When the client is: And the suspected And the abuse And the abuse The agency to abuser is: occurs: type is: respond will be: A licensed Adult Day (including Within the facility Physical Ombudsman program family/friends, legal Sexual APS and financial Neglect Both professionals, Self Neglect Lead will be: visitors) Financial Ombudsman Other________ APS A licensed Adult Day Resident or Staff Outside the facility Physical Ombudsman program (includes contracted (for example, on a Sexual APS staff) field trip) Neglect Both Self Neglect Lead will be: Financial Ombudsman Other________ APS A licensed Adult Day Non-staff (including Outside the facility Physical Ombudsman program family/friends, legal (for example, on a Sexual APS and financial trip) Neglect Both professionals, Self Neglect Lead will be: visitors) Financial Ombudsman Other________ APS In an Acute Care Staff, other patients Within the hospital Physical APS Hospital or Psych or non staff or within the Sexual Hospital (including community Neglect family/friends, legal (e. g. individual was Self Neglect and financial neglected at home Financial professionals, resulting in Other________ visitors) hospitalization. Must have been an elder or dependent adult at the time of the abuse) In an Acute Care An employee of a In a long term care Physical Ombudsman Hospital or Psych licensed facility facility Sexual APS Hospital Neglect Both Self Neglect Lead will be: Financial Ombudsman Other________ APS Facilities exempt Staff (includes Within the facility or Physical Ombudsman from licensure contracted staff) or Outside the facility Sexual APS (e.g. Independent Resident Neglect Both Living Facilities, Self Neglect Lead will be: Sober Living Houses Financial Ombudsman that are not Other________ APS providing care and supervision, etc) When the client is: And the suspected And the And the abuse The agency to abuser is: occurs: type is: respond will be:
When the client is: And the suspected abuser is: And the abuse occurs: And the abuse type is: The agency to respond will be: A licensed Adult Day program (including family/friends, legal and financial professionals, visitors) Within the facility Physical Sexual Neglect Self Neglect Financial Other________ Ombudsman APS Both Lead will be: Ombudsman APS A licensed Adult Day program Resident or Staff (includes contracted staff) Outside the facility (for example, on a field trip) Physical Sexual Neglect Self Neglect Financial Other________ Ombudsman APS Both Lead will be: Ombudsman APS A licensed Adult Day program Non-staff (including family/friends, legal and financial professionals, visitors) Outside the facility (for example, on a trip) Physical Sexual Neglect Self Neglect Financial Other________ Ombudsman APS Both Lead will be: Ombudsman APS In an Acute Care Hospital or Psych Hospital Staff, other patients or non staff (including family/friends, legal and financial professionals, visitors) Within the hospital or within the community (e. g. individual was neglected at home resulting in hospitalization. Must have been an elder or dependent adult at the time of the abuse) Physical Sexual Neglect Self Neglect Financial Other________ APS In an Acute Care Hospital or Psych Hospital An employee of a licensed facility In a long term care facility Physical Sexual Neglect Self Neglect Financial Other________ Ombudsman APS Both Lead will be: Ombudsman APS Facilities exempt from licensure (e.g. Independent Living Facilities, Sober Living Houses that are not providing care and supervision, etc) Staff (includes contracted staff) or Resident Within the facility or Outside the facility Physical Sexual Neglect Self Neglect Financial Other________ Ombudsman APS Both Lead will be: Ombudsman APS When the client is: And the suspected abuser is: And the occurs: And the abuse type is: The agency to respond will be:
templatemoulongtermcare.docx