California 2019-2020 Regular Session

California Assembly Bill AB2302 Compare Versions

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11 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2302Introduced by Assembly Member ArambulaFebruary 14, 2020 An act to amend Sections 15610.10, 15610.23, 15610.27, 15610.55, 15610.57, 15701.05, 15753, 15763, and 15771 of, and to add Sections 15651, 15767, and 15768 to, the Welfare and Institutions Code, relating to elder and dependent adults. LEGISLATIVE COUNSEL'S DIGESTAB 2302, as introduced, Arambula. Elder and dependent adults.(1) Existing law, the Elder Abuse and Dependent Adult Civil Protection Act, establishes various procedures for the reporting, investigation, and prosecution of elder and dependent adult abuse. Existing law makes it a crime for a mandated reporter to fail to make a report under the act.Existing law requires each county welfare department to establish and support a system of protective services for elderly and dependent adults who may be subjected to neglect, abuse, or exploitation or who are unable to protect their own interests.Existing law authorizes, in certain circumstances, an elder or dependent adult to be taken into temporary emergency protective custody.For the purposes of the above-described provisions, existing law defines an elder as a person who is 65 years of age or older and a dependent adult as an adult between 18 and 64 years of age who has specific limitations.This bill would instead define an elder as a person who is 60 years of age or older and a dependent adult as a person who is between 18 and 59 years of age and has those specific limitations. The bill would also specifically identify that a person in that age range with traumatic brain injuries or cognitive impairments is a dependent adult. By requiring counties to provide services under the above described provisions for additional individuals, and by expanding the scope of a crime under the Elder Abuse and Dependent Adult Civil Protection Act, this bill would impose a state-mandated local program.(2) Existing law establishes the Home Safe Program, which requires the State Department of Social Services to award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing prescribed housing-related supports to eligible individuals.This bill would include in the list of housing-related supports services to support housing transitions. Existing law requires counties that receive grants under the Home Safe Program to provide matching funds.This bill would provide that, on and after the effective date of the bill, grantees are not required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.(3) The Elder Abuse and Dependent Adult Civil Protection Act requires, as part of the procedures described in paragraph (1), each county to establish an adult protective services program that includes specific policies and procedures, including provisions for emergency shelter or in-home protection.This bill would also require the policies and procedures to include provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program. The bill would authorize a county that receives grant funds under the Home Safe Program to, as part of providing case management services to elder or dependent adults who require adult protective services, provide housing assistance to those who are homeless or at risk of becoming homeless. The bill would require, if an elder or dependent adult comes to the attention of adult protective services because they are homeless, and an investigation indicates that they are homeless because they have a serious mental illness or substance use disorder, the county to refer the adult to the appropriate state or local agency to receive services and supports. By imposing additional duties on counties in the administration of their adult protective services programs, this bill would impose a state-mandated local program.The bill would require the department to convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The bill would require the department to submit the recommendations to the Legislature by November 1, 2021.The bill would establish the Adult Protective Services FAST/Forensic Center Grant Program, to be administered by the department, for the purpose of awarding grants to counties to create, enhance, and maintain a FAST or forensic center. The bill would define, for these purposes, a FAST as a team that handles cases involving financial abuse and a forensic center as a cross-disciplinary group of professionals who collectively review, make recommendations, and provide assistance on the most complex cases of elder and dependent adult abuse and neglect. (4) The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for specified reasons.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe people of the State of California do enact as follows:SECTION 1. (a) The Legislature finds and declares all of the following:(1) The Adult Protective Services Program (APS), established by the Legislature as a statewide program in 1998, is a critical component of the states safety net for vulnerable adults.(2) The population served by the county-run, state-overseen APS program has grown and changed significantly since the programs inception and will continue to do so at a rapid pace, given the increasing number of older adults in California. Californias over-65 population is expected to be 87 percent higher in 2030 than in 2012, an increase of more than four million people. The population over 85 years of age will increase at an even faster rate, with 489 percent growth between 2010 and 2060.(3) The increasing population of older adults often has more complex needs, including persons with cognitive impairments and a growing number of those experiencing homelessness. Research indicates that approximately 50 percent of homeless individuals are over 50 years of age, and one-half of those individuals became homeless after 50 years of age.(b) It is, therefore, the intent of the Legislature, in order to address the safety and well-being of the growing number of diverse older adults who will need adult protective services, to enhance the program in a number of ways, including enabling the program to provide longer-term case management for those with more complex cases, expanding and making more flexible the Home Safe Program to aid clients facing homelessness, and encouraging the use of collaborative, multidisciplinary best practices across the state, including financial abuse specialist teams and forensic centers. It is further the intent of the Legislature to expand the age of clients served under the program in order to intervene earlier with aging adults before their situations reach a crisis point.SEC. 2. Section 15610.10 of the Welfare and Institutions Code is amended to read:15610.10. Adult protective services means those preventive and remedial activities performed on behalf of elders and dependent adults who are unable to protect their own interests, harmed or threatened with harm, caused physical or mental injury due to the action or inaction of another person or their own action as a result of ignorance, illiteracy, incompetence, mental limitation, substance abuse, or poor health, lacking in adequate food, shelter, or clothing, exploited of their income and resources, or deprived of entitlement due them. have come to the attention of the adult protective services agency due to potential abuse or neglect.SEC. 3. Section 15610.23 of the Welfare and Institutions Code is amended to read:15610.23. (a) Dependent adult means a person, regardless of whether the person lives independently, between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who resides in this state and who has physical or mental limitations that restrict his or her their ability to carry out normal activities or to protect his or her their rights, including, but not limited to, persons who have physical or developmental disabilities, who have traumatic brain injuries or cognitive impairments, or whose physical or mental abilities have diminished because of age.(b) Dependent adult includes any person between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who is admitted as an inpatient to a 24-hour health facility, as defined in Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.SEC. 4. Section 15610.27 of the Welfare and Institutions Code is amended to read:15610.27. Elder means any person residing in this state, 65 60 years of age or older.SEC. 5. Section 15610.55 of the Welfare and Institutions Code is amended to read:15610.55. (a) Multidisciplinary personnel team means any team of two or more persons who are trained in the prevention, identification, management, or treatment of abuse of elderly or dependent adults and who are qualified to provide a broad range of services related to abuse of elderly or dependent adults.(b) A multidisciplinary personnel team may include, but need not be limited to, any of the following:(1) Psychiatrists, psychologists, or other trained counseling personnel.(2) Police officers or other law enforcement agents. agents, including district attorneys.(3)Medical personnel with sufficient training to provide health services.(3) Health practitioners, as defined in Section 15610.37.(4) Social workers with experience or training in prevention of abuse of elderly or dependent adults.(5) Public guardians. guardians, public conservators, or public administrators.(6) The local long-term care ombudsman.(7) Child welfare services personnel.(8) Representatives of a health plan.(9) Housing representatives.(10) County counsel.(11) A person with expertise in finance or accounting.SEC. 6. Section 15610.57 of the Welfare and Institutions Code is amended to read:15610.57. (a) Neglect means either of the following:(1) The negligent failure of any person having the care or custody of an elder or a dependent adult to exercise that degree of care that a reasonable person in a like position would exercise.(2) The negligent failure of an elder or dependent adult to exercise that degree of self care that a reasonable person in a like position would exercise.(b) Neglect includes, but is not limited to, all of the following:(1) Failure to assist in personal hygiene, or in the provision of food, clothing, or shelter.(2) Failure to provide medical care for physical and mental health needs. No person shall be deemed neglected or abused for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone in lieu of medical treatment.(3) Failure to protect from health and safety hazards.(4) Failure to prevent malnutrition or dehydration.(5) Substantial inability or failure of an elder or dependent adult to manage their own finances.(5)(6) Failure of an elder or dependent adult to satisfy any of the needs specified in paragraphs (1) to (4), (5), inclusive, for himself or herself themselves as a result of poor cognitive functioning, mental limitation, substance abuse, or chronic poor health.(c) Neglect includes being homeless if the elder or dependent adult is also unable to meet any of the needs specified in paragraphs (1) to (4), inclusive, of subdivision (b), but not if the individual is unable to meet those needs due to serious mental illness or substance use disorder.SEC. 7. Section 15651 is added to the Welfare and Institutions Code, to read:15651. If an elder or dependent adult is suspected or alleged to be a victim of neglect because the elder or dependent adult is homeless and an investigation indicates that the elder or dependent adult is unsheltered or lacks permanent housing because they have a serious mental illness or substance use disorder, the elder or dependent adult shall be referred to the appropriate state or local agency to receive services and supports.SEC. 8. Section 15701.05 of the Welfare and Institutions Code is amended to read:15701.05. Appropriate temporary residence means any of the following:(a) A home or dwelling belonging to a member of the endangered adults family or next of kin, if it would not constitute a risk to the endangered or dependent adult.(b) An adult residential care facility or residential care facility for the elderly designated by the county as an emergency shelter and that is licensed by the State of California to deal with the needs of elder or dependent adults.(c) A 24-hour health facility, as designated by Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.(d) Any other home, dwelling, or congregate care unit that meets the needs of the adult.(d)(e) This chapter shall not be used to circumvent or supplant the involuntary detention and evaluation process provided for pursuant to Chapter 2 (commencing with Section 5150) of Part 1 of Division 5. A person shall not be deemed an endangered adult for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone, in lieu of medical treatment.(e)(f) This chapter shall not be used to effectuate placement in jails or correctional treatment centers, as defined in paragraph (1) of subdivision (j) of Section 1250 of the Health and Safety Code.SEC. 9. Section 15753 of the Welfare and Institutions Code is amended to read:15753. The department shall, to the extent funding for this purpose remains with the department, establish one full-time position that reports to the director to assist counties with the following functions in their operation of the adult protective services system:(a) Facilitating the review and update of state policies and procedures to promote best casework practices throughout the state, and providing technical assistance to local programs to promote consistent statewide adherence to these policies.(b) Developing recommended program goals, performance measures, and outcomes for the adult protective services system, and a strategic plan to accomplish these recommended goals, performance measures, and outcomes.(c) Collaborating with other state departments and local communities that provide or oversee elder justice services to address the needs of elders and adults with disabilities and improve coordination and effectiveness of adult protective services.(d) Exploring the development of a state data collection system that builds on existing statewide data and additionally tracks outcomes that will align with national data collection efforts.(e) Participating in national, statewide, and regional discussions on adult protective services and elder justice issues and providing information on Californias adult protective services programs.(f) Participating in the development of federal and state policy that responds to new and emergent needs and develops suggested quality assurance measures to be implemented at the local level.(g) Facilitating the development of a regionally based, ongoing, comprehensive and consistent statewide adult protective services training program that responds to new and emerging trends.(h) In collaboration with experts in the field, developing guidelines for local adult protective services programs that will make recommendations for local practice in following areas:(1) Caseload levels for adult protective services workers.(2) Availability of tangible services for local programs.(3) Educational and professional development of adult protective services workers.(4) Structure for 24 hour adult protective services response.(i) Addressing the needs of elder and dependent adults who have traumatic brain injuries or cognitive impairments and those who are homeless.SEC. 10. Section 15763 of the Welfare and Institutions Code is amended to read:15763. (a) Each county shall establish an emergency response adult protective services program that shall provide in-person response, 24 hours per day, seven days per week, to reports of abuse of an elder or a dependent adult, for the purpose of providing immediate intake or intervention, or both, to new reports involving immediate life threats and to crises in existing cases. The program shall include policies and procedures to accomplish all of the following:(1) Provision of case management services that include investigation of the protection issues, assessment of the persons concerns, needs, strengths, problems, and limitations, stabilization and linking with community services, and development of a service plan to alleviate identified problems utilizing counseling, monitoring, followup, and reassessment.(2) Provisions for emergency shelter or in-home protection to guarantee a safe place for the elder or dependent adult to stay until the dangers at home can be resolved.(3) Establishment of multidisciplinary teams to develop interagency treatment strategies, to ensure maximum coordination with existing community resources, to ensure maximum access on behalf of elders and dependent adults, and to avoid duplication of efforts. The multidisciplinary team may include community-based agencies, health plans, and other state- and county-based service providers.(4) Provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program established in Chapter 14 (commencing with Section 15770), to the extent that funding is provided for this purpose in the annual budget act and the county receives those funds.(b) (1) A county shall respond immediately to any report of imminent danger to an elder or dependent adult in other than a long-term care facility, as defined in Section 9701 of the Welfare and Institutions Code, or a residential facility, as defined in Section 1502 of the Health and Safety Code. For reports involving persons in a long-term care facility or a residential care facility, the county shall report to the local long-term care ombudsman program. Adult protective services staff shall consult, coordinate, and support efforts of the ombudsman program to protect vulnerable residents. Except as specified in paragraph (2), the county shall respond to all other reports of danger to an elder or dependent adult in other than a long-term care facility or residential care facility within 10 calendar days or as soon as practicably possible.(2) An immediate or 10-day in-person response is not required when in either of the following circumstances:(A) When the county, based upon an evaluation of risk, determines and documents that the elder or dependent adult is not in imminent danger and that an immediate or 10-day in-person response is not necessary to protect the health or safety of the elder or dependent adult.(B) When the county receives a report regarding an elder or dependent adult who is homeless and has a serious mental illness or substance use disorder, in which case the adult shall be referred to the appropriate state or local agency to receive services and supports.(3) The State Department of Social Services, in consultation with the County Welfare Directors Association, shall develop requirements for implementation of paragraph (2), including, but not limited to, guidelines for determining appropriate application of this section and any applicable documentation requirements.(4) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department shall implement the requirements developed pursuant to paragraph (3) by means of all-county letters or similar instructions prior to adopting regulations for that purpose. Thereafter, the department shall adopt regulations in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code.(c) A county shall not be required to report or respond to a report pursuant to subdivision (b) that involves danger to an elder or dependent adult residing in any facility for the incarceration of prisoners that is operated by or under contract to the Federal Bureau of Prisons, the Department of Corrections and Rehabilitation, a county sheriffs department, a county probation department, a city police department, or any other law enforcement agency when the abuse reportedly has occurred in that facility.(d) A county shall provide case management services to elders and dependent adults who are determined to be in need of adult protective services for the purpose of bringing about changes in the lives of victims and to provide a safety net to enable victims to protect themselves in the future. Case management services shall include the following, to the extent services are appropriate for the individual:(1) Investigation of the protection issues, including, but not limited to, social, medical, environmental, physical, emotional, and developmental.(2) Assessment of the persons concerns and needs on whom the report has been made and the concerns and needs of other members of the family and household.(3) Analysis of problems and strengths.(4) Establishment of a service plan for each person on whom the report has been made to alleviate the identified problems.(5) Client input and acceptance of proposed service plans.(6) Counseling for clients and significant others to alleviate the identified problems and to implement the service plan.(7) Stabilizing and linking with community services. services, including, but not limited to, those provided by health plans, other county-based service providers, and community agencies.(8) Monitoring and followup.(9) Reassessments, as appropriate.(e) (1) To the extent resources are available, each county shall provide emergency shelter in the form of a safe haven or in-home protection for victims. Shelter and care appropriate to the needs of the victim shall be provided for frail and disabled victims who are in need of assistance with activities of daily living.(2) To the extent a county receives grant funds under the Home Safe Program (Chapter 14 (Commencing with Section 15770)), counties may provide housing assistance and support to elders and dependent adults who are homeless or at risk of becoming homeless.(f) Each county shall designate an adult protective services agency to establish and maintain multidisciplinary teams including, but not limited to, adult protective services, law enforcement, probation departments, home health care agencies, hospitals, adult protective services staff, the public guardian, private community service agencies, public health agencies, and mental health agencies for the purpose of providing interagency treatment strategies.(g) Each county shall provide tangible support services, to the extent resources are available, which may include, but not be limited to, emergency food, clothing, repair or replacement of essential appliances, plumbing and electrical repair, blankets, linens, and other household goods, advocacy with utility companies, and emergency response units.SEC. 11. Section 15767 is added to the Welfare and Institutions Code, to read:15767. (a) The department shall, in consultation with representatives from the County Welfare Directors Association, the California Elder Justice Coalition, and other relevant stakeholders, convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The recommendations shall include identification of potential outcome measures and other data elements that can be tracked and made publicly available for purposes of program planning.(b) (1) The department shall submit recommendations developed pursuant to subdivision (a) to the Legislature by November 1, 2021.(2) A report to be submitted pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code.SEC. 12. Section 15768 is added to the Welfare and Institutions Code, to read:15768. (a) The Legislature finds and declares that in order to address the growing complexity of older and dependent adults receiving services in the Adult Protective Services (APS) Program for incidents of financial abuse and self-neglect, and to improve the quality and coordination of Californias elder abuse and neglect services, it is necessary for counties to bring together professionals from health, social services, justice systems, and other areas of expertise, to develop and utilize cross-disciplinary approaches for the purpose of early identification, intervention, case management, protection from, and prosecution of, perpetrators, service planning, and provision of services.(b) For the purposes of this section, the following terms have the following meanings:(1) Financial Abuse Specialist Team or FAST means a team composed of representatives from the county adult protective services agency, and at least three other agencies and entities responsible for investigating and preventing financial abuse of elder and dependent adults, that handles cases involving financial abuse.(2) Forensic center means a cross-disciplinary group of professionals who share their expertise in partnership with county adult protective service programs to collectively review cases, make recommendations, and provide assistance to adult protective service staff on the most complex cases of elder and dependent adult abuse and neglect.(c) (1) There is hereby established the Adult Protective Services FAST/Forensic Center Grant Program. This program shall be administered by the State Department of Social Services.(2) (A) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to county adult protective services programs for the purpose of creating, enhancing, and maintaining a FAST or forensic center to serve elder and dependent adults who receive services from adult protective services programs.(B) The department shall provide grants to counties or counties acting jointly according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California. Criteria shall include, but are not limited to, all of the following:(i) Minimum and recommended components for county plans and memorandums of understanding or agreements for county agencies and other participating entities that are required to be submitted pursuant to subdivision (e).(ii) Technical assistance to support counties in submitting data required pursuant to subdivision (f).(iii) Strategies for establishing or expanding a FAST or forensic center, based on available research and best practices in other jurisdictions.(3) Grant funds awarded pursuant to this section may be used for any of the following:(A) Hiring county staff, including, but not limited to, a project director or a project coordinator, and staff to provide case management to support interagency and cross-departmental response.(B) Infrastructure and administrative activities related to creating and maintaining a cross-disciplinary approach, including, but not limited to, both of the following:(i) Securing and maintaining a site for a designated meeting space or telecommunication technology to enable remote meetings for participants.(ii) Data collection and information sharing across agencies, including client-based data and outcome measures.(C) Developing memorandums of understanding or agreements that describe processes for information sharing, team meetings, case assessment, decisionmaking, service provision, and other activities to be undertaken by the members of the FAST or forensic center.(D) Providing training to county adult protective services workers to identify and refer adults who are victims of more complex cases, including those that involve financial abuse and self-neglect, to the countys FAST or forensic center.(E) Support to adult protective services in training and outreach to community and county-based entities and mandated reporters to identify abuse and neglect.(F) Retaining expertise and participation from other county or community-based agencies as members of the FAST or forensic center, intermittent consultation, or both.(4) Participating members of the FAST or forensic center may include members of the county multidisciplinary team, as defined in Section 15610.55, or other professionals identified in the county plan submitted pursuant to subdivision (e). The composition of the FAST or forensic center may include, but is not limited to, individuals with expertise in the following professions or from the following agencies:(A) Adult protective services.(B) Law enforcement agencies.(C) Prosecutorial agencies.(D) Public guardians, public conservators, or public administrators.(E) Long-Term Care Ombudsman.(F) Legal aid organizations.(G) Victim advocates.(H) Community mental health services.(I) Developmental disability services.(J) Coroners offices.(K) Community care licensing.(L) Geriatrician or health care providers.(M) Geropsychologists or neuropsychologists.(N) Financial and accounting services.(5) Members of the FAST or forensic center shall provide input regarding services and supports needed for elder and dependent adults who are served by adult protect services, and may assist in linking elder and dependent adults to services that are consistent with the memorandum of agreement or understanding developed pursuant to subdivision (e).(d) (1) Funds allocated for Adult Protective Services FAST/Forensic Center Grant Program shall not supplant funds for existing programs.(2) Funds shall be allocated on an annual basis, subject to funding provided in the annual Budget Act.(3) The department, upon consultation with the County Welfare Directors Association of California, may set aside a portion of funding for use by counties, upon county request, to procure direct services to support a financial abuse investigation or for forensic investigative purposes.(e) A county or group of counties applying for grant funding from the Adult Protective Services FAST/Forensic Center Program shall submit a plan to the department describing how the county or group of counties intends to utilize the funds. The plans shall include all of the following:(1) The purpose and composition of the cross-disciplinary team to serve as either a FAST or forensic center.(2) A copy of the memorandum of understanding or agreement, if one exists, or a process to develop a memorandum of understanding or agreement to formalize collaborative partnerships across participating agencies and members. A county that is updating or creating a new memorandum of understanding or agreement shall submit a plan update upon completion.(3) A description of how data and information will be shared between participating agencies and professionals.(f) Counties or groups of counties to receive grant funding under this section shall submit annual reports to the department beginning September 30, 2021, and by September 30 of each calendar year thereafter. The reports shall include all of the following:(1) Status of local memorandums of understanding or agreement, including any updates made in the course of the prior year.(2) Demographics of clients served, including, but not limited to, the number of individuals served, the types of abuse or neglect suffered by those individuals, and outcomes of the cases.(3) In cases of financial abuse, the estimated amount of assets preserved and recovered.(4) The types of services provided and by which agencies or entities those services were provided.(5) Innovative strategies relating to collaboration with other agencies and professions involved in the multidisciplinary team.(6) The identification of further barriers and challenges to preventing elder and dependent adult abuse and serving elder and dependent adults at risk of abuse and neglect.(g) The department shall award grants under this section no later than March 1, 2021.(h) Subject to the availability of funding for these purposes, a county or group of counties that does not initially receive grant funding under this section may subsequently apply for grants funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision. SEC. 13. Section 15771 of the Welfare and Institutions Code is amended to read:15771. (a) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing housing-related supports to eligible individuals.(b) Notwithstanding subdivision (a), this section does not create an entitlement to housing-related assistance, which is to be provided at the discretion of the grantee as a service to eligible individuals.(c) (1) It is the intent of the Legislature that housing-related assistance provided pursuant to this chapter utilize evidence-based practices in homeless assistance and prevention, including housing risk screening and assessments, housing first, rapid rehousing, and supportive housing. It is further the intent of the Legislature to allow housing-related assistance to be provided to elders and dependent adults served by county adult protective services programs who are homeless or at risk of homelessness as a bridge to more permanent housing.(2) Housing-related supports and services available to participating individuals may include, but not be limited to, all of the following:(A) An assessment of each individuals housing needs, including a plan to assist the individual in meeting those needs, consistent with the case plan, as developed by the adult protective services agency. To the extent feasible, the plan shall be developed in coordination with a multidisciplinary team that may include housing program providers, mental health providers, local law enforcement, legal assistance providers, and others as deemed relevant by the adult protective services agency.(B) Navigation or search assistance to recruit landlords and assist individuals in locating affordable or subsidized housing.(C) Enhanced case management, including motivational interviewing and trauma-informed care, to help the individual recover from elder abuse, neglect, or financial exploitation.(D) Housing-related financial assistance, including for rental assistance, including, but not limited to, long-term rental subsidies, emergency housing, and access to board and care homes, security deposit assistance, utility payments, moving cost assistance, and interim housing assistance while housing navigators are actively seeking permanent housing options for the individual.(E) Housing stabilization services, including ongoing landlord engagement, case management, public systems assistance, legal services, tenant education, eviction protection, credit repair assistance, life skills training, heavy cleaning, and conflict mediation with landlords, neighbors, and families.(F) Services to support housing transitions, including, but not limited to, transportation assistance, assistance securing personal care attendants, and linking service recipients to other services and supports.(F)(G) If the individual requires supportive housing, referral to the local homeless continuum of care for long-term services promoting housing stability.(G)(H) Mental health assistance, as necessary or appropriate.(d) The department shall provide grants to counties and tribes according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging. These criteria shall include, but are not limited to, all of the following:(1) Eligible sources of funds and in-kind contributions to match the grant, as described in paragraph (1) of subdivision (e).(2) The proportion of funding to be expended on reasonable and appropriate administrative activities, in order to minimize overhead and maximize services.(3) Tracking and reporting procedures for the program, which shall be conducted as a condition of receiving funds, including, but not limited to, collecting disaggregated data on all of the following:(A) The number of people determined eligible for the program.(B) The number of people receiving assistance from the program and the duration of that assistance.(C) The types of housing assistance received by recipients.(D) The housing status six months and one year after receiving assistance from the program.(E) The number of substantiated adult protective services reports six months and one year after receiving assistance from the program.(e) Grants shall be subject to all of the following requirements:(1) (A) Grantees shall match the funding on a dollar-for-dollar basis, which may be met by cash or in-kind contributions.(B) On and after the effective date of the act that added this subparagraph, grantees shall not be required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.(2) Grantees shall demonstrate the extent to which they will attempt to leverage county mental health services funds for participating individuals, and any barriers to leveraging these funds.(3) Grantees shall agree to actively cooperate with tracking, reporting, and evaluation efforts.(4) Grantees shall coordinate with the local homeless continuum of care network.(f) Funding pursuant to this section shall supplement, and not supplant, the level of county or tribal funding spent on these purposes in the 201718 fiscal year.(g) Grantees applying for additional grant money shall only be required to provide a description of how the additional funding will be utilized, as required by the department.(h) Subject to availability of funding for these purposes, a county that did not initially receive grant funding under this section may apply for grant funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.(g)(i) Utilizing the funds appropriated for purposes of this chapter, the department shall, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging, enter into a contract with an independent evaluation and research agency to evaluate the impacts of the program, which may include, but are not limited to, the following:(1) The likelihood of future homelessness and housing instability among recipients.(2) The likelihood of future instances of abuse and neglect among recipients.(3) Program costs and benefits.(h)(j) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may implement, interpret, or make specific this chapter through all-county letters without taking regulatory action.SEC. 14. To the extent that this act has an overall effect of increasing the costs already borne by a local agency for programs or levels of service mandated by the 2011 Realignment Legislation within the meaning of Section 36 of Article XIII of the California Constitution, it shall apply to local agencies only to the extent that the state provides annual funding for the cost increase. Any new program or higher level of service provided by a local agency pursuant to this act above the level for which funding has been provided shall not require a subvention of funds by the state or otherwise be subject to Section 6 of Article XIIIB of the California Constitution.With regard to certain other costs that may be incurred by a local agency or school district, no reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because, in that regard, this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
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33 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2302Introduced by Assembly Member ArambulaFebruary 14, 2020 An act to amend Sections 15610.10, 15610.23, 15610.27, 15610.55, 15610.57, 15701.05, 15753, 15763, and 15771 of, and to add Sections 15651, 15767, and 15768 to, the Welfare and Institutions Code, relating to elder and dependent adults. LEGISLATIVE COUNSEL'S DIGESTAB 2302, as introduced, Arambula. Elder and dependent adults.(1) Existing law, the Elder Abuse and Dependent Adult Civil Protection Act, establishes various procedures for the reporting, investigation, and prosecution of elder and dependent adult abuse. Existing law makes it a crime for a mandated reporter to fail to make a report under the act.Existing law requires each county welfare department to establish and support a system of protective services for elderly and dependent adults who may be subjected to neglect, abuse, or exploitation or who are unable to protect their own interests.Existing law authorizes, in certain circumstances, an elder or dependent adult to be taken into temporary emergency protective custody.For the purposes of the above-described provisions, existing law defines an elder as a person who is 65 years of age or older and a dependent adult as an adult between 18 and 64 years of age who has specific limitations.This bill would instead define an elder as a person who is 60 years of age or older and a dependent adult as a person who is between 18 and 59 years of age and has those specific limitations. The bill would also specifically identify that a person in that age range with traumatic brain injuries or cognitive impairments is a dependent adult. By requiring counties to provide services under the above described provisions for additional individuals, and by expanding the scope of a crime under the Elder Abuse and Dependent Adult Civil Protection Act, this bill would impose a state-mandated local program.(2) Existing law establishes the Home Safe Program, which requires the State Department of Social Services to award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing prescribed housing-related supports to eligible individuals.This bill would include in the list of housing-related supports services to support housing transitions. Existing law requires counties that receive grants under the Home Safe Program to provide matching funds.This bill would provide that, on and after the effective date of the bill, grantees are not required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.(3) The Elder Abuse and Dependent Adult Civil Protection Act requires, as part of the procedures described in paragraph (1), each county to establish an adult protective services program that includes specific policies and procedures, including provisions for emergency shelter or in-home protection.This bill would also require the policies and procedures to include provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program. The bill would authorize a county that receives grant funds under the Home Safe Program to, as part of providing case management services to elder or dependent adults who require adult protective services, provide housing assistance to those who are homeless or at risk of becoming homeless. The bill would require, if an elder or dependent adult comes to the attention of adult protective services because they are homeless, and an investigation indicates that they are homeless because they have a serious mental illness or substance use disorder, the county to refer the adult to the appropriate state or local agency to receive services and supports. By imposing additional duties on counties in the administration of their adult protective services programs, this bill would impose a state-mandated local program.The bill would require the department to convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The bill would require the department to submit the recommendations to the Legislature by November 1, 2021.The bill would establish the Adult Protective Services FAST/Forensic Center Grant Program, to be administered by the department, for the purpose of awarding grants to counties to create, enhance, and maintain a FAST or forensic center. The bill would define, for these purposes, a FAST as a team that handles cases involving financial abuse and a forensic center as a cross-disciplinary group of professionals who collectively review, make recommendations, and provide assistance on the most complex cases of elder and dependent adult abuse and neglect. (4) The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for specified reasons.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES
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99 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
1010
1111 Assembly Bill
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1313 No. 2302
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1515 Introduced by Assembly Member ArambulaFebruary 14, 2020
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1717 Introduced by Assembly Member Arambula
1818 February 14, 2020
1919
2020 An act to amend Sections 15610.10, 15610.23, 15610.27, 15610.55, 15610.57, 15701.05, 15753, 15763, and 15771 of, and to add Sections 15651, 15767, and 15768 to, the Welfare and Institutions Code, relating to elder and dependent adults.
2121
2222 LEGISLATIVE COUNSEL'S DIGEST
2323
2424 ## LEGISLATIVE COUNSEL'S DIGEST
2525
2626 AB 2302, as introduced, Arambula. Elder and dependent adults.
2727
2828 (1) Existing law, the Elder Abuse and Dependent Adult Civil Protection Act, establishes various procedures for the reporting, investigation, and prosecution of elder and dependent adult abuse. Existing law makes it a crime for a mandated reporter to fail to make a report under the act.Existing law requires each county welfare department to establish and support a system of protective services for elderly and dependent adults who may be subjected to neglect, abuse, or exploitation or who are unable to protect their own interests.Existing law authorizes, in certain circumstances, an elder or dependent adult to be taken into temporary emergency protective custody.For the purposes of the above-described provisions, existing law defines an elder as a person who is 65 years of age or older and a dependent adult as an adult between 18 and 64 years of age who has specific limitations.This bill would instead define an elder as a person who is 60 years of age or older and a dependent adult as a person who is between 18 and 59 years of age and has those specific limitations. The bill would also specifically identify that a person in that age range with traumatic brain injuries or cognitive impairments is a dependent adult. By requiring counties to provide services under the above described provisions for additional individuals, and by expanding the scope of a crime under the Elder Abuse and Dependent Adult Civil Protection Act, this bill would impose a state-mandated local program.(2) Existing law establishes the Home Safe Program, which requires the State Department of Social Services to award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing prescribed housing-related supports to eligible individuals.This bill would include in the list of housing-related supports services to support housing transitions. Existing law requires counties that receive grants under the Home Safe Program to provide matching funds.This bill would provide that, on and after the effective date of the bill, grantees are not required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.(3) The Elder Abuse and Dependent Adult Civil Protection Act requires, as part of the procedures described in paragraph (1), each county to establish an adult protective services program that includes specific policies and procedures, including provisions for emergency shelter or in-home protection.This bill would also require the policies and procedures to include provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program. The bill would authorize a county that receives grant funds under the Home Safe Program to, as part of providing case management services to elder or dependent adults who require adult protective services, provide housing assistance to those who are homeless or at risk of becoming homeless. The bill would require, if an elder or dependent adult comes to the attention of adult protective services because they are homeless, and an investigation indicates that they are homeless because they have a serious mental illness or substance use disorder, the county to refer the adult to the appropriate state or local agency to receive services and supports. By imposing additional duties on counties in the administration of their adult protective services programs, this bill would impose a state-mandated local program.The bill would require the department to convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The bill would require the department to submit the recommendations to the Legislature by November 1, 2021.The bill would establish the Adult Protective Services FAST/Forensic Center Grant Program, to be administered by the department, for the purpose of awarding grants to counties to create, enhance, and maintain a FAST or forensic center. The bill would define, for these purposes, a FAST as a team that handles cases involving financial abuse and a forensic center as a cross-disciplinary group of professionals who collectively review, make recommendations, and provide assistance on the most complex cases of elder and dependent adult abuse and neglect. (4) The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for specified reasons.
2929
3030 (1) Existing law, the Elder Abuse and Dependent Adult Civil Protection Act, establishes various procedures for the reporting, investigation, and prosecution of elder and dependent adult abuse. Existing law makes it a crime for a mandated reporter to fail to make a report under the act.
3131
3232 Existing law requires each county welfare department to establish and support a system of protective services for elderly and dependent adults who may be subjected to neglect, abuse, or exploitation or who are unable to protect their own interests.
3333
3434 Existing law authorizes, in certain circumstances, an elder or dependent adult to be taken into temporary emergency protective custody.
3535
3636 For the purposes of the above-described provisions, existing law defines an elder as a person who is 65 years of age or older and a dependent adult as an adult between 18 and 64 years of age who has specific limitations.
3737
3838 This bill would instead define an elder as a person who is 60 years of age or older and a dependent adult as a person who is between 18 and 59 years of age and has those specific limitations. The bill would also specifically identify that a person in that age range with traumatic brain injuries or cognitive impairments is a dependent adult. By requiring counties to provide services under the above described provisions for additional individuals, and by expanding the scope of a crime under the Elder Abuse and Dependent Adult Civil Protection Act, this bill would impose a state-mandated local program.
3939
4040 (2) Existing law establishes the Home Safe Program, which requires the State Department of Social Services to award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing prescribed housing-related supports to eligible individuals.
4141
4242 This bill would include in the list of housing-related supports services to support housing transitions.
4343
4444 Existing law requires counties that receive grants under the Home Safe Program to provide matching funds.
4545
4646 This bill would provide that, on and after the effective date of the bill, grantees are not required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.
4747
4848 (3) The Elder Abuse and Dependent Adult Civil Protection Act requires, as part of the procedures described in paragraph (1), each county to establish an adult protective services program that includes specific policies and procedures, including provisions for emergency shelter or in-home protection.
4949
5050 This bill would also require the policies and procedures to include provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program. The bill would authorize a county that receives grant funds under the Home Safe Program to, as part of providing case management services to elder or dependent adults who require adult protective services, provide housing assistance to those who are homeless or at risk of becoming homeless. The bill would require, if an elder or dependent adult comes to the attention of adult protective services because they are homeless, and an investigation indicates that they are homeless because they have a serious mental illness or substance use disorder, the county to refer the adult to the appropriate state or local agency to receive services and supports. By imposing additional duties on counties in the administration of their adult protective services programs, this bill would impose a state-mandated local program.
5151
5252 The bill would require the department to convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The bill would require the department to submit the recommendations to the Legislature by November 1, 2021.
5353
5454 The bill would establish the Adult Protective Services FAST/Forensic Center Grant Program, to be administered by the department, for the purpose of awarding grants to counties to create, enhance, and maintain a FAST or forensic center. The bill would define, for these purposes, a FAST as a team that handles cases involving financial abuse and a forensic center as a cross-disciplinary group of professionals who collectively review, make recommendations, and provide assistance on the most complex cases of elder and dependent adult abuse and neglect.
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5656 (4) The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
5757
5858 This bill would provide that no reimbursement is required by this act for specified reasons.
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6060 ## Digest Key
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6262 ## Bill Text
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6464 The people of the State of California do enact as follows:SECTION 1. (a) The Legislature finds and declares all of the following:(1) The Adult Protective Services Program (APS), established by the Legislature as a statewide program in 1998, is a critical component of the states safety net for vulnerable adults.(2) The population served by the county-run, state-overseen APS program has grown and changed significantly since the programs inception and will continue to do so at a rapid pace, given the increasing number of older adults in California. Californias over-65 population is expected to be 87 percent higher in 2030 than in 2012, an increase of more than four million people. The population over 85 years of age will increase at an even faster rate, with 489 percent growth between 2010 and 2060.(3) The increasing population of older adults often has more complex needs, including persons with cognitive impairments and a growing number of those experiencing homelessness. Research indicates that approximately 50 percent of homeless individuals are over 50 years of age, and one-half of those individuals became homeless after 50 years of age.(b) It is, therefore, the intent of the Legislature, in order to address the safety and well-being of the growing number of diverse older adults who will need adult protective services, to enhance the program in a number of ways, including enabling the program to provide longer-term case management for those with more complex cases, expanding and making more flexible the Home Safe Program to aid clients facing homelessness, and encouraging the use of collaborative, multidisciplinary best practices across the state, including financial abuse specialist teams and forensic centers. It is further the intent of the Legislature to expand the age of clients served under the program in order to intervene earlier with aging adults before their situations reach a crisis point.SEC. 2. Section 15610.10 of the Welfare and Institutions Code is amended to read:15610.10. Adult protective services means those preventive and remedial activities performed on behalf of elders and dependent adults who are unable to protect their own interests, harmed or threatened with harm, caused physical or mental injury due to the action or inaction of another person or their own action as a result of ignorance, illiteracy, incompetence, mental limitation, substance abuse, or poor health, lacking in adequate food, shelter, or clothing, exploited of their income and resources, or deprived of entitlement due them. have come to the attention of the adult protective services agency due to potential abuse or neglect.SEC. 3. Section 15610.23 of the Welfare and Institutions Code is amended to read:15610.23. (a) Dependent adult means a person, regardless of whether the person lives independently, between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who resides in this state and who has physical or mental limitations that restrict his or her their ability to carry out normal activities or to protect his or her their rights, including, but not limited to, persons who have physical or developmental disabilities, who have traumatic brain injuries or cognitive impairments, or whose physical or mental abilities have diminished because of age.(b) Dependent adult includes any person between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who is admitted as an inpatient to a 24-hour health facility, as defined in Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.SEC. 4. Section 15610.27 of the Welfare and Institutions Code is amended to read:15610.27. Elder means any person residing in this state, 65 60 years of age or older.SEC. 5. Section 15610.55 of the Welfare and Institutions Code is amended to read:15610.55. (a) Multidisciplinary personnel team means any team of two or more persons who are trained in the prevention, identification, management, or treatment of abuse of elderly or dependent adults and who are qualified to provide a broad range of services related to abuse of elderly or dependent adults.(b) A multidisciplinary personnel team may include, but need not be limited to, any of the following:(1) Psychiatrists, psychologists, or other trained counseling personnel.(2) Police officers or other law enforcement agents. agents, including district attorneys.(3)Medical personnel with sufficient training to provide health services.(3) Health practitioners, as defined in Section 15610.37.(4) Social workers with experience or training in prevention of abuse of elderly or dependent adults.(5) Public guardians. guardians, public conservators, or public administrators.(6) The local long-term care ombudsman.(7) Child welfare services personnel.(8) Representatives of a health plan.(9) Housing representatives.(10) County counsel.(11) A person with expertise in finance or accounting.SEC. 6. Section 15610.57 of the Welfare and Institutions Code is amended to read:15610.57. (a) Neglect means either of the following:(1) The negligent failure of any person having the care or custody of an elder or a dependent adult to exercise that degree of care that a reasonable person in a like position would exercise.(2) The negligent failure of an elder or dependent adult to exercise that degree of self care that a reasonable person in a like position would exercise.(b) Neglect includes, but is not limited to, all of the following:(1) Failure to assist in personal hygiene, or in the provision of food, clothing, or shelter.(2) Failure to provide medical care for physical and mental health needs. No person shall be deemed neglected or abused for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone in lieu of medical treatment.(3) Failure to protect from health and safety hazards.(4) Failure to prevent malnutrition or dehydration.(5) Substantial inability or failure of an elder or dependent adult to manage their own finances.(5)(6) Failure of an elder or dependent adult to satisfy any of the needs specified in paragraphs (1) to (4), (5), inclusive, for himself or herself themselves as a result of poor cognitive functioning, mental limitation, substance abuse, or chronic poor health.(c) Neglect includes being homeless if the elder or dependent adult is also unable to meet any of the needs specified in paragraphs (1) to (4), inclusive, of subdivision (b), but not if the individual is unable to meet those needs due to serious mental illness or substance use disorder.SEC. 7. Section 15651 is added to the Welfare and Institutions Code, to read:15651. If an elder or dependent adult is suspected or alleged to be a victim of neglect because the elder or dependent adult is homeless and an investigation indicates that the elder or dependent adult is unsheltered or lacks permanent housing because they have a serious mental illness or substance use disorder, the elder or dependent adult shall be referred to the appropriate state or local agency to receive services and supports.SEC. 8. Section 15701.05 of the Welfare and Institutions Code is amended to read:15701.05. Appropriate temporary residence means any of the following:(a) A home or dwelling belonging to a member of the endangered adults family or next of kin, if it would not constitute a risk to the endangered or dependent adult.(b) An adult residential care facility or residential care facility for the elderly designated by the county as an emergency shelter and that is licensed by the State of California to deal with the needs of elder or dependent adults.(c) A 24-hour health facility, as designated by Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.(d) Any other home, dwelling, or congregate care unit that meets the needs of the adult.(d)(e) This chapter shall not be used to circumvent or supplant the involuntary detention and evaluation process provided for pursuant to Chapter 2 (commencing with Section 5150) of Part 1 of Division 5. A person shall not be deemed an endangered adult for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone, in lieu of medical treatment.(e)(f) This chapter shall not be used to effectuate placement in jails or correctional treatment centers, as defined in paragraph (1) of subdivision (j) of Section 1250 of the Health and Safety Code.SEC. 9. Section 15753 of the Welfare and Institutions Code is amended to read:15753. The department shall, to the extent funding for this purpose remains with the department, establish one full-time position that reports to the director to assist counties with the following functions in their operation of the adult protective services system:(a) Facilitating the review and update of state policies and procedures to promote best casework practices throughout the state, and providing technical assistance to local programs to promote consistent statewide adherence to these policies.(b) Developing recommended program goals, performance measures, and outcomes for the adult protective services system, and a strategic plan to accomplish these recommended goals, performance measures, and outcomes.(c) Collaborating with other state departments and local communities that provide or oversee elder justice services to address the needs of elders and adults with disabilities and improve coordination and effectiveness of adult protective services.(d) Exploring the development of a state data collection system that builds on existing statewide data and additionally tracks outcomes that will align with national data collection efforts.(e) Participating in national, statewide, and regional discussions on adult protective services and elder justice issues and providing information on Californias adult protective services programs.(f) Participating in the development of federal and state policy that responds to new and emergent needs and develops suggested quality assurance measures to be implemented at the local level.(g) Facilitating the development of a regionally based, ongoing, comprehensive and consistent statewide adult protective services training program that responds to new and emerging trends.(h) In collaboration with experts in the field, developing guidelines for local adult protective services programs that will make recommendations for local practice in following areas:(1) Caseload levels for adult protective services workers.(2) Availability of tangible services for local programs.(3) Educational and professional development of adult protective services workers.(4) Structure for 24 hour adult protective services response.(i) Addressing the needs of elder and dependent adults who have traumatic brain injuries or cognitive impairments and those who are homeless.SEC. 10. Section 15763 of the Welfare and Institutions Code is amended to read:15763. (a) Each county shall establish an emergency response adult protective services program that shall provide in-person response, 24 hours per day, seven days per week, to reports of abuse of an elder or a dependent adult, for the purpose of providing immediate intake or intervention, or both, to new reports involving immediate life threats and to crises in existing cases. The program shall include policies and procedures to accomplish all of the following:(1) Provision of case management services that include investigation of the protection issues, assessment of the persons concerns, needs, strengths, problems, and limitations, stabilization and linking with community services, and development of a service plan to alleviate identified problems utilizing counseling, monitoring, followup, and reassessment.(2) Provisions for emergency shelter or in-home protection to guarantee a safe place for the elder or dependent adult to stay until the dangers at home can be resolved.(3) Establishment of multidisciplinary teams to develop interagency treatment strategies, to ensure maximum coordination with existing community resources, to ensure maximum access on behalf of elders and dependent adults, and to avoid duplication of efforts. The multidisciplinary team may include community-based agencies, health plans, and other state- and county-based service providers.(4) Provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program established in Chapter 14 (commencing with Section 15770), to the extent that funding is provided for this purpose in the annual budget act and the county receives those funds.(b) (1) A county shall respond immediately to any report of imminent danger to an elder or dependent adult in other than a long-term care facility, as defined in Section 9701 of the Welfare and Institutions Code, or a residential facility, as defined in Section 1502 of the Health and Safety Code. For reports involving persons in a long-term care facility or a residential care facility, the county shall report to the local long-term care ombudsman program. Adult protective services staff shall consult, coordinate, and support efforts of the ombudsman program to protect vulnerable residents. Except as specified in paragraph (2), the county shall respond to all other reports of danger to an elder or dependent adult in other than a long-term care facility or residential care facility within 10 calendar days or as soon as practicably possible.(2) An immediate or 10-day in-person response is not required when in either of the following circumstances:(A) When the county, based upon an evaluation of risk, determines and documents that the elder or dependent adult is not in imminent danger and that an immediate or 10-day in-person response is not necessary to protect the health or safety of the elder or dependent adult.(B) When the county receives a report regarding an elder or dependent adult who is homeless and has a serious mental illness or substance use disorder, in which case the adult shall be referred to the appropriate state or local agency to receive services and supports.(3) The State Department of Social Services, in consultation with the County Welfare Directors Association, shall develop requirements for implementation of paragraph (2), including, but not limited to, guidelines for determining appropriate application of this section and any applicable documentation requirements.(4) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department shall implement the requirements developed pursuant to paragraph (3) by means of all-county letters or similar instructions prior to adopting regulations for that purpose. Thereafter, the department shall adopt regulations in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code.(c) A county shall not be required to report or respond to a report pursuant to subdivision (b) that involves danger to an elder or dependent adult residing in any facility for the incarceration of prisoners that is operated by or under contract to the Federal Bureau of Prisons, the Department of Corrections and Rehabilitation, a county sheriffs department, a county probation department, a city police department, or any other law enforcement agency when the abuse reportedly has occurred in that facility.(d) A county shall provide case management services to elders and dependent adults who are determined to be in need of adult protective services for the purpose of bringing about changes in the lives of victims and to provide a safety net to enable victims to protect themselves in the future. Case management services shall include the following, to the extent services are appropriate for the individual:(1) Investigation of the protection issues, including, but not limited to, social, medical, environmental, physical, emotional, and developmental.(2) Assessment of the persons concerns and needs on whom the report has been made and the concerns and needs of other members of the family and household.(3) Analysis of problems and strengths.(4) Establishment of a service plan for each person on whom the report has been made to alleviate the identified problems.(5) Client input and acceptance of proposed service plans.(6) Counseling for clients and significant others to alleviate the identified problems and to implement the service plan.(7) Stabilizing and linking with community services. services, including, but not limited to, those provided by health plans, other county-based service providers, and community agencies.(8) Monitoring and followup.(9) Reassessments, as appropriate.(e) (1) To the extent resources are available, each county shall provide emergency shelter in the form of a safe haven or in-home protection for victims. Shelter and care appropriate to the needs of the victim shall be provided for frail and disabled victims who are in need of assistance with activities of daily living.(2) To the extent a county receives grant funds under the Home Safe Program (Chapter 14 (Commencing with Section 15770)), counties may provide housing assistance and support to elders and dependent adults who are homeless or at risk of becoming homeless.(f) Each county shall designate an adult protective services agency to establish and maintain multidisciplinary teams including, but not limited to, adult protective services, law enforcement, probation departments, home health care agencies, hospitals, adult protective services staff, the public guardian, private community service agencies, public health agencies, and mental health agencies for the purpose of providing interagency treatment strategies.(g) Each county shall provide tangible support services, to the extent resources are available, which may include, but not be limited to, emergency food, clothing, repair or replacement of essential appliances, plumbing and electrical repair, blankets, linens, and other household goods, advocacy with utility companies, and emergency response units.SEC. 11. Section 15767 is added to the Welfare and Institutions Code, to read:15767. (a) The department shall, in consultation with representatives from the County Welfare Directors Association, the California Elder Justice Coalition, and other relevant stakeholders, convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The recommendations shall include identification of potential outcome measures and other data elements that can be tracked and made publicly available for purposes of program planning.(b) (1) The department shall submit recommendations developed pursuant to subdivision (a) to the Legislature by November 1, 2021.(2) A report to be submitted pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code.SEC. 12. Section 15768 is added to the Welfare and Institutions Code, to read:15768. (a) The Legislature finds and declares that in order to address the growing complexity of older and dependent adults receiving services in the Adult Protective Services (APS) Program for incidents of financial abuse and self-neglect, and to improve the quality and coordination of Californias elder abuse and neglect services, it is necessary for counties to bring together professionals from health, social services, justice systems, and other areas of expertise, to develop and utilize cross-disciplinary approaches for the purpose of early identification, intervention, case management, protection from, and prosecution of, perpetrators, service planning, and provision of services.(b) For the purposes of this section, the following terms have the following meanings:(1) Financial Abuse Specialist Team or FAST means a team composed of representatives from the county adult protective services agency, and at least three other agencies and entities responsible for investigating and preventing financial abuse of elder and dependent adults, that handles cases involving financial abuse.(2) Forensic center means a cross-disciplinary group of professionals who share their expertise in partnership with county adult protective service programs to collectively review cases, make recommendations, and provide assistance to adult protective service staff on the most complex cases of elder and dependent adult abuse and neglect.(c) (1) There is hereby established the Adult Protective Services FAST/Forensic Center Grant Program. This program shall be administered by the State Department of Social Services.(2) (A) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to county adult protective services programs for the purpose of creating, enhancing, and maintaining a FAST or forensic center to serve elder and dependent adults who receive services from adult protective services programs.(B) The department shall provide grants to counties or counties acting jointly according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California. Criteria shall include, but are not limited to, all of the following:(i) Minimum and recommended components for county plans and memorandums of understanding or agreements for county agencies and other participating entities that are required to be submitted pursuant to subdivision (e).(ii) Technical assistance to support counties in submitting data required pursuant to subdivision (f).(iii) Strategies for establishing or expanding a FAST or forensic center, based on available research and best practices in other jurisdictions.(3) Grant funds awarded pursuant to this section may be used for any of the following:(A) Hiring county staff, including, but not limited to, a project director or a project coordinator, and staff to provide case management to support interagency and cross-departmental response.(B) Infrastructure and administrative activities related to creating and maintaining a cross-disciplinary approach, including, but not limited to, both of the following:(i) Securing and maintaining a site for a designated meeting space or telecommunication technology to enable remote meetings for participants.(ii) Data collection and information sharing across agencies, including client-based data and outcome measures.(C) Developing memorandums of understanding or agreements that describe processes for information sharing, team meetings, case assessment, decisionmaking, service provision, and other activities to be undertaken by the members of the FAST or forensic center.(D) Providing training to county adult protective services workers to identify and refer adults who are victims of more complex cases, including those that involve financial abuse and self-neglect, to the countys FAST or forensic center.(E) Support to adult protective services in training and outreach to community and county-based entities and mandated reporters to identify abuse and neglect.(F) Retaining expertise and participation from other county or community-based agencies as members of the FAST or forensic center, intermittent consultation, or both.(4) Participating members of the FAST or forensic center may include members of the county multidisciplinary team, as defined in Section 15610.55, or other professionals identified in the county plan submitted pursuant to subdivision (e). The composition of the FAST or forensic center may include, but is not limited to, individuals with expertise in the following professions or from the following agencies:(A) Adult protective services.(B) Law enforcement agencies.(C) Prosecutorial agencies.(D) Public guardians, public conservators, or public administrators.(E) Long-Term Care Ombudsman.(F) Legal aid organizations.(G) Victim advocates.(H) Community mental health services.(I) Developmental disability services.(J) Coroners offices.(K) Community care licensing.(L) Geriatrician or health care providers.(M) Geropsychologists or neuropsychologists.(N) Financial and accounting services.(5) Members of the FAST or forensic center shall provide input regarding services and supports needed for elder and dependent adults who are served by adult protect services, and may assist in linking elder and dependent adults to services that are consistent with the memorandum of agreement or understanding developed pursuant to subdivision (e).(d) (1) Funds allocated for Adult Protective Services FAST/Forensic Center Grant Program shall not supplant funds for existing programs.(2) Funds shall be allocated on an annual basis, subject to funding provided in the annual Budget Act.(3) The department, upon consultation with the County Welfare Directors Association of California, may set aside a portion of funding for use by counties, upon county request, to procure direct services to support a financial abuse investigation or for forensic investigative purposes.(e) A county or group of counties applying for grant funding from the Adult Protective Services FAST/Forensic Center Program shall submit a plan to the department describing how the county or group of counties intends to utilize the funds. The plans shall include all of the following:(1) The purpose and composition of the cross-disciplinary team to serve as either a FAST or forensic center.(2) A copy of the memorandum of understanding or agreement, if one exists, or a process to develop a memorandum of understanding or agreement to formalize collaborative partnerships across participating agencies and members. A county that is updating or creating a new memorandum of understanding or agreement shall submit a plan update upon completion.(3) A description of how data and information will be shared between participating agencies and professionals.(f) Counties or groups of counties to receive grant funding under this section shall submit annual reports to the department beginning September 30, 2021, and by September 30 of each calendar year thereafter. The reports shall include all of the following:(1) Status of local memorandums of understanding or agreement, including any updates made in the course of the prior year.(2) Demographics of clients served, including, but not limited to, the number of individuals served, the types of abuse or neglect suffered by those individuals, and outcomes of the cases.(3) In cases of financial abuse, the estimated amount of assets preserved and recovered.(4) The types of services provided and by which agencies or entities those services were provided.(5) Innovative strategies relating to collaboration with other agencies and professions involved in the multidisciplinary team.(6) The identification of further barriers and challenges to preventing elder and dependent adult abuse and serving elder and dependent adults at risk of abuse and neglect.(g) The department shall award grants under this section no later than March 1, 2021.(h) Subject to the availability of funding for these purposes, a county or group of counties that does not initially receive grant funding under this section may subsequently apply for grants funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision. SEC. 13. Section 15771 of the Welfare and Institutions Code is amended to read:15771. (a) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing housing-related supports to eligible individuals.(b) Notwithstanding subdivision (a), this section does not create an entitlement to housing-related assistance, which is to be provided at the discretion of the grantee as a service to eligible individuals.(c) (1) It is the intent of the Legislature that housing-related assistance provided pursuant to this chapter utilize evidence-based practices in homeless assistance and prevention, including housing risk screening and assessments, housing first, rapid rehousing, and supportive housing. It is further the intent of the Legislature to allow housing-related assistance to be provided to elders and dependent adults served by county adult protective services programs who are homeless or at risk of homelessness as a bridge to more permanent housing.(2) Housing-related supports and services available to participating individuals may include, but not be limited to, all of the following:(A) An assessment of each individuals housing needs, including a plan to assist the individual in meeting those needs, consistent with the case plan, as developed by the adult protective services agency. To the extent feasible, the plan shall be developed in coordination with a multidisciplinary team that may include housing program providers, mental health providers, local law enforcement, legal assistance providers, and others as deemed relevant by the adult protective services agency.(B) Navigation or search assistance to recruit landlords and assist individuals in locating affordable or subsidized housing.(C) Enhanced case management, including motivational interviewing and trauma-informed care, to help the individual recover from elder abuse, neglect, or financial exploitation.(D) Housing-related financial assistance, including for rental assistance, including, but not limited to, long-term rental subsidies, emergency housing, and access to board and care homes, security deposit assistance, utility payments, moving cost assistance, and interim housing assistance while housing navigators are actively seeking permanent housing options for the individual.(E) Housing stabilization services, including ongoing landlord engagement, case management, public systems assistance, legal services, tenant education, eviction protection, credit repair assistance, life skills training, heavy cleaning, and conflict mediation with landlords, neighbors, and families.(F) Services to support housing transitions, including, but not limited to, transportation assistance, assistance securing personal care attendants, and linking service recipients to other services and supports.(F)(G) If the individual requires supportive housing, referral to the local homeless continuum of care for long-term services promoting housing stability.(G)(H) Mental health assistance, as necessary or appropriate.(d) The department shall provide grants to counties and tribes according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging. These criteria shall include, but are not limited to, all of the following:(1) Eligible sources of funds and in-kind contributions to match the grant, as described in paragraph (1) of subdivision (e).(2) The proportion of funding to be expended on reasonable and appropriate administrative activities, in order to minimize overhead and maximize services.(3) Tracking and reporting procedures for the program, which shall be conducted as a condition of receiving funds, including, but not limited to, collecting disaggregated data on all of the following:(A) The number of people determined eligible for the program.(B) The number of people receiving assistance from the program and the duration of that assistance.(C) The types of housing assistance received by recipients.(D) The housing status six months and one year after receiving assistance from the program.(E) The number of substantiated adult protective services reports six months and one year after receiving assistance from the program.(e) Grants shall be subject to all of the following requirements:(1) (A) Grantees shall match the funding on a dollar-for-dollar basis, which may be met by cash or in-kind contributions.(B) On and after the effective date of the act that added this subparagraph, grantees shall not be required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.(2) Grantees shall demonstrate the extent to which they will attempt to leverage county mental health services funds for participating individuals, and any barriers to leveraging these funds.(3) Grantees shall agree to actively cooperate with tracking, reporting, and evaluation efforts.(4) Grantees shall coordinate with the local homeless continuum of care network.(f) Funding pursuant to this section shall supplement, and not supplant, the level of county or tribal funding spent on these purposes in the 201718 fiscal year.(g) Grantees applying for additional grant money shall only be required to provide a description of how the additional funding will be utilized, as required by the department.(h) Subject to availability of funding for these purposes, a county that did not initially receive grant funding under this section may apply for grant funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.(g)(i) Utilizing the funds appropriated for purposes of this chapter, the department shall, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging, enter into a contract with an independent evaluation and research agency to evaluate the impacts of the program, which may include, but are not limited to, the following:(1) The likelihood of future homelessness and housing instability among recipients.(2) The likelihood of future instances of abuse and neglect among recipients.(3) Program costs and benefits.(h)(j) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may implement, interpret, or make specific this chapter through all-county letters without taking regulatory action.SEC. 14. To the extent that this act has an overall effect of increasing the costs already borne by a local agency for programs or levels of service mandated by the 2011 Realignment Legislation within the meaning of Section 36 of Article XIII of the California Constitution, it shall apply to local agencies only to the extent that the state provides annual funding for the cost increase. Any new program or higher level of service provided by a local agency pursuant to this act above the level for which funding has been provided shall not require a subvention of funds by the state or otherwise be subject to Section 6 of Article XIIIB of the California Constitution.With regard to certain other costs that may be incurred by a local agency or school district, no reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because, in that regard, this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
6565
6666 The people of the State of California do enact as follows:
6767
6868 ## The people of the State of California do enact as follows:
6969
7070 SECTION 1. (a) The Legislature finds and declares all of the following:(1) The Adult Protective Services Program (APS), established by the Legislature as a statewide program in 1998, is a critical component of the states safety net for vulnerable adults.(2) The population served by the county-run, state-overseen APS program has grown and changed significantly since the programs inception and will continue to do so at a rapid pace, given the increasing number of older adults in California. Californias over-65 population is expected to be 87 percent higher in 2030 than in 2012, an increase of more than four million people. The population over 85 years of age will increase at an even faster rate, with 489 percent growth between 2010 and 2060.(3) The increasing population of older adults often has more complex needs, including persons with cognitive impairments and a growing number of those experiencing homelessness. Research indicates that approximately 50 percent of homeless individuals are over 50 years of age, and one-half of those individuals became homeless after 50 years of age.(b) It is, therefore, the intent of the Legislature, in order to address the safety and well-being of the growing number of diverse older adults who will need adult protective services, to enhance the program in a number of ways, including enabling the program to provide longer-term case management for those with more complex cases, expanding and making more flexible the Home Safe Program to aid clients facing homelessness, and encouraging the use of collaborative, multidisciplinary best practices across the state, including financial abuse specialist teams and forensic centers. It is further the intent of the Legislature to expand the age of clients served under the program in order to intervene earlier with aging adults before their situations reach a crisis point.
7171
7272 SECTION 1. (a) The Legislature finds and declares all of the following:(1) The Adult Protective Services Program (APS), established by the Legislature as a statewide program in 1998, is a critical component of the states safety net for vulnerable adults.(2) The population served by the county-run, state-overseen APS program has grown and changed significantly since the programs inception and will continue to do so at a rapid pace, given the increasing number of older adults in California. Californias over-65 population is expected to be 87 percent higher in 2030 than in 2012, an increase of more than four million people. The population over 85 years of age will increase at an even faster rate, with 489 percent growth between 2010 and 2060.(3) The increasing population of older adults often has more complex needs, including persons with cognitive impairments and a growing number of those experiencing homelessness. Research indicates that approximately 50 percent of homeless individuals are over 50 years of age, and one-half of those individuals became homeless after 50 years of age.(b) It is, therefore, the intent of the Legislature, in order to address the safety and well-being of the growing number of diverse older adults who will need adult protective services, to enhance the program in a number of ways, including enabling the program to provide longer-term case management for those with more complex cases, expanding and making more flexible the Home Safe Program to aid clients facing homelessness, and encouraging the use of collaborative, multidisciplinary best practices across the state, including financial abuse specialist teams and forensic centers. It is further the intent of the Legislature to expand the age of clients served under the program in order to intervene earlier with aging adults before their situations reach a crisis point.
7373
7474 SECTION 1. (a) The Legislature finds and declares all of the following:
7575
7676 ### SECTION 1.
7777
7878 (1) The Adult Protective Services Program (APS), established by the Legislature as a statewide program in 1998, is a critical component of the states safety net for vulnerable adults.
7979
8080 (2) The population served by the county-run, state-overseen APS program has grown and changed significantly since the programs inception and will continue to do so at a rapid pace, given the increasing number of older adults in California. Californias over-65 population is expected to be 87 percent higher in 2030 than in 2012, an increase of more than four million people. The population over 85 years of age will increase at an even faster rate, with 489 percent growth between 2010 and 2060.
8181
8282 (3) The increasing population of older adults often has more complex needs, including persons with cognitive impairments and a growing number of those experiencing homelessness. Research indicates that approximately 50 percent of homeless individuals are over 50 years of age, and one-half of those individuals became homeless after 50 years of age.
8383
8484 (b) It is, therefore, the intent of the Legislature, in order to address the safety and well-being of the growing number of diverse older adults who will need adult protective services, to enhance the program in a number of ways, including enabling the program to provide longer-term case management for those with more complex cases, expanding and making more flexible the Home Safe Program to aid clients facing homelessness, and encouraging the use of collaborative, multidisciplinary best practices across the state, including financial abuse specialist teams and forensic centers. It is further the intent of the Legislature to expand the age of clients served under the program in order to intervene earlier with aging adults before their situations reach a crisis point.
8585
8686 SEC. 2. Section 15610.10 of the Welfare and Institutions Code is amended to read:15610.10. Adult protective services means those preventive and remedial activities performed on behalf of elders and dependent adults who are unable to protect their own interests, harmed or threatened with harm, caused physical or mental injury due to the action or inaction of another person or their own action as a result of ignorance, illiteracy, incompetence, mental limitation, substance abuse, or poor health, lacking in adequate food, shelter, or clothing, exploited of their income and resources, or deprived of entitlement due them. have come to the attention of the adult protective services agency due to potential abuse or neglect.
8787
8888 SEC. 2. Section 15610.10 of the Welfare and Institutions Code is amended to read:
8989
9090 ### SEC. 2.
9191
9292 15610.10. Adult protective services means those preventive and remedial activities performed on behalf of elders and dependent adults who are unable to protect their own interests, harmed or threatened with harm, caused physical or mental injury due to the action or inaction of another person or their own action as a result of ignorance, illiteracy, incompetence, mental limitation, substance abuse, or poor health, lacking in adequate food, shelter, or clothing, exploited of their income and resources, or deprived of entitlement due them. have come to the attention of the adult protective services agency due to potential abuse or neglect.
9393
9494 15610.10. Adult protective services means those preventive and remedial activities performed on behalf of elders and dependent adults who are unable to protect their own interests, harmed or threatened with harm, caused physical or mental injury due to the action or inaction of another person or their own action as a result of ignorance, illiteracy, incompetence, mental limitation, substance abuse, or poor health, lacking in adequate food, shelter, or clothing, exploited of their income and resources, or deprived of entitlement due them. have come to the attention of the adult protective services agency due to potential abuse or neglect.
9595
9696 15610.10. Adult protective services means those preventive and remedial activities performed on behalf of elders and dependent adults who are unable to protect their own interests, harmed or threatened with harm, caused physical or mental injury due to the action or inaction of another person or their own action as a result of ignorance, illiteracy, incompetence, mental limitation, substance abuse, or poor health, lacking in adequate food, shelter, or clothing, exploited of their income and resources, or deprived of entitlement due them. have come to the attention of the adult protective services agency due to potential abuse or neglect.
9797
9898
9999
100100 15610.10. Adult protective services means those preventive and remedial activities performed on behalf of elders and dependent adults who are unable to protect their own interests, harmed or threatened with harm, caused physical or mental injury due to the action or inaction of another person or their own action as a result of ignorance, illiteracy, incompetence, mental limitation, substance abuse, or poor health, lacking in adequate food, shelter, or clothing, exploited of their income and resources, or deprived of entitlement due them. have come to the attention of the adult protective services agency due to potential abuse or neglect.
101101
102102 SEC. 3. Section 15610.23 of the Welfare and Institutions Code is amended to read:15610.23. (a) Dependent adult means a person, regardless of whether the person lives independently, between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who resides in this state and who has physical or mental limitations that restrict his or her their ability to carry out normal activities or to protect his or her their rights, including, but not limited to, persons who have physical or developmental disabilities, who have traumatic brain injuries or cognitive impairments, or whose physical or mental abilities have diminished because of age.(b) Dependent adult includes any person between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who is admitted as an inpatient to a 24-hour health facility, as defined in Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.
103103
104104 SEC. 3. Section 15610.23 of the Welfare and Institutions Code is amended to read:
105105
106106 ### SEC. 3.
107107
108108 15610.23. (a) Dependent adult means a person, regardless of whether the person lives independently, between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who resides in this state and who has physical or mental limitations that restrict his or her their ability to carry out normal activities or to protect his or her their rights, including, but not limited to, persons who have physical or developmental disabilities, who have traumatic brain injuries or cognitive impairments, or whose physical or mental abilities have diminished because of age.(b) Dependent adult includes any person between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who is admitted as an inpatient to a 24-hour health facility, as defined in Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.
109109
110110 15610.23. (a) Dependent adult means a person, regardless of whether the person lives independently, between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who resides in this state and who has physical or mental limitations that restrict his or her their ability to carry out normal activities or to protect his or her their rights, including, but not limited to, persons who have physical or developmental disabilities, who have traumatic brain injuries or cognitive impairments, or whose physical or mental abilities have diminished because of age.(b) Dependent adult includes any person between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who is admitted as an inpatient to a 24-hour health facility, as defined in Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.
111111
112112 15610.23. (a) Dependent adult means a person, regardless of whether the person lives independently, between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who resides in this state and who has physical or mental limitations that restrict his or her their ability to carry out normal activities or to protect his or her their rights, including, but not limited to, persons who have physical or developmental disabilities, who have traumatic brain injuries or cognitive impairments, or whose physical or mental abilities have diminished because of age.(b) Dependent adult includes any person between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who is admitted as an inpatient to a 24-hour health facility, as defined in Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.
113113
114114
115115
116116 15610.23. (a) Dependent adult means a person, regardless of whether the person lives independently, between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who resides in this state and who has physical or mental limitations that restrict his or her their ability to carry out normal activities or to protect his or her their rights, including, but not limited to, persons who have physical or developmental disabilities, who have traumatic brain injuries or cognitive impairments, or whose physical or mental abilities have diminished because of age.
117117
118118 (b) Dependent adult includes any person between the ages of 18 and 64 years 18 and 59 years of age, inclusive, who is admitted as an inpatient to a 24-hour health facility, as defined in Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.
119119
120120 SEC. 4. Section 15610.27 of the Welfare and Institutions Code is amended to read:15610.27. Elder means any person residing in this state, 65 60 years of age or older.
121121
122122 SEC. 4. Section 15610.27 of the Welfare and Institutions Code is amended to read:
123123
124124 ### SEC. 4.
125125
126126 15610.27. Elder means any person residing in this state, 65 60 years of age or older.
127127
128128 15610.27. Elder means any person residing in this state, 65 60 years of age or older.
129129
130130 15610.27. Elder means any person residing in this state, 65 60 years of age or older.
131131
132132
133133
134134 15610.27. Elder means any person residing in this state, 65 60 years of age or older.
135135
136136 SEC. 5. Section 15610.55 of the Welfare and Institutions Code is amended to read:15610.55. (a) Multidisciplinary personnel team means any team of two or more persons who are trained in the prevention, identification, management, or treatment of abuse of elderly or dependent adults and who are qualified to provide a broad range of services related to abuse of elderly or dependent adults.(b) A multidisciplinary personnel team may include, but need not be limited to, any of the following:(1) Psychiatrists, psychologists, or other trained counseling personnel.(2) Police officers or other law enforcement agents. agents, including district attorneys.(3)Medical personnel with sufficient training to provide health services.(3) Health practitioners, as defined in Section 15610.37.(4) Social workers with experience or training in prevention of abuse of elderly or dependent adults.(5) Public guardians. guardians, public conservators, or public administrators.(6) The local long-term care ombudsman.(7) Child welfare services personnel.(8) Representatives of a health plan.(9) Housing representatives.(10) County counsel.(11) A person with expertise in finance or accounting.
137137
138138 SEC. 5. Section 15610.55 of the Welfare and Institutions Code is amended to read:
139139
140140 ### SEC. 5.
141141
142142 15610.55. (a) Multidisciplinary personnel team means any team of two or more persons who are trained in the prevention, identification, management, or treatment of abuse of elderly or dependent adults and who are qualified to provide a broad range of services related to abuse of elderly or dependent adults.(b) A multidisciplinary personnel team may include, but need not be limited to, any of the following:(1) Psychiatrists, psychologists, or other trained counseling personnel.(2) Police officers or other law enforcement agents. agents, including district attorneys.(3)Medical personnel with sufficient training to provide health services.(3) Health practitioners, as defined in Section 15610.37.(4) Social workers with experience or training in prevention of abuse of elderly or dependent adults.(5) Public guardians. guardians, public conservators, or public administrators.(6) The local long-term care ombudsman.(7) Child welfare services personnel.(8) Representatives of a health plan.(9) Housing representatives.(10) County counsel.(11) A person with expertise in finance or accounting.
143143
144144 15610.55. (a) Multidisciplinary personnel team means any team of two or more persons who are trained in the prevention, identification, management, or treatment of abuse of elderly or dependent adults and who are qualified to provide a broad range of services related to abuse of elderly or dependent adults.(b) A multidisciplinary personnel team may include, but need not be limited to, any of the following:(1) Psychiatrists, psychologists, or other trained counseling personnel.(2) Police officers or other law enforcement agents. agents, including district attorneys.(3)Medical personnel with sufficient training to provide health services.(3) Health practitioners, as defined in Section 15610.37.(4) Social workers with experience or training in prevention of abuse of elderly or dependent adults.(5) Public guardians. guardians, public conservators, or public administrators.(6) The local long-term care ombudsman.(7) Child welfare services personnel.(8) Representatives of a health plan.(9) Housing representatives.(10) County counsel.(11) A person with expertise in finance or accounting.
145145
146146 15610.55. (a) Multidisciplinary personnel team means any team of two or more persons who are trained in the prevention, identification, management, or treatment of abuse of elderly or dependent adults and who are qualified to provide a broad range of services related to abuse of elderly or dependent adults.(b) A multidisciplinary personnel team may include, but need not be limited to, any of the following:(1) Psychiatrists, psychologists, or other trained counseling personnel.(2) Police officers or other law enforcement agents. agents, including district attorneys.(3)Medical personnel with sufficient training to provide health services.(3) Health practitioners, as defined in Section 15610.37.(4) Social workers with experience or training in prevention of abuse of elderly or dependent adults.(5) Public guardians. guardians, public conservators, or public administrators.(6) The local long-term care ombudsman.(7) Child welfare services personnel.(8) Representatives of a health plan.(9) Housing representatives.(10) County counsel.(11) A person with expertise in finance or accounting.
147147
148148
149149
150150 15610.55. (a) Multidisciplinary personnel team means any team of two or more persons who are trained in the prevention, identification, management, or treatment of abuse of elderly or dependent adults and who are qualified to provide a broad range of services related to abuse of elderly or dependent adults.
151151
152152 (b) A multidisciplinary personnel team may include, but need not be limited to, any of the following:
153153
154154 (1) Psychiatrists, psychologists, or other trained counseling personnel.
155155
156156 (2) Police officers or other law enforcement agents. agents, including district attorneys.
157157
158158 (3)Medical personnel with sufficient training to provide health services.
159159
160160
161161
162162 (3) Health practitioners, as defined in Section 15610.37.
163163
164164 (4) Social workers with experience or training in prevention of abuse of elderly or dependent adults.
165165
166166 (5) Public guardians. guardians, public conservators, or public administrators.
167167
168168 (6) The local long-term care ombudsman.
169169
170170 (7) Child welfare services personnel.
171171
172172 (8) Representatives of a health plan.
173173
174174 (9) Housing representatives.
175175
176176 (10) County counsel.
177177
178178 (11) A person with expertise in finance or accounting.
179179
180180 SEC. 6. Section 15610.57 of the Welfare and Institutions Code is amended to read:15610.57. (a) Neglect means either of the following:(1) The negligent failure of any person having the care or custody of an elder or a dependent adult to exercise that degree of care that a reasonable person in a like position would exercise.(2) The negligent failure of an elder or dependent adult to exercise that degree of self care that a reasonable person in a like position would exercise.(b) Neglect includes, but is not limited to, all of the following:(1) Failure to assist in personal hygiene, or in the provision of food, clothing, or shelter.(2) Failure to provide medical care for physical and mental health needs. No person shall be deemed neglected or abused for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone in lieu of medical treatment.(3) Failure to protect from health and safety hazards.(4) Failure to prevent malnutrition or dehydration.(5) Substantial inability or failure of an elder or dependent adult to manage their own finances.(5)(6) Failure of an elder or dependent adult to satisfy any of the needs specified in paragraphs (1) to (4), (5), inclusive, for himself or herself themselves as a result of poor cognitive functioning, mental limitation, substance abuse, or chronic poor health.(c) Neglect includes being homeless if the elder or dependent adult is also unable to meet any of the needs specified in paragraphs (1) to (4), inclusive, of subdivision (b), but not if the individual is unable to meet those needs due to serious mental illness or substance use disorder.
181181
182182 SEC. 6. Section 15610.57 of the Welfare and Institutions Code is amended to read:
183183
184184 ### SEC. 6.
185185
186186 15610.57. (a) Neglect means either of the following:(1) The negligent failure of any person having the care or custody of an elder or a dependent adult to exercise that degree of care that a reasonable person in a like position would exercise.(2) The negligent failure of an elder or dependent adult to exercise that degree of self care that a reasonable person in a like position would exercise.(b) Neglect includes, but is not limited to, all of the following:(1) Failure to assist in personal hygiene, or in the provision of food, clothing, or shelter.(2) Failure to provide medical care for physical and mental health needs. No person shall be deemed neglected or abused for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone in lieu of medical treatment.(3) Failure to protect from health and safety hazards.(4) Failure to prevent malnutrition or dehydration.(5) Substantial inability or failure of an elder or dependent adult to manage their own finances.(5)(6) Failure of an elder or dependent adult to satisfy any of the needs specified in paragraphs (1) to (4), (5), inclusive, for himself or herself themselves as a result of poor cognitive functioning, mental limitation, substance abuse, or chronic poor health.(c) Neglect includes being homeless if the elder or dependent adult is also unable to meet any of the needs specified in paragraphs (1) to (4), inclusive, of subdivision (b), but not if the individual is unable to meet those needs due to serious mental illness or substance use disorder.
187187
188188 15610.57. (a) Neglect means either of the following:(1) The negligent failure of any person having the care or custody of an elder or a dependent adult to exercise that degree of care that a reasonable person in a like position would exercise.(2) The negligent failure of an elder or dependent adult to exercise that degree of self care that a reasonable person in a like position would exercise.(b) Neglect includes, but is not limited to, all of the following:(1) Failure to assist in personal hygiene, or in the provision of food, clothing, or shelter.(2) Failure to provide medical care for physical and mental health needs. No person shall be deemed neglected or abused for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone in lieu of medical treatment.(3) Failure to protect from health and safety hazards.(4) Failure to prevent malnutrition or dehydration.(5) Substantial inability or failure of an elder or dependent adult to manage their own finances.(5)(6) Failure of an elder or dependent adult to satisfy any of the needs specified in paragraphs (1) to (4), (5), inclusive, for himself or herself themselves as a result of poor cognitive functioning, mental limitation, substance abuse, or chronic poor health.(c) Neglect includes being homeless if the elder or dependent adult is also unable to meet any of the needs specified in paragraphs (1) to (4), inclusive, of subdivision (b), but not if the individual is unable to meet those needs due to serious mental illness or substance use disorder.
189189
190190 15610.57. (a) Neglect means either of the following:(1) The negligent failure of any person having the care or custody of an elder or a dependent adult to exercise that degree of care that a reasonable person in a like position would exercise.(2) The negligent failure of an elder or dependent adult to exercise that degree of self care that a reasonable person in a like position would exercise.(b) Neglect includes, but is not limited to, all of the following:(1) Failure to assist in personal hygiene, or in the provision of food, clothing, or shelter.(2) Failure to provide medical care for physical and mental health needs. No person shall be deemed neglected or abused for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone in lieu of medical treatment.(3) Failure to protect from health and safety hazards.(4) Failure to prevent malnutrition or dehydration.(5) Substantial inability or failure of an elder or dependent adult to manage their own finances.(5)(6) Failure of an elder or dependent adult to satisfy any of the needs specified in paragraphs (1) to (4), (5), inclusive, for himself or herself themselves as a result of poor cognitive functioning, mental limitation, substance abuse, or chronic poor health.(c) Neglect includes being homeless if the elder or dependent adult is also unable to meet any of the needs specified in paragraphs (1) to (4), inclusive, of subdivision (b), but not if the individual is unable to meet those needs due to serious mental illness or substance use disorder.
191191
192192
193193
194194 15610.57. (a) Neglect means either of the following:
195195
196196 (1) The negligent failure of any person having the care or custody of an elder or a dependent adult to exercise that degree of care that a reasonable person in a like position would exercise.
197197
198198 (2) The negligent failure of an elder or dependent adult to exercise that degree of self care that a reasonable person in a like position would exercise.
199199
200200 (b) Neglect includes, but is not limited to, all of the following:
201201
202202 (1) Failure to assist in personal hygiene, or in the provision of food, clothing, or shelter.
203203
204204 (2) Failure to provide medical care for physical and mental health needs. No person shall be deemed neglected or abused for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone in lieu of medical treatment.
205205
206206 (3) Failure to protect from health and safety hazards.
207207
208208 (4) Failure to prevent malnutrition or dehydration.
209209
210210 (5) Substantial inability or failure of an elder or dependent adult to manage their own finances.
211211
212212 (5)
213213
214214
215215
216216 (6) Failure of an elder or dependent adult to satisfy any of the needs specified in paragraphs (1) to (4), (5), inclusive, for himself or herself themselves as a result of poor cognitive functioning, mental limitation, substance abuse, or chronic poor health.
217217
218218 (c) Neglect includes being homeless if the elder or dependent adult is also unable to meet any of the needs specified in paragraphs (1) to (4), inclusive, of subdivision (b), but not if the individual is unable to meet those needs due to serious mental illness or substance use disorder.
219219
220220 SEC. 7. Section 15651 is added to the Welfare and Institutions Code, to read:15651. If an elder or dependent adult is suspected or alleged to be a victim of neglect because the elder or dependent adult is homeless and an investigation indicates that the elder or dependent adult is unsheltered or lacks permanent housing because they have a serious mental illness or substance use disorder, the elder or dependent adult shall be referred to the appropriate state or local agency to receive services and supports.
221221
222222 SEC. 7. Section 15651 is added to the Welfare and Institutions Code, to read:
223223
224224 ### SEC. 7.
225225
226226 15651. If an elder or dependent adult is suspected or alleged to be a victim of neglect because the elder or dependent adult is homeless and an investigation indicates that the elder or dependent adult is unsheltered or lacks permanent housing because they have a serious mental illness or substance use disorder, the elder or dependent adult shall be referred to the appropriate state or local agency to receive services and supports.
227227
228228 15651. If an elder or dependent adult is suspected or alleged to be a victim of neglect because the elder or dependent adult is homeless and an investigation indicates that the elder or dependent adult is unsheltered or lacks permanent housing because they have a serious mental illness or substance use disorder, the elder or dependent adult shall be referred to the appropriate state or local agency to receive services and supports.
229229
230230 15651. If an elder or dependent adult is suspected or alleged to be a victim of neglect because the elder or dependent adult is homeless and an investigation indicates that the elder or dependent adult is unsheltered or lacks permanent housing because they have a serious mental illness or substance use disorder, the elder or dependent adult shall be referred to the appropriate state or local agency to receive services and supports.
231231
232232
233233
234234 15651. If an elder or dependent adult is suspected or alleged to be a victim of neglect because the elder or dependent adult is homeless and an investigation indicates that the elder or dependent adult is unsheltered or lacks permanent housing because they have a serious mental illness or substance use disorder, the elder or dependent adult shall be referred to the appropriate state or local agency to receive services and supports.
235235
236236 SEC. 8. Section 15701.05 of the Welfare and Institutions Code is amended to read:15701.05. Appropriate temporary residence means any of the following:(a) A home or dwelling belonging to a member of the endangered adults family or next of kin, if it would not constitute a risk to the endangered or dependent adult.(b) An adult residential care facility or residential care facility for the elderly designated by the county as an emergency shelter and that is licensed by the State of California to deal with the needs of elder or dependent adults.(c) A 24-hour health facility, as designated by Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.(d) Any other home, dwelling, or congregate care unit that meets the needs of the adult.(d)(e) This chapter shall not be used to circumvent or supplant the involuntary detention and evaluation process provided for pursuant to Chapter 2 (commencing with Section 5150) of Part 1 of Division 5. A person shall not be deemed an endangered adult for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone, in lieu of medical treatment.(e)(f) This chapter shall not be used to effectuate placement in jails or correctional treatment centers, as defined in paragraph (1) of subdivision (j) of Section 1250 of the Health and Safety Code.
237237
238238 SEC. 8. Section 15701.05 of the Welfare and Institutions Code is amended to read:
239239
240240 ### SEC. 8.
241241
242242 15701.05. Appropriate temporary residence means any of the following:(a) A home or dwelling belonging to a member of the endangered adults family or next of kin, if it would not constitute a risk to the endangered or dependent adult.(b) An adult residential care facility or residential care facility for the elderly designated by the county as an emergency shelter and that is licensed by the State of California to deal with the needs of elder or dependent adults.(c) A 24-hour health facility, as designated by Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.(d) Any other home, dwelling, or congregate care unit that meets the needs of the adult.(d)(e) This chapter shall not be used to circumvent or supplant the involuntary detention and evaluation process provided for pursuant to Chapter 2 (commencing with Section 5150) of Part 1 of Division 5. A person shall not be deemed an endangered adult for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone, in lieu of medical treatment.(e)(f) This chapter shall not be used to effectuate placement in jails or correctional treatment centers, as defined in paragraph (1) of subdivision (j) of Section 1250 of the Health and Safety Code.
243243
244244 15701.05. Appropriate temporary residence means any of the following:(a) A home or dwelling belonging to a member of the endangered adults family or next of kin, if it would not constitute a risk to the endangered or dependent adult.(b) An adult residential care facility or residential care facility for the elderly designated by the county as an emergency shelter and that is licensed by the State of California to deal with the needs of elder or dependent adults.(c) A 24-hour health facility, as designated by Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.(d) Any other home, dwelling, or congregate care unit that meets the needs of the adult.(d)(e) This chapter shall not be used to circumvent or supplant the involuntary detention and evaluation process provided for pursuant to Chapter 2 (commencing with Section 5150) of Part 1 of Division 5. A person shall not be deemed an endangered adult for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone, in lieu of medical treatment.(e)(f) This chapter shall not be used to effectuate placement in jails or correctional treatment centers, as defined in paragraph (1) of subdivision (j) of Section 1250 of the Health and Safety Code.
245245
246246 15701.05. Appropriate temporary residence means any of the following:(a) A home or dwelling belonging to a member of the endangered adults family or next of kin, if it would not constitute a risk to the endangered or dependent adult.(b) An adult residential care facility or residential care facility for the elderly designated by the county as an emergency shelter and that is licensed by the State of California to deal with the needs of elder or dependent adults.(c) A 24-hour health facility, as designated by Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.(d) Any other home, dwelling, or congregate care unit that meets the needs of the adult.(d)(e) This chapter shall not be used to circumvent or supplant the involuntary detention and evaluation process provided for pursuant to Chapter 2 (commencing with Section 5150) of Part 1 of Division 5. A person shall not be deemed an endangered adult for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone, in lieu of medical treatment.(e)(f) This chapter shall not be used to effectuate placement in jails or correctional treatment centers, as defined in paragraph (1) of subdivision (j) of Section 1250 of the Health and Safety Code.
247247
248248
249249
250250 15701.05. Appropriate temporary residence means any of the following:
251251
252252 (a) A home or dwelling belonging to a member of the endangered adults family or next of kin, if it would not constitute a risk to the endangered or dependent adult.
253253
254254 (b) An adult residential care facility or residential care facility for the elderly designated by the county as an emergency shelter and that is licensed by the State of California to deal with the needs of elder or dependent adults.
255255
256256 (c) A 24-hour health facility, as designated by Sections 1250, 1250.2, and 1250.3 of the Health and Safety Code.
257257
258258 (d) Any other home, dwelling, or congregate care unit that meets the needs of the adult.
259259
260260 (d)
261261
262262
263263
264264 (e) This chapter shall not be used to circumvent or supplant the involuntary detention and evaluation process provided for pursuant to Chapter 2 (commencing with Section 5150) of Part 1 of Division 5. A person shall not be deemed an endangered adult for the sole reason that he or she the person voluntarily relies on treatment by spiritual means through prayer alone, in lieu of medical treatment.
265265
266266 (e)
267267
268268
269269
270270 (f) This chapter shall not be used to effectuate placement in jails or correctional treatment centers, as defined in paragraph (1) of subdivision (j) of Section 1250 of the Health and Safety Code.
271271
272272 SEC. 9. Section 15753 of the Welfare and Institutions Code is amended to read:15753. The department shall, to the extent funding for this purpose remains with the department, establish one full-time position that reports to the director to assist counties with the following functions in their operation of the adult protective services system:(a) Facilitating the review and update of state policies and procedures to promote best casework practices throughout the state, and providing technical assistance to local programs to promote consistent statewide adherence to these policies.(b) Developing recommended program goals, performance measures, and outcomes for the adult protective services system, and a strategic plan to accomplish these recommended goals, performance measures, and outcomes.(c) Collaborating with other state departments and local communities that provide or oversee elder justice services to address the needs of elders and adults with disabilities and improve coordination and effectiveness of adult protective services.(d) Exploring the development of a state data collection system that builds on existing statewide data and additionally tracks outcomes that will align with national data collection efforts.(e) Participating in national, statewide, and regional discussions on adult protective services and elder justice issues and providing information on Californias adult protective services programs.(f) Participating in the development of federal and state policy that responds to new and emergent needs and develops suggested quality assurance measures to be implemented at the local level.(g) Facilitating the development of a regionally based, ongoing, comprehensive and consistent statewide adult protective services training program that responds to new and emerging trends.(h) In collaboration with experts in the field, developing guidelines for local adult protective services programs that will make recommendations for local practice in following areas:(1) Caseload levels for adult protective services workers.(2) Availability of tangible services for local programs.(3) Educational and professional development of adult protective services workers.(4) Structure for 24 hour adult protective services response.(i) Addressing the needs of elder and dependent adults who have traumatic brain injuries or cognitive impairments and those who are homeless.
273273
274274 SEC. 9. Section 15753 of the Welfare and Institutions Code is amended to read:
275275
276276 ### SEC. 9.
277277
278278 15753. The department shall, to the extent funding for this purpose remains with the department, establish one full-time position that reports to the director to assist counties with the following functions in their operation of the adult protective services system:(a) Facilitating the review and update of state policies and procedures to promote best casework practices throughout the state, and providing technical assistance to local programs to promote consistent statewide adherence to these policies.(b) Developing recommended program goals, performance measures, and outcomes for the adult protective services system, and a strategic plan to accomplish these recommended goals, performance measures, and outcomes.(c) Collaborating with other state departments and local communities that provide or oversee elder justice services to address the needs of elders and adults with disabilities and improve coordination and effectiveness of adult protective services.(d) Exploring the development of a state data collection system that builds on existing statewide data and additionally tracks outcomes that will align with national data collection efforts.(e) Participating in national, statewide, and regional discussions on adult protective services and elder justice issues and providing information on Californias adult protective services programs.(f) Participating in the development of federal and state policy that responds to new and emergent needs and develops suggested quality assurance measures to be implemented at the local level.(g) Facilitating the development of a regionally based, ongoing, comprehensive and consistent statewide adult protective services training program that responds to new and emerging trends.(h) In collaboration with experts in the field, developing guidelines for local adult protective services programs that will make recommendations for local practice in following areas:(1) Caseload levels for adult protective services workers.(2) Availability of tangible services for local programs.(3) Educational and professional development of adult protective services workers.(4) Structure for 24 hour adult protective services response.(i) Addressing the needs of elder and dependent adults who have traumatic brain injuries or cognitive impairments and those who are homeless.
279279
280280 15753. The department shall, to the extent funding for this purpose remains with the department, establish one full-time position that reports to the director to assist counties with the following functions in their operation of the adult protective services system:(a) Facilitating the review and update of state policies and procedures to promote best casework practices throughout the state, and providing technical assistance to local programs to promote consistent statewide adherence to these policies.(b) Developing recommended program goals, performance measures, and outcomes for the adult protective services system, and a strategic plan to accomplish these recommended goals, performance measures, and outcomes.(c) Collaborating with other state departments and local communities that provide or oversee elder justice services to address the needs of elders and adults with disabilities and improve coordination and effectiveness of adult protective services.(d) Exploring the development of a state data collection system that builds on existing statewide data and additionally tracks outcomes that will align with national data collection efforts.(e) Participating in national, statewide, and regional discussions on adult protective services and elder justice issues and providing information on Californias adult protective services programs.(f) Participating in the development of federal and state policy that responds to new and emergent needs and develops suggested quality assurance measures to be implemented at the local level.(g) Facilitating the development of a regionally based, ongoing, comprehensive and consistent statewide adult protective services training program that responds to new and emerging trends.(h) In collaboration with experts in the field, developing guidelines for local adult protective services programs that will make recommendations for local practice in following areas:(1) Caseload levels for adult protective services workers.(2) Availability of tangible services for local programs.(3) Educational and professional development of adult protective services workers.(4) Structure for 24 hour adult protective services response.(i) Addressing the needs of elder and dependent adults who have traumatic brain injuries or cognitive impairments and those who are homeless.
281281
282282 15753. The department shall, to the extent funding for this purpose remains with the department, establish one full-time position that reports to the director to assist counties with the following functions in their operation of the adult protective services system:(a) Facilitating the review and update of state policies and procedures to promote best casework practices throughout the state, and providing technical assistance to local programs to promote consistent statewide adherence to these policies.(b) Developing recommended program goals, performance measures, and outcomes for the adult protective services system, and a strategic plan to accomplish these recommended goals, performance measures, and outcomes.(c) Collaborating with other state departments and local communities that provide or oversee elder justice services to address the needs of elders and adults with disabilities and improve coordination and effectiveness of adult protective services.(d) Exploring the development of a state data collection system that builds on existing statewide data and additionally tracks outcomes that will align with national data collection efforts.(e) Participating in national, statewide, and regional discussions on adult protective services and elder justice issues and providing information on Californias adult protective services programs.(f) Participating in the development of federal and state policy that responds to new and emergent needs and develops suggested quality assurance measures to be implemented at the local level.(g) Facilitating the development of a regionally based, ongoing, comprehensive and consistent statewide adult protective services training program that responds to new and emerging trends.(h) In collaboration with experts in the field, developing guidelines for local adult protective services programs that will make recommendations for local practice in following areas:(1) Caseload levels for adult protective services workers.(2) Availability of tangible services for local programs.(3) Educational and professional development of adult protective services workers.(4) Structure for 24 hour adult protective services response.(i) Addressing the needs of elder and dependent adults who have traumatic brain injuries or cognitive impairments and those who are homeless.
283283
284284
285285
286286 15753. The department shall, to the extent funding for this purpose remains with the department, establish one full-time position that reports to the director to assist counties with the following functions in their operation of the adult protective services system:
287287
288288 (a) Facilitating the review and update of state policies and procedures to promote best casework practices throughout the state, and providing technical assistance to local programs to promote consistent statewide adherence to these policies.
289289
290290 (b) Developing recommended program goals, performance measures, and outcomes for the adult protective services system, and a strategic plan to accomplish these recommended goals, performance measures, and outcomes.
291291
292292 (c) Collaborating with other state departments and local communities that provide or oversee elder justice services to address the needs of elders and adults with disabilities and improve coordination and effectiveness of adult protective services.
293293
294294 (d) Exploring the development of a state data collection system that builds on existing statewide data and additionally tracks outcomes that will align with national data collection efforts.
295295
296296 (e) Participating in national, statewide, and regional discussions on adult protective services and elder justice issues and providing information on Californias adult protective services programs.
297297
298298 (f) Participating in the development of federal and state policy that responds to new and emergent needs and develops suggested quality assurance measures to be implemented at the local level.
299299
300300 (g) Facilitating the development of a regionally based, ongoing, comprehensive and consistent statewide adult protective services training program that responds to new and emerging trends.
301301
302302 (h) In collaboration with experts in the field, developing guidelines for local adult protective services programs that will make recommendations for local practice in following areas:
303303
304304 (1) Caseload levels for adult protective services workers.
305305
306306 (2) Availability of tangible services for local programs.
307307
308308 (3) Educational and professional development of adult protective services workers.
309309
310310 (4) Structure for 24 hour adult protective services response.
311311
312312 (i) Addressing the needs of elder and dependent adults who have traumatic brain injuries or cognitive impairments and those who are homeless.
313313
314314 SEC. 10. Section 15763 of the Welfare and Institutions Code is amended to read:15763. (a) Each county shall establish an emergency response adult protective services program that shall provide in-person response, 24 hours per day, seven days per week, to reports of abuse of an elder or a dependent adult, for the purpose of providing immediate intake or intervention, or both, to new reports involving immediate life threats and to crises in existing cases. The program shall include policies and procedures to accomplish all of the following:(1) Provision of case management services that include investigation of the protection issues, assessment of the persons concerns, needs, strengths, problems, and limitations, stabilization and linking with community services, and development of a service plan to alleviate identified problems utilizing counseling, monitoring, followup, and reassessment.(2) Provisions for emergency shelter or in-home protection to guarantee a safe place for the elder or dependent adult to stay until the dangers at home can be resolved.(3) Establishment of multidisciplinary teams to develop interagency treatment strategies, to ensure maximum coordination with existing community resources, to ensure maximum access on behalf of elders and dependent adults, and to avoid duplication of efforts. The multidisciplinary team may include community-based agencies, health plans, and other state- and county-based service providers.(4) Provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program established in Chapter 14 (commencing with Section 15770), to the extent that funding is provided for this purpose in the annual budget act and the county receives those funds.(b) (1) A county shall respond immediately to any report of imminent danger to an elder or dependent adult in other than a long-term care facility, as defined in Section 9701 of the Welfare and Institutions Code, or a residential facility, as defined in Section 1502 of the Health and Safety Code. For reports involving persons in a long-term care facility or a residential care facility, the county shall report to the local long-term care ombudsman program. Adult protective services staff shall consult, coordinate, and support efforts of the ombudsman program to protect vulnerable residents. Except as specified in paragraph (2), the county shall respond to all other reports of danger to an elder or dependent adult in other than a long-term care facility or residential care facility within 10 calendar days or as soon as practicably possible.(2) An immediate or 10-day in-person response is not required when in either of the following circumstances:(A) When the county, based upon an evaluation of risk, determines and documents that the elder or dependent adult is not in imminent danger and that an immediate or 10-day in-person response is not necessary to protect the health or safety of the elder or dependent adult.(B) When the county receives a report regarding an elder or dependent adult who is homeless and has a serious mental illness or substance use disorder, in which case the adult shall be referred to the appropriate state or local agency to receive services and supports.(3) The State Department of Social Services, in consultation with the County Welfare Directors Association, shall develop requirements for implementation of paragraph (2), including, but not limited to, guidelines for determining appropriate application of this section and any applicable documentation requirements.(4) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department shall implement the requirements developed pursuant to paragraph (3) by means of all-county letters or similar instructions prior to adopting regulations for that purpose. Thereafter, the department shall adopt regulations in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code.(c) A county shall not be required to report or respond to a report pursuant to subdivision (b) that involves danger to an elder or dependent adult residing in any facility for the incarceration of prisoners that is operated by or under contract to the Federal Bureau of Prisons, the Department of Corrections and Rehabilitation, a county sheriffs department, a county probation department, a city police department, or any other law enforcement agency when the abuse reportedly has occurred in that facility.(d) A county shall provide case management services to elders and dependent adults who are determined to be in need of adult protective services for the purpose of bringing about changes in the lives of victims and to provide a safety net to enable victims to protect themselves in the future. Case management services shall include the following, to the extent services are appropriate for the individual:(1) Investigation of the protection issues, including, but not limited to, social, medical, environmental, physical, emotional, and developmental.(2) Assessment of the persons concerns and needs on whom the report has been made and the concerns and needs of other members of the family and household.(3) Analysis of problems and strengths.(4) Establishment of a service plan for each person on whom the report has been made to alleviate the identified problems.(5) Client input and acceptance of proposed service plans.(6) Counseling for clients and significant others to alleviate the identified problems and to implement the service plan.(7) Stabilizing and linking with community services. services, including, but not limited to, those provided by health plans, other county-based service providers, and community agencies.(8) Monitoring and followup.(9) Reassessments, as appropriate.(e) (1) To the extent resources are available, each county shall provide emergency shelter in the form of a safe haven or in-home protection for victims. Shelter and care appropriate to the needs of the victim shall be provided for frail and disabled victims who are in need of assistance with activities of daily living.(2) To the extent a county receives grant funds under the Home Safe Program (Chapter 14 (Commencing with Section 15770)), counties may provide housing assistance and support to elders and dependent adults who are homeless or at risk of becoming homeless.(f) Each county shall designate an adult protective services agency to establish and maintain multidisciplinary teams including, but not limited to, adult protective services, law enforcement, probation departments, home health care agencies, hospitals, adult protective services staff, the public guardian, private community service agencies, public health agencies, and mental health agencies for the purpose of providing interagency treatment strategies.(g) Each county shall provide tangible support services, to the extent resources are available, which may include, but not be limited to, emergency food, clothing, repair or replacement of essential appliances, plumbing and electrical repair, blankets, linens, and other household goods, advocacy with utility companies, and emergency response units.
315315
316316 SEC. 10. Section 15763 of the Welfare and Institutions Code is amended to read:
317317
318318 ### SEC. 10.
319319
320320 15763. (a) Each county shall establish an emergency response adult protective services program that shall provide in-person response, 24 hours per day, seven days per week, to reports of abuse of an elder or a dependent adult, for the purpose of providing immediate intake or intervention, or both, to new reports involving immediate life threats and to crises in existing cases. The program shall include policies and procedures to accomplish all of the following:(1) Provision of case management services that include investigation of the protection issues, assessment of the persons concerns, needs, strengths, problems, and limitations, stabilization and linking with community services, and development of a service plan to alleviate identified problems utilizing counseling, monitoring, followup, and reassessment.(2) Provisions for emergency shelter or in-home protection to guarantee a safe place for the elder or dependent adult to stay until the dangers at home can be resolved.(3) Establishment of multidisciplinary teams to develop interagency treatment strategies, to ensure maximum coordination with existing community resources, to ensure maximum access on behalf of elders and dependent adults, and to avoid duplication of efforts. The multidisciplinary team may include community-based agencies, health plans, and other state- and county-based service providers.(4) Provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program established in Chapter 14 (commencing with Section 15770), to the extent that funding is provided for this purpose in the annual budget act and the county receives those funds.(b) (1) A county shall respond immediately to any report of imminent danger to an elder or dependent adult in other than a long-term care facility, as defined in Section 9701 of the Welfare and Institutions Code, or a residential facility, as defined in Section 1502 of the Health and Safety Code. For reports involving persons in a long-term care facility or a residential care facility, the county shall report to the local long-term care ombudsman program. Adult protective services staff shall consult, coordinate, and support efforts of the ombudsman program to protect vulnerable residents. Except as specified in paragraph (2), the county shall respond to all other reports of danger to an elder or dependent adult in other than a long-term care facility or residential care facility within 10 calendar days or as soon as practicably possible.(2) An immediate or 10-day in-person response is not required when in either of the following circumstances:(A) When the county, based upon an evaluation of risk, determines and documents that the elder or dependent adult is not in imminent danger and that an immediate or 10-day in-person response is not necessary to protect the health or safety of the elder or dependent adult.(B) When the county receives a report regarding an elder or dependent adult who is homeless and has a serious mental illness or substance use disorder, in which case the adult shall be referred to the appropriate state or local agency to receive services and supports.(3) The State Department of Social Services, in consultation with the County Welfare Directors Association, shall develop requirements for implementation of paragraph (2), including, but not limited to, guidelines for determining appropriate application of this section and any applicable documentation requirements.(4) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department shall implement the requirements developed pursuant to paragraph (3) by means of all-county letters or similar instructions prior to adopting regulations for that purpose. Thereafter, the department shall adopt regulations in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code.(c) A county shall not be required to report or respond to a report pursuant to subdivision (b) that involves danger to an elder or dependent adult residing in any facility for the incarceration of prisoners that is operated by or under contract to the Federal Bureau of Prisons, the Department of Corrections and Rehabilitation, a county sheriffs department, a county probation department, a city police department, or any other law enforcement agency when the abuse reportedly has occurred in that facility.(d) A county shall provide case management services to elders and dependent adults who are determined to be in need of adult protective services for the purpose of bringing about changes in the lives of victims and to provide a safety net to enable victims to protect themselves in the future. Case management services shall include the following, to the extent services are appropriate for the individual:(1) Investigation of the protection issues, including, but not limited to, social, medical, environmental, physical, emotional, and developmental.(2) Assessment of the persons concerns and needs on whom the report has been made and the concerns and needs of other members of the family and household.(3) Analysis of problems and strengths.(4) Establishment of a service plan for each person on whom the report has been made to alleviate the identified problems.(5) Client input and acceptance of proposed service plans.(6) Counseling for clients and significant others to alleviate the identified problems and to implement the service plan.(7) Stabilizing and linking with community services. services, including, but not limited to, those provided by health plans, other county-based service providers, and community agencies.(8) Monitoring and followup.(9) Reassessments, as appropriate.(e) (1) To the extent resources are available, each county shall provide emergency shelter in the form of a safe haven or in-home protection for victims. Shelter and care appropriate to the needs of the victim shall be provided for frail and disabled victims who are in need of assistance with activities of daily living.(2) To the extent a county receives grant funds under the Home Safe Program (Chapter 14 (Commencing with Section 15770)), counties may provide housing assistance and support to elders and dependent adults who are homeless or at risk of becoming homeless.(f) Each county shall designate an adult protective services agency to establish and maintain multidisciplinary teams including, but not limited to, adult protective services, law enforcement, probation departments, home health care agencies, hospitals, adult protective services staff, the public guardian, private community service agencies, public health agencies, and mental health agencies for the purpose of providing interagency treatment strategies.(g) Each county shall provide tangible support services, to the extent resources are available, which may include, but not be limited to, emergency food, clothing, repair or replacement of essential appliances, plumbing and electrical repair, blankets, linens, and other household goods, advocacy with utility companies, and emergency response units.
321321
322322 15763. (a) Each county shall establish an emergency response adult protective services program that shall provide in-person response, 24 hours per day, seven days per week, to reports of abuse of an elder or a dependent adult, for the purpose of providing immediate intake or intervention, or both, to new reports involving immediate life threats and to crises in existing cases. The program shall include policies and procedures to accomplish all of the following:(1) Provision of case management services that include investigation of the protection issues, assessment of the persons concerns, needs, strengths, problems, and limitations, stabilization and linking with community services, and development of a service plan to alleviate identified problems utilizing counseling, monitoring, followup, and reassessment.(2) Provisions for emergency shelter or in-home protection to guarantee a safe place for the elder or dependent adult to stay until the dangers at home can be resolved.(3) Establishment of multidisciplinary teams to develop interagency treatment strategies, to ensure maximum coordination with existing community resources, to ensure maximum access on behalf of elders and dependent adults, and to avoid duplication of efforts. The multidisciplinary team may include community-based agencies, health plans, and other state- and county-based service providers.(4) Provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program established in Chapter 14 (commencing with Section 15770), to the extent that funding is provided for this purpose in the annual budget act and the county receives those funds.(b) (1) A county shall respond immediately to any report of imminent danger to an elder or dependent adult in other than a long-term care facility, as defined in Section 9701 of the Welfare and Institutions Code, or a residential facility, as defined in Section 1502 of the Health and Safety Code. For reports involving persons in a long-term care facility or a residential care facility, the county shall report to the local long-term care ombudsman program. Adult protective services staff shall consult, coordinate, and support efforts of the ombudsman program to protect vulnerable residents. Except as specified in paragraph (2), the county shall respond to all other reports of danger to an elder or dependent adult in other than a long-term care facility or residential care facility within 10 calendar days or as soon as practicably possible.(2) An immediate or 10-day in-person response is not required when in either of the following circumstances:(A) When the county, based upon an evaluation of risk, determines and documents that the elder or dependent adult is not in imminent danger and that an immediate or 10-day in-person response is not necessary to protect the health or safety of the elder or dependent adult.(B) When the county receives a report regarding an elder or dependent adult who is homeless and has a serious mental illness or substance use disorder, in which case the adult shall be referred to the appropriate state or local agency to receive services and supports.(3) The State Department of Social Services, in consultation with the County Welfare Directors Association, shall develop requirements for implementation of paragraph (2), including, but not limited to, guidelines for determining appropriate application of this section and any applicable documentation requirements.(4) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department shall implement the requirements developed pursuant to paragraph (3) by means of all-county letters or similar instructions prior to adopting regulations for that purpose. Thereafter, the department shall adopt regulations in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code.(c) A county shall not be required to report or respond to a report pursuant to subdivision (b) that involves danger to an elder or dependent adult residing in any facility for the incarceration of prisoners that is operated by or under contract to the Federal Bureau of Prisons, the Department of Corrections and Rehabilitation, a county sheriffs department, a county probation department, a city police department, or any other law enforcement agency when the abuse reportedly has occurred in that facility.(d) A county shall provide case management services to elders and dependent adults who are determined to be in need of adult protective services for the purpose of bringing about changes in the lives of victims and to provide a safety net to enable victims to protect themselves in the future. Case management services shall include the following, to the extent services are appropriate for the individual:(1) Investigation of the protection issues, including, but not limited to, social, medical, environmental, physical, emotional, and developmental.(2) Assessment of the persons concerns and needs on whom the report has been made and the concerns and needs of other members of the family and household.(3) Analysis of problems and strengths.(4) Establishment of a service plan for each person on whom the report has been made to alleviate the identified problems.(5) Client input and acceptance of proposed service plans.(6) Counseling for clients and significant others to alleviate the identified problems and to implement the service plan.(7) Stabilizing and linking with community services. services, including, but not limited to, those provided by health plans, other county-based service providers, and community agencies.(8) Monitoring and followup.(9) Reassessments, as appropriate.(e) (1) To the extent resources are available, each county shall provide emergency shelter in the form of a safe haven or in-home protection for victims. Shelter and care appropriate to the needs of the victim shall be provided for frail and disabled victims who are in need of assistance with activities of daily living.(2) To the extent a county receives grant funds under the Home Safe Program (Chapter 14 (Commencing with Section 15770)), counties may provide housing assistance and support to elders and dependent adults who are homeless or at risk of becoming homeless.(f) Each county shall designate an adult protective services agency to establish and maintain multidisciplinary teams including, but not limited to, adult protective services, law enforcement, probation departments, home health care agencies, hospitals, adult protective services staff, the public guardian, private community service agencies, public health agencies, and mental health agencies for the purpose of providing interagency treatment strategies.(g) Each county shall provide tangible support services, to the extent resources are available, which may include, but not be limited to, emergency food, clothing, repair or replacement of essential appliances, plumbing and electrical repair, blankets, linens, and other household goods, advocacy with utility companies, and emergency response units.
323323
324324 15763. (a) Each county shall establish an emergency response adult protective services program that shall provide in-person response, 24 hours per day, seven days per week, to reports of abuse of an elder or a dependent adult, for the purpose of providing immediate intake or intervention, or both, to new reports involving immediate life threats and to crises in existing cases. The program shall include policies and procedures to accomplish all of the following:(1) Provision of case management services that include investigation of the protection issues, assessment of the persons concerns, needs, strengths, problems, and limitations, stabilization and linking with community services, and development of a service plan to alleviate identified problems utilizing counseling, monitoring, followup, and reassessment.(2) Provisions for emergency shelter or in-home protection to guarantee a safe place for the elder or dependent adult to stay until the dangers at home can be resolved.(3) Establishment of multidisciplinary teams to develop interagency treatment strategies, to ensure maximum coordination with existing community resources, to ensure maximum access on behalf of elders and dependent adults, and to avoid duplication of efforts. The multidisciplinary team may include community-based agencies, health plans, and other state- and county-based service providers.(4) Provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program established in Chapter 14 (commencing with Section 15770), to the extent that funding is provided for this purpose in the annual budget act and the county receives those funds.(b) (1) A county shall respond immediately to any report of imminent danger to an elder or dependent adult in other than a long-term care facility, as defined in Section 9701 of the Welfare and Institutions Code, or a residential facility, as defined in Section 1502 of the Health and Safety Code. For reports involving persons in a long-term care facility or a residential care facility, the county shall report to the local long-term care ombudsman program. Adult protective services staff shall consult, coordinate, and support efforts of the ombudsman program to protect vulnerable residents. Except as specified in paragraph (2), the county shall respond to all other reports of danger to an elder or dependent adult in other than a long-term care facility or residential care facility within 10 calendar days or as soon as practicably possible.(2) An immediate or 10-day in-person response is not required when in either of the following circumstances:(A) When the county, based upon an evaluation of risk, determines and documents that the elder or dependent adult is not in imminent danger and that an immediate or 10-day in-person response is not necessary to protect the health or safety of the elder or dependent adult.(B) When the county receives a report regarding an elder or dependent adult who is homeless and has a serious mental illness or substance use disorder, in which case the adult shall be referred to the appropriate state or local agency to receive services and supports.(3) The State Department of Social Services, in consultation with the County Welfare Directors Association, shall develop requirements for implementation of paragraph (2), including, but not limited to, guidelines for determining appropriate application of this section and any applicable documentation requirements.(4) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department shall implement the requirements developed pursuant to paragraph (3) by means of all-county letters or similar instructions prior to adopting regulations for that purpose. Thereafter, the department shall adopt regulations in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code.(c) A county shall not be required to report or respond to a report pursuant to subdivision (b) that involves danger to an elder or dependent adult residing in any facility for the incarceration of prisoners that is operated by or under contract to the Federal Bureau of Prisons, the Department of Corrections and Rehabilitation, a county sheriffs department, a county probation department, a city police department, or any other law enforcement agency when the abuse reportedly has occurred in that facility.(d) A county shall provide case management services to elders and dependent adults who are determined to be in need of adult protective services for the purpose of bringing about changes in the lives of victims and to provide a safety net to enable victims to protect themselves in the future. Case management services shall include the following, to the extent services are appropriate for the individual:(1) Investigation of the protection issues, including, but not limited to, social, medical, environmental, physical, emotional, and developmental.(2) Assessment of the persons concerns and needs on whom the report has been made and the concerns and needs of other members of the family and household.(3) Analysis of problems and strengths.(4) Establishment of a service plan for each person on whom the report has been made to alleviate the identified problems.(5) Client input and acceptance of proposed service plans.(6) Counseling for clients and significant others to alleviate the identified problems and to implement the service plan.(7) Stabilizing and linking with community services. services, including, but not limited to, those provided by health plans, other county-based service providers, and community agencies.(8) Monitoring and followup.(9) Reassessments, as appropriate.(e) (1) To the extent resources are available, each county shall provide emergency shelter in the form of a safe haven or in-home protection for victims. Shelter and care appropriate to the needs of the victim shall be provided for frail and disabled victims who are in need of assistance with activities of daily living.(2) To the extent a county receives grant funds under the Home Safe Program (Chapter 14 (Commencing with Section 15770)), counties may provide housing assistance and support to elders and dependent adults who are homeless or at risk of becoming homeless.(f) Each county shall designate an adult protective services agency to establish and maintain multidisciplinary teams including, but not limited to, adult protective services, law enforcement, probation departments, home health care agencies, hospitals, adult protective services staff, the public guardian, private community service agencies, public health agencies, and mental health agencies for the purpose of providing interagency treatment strategies.(g) Each county shall provide tangible support services, to the extent resources are available, which may include, but not be limited to, emergency food, clothing, repair or replacement of essential appliances, plumbing and electrical repair, blankets, linens, and other household goods, advocacy with utility companies, and emergency response units.
325325
326326
327327
328328 15763. (a) Each county shall establish an emergency response adult protective services program that shall provide in-person response, 24 hours per day, seven days per week, to reports of abuse of an elder or a dependent adult, for the purpose of providing immediate intake or intervention, or both, to new reports involving immediate life threats and to crises in existing cases. The program shall include policies and procedures to accomplish all of the following:
329329
330330 (1) Provision of case management services that include investigation of the protection issues, assessment of the persons concerns, needs, strengths, problems, and limitations, stabilization and linking with community services, and development of a service plan to alleviate identified problems utilizing counseling, monitoring, followup, and reassessment.
331331
332332 (2) Provisions for emergency shelter or in-home protection to guarantee a safe place for the elder or dependent adult to stay until the dangers at home can be resolved.
333333
334334 (3) Establishment of multidisciplinary teams to develop interagency treatment strategies, to ensure maximum coordination with existing community resources, to ensure maximum access on behalf of elders and dependent adults, and to avoid duplication of efforts. The multidisciplinary team may include community-based agencies, health plans, and other state- and county-based service providers.
335335
336336 (4) Provisions for homeless prevention and longer term housing assistance and support through the Home Safe Program established in Chapter 14 (commencing with Section 15770), to the extent that funding is provided for this purpose in the annual budget act and the county receives those funds.
337337
338338 (b) (1) A county shall respond immediately to any report of imminent danger to an elder or dependent adult in other than a long-term care facility, as defined in Section 9701 of the Welfare and Institutions Code, or a residential facility, as defined in Section 1502 of the Health and Safety Code. For reports involving persons in a long-term care facility or a residential care facility, the county shall report to the local long-term care ombudsman program. Adult protective services staff shall consult, coordinate, and support efforts of the ombudsman program to protect vulnerable residents. Except as specified in paragraph (2), the county shall respond to all other reports of danger to an elder or dependent adult in other than a long-term care facility or residential care facility within 10 calendar days or as soon as practicably possible.
339339
340340 (2) An immediate or 10-day in-person response is not required when in either of the following circumstances:
341341
342342 (A) When the county, based upon an evaluation of risk, determines and documents that the elder or dependent adult is not in imminent danger and that an immediate or 10-day in-person response is not necessary to protect the health or safety of the elder or dependent adult.
343343
344344 (B) When the county receives a report regarding an elder or dependent adult who is homeless and has a serious mental illness or substance use disorder, in which case the adult shall be referred to the appropriate state or local agency to receive services and supports.
345345
346346 (3) The State Department of Social Services, in consultation with the County Welfare Directors Association, shall develop requirements for implementation of paragraph (2), including, but not limited to, guidelines for determining appropriate application of this section and any applicable documentation requirements.
347347
348348 (4) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department shall implement the requirements developed pursuant to paragraph (3) by means of all-county letters or similar instructions prior to adopting regulations for that purpose. Thereafter, the department shall adopt regulations in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code.
349349
350350 (c) A county shall not be required to report or respond to a report pursuant to subdivision (b) that involves danger to an elder or dependent adult residing in any facility for the incarceration of prisoners that is operated by or under contract to the Federal Bureau of Prisons, the Department of Corrections and Rehabilitation, a county sheriffs department, a county probation department, a city police department, or any other law enforcement agency when the abuse reportedly has occurred in that facility.
351351
352352 (d) A county shall provide case management services to elders and dependent adults who are determined to be in need of adult protective services for the purpose of bringing about changes in the lives of victims and to provide a safety net to enable victims to protect themselves in the future. Case management services shall include the following, to the extent services are appropriate for the individual:
353353
354354 (1) Investigation of the protection issues, including, but not limited to, social, medical, environmental, physical, emotional, and developmental.
355355
356356 (2) Assessment of the persons concerns and needs on whom the report has been made and the concerns and needs of other members of the family and household.
357357
358358 (3) Analysis of problems and strengths.
359359
360360 (4) Establishment of a service plan for each person on whom the report has been made to alleviate the identified problems.
361361
362362 (5) Client input and acceptance of proposed service plans.
363363
364364 (6) Counseling for clients and significant others to alleviate the identified problems and to implement the service plan.
365365
366366 (7) Stabilizing and linking with community services. services, including, but not limited to, those provided by health plans, other county-based service providers, and community agencies.
367367
368368 (8) Monitoring and followup.
369369
370370 (9) Reassessments, as appropriate.
371371
372372 (e) (1) To the extent resources are available, each county shall provide emergency shelter in the form of a safe haven or in-home protection for victims. Shelter and care appropriate to the needs of the victim shall be provided for frail and disabled victims who are in need of assistance with activities of daily living.
373373
374374 (2) To the extent a county receives grant funds under the Home Safe Program (Chapter 14 (Commencing with Section 15770)), counties may provide housing assistance and support to elders and dependent adults who are homeless or at risk of becoming homeless.
375375
376376 (f) Each county shall designate an adult protective services agency to establish and maintain multidisciplinary teams including, but not limited to, adult protective services, law enforcement, probation departments, home health care agencies, hospitals, adult protective services staff, the public guardian, private community service agencies, public health agencies, and mental health agencies for the purpose of providing interagency treatment strategies.
377377
378378 (g) Each county shall provide tangible support services, to the extent resources are available, which may include, but not be limited to, emergency food, clothing, repair or replacement of essential appliances, plumbing and electrical repair, blankets, linens, and other household goods, advocacy with utility companies, and emergency response units.
379379
380380 SEC. 11. Section 15767 is added to the Welfare and Institutions Code, to read:15767. (a) The department shall, in consultation with representatives from the County Welfare Directors Association, the California Elder Justice Coalition, and other relevant stakeholders, convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The recommendations shall include identification of potential outcome measures and other data elements that can be tracked and made publicly available for purposes of program planning.(b) (1) The department shall submit recommendations developed pursuant to subdivision (a) to the Legislature by November 1, 2021.(2) A report to be submitted pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code.
381381
382382 SEC. 11. Section 15767 is added to the Welfare and Institutions Code, to read:
383383
384384 ### SEC. 11.
385385
386386 15767. (a) The department shall, in consultation with representatives from the County Welfare Directors Association, the California Elder Justice Coalition, and other relevant stakeholders, convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The recommendations shall include identification of potential outcome measures and other data elements that can be tracked and made publicly available for purposes of program planning.(b) (1) The department shall submit recommendations developed pursuant to subdivision (a) to the Legislature by November 1, 2021.(2) A report to be submitted pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code.
387387
388388 15767. (a) The department shall, in consultation with representatives from the County Welfare Directors Association, the California Elder Justice Coalition, and other relevant stakeholders, convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The recommendations shall include identification of potential outcome measures and other data elements that can be tracked and made publicly available for purposes of program planning.(b) (1) The department shall submit recommendations developed pursuant to subdivision (a) to the Legislature by November 1, 2021.(2) A report to be submitted pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code.
389389
390390 15767. (a) The department shall, in consultation with representatives from the County Welfare Directors Association, the California Elder Justice Coalition, and other relevant stakeholders, convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The recommendations shall include identification of potential outcome measures and other data elements that can be tracked and made publicly available for purposes of program planning.(b) (1) The department shall submit recommendations developed pursuant to subdivision (a) to the Legislature by November 1, 2021.(2) A report to be submitted pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code.
391391
392392
393393
394394 15767. (a) The department shall, in consultation with representatives from the County Welfare Directors Association, the California Elder Justice Coalition, and other relevant stakeholders, convene a workgroup to develop recommendations to create or establish a statewide adult protective services case management or data warehouse system. The recommendations shall include identification of potential outcome measures and other data elements that can be tracked and made publicly available for purposes of program planning.
395395
396396 (b) (1) The department shall submit recommendations developed pursuant to subdivision (a) to the Legislature by November 1, 2021.
397397
398398 (2) A report to be submitted pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code.
399399
400400 SEC. 12. Section 15768 is added to the Welfare and Institutions Code, to read:15768. (a) The Legislature finds and declares that in order to address the growing complexity of older and dependent adults receiving services in the Adult Protective Services (APS) Program for incidents of financial abuse and self-neglect, and to improve the quality and coordination of Californias elder abuse and neglect services, it is necessary for counties to bring together professionals from health, social services, justice systems, and other areas of expertise, to develop and utilize cross-disciplinary approaches for the purpose of early identification, intervention, case management, protection from, and prosecution of, perpetrators, service planning, and provision of services.(b) For the purposes of this section, the following terms have the following meanings:(1) Financial Abuse Specialist Team or FAST means a team composed of representatives from the county adult protective services agency, and at least three other agencies and entities responsible for investigating and preventing financial abuse of elder and dependent adults, that handles cases involving financial abuse.(2) Forensic center means a cross-disciplinary group of professionals who share their expertise in partnership with county adult protective service programs to collectively review cases, make recommendations, and provide assistance to adult protective service staff on the most complex cases of elder and dependent adult abuse and neglect.(c) (1) There is hereby established the Adult Protective Services FAST/Forensic Center Grant Program. This program shall be administered by the State Department of Social Services.(2) (A) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to county adult protective services programs for the purpose of creating, enhancing, and maintaining a FAST or forensic center to serve elder and dependent adults who receive services from adult protective services programs.(B) The department shall provide grants to counties or counties acting jointly according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California. Criteria shall include, but are not limited to, all of the following:(i) Minimum and recommended components for county plans and memorandums of understanding or agreements for county agencies and other participating entities that are required to be submitted pursuant to subdivision (e).(ii) Technical assistance to support counties in submitting data required pursuant to subdivision (f).(iii) Strategies for establishing or expanding a FAST or forensic center, based on available research and best practices in other jurisdictions.(3) Grant funds awarded pursuant to this section may be used for any of the following:(A) Hiring county staff, including, but not limited to, a project director or a project coordinator, and staff to provide case management to support interagency and cross-departmental response.(B) Infrastructure and administrative activities related to creating and maintaining a cross-disciplinary approach, including, but not limited to, both of the following:(i) Securing and maintaining a site for a designated meeting space or telecommunication technology to enable remote meetings for participants.(ii) Data collection and information sharing across agencies, including client-based data and outcome measures.(C) Developing memorandums of understanding or agreements that describe processes for information sharing, team meetings, case assessment, decisionmaking, service provision, and other activities to be undertaken by the members of the FAST or forensic center.(D) Providing training to county adult protective services workers to identify and refer adults who are victims of more complex cases, including those that involve financial abuse and self-neglect, to the countys FAST or forensic center.(E) Support to adult protective services in training and outreach to community and county-based entities and mandated reporters to identify abuse and neglect.(F) Retaining expertise and participation from other county or community-based agencies as members of the FAST or forensic center, intermittent consultation, or both.(4) Participating members of the FAST or forensic center may include members of the county multidisciplinary team, as defined in Section 15610.55, or other professionals identified in the county plan submitted pursuant to subdivision (e). The composition of the FAST or forensic center may include, but is not limited to, individuals with expertise in the following professions or from the following agencies:(A) Adult protective services.(B) Law enforcement agencies.(C) Prosecutorial agencies.(D) Public guardians, public conservators, or public administrators.(E) Long-Term Care Ombudsman.(F) Legal aid organizations.(G) Victim advocates.(H) Community mental health services.(I) Developmental disability services.(J) Coroners offices.(K) Community care licensing.(L) Geriatrician or health care providers.(M) Geropsychologists or neuropsychologists.(N) Financial and accounting services.(5) Members of the FAST or forensic center shall provide input regarding services and supports needed for elder and dependent adults who are served by adult protect services, and may assist in linking elder and dependent adults to services that are consistent with the memorandum of agreement or understanding developed pursuant to subdivision (e).(d) (1) Funds allocated for Adult Protective Services FAST/Forensic Center Grant Program shall not supplant funds for existing programs.(2) Funds shall be allocated on an annual basis, subject to funding provided in the annual Budget Act.(3) The department, upon consultation with the County Welfare Directors Association of California, may set aside a portion of funding for use by counties, upon county request, to procure direct services to support a financial abuse investigation or for forensic investigative purposes.(e) A county or group of counties applying for grant funding from the Adult Protective Services FAST/Forensic Center Program shall submit a plan to the department describing how the county or group of counties intends to utilize the funds. The plans shall include all of the following:(1) The purpose and composition of the cross-disciplinary team to serve as either a FAST or forensic center.(2) A copy of the memorandum of understanding or agreement, if one exists, or a process to develop a memorandum of understanding or agreement to formalize collaborative partnerships across participating agencies and members. A county that is updating or creating a new memorandum of understanding or agreement shall submit a plan update upon completion.(3) A description of how data and information will be shared between participating agencies and professionals.(f) Counties or groups of counties to receive grant funding under this section shall submit annual reports to the department beginning September 30, 2021, and by September 30 of each calendar year thereafter. The reports shall include all of the following:(1) Status of local memorandums of understanding or agreement, including any updates made in the course of the prior year.(2) Demographics of clients served, including, but not limited to, the number of individuals served, the types of abuse or neglect suffered by those individuals, and outcomes of the cases.(3) In cases of financial abuse, the estimated amount of assets preserved and recovered.(4) The types of services provided and by which agencies or entities those services were provided.(5) Innovative strategies relating to collaboration with other agencies and professions involved in the multidisciplinary team.(6) The identification of further barriers and challenges to preventing elder and dependent adult abuse and serving elder and dependent adults at risk of abuse and neglect.(g) The department shall award grants under this section no later than March 1, 2021.(h) Subject to the availability of funding for these purposes, a county or group of counties that does not initially receive grant funding under this section may subsequently apply for grants funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.
401401
402402 SEC. 12. Section 15768 is added to the Welfare and Institutions Code, to read:
403403
404404 ### SEC. 12.
405405
406406 15768. (a) The Legislature finds and declares that in order to address the growing complexity of older and dependent adults receiving services in the Adult Protective Services (APS) Program for incidents of financial abuse and self-neglect, and to improve the quality and coordination of Californias elder abuse and neglect services, it is necessary for counties to bring together professionals from health, social services, justice systems, and other areas of expertise, to develop and utilize cross-disciplinary approaches for the purpose of early identification, intervention, case management, protection from, and prosecution of, perpetrators, service planning, and provision of services.(b) For the purposes of this section, the following terms have the following meanings:(1) Financial Abuse Specialist Team or FAST means a team composed of representatives from the county adult protective services agency, and at least three other agencies and entities responsible for investigating and preventing financial abuse of elder and dependent adults, that handles cases involving financial abuse.(2) Forensic center means a cross-disciplinary group of professionals who share their expertise in partnership with county adult protective service programs to collectively review cases, make recommendations, and provide assistance to adult protective service staff on the most complex cases of elder and dependent adult abuse and neglect.(c) (1) There is hereby established the Adult Protective Services FAST/Forensic Center Grant Program. This program shall be administered by the State Department of Social Services.(2) (A) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to county adult protective services programs for the purpose of creating, enhancing, and maintaining a FAST or forensic center to serve elder and dependent adults who receive services from adult protective services programs.(B) The department shall provide grants to counties or counties acting jointly according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California. Criteria shall include, but are not limited to, all of the following:(i) Minimum and recommended components for county plans and memorandums of understanding or agreements for county agencies and other participating entities that are required to be submitted pursuant to subdivision (e).(ii) Technical assistance to support counties in submitting data required pursuant to subdivision (f).(iii) Strategies for establishing or expanding a FAST or forensic center, based on available research and best practices in other jurisdictions.(3) Grant funds awarded pursuant to this section may be used for any of the following:(A) Hiring county staff, including, but not limited to, a project director or a project coordinator, and staff to provide case management to support interagency and cross-departmental response.(B) Infrastructure and administrative activities related to creating and maintaining a cross-disciplinary approach, including, but not limited to, both of the following:(i) Securing and maintaining a site for a designated meeting space or telecommunication technology to enable remote meetings for participants.(ii) Data collection and information sharing across agencies, including client-based data and outcome measures.(C) Developing memorandums of understanding or agreements that describe processes for information sharing, team meetings, case assessment, decisionmaking, service provision, and other activities to be undertaken by the members of the FAST or forensic center.(D) Providing training to county adult protective services workers to identify and refer adults who are victims of more complex cases, including those that involve financial abuse and self-neglect, to the countys FAST or forensic center.(E) Support to adult protective services in training and outreach to community and county-based entities and mandated reporters to identify abuse and neglect.(F) Retaining expertise and participation from other county or community-based agencies as members of the FAST or forensic center, intermittent consultation, or both.(4) Participating members of the FAST or forensic center may include members of the county multidisciplinary team, as defined in Section 15610.55, or other professionals identified in the county plan submitted pursuant to subdivision (e). The composition of the FAST or forensic center may include, but is not limited to, individuals with expertise in the following professions or from the following agencies:(A) Adult protective services.(B) Law enforcement agencies.(C) Prosecutorial agencies.(D) Public guardians, public conservators, or public administrators.(E) Long-Term Care Ombudsman.(F) Legal aid organizations.(G) Victim advocates.(H) Community mental health services.(I) Developmental disability services.(J) Coroners offices.(K) Community care licensing.(L) Geriatrician or health care providers.(M) Geropsychologists or neuropsychologists.(N) Financial and accounting services.(5) Members of the FAST or forensic center shall provide input regarding services and supports needed for elder and dependent adults who are served by adult protect services, and may assist in linking elder and dependent adults to services that are consistent with the memorandum of agreement or understanding developed pursuant to subdivision (e).(d) (1) Funds allocated for Adult Protective Services FAST/Forensic Center Grant Program shall not supplant funds for existing programs.(2) Funds shall be allocated on an annual basis, subject to funding provided in the annual Budget Act.(3) The department, upon consultation with the County Welfare Directors Association of California, may set aside a portion of funding for use by counties, upon county request, to procure direct services to support a financial abuse investigation or for forensic investigative purposes.(e) A county or group of counties applying for grant funding from the Adult Protective Services FAST/Forensic Center Program shall submit a plan to the department describing how the county or group of counties intends to utilize the funds. The plans shall include all of the following:(1) The purpose and composition of the cross-disciplinary team to serve as either a FAST or forensic center.(2) A copy of the memorandum of understanding or agreement, if one exists, or a process to develop a memorandum of understanding or agreement to formalize collaborative partnerships across participating agencies and members. A county that is updating or creating a new memorandum of understanding or agreement shall submit a plan update upon completion.(3) A description of how data and information will be shared between participating agencies and professionals.(f) Counties or groups of counties to receive grant funding under this section shall submit annual reports to the department beginning September 30, 2021, and by September 30 of each calendar year thereafter. The reports shall include all of the following:(1) Status of local memorandums of understanding or agreement, including any updates made in the course of the prior year.(2) Demographics of clients served, including, but not limited to, the number of individuals served, the types of abuse or neglect suffered by those individuals, and outcomes of the cases.(3) In cases of financial abuse, the estimated amount of assets preserved and recovered.(4) The types of services provided and by which agencies or entities those services were provided.(5) Innovative strategies relating to collaboration with other agencies and professions involved in the multidisciplinary team.(6) The identification of further barriers and challenges to preventing elder and dependent adult abuse and serving elder and dependent adults at risk of abuse and neglect.(g) The department shall award grants under this section no later than March 1, 2021.(h) Subject to the availability of funding for these purposes, a county or group of counties that does not initially receive grant funding under this section may subsequently apply for grants funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.
407407
408408 15768. (a) The Legislature finds and declares that in order to address the growing complexity of older and dependent adults receiving services in the Adult Protective Services (APS) Program for incidents of financial abuse and self-neglect, and to improve the quality and coordination of Californias elder abuse and neglect services, it is necessary for counties to bring together professionals from health, social services, justice systems, and other areas of expertise, to develop and utilize cross-disciplinary approaches for the purpose of early identification, intervention, case management, protection from, and prosecution of, perpetrators, service planning, and provision of services.(b) For the purposes of this section, the following terms have the following meanings:(1) Financial Abuse Specialist Team or FAST means a team composed of representatives from the county adult protective services agency, and at least three other agencies and entities responsible for investigating and preventing financial abuse of elder and dependent adults, that handles cases involving financial abuse.(2) Forensic center means a cross-disciplinary group of professionals who share their expertise in partnership with county adult protective service programs to collectively review cases, make recommendations, and provide assistance to adult protective service staff on the most complex cases of elder and dependent adult abuse and neglect.(c) (1) There is hereby established the Adult Protective Services FAST/Forensic Center Grant Program. This program shall be administered by the State Department of Social Services.(2) (A) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to county adult protective services programs for the purpose of creating, enhancing, and maintaining a FAST or forensic center to serve elder and dependent adults who receive services from adult protective services programs.(B) The department shall provide grants to counties or counties acting jointly according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California. Criteria shall include, but are not limited to, all of the following:(i) Minimum and recommended components for county plans and memorandums of understanding or agreements for county agencies and other participating entities that are required to be submitted pursuant to subdivision (e).(ii) Technical assistance to support counties in submitting data required pursuant to subdivision (f).(iii) Strategies for establishing or expanding a FAST or forensic center, based on available research and best practices in other jurisdictions.(3) Grant funds awarded pursuant to this section may be used for any of the following:(A) Hiring county staff, including, but not limited to, a project director or a project coordinator, and staff to provide case management to support interagency and cross-departmental response.(B) Infrastructure and administrative activities related to creating and maintaining a cross-disciplinary approach, including, but not limited to, both of the following:(i) Securing and maintaining a site for a designated meeting space or telecommunication technology to enable remote meetings for participants.(ii) Data collection and information sharing across agencies, including client-based data and outcome measures.(C) Developing memorandums of understanding or agreements that describe processes for information sharing, team meetings, case assessment, decisionmaking, service provision, and other activities to be undertaken by the members of the FAST or forensic center.(D) Providing training to county adult protective services workers to identify and refer adults who are victims of more complex cases, including those that involve financial abuse and self-neglect, to the countys FAST or forensic center.(E) Support to adult protective services in training and outreach to community and county-based entities and mandated reporters to identify abuse and neglect.(F) Retaining expertise and participation from other county or community-based agencies as members of the FAST or forensic center, intermittent consultation, or both.(4) Participating members of the FAST or forensic center may include members of the county multidisciplinary team, as defined in Section 15610.55, or other professionals identified in the county plan submitted pursuant to subdivision (e). The composition of the FAST or forensic center may include, but is not limited to, individuals with expertise in the following professions or from the following agencies:(A) Adult protective services.(B) Law enforcement agencies.(C) Prosecutorial agencies.(D) Public guardians, public conservators, or public administrators.(E) Long-Term Care Ombudsman.(F) Legal aid organizations.(G) Victim advocates.(H) Community mental health services.(I) Developmental disability services.(J) Coroners offices.(K) Community care licensing.(L) Geriatrician or health care providers.(M) Geropsychologists or neuropsychologists.(N) Financial and accounting services.(5) Members of the FAST or forensic center shall provide input regarding services and supports needed for elder and dependent adults who are served by adult protect services, and may assist in linking elder and dependent adults to services that are consistent with the memorandum of agreement or understanding developed pursuant to subdivision (e).(d) (1) Funds allocated for Adult Protective Services FAST/Forensic Center Grant Program shall not supplant funds for existing programs.(2) Funds shall be allocated on an annual basis, subject to funding provided in the annual Budget Act.(3) The department, upon consultation with the County Welfare Directors Association of California, may set aside a portion of funding for use by counties, upon county request, to procure direct services to support a financial abuse investigation or for forensic investigative purposes.(e) A county or group of counties applying for grant funding from the Adult Protective Services FAST/Forensic Center Program shall submit a plan to the department describing how the county or group of counties intends to utilize the funds. The plans shall include all of the following:(1) The purpose and composition of the cross-disciplinary team to serve as either a FAST or forensic center.(2) A copy of the memorandum of understanding or agreement, if one exists, or a process to develop a memorandum of understanding or agreement to formalize collaborative partnerships across participating agencies and members. A county that is updating or creating a new memorandum of understanding or agreement shall submit a plan update upon completion.(3) A description of how data and information will be shared between participating agencies and professionals.(f) Counties or groups of counties to receive grant funding under this section shall submit annual reports to the department beginning September 30, 2021, and by September 30 of each calendar year thereafter. The reports shall include all of the following:(1) Status of local memorandums of understanding or agreement, including any updates made in the course of the prior year.(2) Demographics of clients served, including, but not limited to, the number of individuals served, the types of abuse or neglect suffered by those individuals, and outcomes of the cases.(3) In cases of financial abuse, the estimated amount of assets preserved and recovered.(4) The types of services provided and by which agencies or entities those services were provided.(5) Innovative strategies relating to collaboration with other agencies and professions involved in the multidisciplinary team.(6) The identification of further barriers and challenges to preventing elder and dependent adult abuse and serving elder and dependent adults at risk of abuse and neglect.(g) The department shall award grants under this section no later than March 1, 2021.(h) Subject to the availability of funding for these purposes, a county or group of counties that does not initially receive grant funding under this section may subsequently apply for grants funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.
409409
410410 15768. (a) The Legislature finds and declares that in order to address the growing complexity of older and dependent adults receiving services in the Adult Protective Services (APS) Program for incidents of financial abuse and self-neglect, and to improve the quality and coordination of Californias elder abuse and neglect services, it is necessary for counties to bring together professionals from health, social services, justice systems, and other areas of expertise, to develop and utilize cross-disciplinary approaches for the purpose of early identification, intervention, case management, protection from, and prosecution of, perpetrators, service planning, and provision of services.(b) For the purposes of this section, the following terms have the following meanings:(1) Financial Abuse Specialist Team or FAST means a team composed of representatives from the county adult protective services agency, and at least three other agencies and entities responsible for investigating and preventing financial abuse of elder and dependent adults, that handles cases involving financial abuse.(2) Forensic center means a cross-disciplinary group of professionals who share their expertise in partnership with county adult protective service programs to collectively review cases, make recommendations, and provide assistance to adult protective service staff on the most complex cases of elder and dependent adult abuse and neglect.(c) (1) There is hereby established the Adult Protective Services FAST/Forensic Center Grant Program. This program shall be administered by the State Department of Social Services.(2) (A) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to county adult protective services programs for the purpose of creating, enhancing, and maintaining a FAST or forensic center to serve elder and dependent adults who receive services from adult protective services programs.(B) The department shall provide grants to counties or counties acting jointly according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California. Criteria shall include, but are not limited to, all of the following:(i) Minimum and recommended components for county plans and memorandums of understanding or agreements for county agencies and other participating entities that are required to be submitted pursuant to subdivision (e).(ii) Technical assistance to support counties in submitting data required pursuant to subdivision (f).(iii) Strategies for establishing or expanding a FAST or forensic center, based on available research and best practices in other jurisdictions.(3) Grant funds awarded pursuant to this section may be used for any of the following:(A) Hiring county staff, including, but not limited to, a project director or a project coordinator, and staff to provide case management to support interagency and cross-departmental response.(B) Infrastructure and administrative activities related to creating and maintaining a cross-disciplinary approach, including, but not limited to, both of the following:(i) Securing and maintaining a site for a designated meeting space or telecommunication technology to enable remote meetings for participants.(ii) Data collection and information sharing across agencies, including client-based data and outcome measures.(C) Developing memorandums of understanding or agreements that describe processes for information sharing, team meetings, case assessment, decisionmaking, service provision, and other activities to be undertaken by the members of the FAST or forensic center.(D) Providing training to county adult protective services workers to identify and refer adults who are victims of more complex cases, including those that involve financial abuse and self-neglect, to the countys FAST or forensic center.(E) Support to adult protective services in training and outreach to community and county-based entities and mandated reporters to identify abuse and neglect.(F) Retaining expertise and participation from other county or community-based agencies as members of the FAST or forensic center, intermittent consultation, or both.(4) Participating members of the FAST or forensic center may include members of the county multidisciplinary team, as defined in Section 15610.55, or other professionals identified in the county plan submitted pursuant to subdivision (e). The composition of the FAST or forensic center may include, but is not limited to, individuals with expertise in the following professions or from the following agencies:(A) Adult protective services.(B) Law enforcement agencies.(C) Prosecutorial agencies.(D) Public guardians, public conservators, or public administrators.(E) Long-Term Care Ombudsman.(F) Legal aid organizations.(G) Victim advocates.(H) Community mental health services.(I) Developmental disability services.(J) Coroners offices.(K) Community care licensing.(L) Geriatrician or health care providers.(M) Geropsychologists or neuropsychologists.(N) Financial and accounting services.(5) Members of the FAST or forensic center shall provide input regarding services and supports needed for elder and dependent adults who are served by adult protect services, and may assist in linking elder and dependent adults to services that are consistent with the memorandum of agreement or understanding developed pursuant to subdivision (e).(d) (1) Funds allocated for Adult Protective Services FAST/Forensic Center Grant Program shall not supplant funds for existing programs.(2) Funds shall be allocated on an annual basis, subject to funding provided in the annual Budget Act.(3) The department, upon consultation with the County Welfare Directors Association of California, may set aside a portion of funding for use by counties, upon county request, to procure direct services to support a financial abuse investigation or for forensic investigative purposes.(e) A county or group of counties applying for grant funding from the Adult Protective Services FAST/Forensic Center Program shall submit a plan to the department describing how the county or group of counties intends to utilize the funds. The plans shall include all of the following:(1) The purpose and composition of the cross-disciplinary team to serve as either a FAST or forensic center.(2) A copy of the memorandum of understanding or agreement, if one exists, or a process to develop a memorandum of understanding or agreement to formalize collaborative partnerships across participating agencies and members. A county that is updating or creating a new memorandum of understanding or agreement shall submit a plan update upon completion.(3) A description of how data and information will be shared between participating agencies and professionals.(f) Counties or groups of counties to receive grant funding under this section shall submit annual reports to the department beginning September 30, 2021, and by September 30 of each calendar year thereafter. The reports shall include all of the following:(1) Status of local memorandums of understanding or agreement, including any updates made in the course of the prior year.(2) Demographics of clients served, including, but not limited to, the number of individuals served, the types of abuse or neglect suffered by those individuals, and outcomes of the cases.(3) In cases of financial abuse, the estimated amount of assets preserved and recovered.(4) The types of services provided and by which agencies or entities those services were provided.(5) Innovative strategies relating to collaboration with other agencies and professions involved in the multidisciplinary team.(6) The identification of further barriers and challenges to preventing elder and dependent adult abuse and serving elder and dependent adults at risk of abuse and neglect.(g) The department shall award grants under this section no later than March 1, 2021.(h) Subject to the availability of funding for these purposes, a county or group of counties that does not initially receive grant funding under this section may subsequently apply for grants funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.
411411
412412
413413
414414 15768. (a) The Legislature finds and declares that in order to address the growing complexity of older and dependent adults receiving services in the Adult Protective Services (APS) Program for incidents of financial abuse and self-neglect, and to improve the quality and coordination of Californias elder abuse and neglect services, it is necessary for counties to bring together professionals from health, social services, justice systems, and other areas of expertise, to develop and utilize cross-disciplinary approaches for the purpose of early identification, intervention, case management, protection from, and prosecution of, perpetrators, service planning, and provision of services.
415415
416416 (b) For the purposes of this section, the following terms have the following meanings:
417417
418418 (1) Financial Abuse Specialist Team or FAST means a team composed of representatives from the county adult protective services agency, and at least three other agencies and entities responsible for investigating and preventing financial abuse of elder and dependent adults, that handles cases involving financial abuse.
419419
420420 (2) Forensic center means a cross-disciplinary group of professionals who share their expertise in partnership with county adult protective service programs to collectively review cases, make recommendations, and provide assistance to adult protective service staff on the most complex cases of elder and dependent adult abuse and neglect.
421421
422422 (c) (1) There is hereby established the Adult Protective Services FAST/Forensic Center Grant Program. This program shall be administered by the State Department of Social Services.
423423
424424 (2) (A) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to county adult protective services programs for the purpose of creating, enhancing, and maintaining a FAST or forensic center to serve elder and dependent adults who receive services from adult protective services programs.
425425
426426 (B) The department shall provide grants to counties or counties acting jointly according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California. Criteria shall include, but are not limited to, all of the following:
427427
428428 (i) Minimum and recommended components for county plans and memorandums of understanding or agreements for county agencies and other participating entities that are required to be submitted pursuant to subdivision (e).
429429
430430 (ii) Technical assistance to support counties in submitting data required pursuant to subdivision (f).
431431
432432 (iii) Strategies for establishing or expanding a FAST or forensic center, based on available research and best practices in other jurisdictions.
433433
434434 (3) Grant funds awarded pursuant to this section may be used for any of the following:
435435
436436 (A) Hiring county staff, including, but not limited to, a project director or a project coordinator, and staff to provide case management to support interagency and cross-departmental response.
437437
438438 (B) Infrastructure and administrative activities related to creating and maintaining a cross-disciplinary approach, including, but not limited to, both of the following:
439439
440440 (i) Securing and maintaining a site for a designated meeting space or telecommunication technology to enable remote meetings for participants.
441441
442442 (ii) Data collection and information sharing across agencies, including client-based data and outcome measures.
443443
444444 (C) Developing memorandums of understanding or agreements that describe processes for information sharing, team meetings, case assessment, decisionmaking, service provision, and other activities to be undertaken by the members of the FAST or forensic center.
445445
446446 (D) Providing training to county adult protective services workers to identify and refer adults who are victims of more complex cases, including those that involve financial abuse and self-neglect, to the countys FAST or forensic center.
447447
448448 (E) Support to adult protective services in training and outreach to community and county-based entities and mandated reporters to identify abuse and neglect.
449449
450450 (F) Retaining expertise and participation from other county or community-based agencies as members of the FAST or forensic center, intermittent consultation, or both.
451451
452452 (4) Participating members of the FAST or forensic center may include members of the county multidisciplinary team, as defined in Section 15610.55, or other professionals identified in the county plan submitted pursuant to subdivision (e). The composition of the FAST or forensic center may include, but is not limited to, individuals with expertise in the following professions or from the following agencies:
453453
454454 (A) Adult protective services.
455455
456456 (B) Law enforcement agencies.
457457
458458 (C) Prosecutorial agencies.
459459
460460 (D) Public guardians, public conservators, or public administrators.
461461
462462 (E) Long-Term Care Ombudsman.
463463
464464 (F) Legal aid organizations.
465465
466466 (G) Victim advocates.
467467
468468 (H) Community mental health services.
469469
470470 (I) Developmental disability services.
471471
472472 (J) Coroners offices.
473473
474474 (K) Community care licensing.
475475
476476 (L) Geriatrician or health care providers.
477477
478478 (M) Geropsychologists or neuropsychologists.
479479
480480 (N) Financial and accounting services.
481481
482482 (5) Members of the FAST or forensic center shall provide input regarding services and supports needed for elder and dependent adults who are served by adult protect services, and may assist in linking elder and dependent adults to services that are consistent with the memorandum of agreement or understanding developed pursuant to subdivision (e).
483483
484484 (d) (1) Funds allocated for Adult Protective Services FAST/Forensic Center Grant Program shall not supplant funds for existing programs.
485485
486486 (2) Funds shall be allocated on an annual basis, subject to funding provided in the annual Budget Act.
487487
488488 (3) The department, upon consultation with the County Welfare Directors Association of California, may set aside a portion of funding for use by counties, upon county request, to procure direct services to support a financial abuse investigation or for forensic investigative purposes.
489489
490490 (e) A county or group of counties applying for grant funding from the Adult Protective Services FAST/Forensic Center Program shall submit a plan to the department describing how the county or group of counties intends to utilize the funds. The plans shall include all of the following:
491491
492492 (1) The purpose and composition of the cross-disciplinary team to serve as either a FAST or forensic center.
493493
494494 (2) A copy of the memorandum of understanding or agreement, if one exists, or a process to develop a memorandum of understanding or agreement to formalize collaborative partnerships across participating agencies and members. A county that is updating or creating a new memorandum of understanding or agreement shall submit a plan update upon completion.
495495
496496 (3) A description of how data and information will be shared between participating agencies and professionals.
497497
498498 (f) Counties or groups of counties to receive grant funding under this section shall submit annual reports to the department beginning September 30, 2021, and by September 30 of each calendar year thereafter. The reports shall include all of the following:
499499
500500 (1) Status of local memorandums of understanding or agreement, including any updates made in the course of the prior year.
501501
502502 (2) Demographics of clients served, including, but not limited to, the number of individuals served, the types of abuse or neglect suffered by those individuals, and outcomes of the cases.
503503
504504 (3) In cases of financial abuse, the estimated amount of assets preserved and recovered.
505505
506506 (4) The types of services provided and by which agencies or entities those services were provided.
507507
508508 (5) Innovative strategies relating to collaboration with other agencies and professions involved in the multidisciplinary team.
509509
510510 (6) The identification of further barriers and challenges to preventing elder and dependent adult abuse and serving elder and dependent adults at risk of abuse and neglect.
511511
512512 (g) The department shall award grants under this section no later than March 1, 2021.
513513
514514 (h) Subject to the availability of funding for these purposes, a county or group of counties that does not initially receive grant funding under this section may subsequently apply for grants funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.
515515
516516 SEC. 13. Section 15771 of the Welfare and Institutions Code is amended to read:15771. (a) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing housing-related supports to eligible individuals.(b) Notwithstanding subdivision (a), this section does not create an entitlement to housing-related assistance, which is to be provided at the discretion of the grantee as a service to eligible individuals.(c) (1) It is the intent of the Legislature that housing-related assistance provided pursuant to this chapter utilize evidence-based practices in homeless assistance and prevention, including housing risk screening and assessments, housing first, rapid rehousing, and supportive housing. It is further the intent of the Legislature to allow housing-related assistance to be provided to elders and dependent adults served by county adult protective services programs who are homeless or at risk of homelessness as a bridge to more permanent housing.(2) Housing-related supports and services available to participating individuals may include, but not be limited to, all of the following:(A) An assessment of each individuals housing needs, including a plan to assist the individual in meeting those needs, consistent with the case plan, as developed by the adult protective services agency. To the extent feasible, the plan shall be developed in coordination with a multidisciplinary team that may include housing program providers, mental health providers, local law enforcement, legal assistance providers, and others as deemed relevant by the adult protective services agency.(B) Navigation or search assistance to recruit landlords and assist individuals in locating affordable or subsidized housing.(C) Enhanced case management, including motivational interviewing and trauma-informed care, to help the individual recover from elder abuse, neglect, or financial exploitation.(D) Housing-related financial assistance, including for rental assistance, including, but not limited to, long-term rental subsidies, emergency housing, and access to board and care homes, security deposit assistance, utility payments, moving cost assistance, and interim housing assistance while housing navigators are actively seeking permanent housing options for the individual.(E) Housing stabilization services, including ongoing landlord engagement, case management, public systems assistance, legal services, tenant education, eviction protection, credit repair assistance, life skills training, heavy cleaning, and conflict mediation with landlords, neighbors, and families.(F) Services to support housing transitions, including, but not limited to, transportation assistance, assistance securing personal care attendants, and linking service recipients to other services and supports.(F)(G) If the individual requires supportive housing, referral to the local homeless continuum of care for long-term services promoting housing stability.(G)(H) Mental health assistance, as necessary or appropriate.(d) The department shall provide grants to counties and tribes according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging. These criteria shall include, but are not limited to, all of the following:(1) Eligible sources of funds and in-kind contributions to match the grant, as described in paragraph (1) of subdivision (e).(2) The proportion of funding to be expended on reasonable and appropriate administrative activities, in order to minimize overhead and maximize services.(3) Tracking and reporting procedures for the program, which shall be conducted as a condition of receiving funds, including, but not limited to, collecting disaggregated data on all of the following:(A) The number of people determined eligible for the program.(B) The number of people receiving assistance from the program and the duration of that assistance.(C) The types of housing assistance received by recipients.(D) The housing status six months and one year after receiving assistance from the program.(E) The number of substantiated adult protective services reports six months and one year after receiving assistance from the program.(e) Grants shall be subject to all of the following requirements:(1) (A) Grantees shall match the funding on a dollar-for-dollar basis, which may be met by cash or in-kind contributions.(B) On and after the effective date of the act that added this subparagraph, grantees shall not be required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.(2) Grantees shall demonstrate the extent to which they will attempt to leverage county mental health services funds for participating individuals, and any barriers to leveraging these funds.(3) Grantees shall agree to actively cooperate with tracking, reporting, and evaluation efforts.(4) Grantees shall coordinate with the local homeless continuum of care network.(f) Funding pursuant to this section shall supplement, and not supplant, the level of county or tribal funding spent on these purposes in the 201718 fiscal year.(g) Grantees applying for additional grant money shall only be required to provide a description of how the additional funding will be utilized, as required by the department.(h) Subject to availability of funding for these purposes, a county that did not initially receive grant funding under this section may apply for grant funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.(g)(i) Utilizing the funds appropriated for purposes of this chapter, the department shall, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging, enter into a contract with an independent evaluation and research agency to evaluate the impacts of the program, which may include, but are not limited to, the following:(1) The likelihood of future homelessness and housing instability among recipients.(2) The likelihood of future instances of abuse and neglect among recipients.(3) Program costs and benefits.(h)(j) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may implement, interpret, or make specific this chapter through all-county letters without taking regulatory action.
517517
518518 SEC. 13. Section 15771 of the Welfare and Institutions Code is amended to read:
519519
520520 ### SEC. 13.
521521
522522 15771. (a) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing housing-related supports to eligible individuals.(b) Notwithstanding subdivision (a), this section does not create an entitlement to housing-related assistance, which is to be provided at the discretion of the grantee as a service to eligible individuals.(c) (1) It is the intent of the Legislature that housing-related assistance provided pursuant to this chapter utilize evidence-based practices in homeless assistance and prevention, including housing risk screening and assessments, housing first, rapid rehousing, and supportive housing. It is further the intent of the Legislature to allow housing-related assistance to be provided to elders and dependent adults served by county adult protective services programs who are homeless or at risk of homelessness as a bridge to more permanent housing.(2) Housing-related supports and services available to participating individuals may include, but not be limited to, all of the following:(A) An assessment of each individuals housing needs, including a plan to assist the individual in meeting those needs, consistent with the case plan, as developed by the adult protective services agency. To the extent feasible, the plan shall be developed in coordination with a multidisciplinary team that may include housing program providers, mental health providers, local law enforcement, legal assistance providers, and others as deemed relevant by the adult protective services agency.(B) Navigation or search assistance to recruit landlords and assist individuals in locating affordable or subsidized housing.(C) Enhanced case management, including motivational interviewing and trauma-informed care, to help the individual recover from elder abuse, neglect, or financial exploitation.(D) Housing-related financial assistance, including for rental assistance, including, but not limited to, long-term rental subsidies, emergency housing, and access to board and care homes, security deposit assistance, utility payments, moving cost assistance, and interim housing assistance while housing navigators are actively seeking permanent housing options for the individual.(E) Housing stabilization services, including ongoing landlord engagement, case management, public systems assistance, legal services, tenant education, eviction protection, credit repair assistance, life skills training, heavy cleaning, and conflict mediation with landlords, neighbors, and families.(F) Services to support housing transitions, including, but not limited to, transportation assistance, assistance securing personal care attendants, and linking service recipients to other services and supports.(F)(G) If the individual requires supportive housing, referral to the local homeless continuum of care for long-term services promoting housing stability.(G)(H) Mental health assistance, as necessary or appropriate.(d) The department shall provide grants to counties and tribes according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging. These criteria shall include, but are not limited to, all of the following:(1) Eligible sources of funds and in-kind contributions to match the grant, as described in paragraph (1) of subdivision (e).(2) The proportion of funding to be expended on reasonable and appropriate administrative activities, in order to minimize overhead and maximize services.(3) Tracking and reporting procedures for the program, which shall be conducted as a condition of receiving funds, including, but not limited to, collecting disaggregated data on all of the following:(A) The number of people determined eligible for the program.(B) The number of people receiving assistance from the program and the duration of that assistance.(C) The types of housing assistance received by recipients.(D) The housing status six months and one year after receiving assistance from the program.(E) The number of substantiated adult protective services reports six months and one year after receiving assistance from the program.(e) Grants shall be subject to all of the following requirements:(1) (A) Grantees shall match the funding on a dollar-for-dollar basis, which may be met by cash or in-kind contributions.(B) On and after the effective date of the act that added this subparagraph, grantees shall not be required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.(2) Grantees shall demonstrate the extent to which they will attempt to leverage county mental health services funds for participating individuals, and any barriers to leveraging these funds.(3) Grantees shall agree to actively cooperate with tracking, reporting, and evaluation efforts.(4) Grantees shall coordinate with the local homeless continuum of care network.(f) Funding pursuant to this section shall supplement, and not supplant, the level of county or tribal funding spent on these purposes in the 201718 fiscal year.(g) Grantees applying for additional grant money shall only be required to provide a description of how the additional funding will be utilized, as required by the department.(h) Subject to availability of funding for these purposes, a county that did not initially receive grant funding under this section may apply for grant funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.(g)(i) Utilizing the funds appropriated for purposes of this chapter, the department shall, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging, enter into a contract with an independent evaluation and research agency to evaluate the impacts of the program, which may include, but are not limited to, the following:(1) The likelihood of future homelessness and housing instability among recipients.(2) The likelihood of future instances of abuse and neglect among recipients.(3) Program costs and benefits.(h)(j) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may implement, interpret, or make specific this chapter through all-county letters without taking regulatory action.
523523
524524 15771. (a) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing housing-related supports to eligible individuals.(b) Notwithstanding subdivision (a), this section does not create an entitlement to housing-related assistance, which is to be provided at the discretion of the grantee as a service to eligible individuals.(c) (1) It is the intent of the Legislature that housing-related assistance provided pursuant to this chapter utilize evidence-based practices in homeless assistance and prevention, including housing risk screening and assessments, housing first, rapid rehousing, and supportive housing. It is further the intent of the Legislature to allow housing-related assistance to be provided to elders and dependent adults served by county adult protective services programs who are homeless or at risk of homelessness as a bridge to more permanent housing.(2) Housing-related supports and services available to participating individuals may include, but not be limited to, all of the following:(A) An assessment of each individuals housing needs, including a plan to assist the individual in meeting those needs, consistent with the case plan, as developed by the adult protective services agency. To the extent feasible, the plan shall be developed in coordination with a multidisciplinary team that may include housing program providers, mental health providers, local law enforcement, legal assistance providers, and others as deemed relevant by the adult protective services agency.(B) Navigation or search assistance to recruit landlords and assist individuals in locating affordable or subsidized housing.(C) Enhanced case management, including motivational interviewing and trauma-informed care, to help the individual recover from elder abuse, neglect, or financial exploitation.(D) Housing-related financial assistance, including for rental assistance, including, but not limited to, long-term rental subsidies, emergency housing, and access to board and care homes, security deposit assistance, utility payments, moving cost assistance, and interim housing assistance while housing navigators are actively seeking permanent housing options for the individual.(E) Housing stabilization services, including ongoing landlord engagement, case management, public systems assistance, legal services, tenant education, eviction protection, credit repair assistance, life skills training, heavy cleaning, and conflict mediation with landlords, neighbors, and families.(F) Services to support housing transitions, including, but not limited to, transportation assistance, assistance securing personal care attendants, and linking service recipients to other services and supports.(F)(G) If the individual requires supportive housing, referral to the local homeless continuum of care for long-term services promoting housing stability.(G)(H) Mental health assistance, as necessary or appropriate.(d) The department shall provide grants to counties and tribes according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging. These criteria shall include, but are not limited to, all of the following:(1) Eligible sources of funds and in-kind contributions to match the grant, as described in paragraph (1) of subdivision (e).(2) The proportion of funding to be expended on reasonable and appropriate administrative activities, in order to minimize overhead and maximize services.(3) Tracking and reporting procedures for the program, which shall be conducted as a condition of receiving funds, including, but not limited to, collecting disaggregated data on all of the following:(A) The number of people determined eligible for the program.(B) The number of people receiving assistance from the program and the duration of that assistance.(C) The types of housing assistance received by recipients.(D) The housing status six months and one year after receiving assistance from the program.(E) The number of substantiated adult protective services reports six months and one year after receiving assistance from the program.(e) Grants shall be subject to all of the following requirements:(1) (A) Grantees shall match the funding on a dollar-for-dollar basis, which may be met by cash or in-kind contributions.(B) On and after the effective date of the act that added this subparagraph, grantees shall not be required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.(2) Grantees shall demonstrate the extent to which they will attempt to leverage county mental health services funds for participating individuals, and any barriers to leveraging these funds.(3) Grantees shall agree to actively cooperate with tracking, reporting, and evaluation efforts.(4) Grantees shall coordinate with the local homeless continuum of care network.(f) Funding pursuant to this section shall supplement, and not supplant, the level of county or tribal funding spent on these purposes in the 201718 fiscal year.(g) Grantees applying for additional grant money shall only be required to provide a description of how the additional funding will be utilized, as required by the department.(h) Subject to availability of funding for these purposes, a county that did not initially receive grant funding under this section may apply for grant funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.(g)(i) Utilizing the funds appropriated for purposes of this chapter, the department shall, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging, enter into a contract with an independent evaluation and research agency to evaluate the impacts of the program, which may include, but are not limited to, the following:(1) The likelihood of future homelessness and housing instability among recipients.(2) The likelihood of future instances of abuse and neglect among recipients.(3) Program costs and benefits.(h)(j) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may implement, interpret, or make specific this chapter through all-county letters without taking regulatory action.
525525
526526 15771. (a) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing housing-related supports to eligible individuals.(b) Notwithstanding subdivision (a), this section does not create an entitlement to housing-related assistance, which is to be provided at the discretion of the grantee as a service to eligible individuals.(c) (1) It is the intent of the Legislature that housing-related assistance provided pursuant to this chapter utilize evidence-based practices in homeless assistance and prevention, including housing risk screening and assessments, housing first, rapid rehousing, and supportive housing. It is further the intent of the Legislature to allow housing-related assistance to be provided to elders and dependent adults served by county adult protective services programs who are homeless or at risk of homelessness as a bridge to more permanent housing.(2) Housing-related supports and services available to participating individuals may include, but not be limited to, all of the following:(A) An assessment of each individuals housing needs, including a plan to assist the individual in meeting those needs, consistent with the case plan, as developed by the adult protective services agency. To the extent feasible, the plan shall be developed in coordination with a multidisciplinary team that may include housing program providers, mental health providers, local law enforcement, legal assistance providers, and others as deemed relevant by the adult protective services agency.(B) Navigation or search assistance to recruit landlords and assist individuals in locating affordable or subsidized housing.(C) Enhanced case management, including motivational interviewing and trauma-informed care, to help the individual recover from elder abuse, neglect, or financial exploitation.(D) Housing-related financial assistance, including for rental assistance, including, but not limited to, long-term rental subsidies, emergency housing, and access to board and care homes, security deposit assistance, utility payments, moving cost assistance, and interim housing assistance while housing navigators are actively seeking permanent housing options for the individual.(E) Housing stabilization services, including ongoing landlord engagement, case management, public systems assistance, legal services, tenant education, eviction protection, credit repair assistance, life skills training, heavy cleaning, and conflict mediation with landlords, neighbors, and families.(F) Services to support housing transitions, including, but not limited to, transportation assistance, assistance securing personal care attendants, and linking service recipients to other services and supports.(F)(G) If the individual requires supportive housing, referral to the local homeless continuum of care for long-term services promoting housing stability.(G)(H) Mental health assistance, as necessary or appropriate.(d) The department shall provide grants to counties and tribes according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging. These criteria shall include, but are not limited to, all of the following:(1) Eligible sources of funds and in-kind contributions to match the grant, as described in paragraph (1) of subdivision (e).(2) The proportion of funding to be expended on reasonable and appropriate administrative activities, in order to minimize overhead and maximize services.(3) Tracking and reporting procedures for the program, which shall be conducted as a condition of receiving funds, including, but not limited to, collecting disaggregated data on all of the following:(A) The number of people determined eligible for the program.(B) The number of people receiving assistance from the program and the duration of that assistance.(C) The types of housing assistance received by recipients.(D) The housing status six months and one year after receiving assistance from the program.(E) The number of substantiated adult protective services reports six months and one year after receiving assistance from the program.(e) Grants shall be subject to all of the following requirements:(1) (A) Grantees shall match the funding on a dollar-for-dollar basis, which may be met by cash or in-kind contributions.(B) On and after the effective date of the act that added this subparagraph, grantees shall not be required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.(2) Grantees shall demonstrate the extent to which they will attempt to leverage county mental health services funds for participating individuals, and any barriers to leveraging these funds.(3) Grantees shall agree to actively cooperate with tracking, reporting, and evaluation efforts.(4) Grantees shall coordinate with the local homeless continuum of care network.(f) Funding pursuant to this section shall supplement, and not supplant, the level of county or tribal funding spent on these purposes in the 201718 fiscal year.(g) Grantees applying for additional grant money shall only be required to provide a description of how the additional funding will be utilized, as required by the department.(h) Subject to availability of funding for these purposes, a county that did not initially receive grant funding under this section may apply for grant funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.(g)(i) Utilizing the funds appropriated for purposes of this chapter, the department shall, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging, enter into a contract with an independent evaluation and research agency to evaluate the impacts of the program, which may include, but are not limited to, the following:(1) The likelihood of future homelessness and housing instability among recipients.(2) The likelihood of future instances of abuse and neglect among recipients.(3) Program costs and benefits.(h)(j) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may implement, interpret, or make specific this chapter through all-county letters without taking regulatory action.
527527
528528
529529
530530 15771. (a) Subject to an appropriation of funds for this purpose in the annual Budget Act, the department shall award grants to counties, tribes, or groups of counties or tribes, that provide services to elder and dependent adults who experience abuse, neglect, and exploitation and otherwise meet the eligibility criteria for adult protective services, for the purpose of providing housing-related supports to eligible individuals.
531531
532532 (b) Notwithstanding subdivision (a), this section does not create an entitlement to housing-related assistance, which is to be provided at the discretion of the grantee as a service to eligible individuals.
533533
534534 (c) (1) It is the intent of the Legislature that housing-related assistance provided pursuant to this chapter utilize evidence-based practices in homeless assistance and prevention, including housing risk screening and assessments, housing first, rapid rehousing, and supportive housing. It is further the intent of the Legislature to allow housing-related assistance to be provided to elders and dependent adults served by county adult protective services programs who are homeless or at risk of homelessness as a bridge to more permanent housing.
535535
536536 (2) Housing-related supports and services available to participating individuals may include, but not be limited to, all of the following:
537537
538538 (A) An assessment of each individuals housing needs, including a plan to assist the individual in meeting those needs, consistent with the case plan, as developed by the adult protective services agency. To the extent feasible, the plan shall be developed in coordination with a multidisciplinary team that may include housing program providers, mental health providers, local law enforcement, legal assistance providers, and others as deemed relevant by the adult protective services agency.
539539
540540 (B) Navigation or search assistance to recruit landlords and assist individuals in locating affordable or subsidized housing.
541541
542542 (C) Enhanced case management, including motivational interviewing and trauma-informed care, to help the individual recover from elder abuse, neglect, or financial exploitation.
543543
544544 (D) Housing-related financial assistance, including for rental assistance, including, but not limited to, long-term rental subsidies, emergency housing, and access to board and care homes, security deposit assistance, utility payments, moving cost assistance, and interim housing assistance while housing navigators are actively seeking permanent housing options for the individual.
545545
546546 (E) Housing stabilization services, including ongoing landlord engagement, case management, public systems assistance, legal services, tenant education, eviction protection, credit repair assistance, life skills training, heavy cleaning, and conflict mediation with landlords, neighbors, and families.
547547
548548 (F) Services to support housing transitions, including, but not limited to, transportation assistance, assistance securing personal care attendants, and linking service recipients to other services and supports.
549549
550550 (F)
551551
552552
553553
554554 (G) If the individual requires supportive housing, referral to the local homeless continuum of care for long-term services promoting housing stability.
555555
556556 (G)
557557
558558
559559
560560 (H) Mental health assistance, as necessary or appropriate.
561561
562562 (d) The department shall provide grants to counties and tribes according to criteria and procedures developed by the department, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging. These criteria shall include, but are not limited to, all of the following:
563563
564564 (1) Eligible sources of funds and in-kind contributions to match the grant, as described in paragraph (1) of subdivision (e).
565565
566566 (2) The proportion of funding to be expended on reasonable and appropriate administrative activities, in order to minimize overhead and maximize services.
567567
568568 (3) Tracking and reporting procedures for the program, which shall be conducted as a condition of receiving funds, including, but not limited to, collecting disaggregated data on all of the following:
569569
570570 (A) The number of people determined eligible for the program.
571571
572572 (B) The number of people receiving assistance from the program and the duration of that assistance.
573573
574574 (C) The types of housing assistance received by recipients.
575575
576576 (D) The housing status six months and one year after receiving assistance from the program.
577577
578578 (E) The number of substantiated adult protective services reports six months and one year after receiving assistance from the program.
579579
580580 (e) Grants shall be subject to all of the following requirements:
581581
582582 (1) (A) Grantees shall match the funding on a dollar-for-dollar basis, which may be met by cash or in-kind contributions.
583583
584584 (B) On and after the effective date of the act that added this subparagraph, grantees shall not be required to match any funding provided that is above the base level of funding provided in the Budget Act of 2019.
585585
586586 (2) Grantees shall demonstrate the extent to which they will attempt to leverage county mental health services funds for participating individuals, and any barriers to leveraging these funds.
587587
588588 (3) Grantees shall agree to actively cooperate with tracking, reporting, and evaluation efforts.
589589
590590 (4) Grantees shall coordinate with the local homeless continuum of care network.
591591
592592 (f) Funding pursuant to this section shall supplement, and not supplant, the level of county or tribal funding spent on these purposes in the 201718 fiscal year.
593593
594594 (g) Grantees applying for additional grant money shall only be required to provide a description of how the additional funding will be utilized, as required by the department.
595595
596596 (h) Subject to availability of funding for these purposes, a county that did not initially receive grant funding under this section may apply for grant funds. The department shall consult with the County Welfare Directors Association of California in implementing this subdivision.
597597
598598 (g)
599599
600600
601601
602602 (i) Utilizing the funds appropriated for purposes of this chapter, the department shall, in consultation with the County Welfare Directors Association of California, tribes, the California Elder Justice Coalition, and the California Commission on Aging, enter into a contract with an independent evaluation and research agency to evaluate the impacts of the program, which may include, but are not limited to, the following:
603603
604604 (1) The likelihood of future homelessness and housing instability among recipients.
605605
606606 (2) The likelihood of future instances of abuse and neglect among recipients.
607607
608608 (3) Program costs and benefits.
609609
610610 (h)
611611
612612
613613
614614 (j) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may implement, interpret, or make specific this chapter through all-county letters without taking regulatory action.
615615
616616 SEC. 14. To the extent that this act has an overall effect of increasing the costs already borne by a local agency for programs or levels of service mandated by the 2011 Realignment Legislation within the meaning of Section 36 of Article XIII of the California Constitution, it shall apply to local agencies only to the extent that the state provides annual funding for the cost increase. Any new program or higher level of service provided by a local agency pursuant to this act above the level for which funding has been provided shall not require a subvention of funds by the state or otherwise be subject to Section 6 of Article XIIIB of the California Constitution.With regard to certain other costs that may be incurred by a local agency or school district, no reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because, in that regard, this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
617617
618618 SEC. 14. To the extent that this act has an overall effect of increasing the costs already borne by a local agency for programs or levels of service mandated by the 2011 Realignment Legislation within the meaning of Section 36 of Article XIII of the California Constitution, it shall apply to local agencies only to the extent that the state provides annual funding for the cost increase. Any new program or higher level of service provided by a local agency pursuant to this act above the level for which funding has been provided shall not require a subvention of funds by the state or otherwise be subject to Section 6 of Article XIIIB of the California Constitution.With regard to certain other costs that may be incurred by a local agency or school district, no reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because, in that regard, this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
619619
620620 SEC. 14. To the extent that this act has an overall effect of increasing the costs already borne by a local agency for programs or levels of service mandated by the 2011 Realignment Legislation within the meaning of Section 36 of Article XIII of the California Constitution, it shall apply to local agencies only to the extent that the state provides annual funding for the cost increase. Any new program or higher level of service provided by a local agency pursuant to this act above the level for which funding has been provided shall not require a subvention of funds by the state or otherwise be subject to Section 6 of Article XIIIB of the California Constitution.
621621
622622 ### SEC. 14.
623623
624624 With regard to certain other costs that may be incurred by a local agency or school district, no reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because, in that regard, this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.