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ETHICS, VALUES AND CULTURAL COMPETENCE IN ADULT PROTECTIVE SERVICES PARTICIPANT MANUAL MODULE 2 This training is a product of National Center on Elder Abuse (NCAA), which is funded, in part, by the
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How to fill out adult protective services?

01
Gather necessary information: Begin by collecting all the relevant documents and information needed to fill out the adult protective services form. This may include personal identification documents, contact information, medical records, and any supporting documentation related to the case.
02
Complete the demographic section: Start by providing the required demographic information, such as the individual's name, age, gender, contact details, and current living situation. Ensure that the information provided is accurate and up-to-date.
03
Fill out the nature of the concern: Specify the reason for seeking adult protective services. This could include concerns about neglect, abuse, financial exploitation, self-neglect, or any other issue that requires intervention. Describe the circumstances in as much detail as possible to give a clearer picture to the authorities.
04
Provide supporting information: Attach any supporting documentation that enhances your case. This may include medical records, witness statements, photographs, or any other relevant evidence that supports the concerns raised. Ensure that all documents are organized and properly labeled to make reviewing easier for the authorities.
05
Submit the form: Once the form is completed and all supporting documents are attached, submit the adult protective services form as per the designated procedure. Follow the instructions provided by the relevant authority to ensure that your submission is received and processed effectively.

Who needs adult protective services?

01
Older adults: Adult protective services are typically designed to safeguard the well-being and rights of older adults who may be vulnerable to various forms of abuse or exploitation. These services provide a necessary support system to protect senior citizens from harm and ensure they receive proper care.
02
Individuals with disabilities: Adult protective services also extend to individuals with disabilities who may face challenges in advocating for their own safety and well-being. These services aim to protect and empower individuals with disabilities, ensuring they are not subjected to neglect, abuse, or any form of exploitation.
03
Individuals in vulnerable situations: People in vulnerable situations, regardless of age, may require adult protective services. This could include individuals facing mental health issues, addiction problems, homelessness, or those living in abusive environments. Adult protective services help identify and address these situations to protect the welfare of those involved.
In summary, filling out adult protective services involves gathering necessary information, completing the form accurately, providing supporting evidence, and submitting it according to the prescribed procedure. These services are primarily required by older adults, individuals with disabilities, and those in vulnerable situations who may be susceptible to neglect, abuse, or exploitation.
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Adult Protective Services (APS) is a social services program provided by state and local governments serving older adults and adults with disabilities who are in need of protection from abuse, neglect, or exploitation.
Certain professionals and members of the community, such as healthcare providers, social workers, law enforcement, and concerned individuals, are mandated reporters required to file adult protective services.
To fill out adult protective services, you can contact your local APS agency or hotline and report the details of the situation requiring intervention.
The purpose of adult protective services is to ensure the safety and well-being of vulnerable adults by investigating reports of abuse, neglect, or exploitation and providing appropriate interventions and services.
Information such as the name and contact information of the victim, details of the alleged abuse or neglect, and any additional relevant details must be reported on adult protective services.
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