The referral form EPS Case Management Services is completed by the EPS
investigator. It documents the pertinent information regarding the victim,
prior history, circumstances surrounding EPS involvement, support systems
and the requested services.
4.1.b
A standardized assessment that provides a description of the home
environment, the victim’s physical and mental health and abilities.
4.1.c
A care plan must be developed with the victim/victim’s representative that
incorporates the EPS investigator's requested services. The care plan must
contain specific actions designed to meet the established goal of providing
on-going protection of the victim from abuse, neglect, exploitation and
isolation. The care plan should include the projected type, amount,
frequency, duration and source of services to be arranged or provided. The
care plan must be signed and dated by the victim/caregiver, if appropriate.
A copy of the completed care plan must be provided to the client or
caregiver if appropriate.
4.1.d
If the care plan goals are met and the victim is no longer in need of case
management service, the case will be closed. A written discharge summary
will be forwarded to EPS within 10 days of last contact/visit. The summary
should include services provided, justification for discharge and total
units of service.
4.1.e
Amendments to the care plan must be made as necessary.
4.2
A reassessment must be conducted at least every 90 days to assess any changes
in the victim’s physical health, mental health, emotional status and/or
support systems. The reassessment must include the following:
4.2.a
An evaluation of the services provided and the progress made towards
reaching the objectives.
4.2.b
An assessment of the need for continued case management services based on
the evaluation of the services provided and the progress made toward the
goal of on-going protection of the victim.
4.3
A written summary of any progress to the client’s condition is sent to EPS
every 90 days.
5.
Quality Improvement:
5.1
The grantee shall establish an annual method to determine consumer
satisfaction with service through questionnaires or some other means. The
results of the quality improvement review must document any program
deficiencies and contain a plan of correction.
6.
Special Compliance Requirement:
6.1
Grantees must have current commercial and professional liability coverage as
appropriate.
